HomeMy WebLinkAbout10184322 - Permitcity of santa Ana 20 Civic Center Plaza (M-'19), Santa A|U, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 10184322
Pin #: 42699
Project Address: 3031 S Oranqe Ave
Assessor's Parcel 4'11421-OA Lot: I
Unit:Bldg: Address Range:Suite Range:
Zoning: MlBlock: NA Tract: 8473
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
lndustrial
Miscellaneous
Racks
lndustrial/Storage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
F-1
B
cBc 2013
x-0602320278J
1 st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:
3@60
$2,000.00
0
Description of Work: lnstall 19' storage rack - no storage allowed over 12'.
Planning Conditions: lnterior ti only
t!
AI
Owner:
Address:
Phone:
Tenant:
Airlink Distribution
3031 S Orange Ave
Santa Ana, CA 92707
(714) 337-6616
Airlink Distribution
Contractor: SouthwestMaterialHandlin!
Address: 3725 Nobel Court
Mira Loma, CA 91752
Phone: (909) 228-8086
State Lic #: 712327
Lic Type: C-61, D-24, D-34, D-21
Bus. Lic #: 0172645
Workers' Compensation lnsurance:
Carrier: TravelersPropertyCasualty
Policy #: YJUBOE37552A
Expires: 01101120'16
Seizmic Material Handling En(
Sal E Fateen
'16'l Atlantic Avenue
Pomona, CA 91768
(909) 869.0989
25969
Engineer:
Address
Archilect /
Designer:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permil lssued By:
NPDES lnsp. Reqd:
PWA lnsp. Req'd:
Planning lnsp. Reqd:
Landscaping lnsp. Req'd
Orozco, lvan
Ateiaari. rreo
\ ffi"o"n,,u,e
V"
No
No
No
Dale. 0212612015
Date: 05/18/2015
Date: 05/21l20'15
Subject to Field:
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
NoNo Account#
65211
Total
07776002
0 77760 0 2
0 77760 0 2
08907007
0 7776002
0 77760 02
077760 02
57607
5i600
57770
24000
57672
57600
57607
$423.78
$391.66
$13.24
$0.56
$1.00
s19.46
$48.52
Fire lnsp. Req'd:
Police lnsp. Reqd
Flood Zone Cert. Reqd: No
Every permit issued shall become invalid unless the wotu on the site authoized by
such pemit is commenced within 180 days after its issuance,or if the wotu authoized
on the site by such pemit is suspended ot abandoned fot a period of 180 daysaftet
the time the wo* is commenced .
$19.46
5472.30
$1.00
$195.83
$13.24
$0.56
$898.22
$19s.83
$702.39
lnspector MID#: 2015-120044
0'l'116002 51600
011'16002 51601
01116002 51612
01116002 53600
01116002 57770
08901001 24000
Fee Total:
Paid to Date:
Balance Due
@-
Historic No
Phone:
License #:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
BUILDING. INSPECTOR RECORD
(nln.rBuild.r D€clrraiion
I h.rcby afitrm under p.nalty ofpcr|urv llEr I inr.x€rpl lorn rh. Contrcr66 l-'c.ns e llw lor lhe follaw'.! r$son (s.c r0ll.5
dnd Pror4sion ('od.) Any Cily or Coum, which r.quira a pcmn roconslrucl. ilrcr. inprov.. dcmolish or r.nat.ny srrudur.. pnor I trr
issu.nc.. also r.qnir6th.appli.rnr ror ru.h pdmrtlo 6l.a sisncd sl.t.m.nl Ihsr h.orsh. is lic. .d pr6@nl lolh.rrolisroN olrhc
ConrBcrois t.,c.ns.d I au (Ch.pr.r 9, Comm.nc'ns wnh Ser'on 7000 ofD'vrrn l oarhs Rus'n6s and Proa6rons ( ode) or rltrl h. or
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amli..nt ro i civil p.nihy ornor hor. rhan fiv. hundrcd dollars (150o).
l-s o$n.rolthe propcriy. o! nry .n{loyc6 wirh \r4* rs rh.n rok cdmpensalion. silldo lhcwork and rhc yrudurc L nor inr.id.d
orolT.redfo'srl.(567o4.r,r}!nn6sandProi.snonsCode'lh€ContactoisL'c.ns.La*doc\norspplyioitrownsofr[eprop.dy
sho builds o nrnrov6 th.r.on, iod whodo.s such Lvork lrimscltor h.6.lfor rhrourh his or h.. ow..dpl6y..s. prolil.d rh3r slch
impror.m.nrs ar. nor inr.nd.d oro[.r.d rorsl..ll h.$.v.r. rhe builditrs or improrcm.nr is soldwirhin on. r..r orcompldbn. rh.
