HomeMy WebLinkAbout101102921 - PermitProiect Address: 208 N Harbor Blvd
Assessor's Parcel:198-061-17 Lot: NA
Unit:Address Range: 100-230.
Historic: NoBlock: NA Tract: NA
CiW of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspeclor Section: (7'14) 647-5853
Permit #: 1O11f)2921
Pin #: 8627(1
Building Use:
Job Type:
Nature of Work.
Existing Bldg. & Use
Proposed Use:
Commercial
Misccllaneous
OT lnspection
Commercial/Retail
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
M
V B, SPK
cBc 2019
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total
Patio:
T.l.Area:
Yards Req'd:
Valuation: $0.01
Description of Work: OT lnspection for Building Permit for Friday 0112U2020 Code 34.
Contact > George @424-228-0784 lnspector > Danny @7144574175
Plannang Conditions:
B6tch+:5{0{3 - l/23/202n I0: C(:UE[.LAR
office: CTYH Tronsi: 93 1 cl' IAcEt+: Refi: ltl lrll2?21
Rcpti:0?881011 - l/21/212fr 4136 ?n
Tronsoct i on Totol 1666.12
I tLr.tll I u r,.Elrr,r'ts
Owner:
Address
Phone.
Tenant
Owner-Builder
Engineer
Address:
$666.12
s666.1?
McCalla Centre
P.O. Box 7545
Newport Beach, CA 92660
(213) 259-9115
WSS Shoes
Phone:
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #;
Expires:
Taewon Kim
Taewon Hifirt d ine
1735 Weatrldd8oEve5I6r:rI uulr -.
SanPedr{JjbAlt?7b2 fr(r?351
(3r0) 986-2185
c-80632
JNC Design
1463 S. Norton Ave.
Los Angeles, CA 90019
(2131 595-2622
Architect /
Desiqner:
Address:
Phone:
License #
Phone:
License #
Chavez, Dave
Date:
Date:
Oate: O1l23l2O2O
Subject to FieldlV
Fire lnsp. Req'd:
Police lnsp. Req'd
Misc. Receipl
Misc. Receipt
Misc. Receipt
07716002 57770 Microfilm Records
07776002 57507 OII lnspection
07716002 s7672 Bldg. Slds. Revolving
07776002 5f600 General Plan Update
$0.00
$666.12
$0.00
$0.00t/
Total
Flood Zone Cert. Req'd: No 01116002 51601
No
No Account#
Every permit issued shall become invalid unless lhe worr( o, the slto authorized by
such pormit is commenced wilhin 360 days aftet its issuance,ot il the wo* authoized
on lhe site by such pormit is suspended or abandoned fot a peiod of 360 daysaftet
the time the wo* is commenced.
lnspector MID#. 2020-157325
Fee Total:
Paid to Date:
Balance Due:
$666.12
$0.00
$666.12
Bldg:Suite Range:
Zoning: SP2
Contractor:
Addressi
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No $666 12
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DET-CARATION
I hc.eby nlirnt !nd.r Fnshy or Fijury rhar I m cxcmtr riom rhc Contncl.r' Licensc ljw ror rhc rolloNin8 tc!$n (Scc 7031 5
Busin.ss Md Prorcssi.n Codc)r Any City or Colnly uhicn rcqutcs ! Frn,ir io .on{d.r, tlrcr. inl,)rcv€. dcmlish or rct3n any
slruclurc. rnrto its hsuarce. al$ rcqun$lhc arllicanr for such pcrmir r. nlc, siSncd st0tcmnr lhll tEorsh. i! li.cnscd puBuanr
ro rhc pmvhn x of rtE Conk0clols Liccn*d Law (Chlrrcr 9. Commncins *iih Sc.rbn 7000 of Divkion I ot rhc Brsincs nnd
Pmltssio.s Codc) or rhal h. or ihc iscredrr rhcEfrod md ih€ basi\ forrhcru.S.dcxcmplion Anyvidarionolsccri, T0ll.5byany
arpli.a tunlemnsohj*krhc 0pplican! ro a.ivillcMhyofnol nnnc lhan ivc hundr.d dollN(S5m).
-1.
rs ounc!ofrhc pmpcny.or nrycnDlorrcs rirn sBsc\asrh.n enc .omp.Ds.lion. willdo thc $ork lid rh {mm is frn
i'nc'xj.n or o'lcrcd ror slc (Sd r(}.r4. Busiftss and Pror.s\tuni Codc Th. Co rucl{t t,ico* hw do.s nor lprly ro .n owncr of
rhc nsocny who boildso. inrm6 rlErec 0rn who dc qch wod( hitnsclfo' hcr{lfor rhhu8h hn or hcr own cnPloyccs.
