HomeMy WebLinkAbout10191700 - PermitCity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{9{7OO
Pin #: {9299
Project Address: 1220 W Hemlock Way
Assessor's Parcel 410411-21 Lot: NA
Bldg: Address Range:Suite Range: 1st Floor
Zoning: C2
\[
Block: NA Tract. NA Historic: No
Building Use:
Job Type:
Nature of Work
Commercial
Tenant lmprovement
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
VB
cBc 2013
x-0602320259J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patao:
T.l.Area:
Yards Req'd:
Valuation:
300
Existing Bldg. & Use: Comm
Proposed Use:
$s0,000.00
0
I /13/?i.t17
Tr(rrs+: g
ID: (litor(
I ofDeecription of Work: Domo existing toilet partitions and fixtures, re-build new accsssible restrooms.
Planning Conditions: lnterior work only.Fi,: p
Ted
t+: Ref +: lt:t191ir:r0
t+:l.r17?1961 - l/13/2t117 2tl7 t't|
o<nrt. inn Tntol tt 1375.85
1st Flr-Common Area Restroom
Owner:
Address;
Phone:
Tenant:
Keystone BldB/Karim Makarehchi
42'10 La Palma Ave
Anaheim, CA 92807
(7',t41572-'.t123
Contractor: Keystone Builders lnc
Address: 4212 E LaPalma Avenue
Anaheim, CA 92807
Phone: (7141582-1123
State Lic #: 951/f89
Lic Type: B
Bus. Lic #: 339512
Workers' Compensation lnsurance:
Carier Wesco
Policy #: WWC3218184
Expires: O7lO1l2O17
Engineer
Address
t orre Builders In,
6enen(ll F'lon Updnte Fee
Phone.
License #
Architect /
Desiqner:
Address:
Phone:
License #
AA Architecturei lnterior Plrnnin
26732 Peplta
Mission VldJro, CA 92591
(949) 463-892,r
24028
9&De!
12
tt7
11,37t
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
Pp.s!|llo,d11^ti
i'Sgaft-f azetas & nssoc
\ broJowski. Teri
Dale 12J2112016
Date. 0111212017
Dale:0112312017
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
0 77 7600 2
0 77 7600 2
0 77 7600 2
0 77 7600 2
0 717600 2
0 777600 2
57607
5 3600
57770
57672
57600
5760 7
Permit Fee
Plan Check Fee
Microlilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
68976
Total
$149.25
$100.27
$17.50
$2.00
$20.56
$51.26
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cerl. Req'dr No
Ewry permil issued shall become invalid unless lhe worr( or, lho sila aulhonzed by
such pemit is connenced within 180 days afto. its issuanco.ot if tho wo* authonzed
on the sila by such pe ntt is suspended ot abandoned tot a period 01180 days aftet
the time the wotk is corfimenced .
$340 84
$100.27
$240.57
lnspector MID#: 2016-133573
01116002 51600
01116002 51601
01116002 51612
01116002 577'tO
$20.56 '$200.51
$2.00
$17.50 Fee Total:
Paid to Date:
Balance Due:
Unit:
BUILDING. INSPECTOR RECORD
SITE-WORK COMMENTS O\f NER BUILI'EN DELCAR TMN
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ro rh. FovirbB of ft (onrrfiori Li.dld t n'lClBFd 9, ComBr! *nh sdii. TuJo olDj6ion I otlh. Uujng rrd
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'housnd
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AIIUCANI"UDCI.ABAUAX
I horrJy dlm undd p6rhy of Fjury o( olrh.follo*in! d!.lsarions
t).mlilion Pmirr-Artdo! Norificlrion F.dcrrl RqularFns ( I irl..l(,. P!n6)
R.qut.d lnld of ldri6cdFn
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rh,r rh.ahr. 'nn,mtx)n srond I alratuconrpl! $irhall( it! rin(,,u.ry
hd.t') !dlr,' o. rctr*dd n 6 .rrnis Cn, un C.u.rj k, drc uFln E
!(ac) '< t4^-kat tLol^;
,f z'/1 '7
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framing 7-2b-t1 .lJ,-S"r-{9
ln s u latio n/Energ y
Orwvall\j -3'1,1 Jtvffi&/)
Ext(lnt.
Browi-e56t
Masonry
Pool Fence
T-Bar
Handicap Req.
De puty Final Report
Engineer Final Report
Flood Zone Certif
FINAL ;-k-t1 .I ).9-*-;'
(?q)
Certificate of Occu pancy
Notes, Remarks, Etc
DATE I ID/SIG.
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