O*'n.rBuild.r $illhavc ln. ntrrd.n olprovin! lhd h..r shc not build or improv. for lh. purFs. ofsal.).
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ItoLssionCod. Th. Contrdoas l,'.ens. h* do6 nor.pply lo a. owna olplopenv *ho bu'lds or inrprov6 rhcron. ind who
c.ntrcblor strch proj(8 wnh a Contrcto(, lic.ns.d pu6u.nr rothe(onradois l-rcens.lrw )
I tun cr.nrpr triJ.r S.crion
lIORXERS ('OMPENSATION DECL RATION
I h.r.b] .mnn und.r p.iah) orrcrjuryon orrhc nnhwitrs declararions:
I ha(..nd sillflrinr.i. aC.ninc|r.orcoB.nr ro sclrlnsu'. ror worksr con,pcnsar'on. as prolided ior 6y Serrci r700 oarrE
tibor ( od.. forrhc p.rfonMn.. ofrh. qor& f.r wfiich rh. Frmil is issu.d
I h.ve.nd willnrrnrari wo,lere conDenstbn
'nsuranc.,
as requtr.d bv S.ction ]T0OolrhcLjhor (ode. aorrhe performnccoflh.
worl lo, phich ih6 pennn 6 Bsu.d My *ork.r'.omPeneron 'nstrranc.crtrEr and policy numb6 ar.:
*",,"r*r.a.. JJU6,('lhis sdion nccd nor b. co,npl.r.d i
l55Lk $uc ncnn t nr {rr htrndred d.llrs lSl00l or lcss)
I..n,rylhar in rh. p€,fomaoc.oath.work forwhich rhisp.rnrn is issu.d,l
h.omo subr.cr ro th. mrl€r ' comp.nsr 6n liwiolC.|lorn,., rnd i!r& rh.r ,rl should h.cotr'€ rtbr6r h rh. so,ldr
nl' " h,h.*179M(
<-+
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WARNIN(; frilu'e ro srtrrcworkcG conpeN.ron colc *4u1. and shrlln'bl.cr rn efrpl6y.r ro.rihinal p.mhi.s and civil
fin.s up to oa. hudr.d lhousond doll06 (1100.0{X)).in iddirion
rh. llhoraod., 'nr.'csr a.d il(orncy s aces
or.omp..sarb., drfr.gd ar pr.vd.d f.r rhc Sccn.n 3076 ol
IIIEISEDTOXTBAITOAIDECTA&IrIAI
I hcr.by amr und.!p.nalryorp.rjL'ry rh,r I a6 k.ns.d uod.rpro\ki.nolChaptcrI(co,nrn.ncins qil[ S..iion 7000)oiDivision l or
rh. ausin.is ind PrcI6sio6C6dc. and my lrc.nsc n in aulllorcc r.d clld
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I ncrcbyaffirnr nnd.rpcniltyoll.r|ur]_ rhat rh.r. is a conitucrion g.n.y f{tr rh. p.rft,manc. oflh. sork lor*hi.h this pcrnril t
is Ed (S.c 3O97.Civ. C )
AATIICANISOECIAAAI,]OT
I).holihon Pcn ik Ash.rtos Notncalnn led.ral Rc3ulalions(rnb40. fd 6)
R.qut€d l..rrs olNolifi carion
I.ediry rh,r rh. r.d.ralr*ularionr r.c'rdins sh.sros rmolal arc nor applicablc ro rhis plojc.r
I..niry rrrr I hav. r.ad rhis,pplicarnnandstat.rhar th.abor. inform ion tcorecr l a!r..rocomDlr sirhallairyand aounrJ,
irn.s ofrhis(ity ind (-ounryto c.rour..lh.
/i-./.* y.l 4. Lt
SITE-WORK DATE ID/SIG,COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUlnsul.
Roof Sheathing
Shear Wall
Framing
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL r'/24/tL -14-rl )w4a)
Certificate of Occupancy U\I u_---.
Notes, Remarks, Etc
M \WP5l\Pem I'lnspeclion Forms\Building l.speclon Record doc 03.31.06
LrJ
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