HomeMy WebLinkAbout101104602 - Permitcity of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit#: {O{t04602
Pin #: 2o944
IProjectAddress: 1901 E Dyer Rd
Assessor's Parcel: 430-221-26 Lot
Unit Bldg. Address Range:
Historic: No
Suite Range
ZoningBlock
Building Use: Multi-Family (5 or more units) Occupancy: N/A 1st FL Area:
Job Type: Signs Constr Type: N/A 2nd FL Area:
Nature of Work: Monument Sign Code: CBC 2019 other Areas:
Existing Bldg. & Use: Multi-Family Flood Zone: X-O6O232O27AJ Garage Area:
Proposed Use: # of Stories:
Total:
Description of Work: lnstall ('l ) monument sign/"Broadstone Archive-Be Kind, Stay Humble, Work Hard". Bond included.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $17,700.00
Owner:
Address:
Phone:
Tenant:
PR Broadstone Heritage ll LLC
2462 Dupont Dr
lrvine, CA 92612
(949) 706-8460
Broadstone
Contractor: outdoorDimensions
Addressr 5325 E Hunter Ave
Anaheim, CA 92807
Phone: (714) 578-9555
State Lic #: 1042246
Lic Type: c-5'1, C-45
Bus. Lic #: 556
Workers' Compensation lnsurance;
Carrier: TravelersPropertyCasualty
Policy #: UB2R00'19012043c
Expires: 0911512021
Engineer
Address:
Architect /
Desiqner:
Address:
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Fregoso, Vince
Ahangian, Kathy
Amsden, Julie
o
Oale 1111012020
Dale. 1111012020
Oale:1111612020
Subject to Field:
Misc. Receipt
Misc. Receipt
l/isc. Receipt
07776002
07776002
o77760 0 2
0 89070 0 7
077760 0 2
07776002
0 77760 0 2
05i76002
57607
5i600
57770
24000
57672
57600
5 7601
53636
Permit Fee
Plan Check Fee
Microfilm Records
SNIIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Bond
?"No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
7 4719
Total
$172.64
$239.34
$40.50
$4.96
$1.00
$23.79
$59.30
$200.00Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No 01j 16002 51600
Every permit issued shall become invahd unless the wo* on lhe site authoized by
such permit is cofimenced within360 days aftet its issuance,or il the work authorized
on the sile by such pemit is suspended ot abandoned fot a peiod of360 days atter
the time lhe work is comfiencecl .
51601
51612
57770
53636
24000
$23.79
$231.94
$1 .00
$40.50
$200.00
$4.96
$741.53
$239.34
$502.19
lnspector
01 I 16002
01 1 16002
01 1 16002
053'16002
08901001
Fee Total:
Paid to Date:
Balance Due:
Tract:
Phone:
License #:
Phone:
License #:
MID#: 2020-158670
BUILDING- INSPECTOR HECOHD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDEN DELCARATION
I h.idby a,rrm uid.r ll.halry or ncrjury rhar I e cx.npt ronr lh. ConrdoE Lacn$ Ijw for rhc followhB r@n (5(.701 I 5
gusinc$ arl Prolcssion Codc): A,y Ciry or Counly shth rcquirci a pcmil lo .onnMr. 0116, implot, &@lirh or ftFn my
tucrxrc.,irn ro irs issudcc- o rquiEs lh. ll)pli.ad for such,rh
'o
filc r siSncd tdcnEnr th0t h€or shc is lkcnsn pu6u l
ro $c E.vis,oN of rh. Ctrnbacror's Lic..*d Irw (Chapr.r 9. Commroi.g wilh Salion 7()(x) of Division I ofthc Bu\itus od
Pmfcsions Codcl or rhar h.orshc n cxcry)r llErctom nnd thc blsh lorrheflllcgcdcremprion. An, violnti.nofsccrion 70ll.5bym,
aprlicanr ,or r pcmh subjdh th ppli.mr io,.ivil pcrux,ornor mrc rhm fivc hundEd dollns (S5L\)).
