HomeMy WebLinkAbout101103843 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01103843
Pin #: 6{534
Proiect Address: 709 E Alton Ave-a-
Assessor's Parcel. 411-141-12 Lot:
Unit:Bldg Address Range: 705-709
Historic. No
Suite Range.
Zoning: M2Block: NA Tract:
Building Use:
Job Type
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Tenant Improvement
Tl/Canopy
lndustrial
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories.
B, S-1
III B, SPK
cBc 2019
x-0602320278J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patro.
T.l.Area:
Yards Req'd
Valuation:
855
$140,000.00
0
Description of Work Tl-Partition walls and ceiling/ new steel canopy (152 sf)
Planning Conditions:
l)wner:
Address:
PhLne:
Tenant
Shea Properties
130 Vantis #200
Aliso Viejo, CA 92656
(e4s) 38e-729s
Anduril
Contractor: Pacific Construction Group
Address: 17895 Skypark Carcle #K
lrvine, CA 92614
Phone: (949) 748-1500
State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Compa
Policy #: 760001 4602201
Expires: 03/01 12021
RGA Architects
Christopher J Savage
15231 Alton Parkway Suite 100
lrvine, CA 92618
(s49) 341-0920
c31391
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:Pezeshkpour, Ali
Plan Checked By:Scott
Permit lssued By. Zuniga, Allissa
NPDES lnsp. Req'd. No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Date: 08/31 l,2020 Misc. Receipt: T44Oo
Date: 0812412020 Misc. ReceiPt:
Derte: Og/Og/2020 Misc. Receipt:
Subject to Field:
07776002
07776002
07776002
07776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
Fee Total
Paid to Date:
Balance Due
s7607
53 600
57770
57672
57600
$430 8s
$387 79
$72.90
$6.00
$23.79
$921 .33
$376 20
$545.1 3
Fire lnsp. Req'd: No
Police lnsp. Req'd: No Account#Total
Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
01 1 16002 s1601
01116002 51612
01116002 57770
$23 79
$430.85
$6.00
$72.90
lnspector MrD#. 2020-159514
oltlvdp1-5)4p {lt .El
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNIiR BU ILDER DI,:LCA RATION
I hereby affirm under penalty of perjury that I am exempt fr<rm the Contractoru' License [-aw for the f<rllowing reason (Sec.7031.5
Ilusiness and Prolbssion Code): Any City or Countv which requires a permit to construct. alter. irnprove, demolish or rcpair any
structure. prior to its issuance. also requires the applicant for such Jrcrnrit to file a signed statement that he or she is ]icenscd pursuant
to thc provisions ol'thc. Contractor's Licensed l-aw (Chapter 9. Comrncncing with Section 7000 of Division 3 of the Business and
Prof'essions Code) or that he or she is exempt theretionr and the basis for the alleged exenrption. Any violation of Section 7031.5 by any
applicant for a 1rcrmit subjects thc applicant to a civil grcnalty of not more than five hundrcd dollars ($5001.
_1, as owncr ol'the propeny, or my employees with wages as their sole comJrcnsation, willdo the work and the stnrcture is not
interxled or offered for :iale (Sec.7B4. Business and Profcssions Ctxle: The Conlraclor's License l-aw does not apply to an owner of
the property who builds or improws theruln, and wlxr dtrcs such work himself or herself or through his or her owrr employecs,
providcd that such improverrcnts arc nol intcnded or ollered for sale. Il. howcver. the building or irrprovenrnt is sold within one year
of conrpletion, thc Owner Buikler will havc thc bunlcn of pmving lhat hc or she did not build or improve ttre ptopetty for thc puqpose of
sah).
_1. as owner of the property, am cxclusivcly contracting with licensed contractors to conslruct thc projcct (Sec. 7044. Business
and holession Code: The Contractor's License Law does not apply to an owner of property who builds or improves lhereon.
and who contracts for such projccts with a Contractor(s) licenscd pursuant to the Contractor's License kw).
-IamexemptunderSection-'B.&P.C'lbrthisreas<ln'I)ate:
WORKI{)RS. COM PI.)NSA'TION
DB]CLARATIoN
I hcreby allirm undcr penalty of pcrjury one of thc lirllowing dcclarations:
_[ have and will mainlain a Certiticate of Consent to Self'-lnsure for workers' compensation, as provided for hy Section 3700 of the
Latnr Coclc, for thc performance of the work lor which thc permit is Lssued.
_l have and will maintain workers'3700 of the [-abor Code, for the performan'ce of
tlrc work t his is lxrlicy numhcr arc:
Policy o o
_l ccrtify that in thc pcrtbrmance of thc work for which this Jrcrmit is issuetl, I shall not cmploy any person in any manner
so as to bccornc suhject to thc workers' conrpcnsation laws of Califonria, and agrce that if I should become subject to thc
workers' conrlrcnsation provisions of Section 3700 of the Labor C'otle, I shall, forthwith comply with tlrost provisions. \,
WARNING: Failurc to secure workers'compcnsation coverage is unlawful. and shall suhject an employer to criminal pcnalties and
civil fines to one hundrcd thousand dollars in addition to thc cosl danragcs as provided for the
Sectiolr interest and
I hcrc'by
of thc
[,icensc,
al'lirm undcr penalty of perjury that I am licenscd undcr Chaptcr 9 (comrnencing with Scction 7ffn) ol'Division 3
Business and Professi<lns Codc.
B
and my licensc is in full tbrcc arxl effcct.
-l
e L5'5
)o
CONSTRI.'CTION I,tr]NDTNG AGITNCY
I hercby aflirm under penalty of prjury that there is a construction lending agency for the performance of the work for which this permit is
issued (Sec. 3097. Civ. C.).
t-ender's Name:
Lcntlcr's Addrcss:
APPLICANT DECLARATION
I trreby affurn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Required lctter of Notification
_l certify that the federal rcgulations regarding asbestos renpval are not applicable to this proi:ct.
{rccrtify rhat I have rcad this application arxl statc thal thc above information is corrcc't. I agrce to comply with alt City arxl County
ordirmnces and State Laws relating lo building hereby autlxrrize reproGntatives of thi.s City and County to enter upon the
atxrve nrcntionc<l propcrty lbr inspcction ,t
Applicrnt or Agent
Prrnritee nanrc
)qLo
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Ve nUl nsu latio n
Roof Sheathinq
Shear Wall I A.
Framinq I (t 'w
lnsulation/Enerov I
A
Drywall a Llr)'7/)
Ext./lnt. Lath I \
Brown Coat
[t/asonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Reoort
Enqineer Final Report
Flood Zone Certif .
I t,
FINAL Ir u7 DT{T e
Certificate of Occupancy t,
Notes, Remarks, Etc./
?-2 --
Rev. 08-07-2015
insurance, as
camcr
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