HomeMy WebLinkAbout10197907 - Permit (2)ry
Proiect Address: 31 3 N Birch St
398-591-10 Lot: PORS 38, 39, 4o/lBlock: NA
Unit Bldg: Address Range
Tract: BIRCH ADO/PARK
Suite Range:
Zoning: SD84Assessor's Parcell Historic: Yes
City of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (7141 647-5800 lnspection Requests: (7'l4l667-2738 lnspector Section: (714) 647-5853
Permit #: 1fJ1979IJ2
Pin #: 58098
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Revision
Revision
Commercial
Occupancy:
Constr Type
Code:
Flood Zone:
# of Storaes:
B
VB
cBc 2016
x-0602320144J
2
l st FL Area
2nd FL Area
Other Areas:
Patio:
T.l.Areal
Yards Req'd
Description of Work: Revision to 10197054
Planning Conditions:
Garagegffiq;;19730 - llabr&e: ID! l(:urjLLAF
- 0ffices CTYH Tnons+: 139 ? of llotal 1..1r. Rel+: l r:r1 '/ i,) n ,
Fcpti:02553838 - 3/11/2019 ltitt ifi
Transsct ion Totol 939?.4 i
L iennette Chune
Owner:
Address:
Phone:
Tenant
Liennette Chung
243 Newport Ave.
Long Beach, CA 90803
17't41612-29',t7
American Legion
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Polacy #:
Expires:
Contraclor:
Address:
Owner-Builder
F/C Bu i ld ine
0lt160112- 53600000-
Uiso
CC+: r******** *II1457
Engineer
Address:
Architect /
Desiqner:
Address:
AUL ha i rl
Phone:
License #:
Gani Dino
Gani Dino
3412 Chapman St. Apt. 20
Los Angeles, CA 90065
13231217-3ss8Phone:
License f:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd;
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Orozco, lvan
So, Anson
Zuniga, Allissa
Date: l0/02/2018
Dale. 1010212018
Date: 03/11/2019
Subject to Field:
$222.16
$0.00
07776002 53600 Revision
07776002 57600 cenelal Plan Update
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No 011t6002 53600 $222.16
Every pemit issued shall becofie invalid unless lhe wo* on the site authoized by
such pennit is commenced withio 180 days aftet its issuance,or if the work authorized
on the site by such permil is suspended ot abandoned fot a peiod of180 days aftet
the time the wo* is comnenced.
lnspector MID#: 2018-144073
Fee Total
Paid to Date:
Balance Due:
s222.16
$0.00
$222.16
Misc. Receipt:
NIisc. Receipt:
lvlisc. Receipt:
BUILDING. INSPECTOR RECORD
DATE COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
It/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
Dnaulerrt<{q)FINAL bhrln t,
Certificate of Occupancy aI T-l
Notes, Remarks, Etc.
OWNER BUII,OER DELCNT(ATION
I hcrchy a,fuh und.r F.nixy ol Frjury rhar I d.!.ntt r$n rhc ConkachF' LK!n{ Llw tor lhc nnbwins EN)n (Ss.?011.5
ansincs\ rll Pflna$irn Cqlc): Any ciry or (i'unry which rcquircs a p.mn ro .on(Ncl, ,lrci improvc. lcnolnh rr mn,n rnv
nfldrc, prn)r h ns nsMnc., rho Rturcs lhc aflllol lbr iuch Fmt ro lik r si3re't dlcmnr th.l h. or shc is lictn{J Pusuanl
h rl[ Irovisio oi rtE Conlractff\ l"iccnrcJ tiw (Chrprcr 9. ConmcNin8 wirh Selon ?U)0 ol Divison .1 oi lhc Brsin \s and
Pnncs\srx Codc) .r rh.l hc or sh. L\.{cq)r rhct,i{mrndlhc harn ldrrhc allclc! crcmliion Any viobrn}nol Sctri,n 7011.5 bvanv
aprlrca lnral.rnir sutj.ctsrhc dl)pliu,nr ft, rcivilr.nxlryol not mncrhan ivc hundrcddollcs (5500)
!. $ owncr ol rhc nn'|xdy, or nry cmplorcs w h wrg.s ,s ih.n qnc .omtcn\lr i,)n. w'll do rlE work ad rhc {turm ir ftn
irxcrlot orolicrcd ld srl. (sc-..?04,1.Ilusinc$ uJ Pdi*io.! Colc lh.Conkrcroasl-Nnseljwdo.snoranplvlr,!nowncrol
rhctoFdy wh. hurlds or m\Tlvc! rh.RD. arxl whd dc( {'.h w)* him\.lf.r lrcr*ll.rrhnruSh hn or hcro*tr eq)lqts
nn,v cJ ihrr n'ch inpn)!.mnh m mr un.pil.J or o .Rl ftr sih. lt. lr)w.vcr. rhc tntrU 'n! or inDr.\tm.r s 3,U w(tun onc vtr
oluomptiion.rlf,t)wtr.rBrrlds willhrvc rhcnxrJcnofpn,v'ng rl lrorshcJiJ nor huild or inlp()vc rhc P,aFnv lilr rhc Puqx,* o,
-
l. r\ owrcr ol lhc nn,F:ny, rm c(lulvcly ont&tn3 wi h li(cn{,i rontr.br lo uon(turr rlt lojce! (Se. 70{4 Bu in'(
,ki Frnc$nn O),lc: Thc conkr((tr s l,i.cnse tjw nocr nor alfly ro !n .*ncr of pn,fnv wlnr iuilJs or inniovcs rhcrcon.
