HomeMy WebLinkAbout10198246 - Permit (2)cify of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA9:1\1" Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714],647-5853
Permit #: {O{98246
Pin #: {6683
r\.l
Project Address: 1302 E Seventeenth St
Block: NA Tract: NA
Suite Range:
Zoning: C4Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Alteration
Demising Wall/Restroom
Commercial
spec suite
1 st FL Area:
2nd FL Area:
Other Areas:
Patio:
T.l.Area:
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Garage ,Area:
Total:
Yards Req'd
Valuation:
80
Description of Work: New demising wall to create Unit C. Add (1) new restroom.
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Contractor
Address:
Engineer
Address
Rohrs-Grand Associates
PO Box 9456
Minneapolis, MN 55,1409456
(949) 5734660 Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Greenberg Farrow
Rod G New
19000 MacArthur Blvd, Suite 250
lrvine, CA 92612
(949) 296-0450
s3419
Douqlas S Couper
Douglas S Couper
Greenberg Farrow
lrvine, CA 92612
Architect /
Designer:
Address:
Phone:
License #
Phone:
License #:c25474
Planning Approval By
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd
PWA insp. Req'd:
Date: 11/01/20'18
Date: 1ll13/2018
Date:1111412018
Subject to Field;
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
0I907007
07776002
07716002
07776002
Permit Fee
Plan Check Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
ez, Pedro
ki, Teri
s7607
s3600
24000
57672
57600
57607No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd il: Account#Planning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No
Every petmit issued shall become invalid unless the wo* on the site authoized by
such pernil is commenced within 180 days after its issuance,ot if the work authoized
oh the site by such pemil is suspended or abandoned for a period of180 days after
the time lhe work is commencod .
MtD#. 2018-147420
01116002 51600
01'116002 51601
01116002 51612
08901001 24000
$22.08
$364.54
$1.00
$2.94 Fee Total:
Paid to Date:
Balance Due:
$712.99
$322.43
$390.56
L
Assessor's Parcel: 400-231-0'l Lot: NA
Bldg: Address Range:
B
V B, SPK
cBc 2016
x-0602320163J
,|$10,500.00
Owner-Builder
Total
$309.s0
$322.43
$2.94
$1.00
$22.08
$55.04
lnspector
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.. ,. COMMENTS OWNER BU!LDER DELCARATION
I lrr€b, amnn undn Fn.lry oa psjory thd I an cxcmpr non th. Contr.ros Lrc.Nc tjlv for rh€ aollowins rcMn (5€.703 1 s
Bui.6s and Profsion Code) Any City or Counry which lequt6 a lcnnir to coNrru.r. alre. impov€, ddolish or rcpan dy'
sttudu., Irior ro ils isoanc€. also r.qun6 rhc apnlic t aor such p.mir ro lil. r signed sl6tcnEnt ihal h. or sh. i! licdsd lufuet '
ro thc prevNi.c oilh. c.nractois Lic.ns.d lj\r (Chapt6 9. Gnm.ncins vilh Sdlion 7000 of Division I ofrh. Busin* dd
Prcasbns code) or rhar hc o! shc is cx€npl lhselrom ud lhc b.sis tu rh. all.ldl crmp{ion. Any violalion of S..rion 701 I 5 b) ani
applicanl ro! a p€nnir subjsrsrhe applicrm ro acivilp.nrhyofnol morclnan five hundr.d dollds($500).
l. s own6 ofnr pmpely. ornymployG $lth Nas65 $.ir $lc..o!.Mrion. willdo lh€ $or( and rhcnME is ml
inlod.d or oflcEd ror el. (Se.7o44. B6in6 md ProfsioB code: nE conraclot s I i.6c la! do6 nol .pply lo m o*Td of
rhc l,opdy $ho toil& or nnpov6lhso.. dd *h) dG such Mlt [nnsclaor hcgltorthmugh his or h.r orh.mploy6.
prov'ddl rhd sNh nnprovmls m nor int d.d or olTsed lor eE lr, hoxtvd. tbt hrildins or i F ovfldt is eld *nhin one t€r
olcompl.rion, rh€ O\r€r Buildo wil tav. lhe htrd.n of pm! i,g lhd hc or she drd nol build or nnpror. th. P,lFry tur lhc purFs of
-l.6oMs
orrhc tmtcty, @ crclusiv.lycontodins Eiln lic€Md &nlrado6ro conntud rh. p.oj..l (Sd. 7O1{, &6in6
and P,rasion Cod.: Thc Conrractoi3 Liccnsc l"as do6 nol apply lo Mo$na ofprcreny who buildr dr improvB thdmn.