I. as owmr olrhc ,".trny. or my cq,lorrcs eirh wagcs 0s rhct slc mmFnsarion. will do rhc work alld rlE sEur@ is ft,
i cftlcd or Dficrcd ro. $lc (Se.7014. Busircs lnd EDfersiotrs C.d.r Th. C.nrrdors LiccM tlw docs ml alply ro !n owrcr ol
tn.pmpcty qh builds or idpims lhcrcr a who d.B ssh qo himclfor h.elfor rhru8hni or her o*nc]nployccs.
providcn rhrr su.h inltrov.n.nb m n imcflldl n or.dl for sL. ll, h.w.rr. rhc blihin8 or rril'mlcEnl is $ld wiftin onc ]@r
oicoq,lclio., rhc O*tur Btrilld will haw E burdci.tpovinS thar h or shc did d biiild or inFolc lhc pmpsly lor llE puqnsol
-1.
as owncr ol rhu nNrqry. am cxclusivcly co rudins wirh liccn*d conrr,.ro* ro eNruLr rhc pmidl (sN. 7044. BusrEs
.d Pniessn Codc:1'hc Cotrrrslols Liccnsc Law docs nor q,plyro anowncrcfphFnywho boildl or inprovcs thcren,
.nd who,!.hchrorsucnpmjcchwnhrClnrftcrorls)lie.scdlunuDlrorhcCorn!'croasLien\clf,s).
-l
lnre'nfl un<ld S6rion-, B. & Pc, ror this usn
Drlc: Omer
UABtrEES:IAIIIINIAIAN
DECIABAII9N
I hcrcby rfllm uNl.r Fnilry of Frlury on. oi rlr lollowirg deltroiions:
x,,..,,,",
ill mintlin o C€difi..rc ofconsnr ro SelHnsuE ftr workcB .onqf,nsion, .s F)virn}l for by SNtion 3700 of Ihc
rh. pcdorEftc ol lhc !oi( for vhi.h lhc lcnnir is iss!.n.
Iltuimain hrkr* ohpcnsdion i.sfidmc, as roluird by seib. l7m oa thc t horcode. for $e p.rfmrcc of
M, w*kcrs c. p.nslon i-fr @ Co
LtuJop ol rl I
l.cnirthd inthc p.rfoflMrccol'lhc uork ltr whi.hlhnFrmir i\ Fsu.d.l shtu n.r .Ruloy sny rEMn inatrymnm!
w f,s t, lf,co r strbjccr ro rlt mlkftc con{rnsrk,n hws or Cnlifomir, Md .erc ttut if I slsuld bccom sutrcc' ro tir
wolte6 coDl,ctrstiotr t',ovisions oISdion:1700o, rhc Lat rCodc.I dull. ronhwirh sndy wnh rho$ PDlirioN.
W RNING, Frilud r, suE w.rkois .ompcnsrion .ovm8. is utrkwful. and shall subjcct M cmplorrr Io qini.al Fdllhs and
civ nncs o,, ro onc hunded rnousod dollds ($l0o.0oo). in dirion (. rhc.osl oaconlE,$lion, dflnuscs,s providcd lor rhc
sccrion 3076 of rh. hhlr Gidc. inlcEsr nrl ariorrcy r lccs
LIIENIE!.C9NI8AEPf,
!&CLAMfIAN
I hcrbr rflim unlcr lxnllryof Frrury rh,r I M Iiccn<d Dndq pmvisio, otCh.pts 9lonmrcitrB pilh S..lkrn lom) olDilhion 3
or Ih. Busifts and Prorc$ions Codc. dn my ltctrE is ifl tull forc ad ctlR--I.
c4r:1bt lnaT
CONUBICUqNIINDINC.ACENIX
I hcEby affimi ldcr Fulry ot Frjury rhd rh.N is a 6.{turti,. LndinS 08cmy for rh. pcrlomrcc of thc *ork for thih rhh Fnni! h
issucn (Sc.. 1097. Civ. C.)
AIBLLEANIDICIAaA]JON
I hs6y.frm und.r Fnolty of psjury orc o{ thc followin-s dsl{llions:
D.@lnion Pcrniq Asb.slos Noli6mlion l;.ddal R.gulalions (Tillc40, Pon6)
-RcquiEd
lrlrcr of l'lorifralbn
#ffi;ffiffiildilffi:#ffi*,,*
itnvc rmnlioncd Dropcny Ir
/l0nlicrnt or AAdn SiAn ,r"//IU
Set Backs At
Forms/Steel/Holdowns /)/2)/a0 tfu.*,n h8(
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Rool Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
X
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
tl /,
FINAL LlqlTt
Certi{icate ol Occupancy I ' I
Notes, Remarks, Etc.
Rev.0B-07 2015
>*."'
tu1-241,
Pool Fence
Flood Zone Certif .
4tb