rn(l who conkxcrslu su.I lojc.h enh r contacnt(s) licctrscl pu^urnrtr' rh. Conr.ui{tr r l-iccnsc l-iw).
_l anrr.npl undcr Scul
WORKERS' CONIPENSATION
PLCIAIAIION
t hcr.hr !,lnr!n'lc. pcrahy otr.rjuryoN.trhc li,lh*i,rg J.{l*arions:
-l
hatr,rJ will mi umaCcnili.{cofConscnrtoScl[lnsurct,workcs'ompcn{rion.ar Ptuvi]cJ ti)rtvSccrion l7rxror16'
ljl$r C,xlc, tor rhc p.rformdcc ol lhc woa tor whah rhc aenir h tstc'l
I havc rnd *ill nrainhin workc( .onr.nsai ion insor3rcc, 'r rcqu,rcd hySctrion lT0Oolrhc L.t'o! Cod.. tdrrhc P.rlioucc 'frhc work tu whi.h lhh pcmir is rlucn. My w{*er' !1,ml.n\ar nn rurikc. icr a,{ piicv numt cr m:
I ucdilyrhar r thc 0crl.rnuncc {, thc *oik tur whthrhis pcrnrit s is\ucJ,I shrll nor cnlphiy ,ny !trson rn uny frrnrcr
n, N o b.coN nrhrcur ro rhc work.ri co,nP.fls n lawr.l Crl'lithi.. and aeEc rhar,ft \h,uld hc.ok- subjccr h rhc
wo, kcrl . n{'tnsai io, pr'li\tunr of sccr kr .1?00 ol thc lihn cixlc, I rhrll. nnhw h .ohplv w h lh'{ povni,ns
WARNINC: iailu. (' cuurc *orkc^' co'n!.nQlotr .overagc ,s unhwlirl ! shau ruh]ccr a,, cm!L))q b.riminrl lcnrlrlq .
r'!il iln.r nt ro onc hunJEJ rhorsnd dolhrs (lllD.lx$). in ndd k r r) rh..on o, c.hrEnr.rtun. Jrro8cs r\ lDvidcd lor rhc
Sccron J076ol rhc lrhnC, c, nrcrc(lnd allomy \ Ibcr
ADolimnl:-
ILCENSED-CONIBACIAS
DECI ANATrcN
t herby arlm und.r Fnrhyolpcrjxryrld I m lienEd un'ler Is)viln,n orchaptcr, (lr'mmtumg with Seclion 70()0) I Dlvttr)n l
ol thc Businc$ and PntarsionsC,ic. urj nylicen{ i\ m tu n)r* an!clt ct
!9!!ISIMON!EN!2M!!.E!II
I h.rb] dtum urdcr llculryor Frjury rh.i rhcrc r a con(dcri,n Lndtrrf a3crcy n)r rhc p$tirmlncc olrhc wotk tut whih rhn Fn (
r\sucJ (S.c. l{)r)7, C,r. C ).
ATPLICANT DECLARATION
I hcr.{'y afiim n!'lcr pemlry of t'.rjury oN ol rh. tulk,wihS delnrotions:
D.nol t'n Pcrmirs-Asb.dos NoLicnr!{ I;cdcral Reguhrions tTnlc'(). Pin6)
R.rtutcd lx(.r.f Mn i..r$n
l.cn'Iyrhxr rh.lcd.rrlrcsuhrions rcEnrJins n\b.{!,s rcnr)ular. nor rlPlicihle h rhi\ F+cr
I {nilyrh,r I lDvc rr rhN dtplicarion ,..:;a
"T2""" "
n)('mtly wirh rllCiry rtrJ Cotrnry
RtnlN.s o'l Srrrd liwi r.l
rlx'vc rktrrtnEd l]n n n! l'tr
,\ppli.anl.rA{enl Sipn$t
ii)
SITE-WORK ID/SIG.
Subf loor/VenVlnsulation
-ErDi(.
Lic.nsc Clls:-Li€nsc Numhe r:
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