and sho conrEcrs for such p@jds wilh aconlr.cro4s) lic€n*d puEu l loth.cdntactois Li.eN. t!w)
I r n.nflr tr rld S.!Lr,
,,^," rt/s/rt
Ull-I"![l!1
I h6.b].mnn und6 pcn.lryofp6l lrh€lollosintsdtrl ari.ns
I ceniryrhar in rh€ p.rlotuce olrh. *ur for shich rhis p.mil is issu€d. I shall nor onpl.r an, pmon in any mu.s
e d lo b..dme subld'
'o 'h.
Mrl6 comp.nsation lflss of Caliromia, ed aac rhd if I should bsomc subj6! ro rh.
*orlds.orpr arionlrovisioNolScdion3T00ollhcl,olirCod..lshall.ionhwnhcomplywilhlho$ptovisions
\IARNINC: trsilure ro scue xo dc .onp.Nrion coveag. is unlowlul. dd shall subjd( d mrployd ro sir.ioal lFall6 and
cilil liflcs up lo one hun&d rho$dd {tol16 irion ro th. con oa.o6p.Nrion. dsMs6 ae p,ovidcd lor rhc
secrion 11076 dirh.lihy (od.. i.rnda
T {(9
DECI,A8AUq!
I h6by 6rDn und6 !.nrny o aFjury lhal I m licaE d undd Forision of Cbapro 9 (co,mscins with Sedbn 7000) oa Division I
ol thc Auio6 sd PmleioD codc, dd my lic6s is in full forcc d €[.cl
CONSTEI]CTION I.DNDING ACENCY
I ncby afiim undd porahy ot pdjury rha $d. is a odtudion Lnding osmcy lor lh. p€fomc. o f lh. m* ftr whict lhis p@nil i
issucd (s*. 1097. civ. c. ).
ATIIICANLDES,AAAUOX
I hdt, arm und6 paalt, of r€rjury one ol the tollos ins dcldaliom:
D.nohion Pd,nn s,^sb.st os Noti ficar ion l:cdqal Rqulalions Onk 40, Pd6)
R.qut.d tdrooaNorifi cark n
-l
cglify rhal rh€ lcdgal rosulaions esfidi.8 6b€ros ramval de nol agplic.ble ro I [is Prcj<'
n adstare rhal rh. abolc infomrarion is coded I alre lo Nnrply wilh all Cil, and County
rg coBlrucrioi .nd bd.by rrhoriz€ r€prMlalir6 otlhG Cn, md county lo o16 upo. lh€
J.r-r Q.-c,"tef
v/t /tt
Forms/Steel/Holdowns / <.// -5h *ructutst< \-,4r\
Erection Pads "4 ;a cg:.ztll ,d+>-')iot-
UFER Ground 3 7Y)nrzrn i., tt*'t l-\
SLAB Floor /3//<5hk<4^A <L-A; dh,,,ot ftrt
Subf loor/VenUl nsulation Utu{,{ a'
Roof Sheathinq
Shear Wall ,<)
Framing D v9
ln su lation/E ne rgyl )M "flL rfgl,l/n/h4'*dh ,
--*\3,,th>,ll
Ext./lnt. Lath rh{tru\ zffii iV*rn
Brown Coat {z tl,rxs'' c W IrGTA)
lt4ason ry LAtli' Lst' t4tiq-'
Pool Fence
T-Bar 2Jza/r,j .<,14, Gr.
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
[" \ t1\ \1 utq$)
Certificate of Occupancy
Notes, Remarks, Etc
Set Backs
Vftrtrt^f
h(r a,\ *rq1L,{lt \Ar rc
FINAL
-l
havc od will @inrain a C.dificar. of ConHr lo Sclt-lnsu€ lor wort.B compem.lion, 6 lroid€d for by Selio. l?m oifi.
libor Cod€, fo,lhe psfomd..olln work aor whict lh. p€mii is isucd.
I ha!. a.d willmrintain sbrr€rt conpcBalion icurance.6 reqon.n by Sdion 3?00 ollhe Labor ( od.. aor ln. p<fomac. of
rhe wor* for which tht pmnil is isu€d. My wortd! cooF@rio. iEur.nc. cdi6 ed l,oli.y nunbn &.r
I
----+---