pflrvidcd rh such imltr.kmnh e,Dl i.tctrdcdoroftrsl lorsle lt lD&vci rlE hikli'rA or imprownEnr k hld anhin onc )tr
olcorytLrior rh. Oqncr Britjo will hrr rh. bon ol pnrv,ng th.t h. or she dil mr triu or irnpmk ihc ,,bFiy f.r lhc purlDc ot
l. Ds.wn rolrhc Jro!.ny. iDexclusivclycotrimclins with liccnscd conrrrh\ h.dniflcr Ihc proj..l lScc. ?(!-{. Bu\i]'tc
.nii hric$ionCodc:lhcConrracroisl-iccos.l-owdocsooramlyiornosierolProFnywhobuild\oti.,Pmhirh.rcotr.
rnd who cooimch aff skh ptui.rs wnh . ct)n'acb(s) li.cnscd !ur$d n)rhc(tntackn s t-iccn\c tjR)
I rr.t.n,t, trndrr Srcrtrl
D.lc: Oen€r
wORKI,'R'S', COMPTNS,{T()N
Il[cld&lroN
I hcr.hy,mnn und.r pcnnhyolpcrjuryotrc ofrhc iollowi.s dNlaralion\:
I hrlc rntwill Dinrrin nCcnnl.drcofConscm b s.lflrNtrc lnr s.rlcn ronl i\ (n.r\ pmrnhd inbyS$rn,n:l7lx)olrhc
l.ltxtrCo.l..n)rrhcDcrltlnDnccofrhcworknrwhi.hthcfrdir sistrcrl.
I h.vc.trd vill nri .in Borkcrr compcn\lrion insurrme, !s rcqtrirudhyS(rion.l7(D.irhcLatntCodc.forrhcPcrfonnrnccof
lhc work ibr which rhhrcrnril is is\lcd My Rorkcrs .otr1pcn\drbn in\un$.cc.iiicr ond poli.ynumnLrrr.:
Policy Numbcr
-Expircs:
-l
ccniry rh,r in rhc p$roi,runcc olrhc work n)r qhi.h rhn ocrmil is i$ucd. I \hall nor cmpk)y rtry ncFo. in an) nB.icr
$ .s ro m..om subjNl lo lic workcs compcnsarion la*s olCrlirornia. Md 4rcc Ih ilIshould tE om{b.l.dk,rhc
workcs compcNrlion pmvnions oisccrn,n:lT0Ootrhc t]hr codc. I shill. bnhwilh conrd, *iih rhot rr.visions
WARNINGT rrilurc ro surc trorker compcn$xnn co!.rl3c i\ rnlawtuL ,trd sh l suhj.(r n0 cnl orc, u (i irrl Fmlrics i.d
civil tnrcs u, lo onc hundrcd rhousad dollan ($l(l).fi$). i! addirior ro lhc.od of conrP.nsarn)n- &mC.! rs [ovidLal lor rhc
Scdion 3076 olrhc khor Code. i crcd dd orn.y \ rcc\
UCENSELCANIXACIAA
DECI,AEAIION
I hcftbyaftnnund.i p.nallyol!.rjury lhal I trm [ensd undcr rirovhionofCh,Pru 9 (coDnrcncinB wilh Sdion TOtx]) oiDivision l
of rhc Busirs and Phlcsi.ns Codc. dld nry liccns i! in tull lorce iri ctaccr
CAIiIBIJCIIANIENDINC.ACENqI
I hcoby alfrm under !f,Mlty of r..jury rhar lhse is ad'nsrrucri,n knding.Bcfty forrhe pctlotmtue orrhc *urk ro. rhichlhn permil is
hrucd (Sc.. JO9?.Civ C ).
ATIIIIINLDECI.AIAIrcN
I rr^$y Innundcr DcnallyolErjury orc olrhc follo*inp dmbiationsl
D.rrclilion Pcirnits-Ashcstos Norilicarion Fcdcral Rcgubrio"s lTi(|c40. Pan6)
-Rcquncd
t.rlcrot Notifuri,.
lccnifyrhrrrhc lc ctul..8ultuons rcgnrdirs rshc(o\ rcnmv{l lrc nor {Ili.rhlc t,rlrir fiitcl
-l
ccniiyrhor I havc rcld rhh applicart,n ard { c rhar rhr ahvc irloirrorbn h coF(l I osre b 6nply wirh all Cily and County
ordinonccs lnd Strrc L.ws rbriry b buildin8 .on{tuclion, rnd hcrcbt rnrlrrnc Eprcscnhtivls oflhk ciry,ld Counrylo cnis uton ih.
.v. nrnrr{rd fnplny iJ in.|ccriotr ru'F\(\
AppliL nl orAAcnlSiaMlure t 123l Lc,
D,l IPn Hi!^
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Rool Sheathing
Shear Wall
Framino
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coal
It/asonry
Pool Fence
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certil.
I
FINAL tt74rD'I oLX) nt "tL-/Certificate of Occu anc
Notes, Remarks, Etc.
T-Bar
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