HomeMy WebLinkAbout50101014 - PermitPermit #: 5OlOlOl4City of Santa Ana 20 civic center Plaza (l\4-19), Santa Ana, cA 92702 Gradinq
Permit Counter: (714) 647-5800 lnspeclion Requests: (7'14) 667'2738 lnspector Seclionr (714) 647-5853 3e85tr{Pin #:
Project Address : 20gllS-Ue!!.sl
Assessor'sParcel 016-052"08 Lor: 5-.12, PORS 4 A tAbck: NA
Bldg Address Range: 2601 -2607
Hisloric:No
Unit
Tract 159
Suite Range
Zoning: C2
Occupancy:
Constr Type
Code:
Flood Zonel
# of Stories:
A.2, B, M
VB
cBc 2016
x-0602320274J
1
1st FL Area:
2nd FL A.ea:
OtherAreas:
Garage Area
Total:
Patio:
T.l.Areal
Yards Req'd:
Valuation:
t(i.h+:J9630 - S/1/2tJl7 l0: o,'rorolpsli
-rIi r.e: CIYH Il.ons+: 1[r2 1 ,rl ;l
n, , c+: RBti: iulit0l4
!itI:'1963?08 ' $/1/2ir17 3118 PIlPtanning conditions:
Gardcna Group ltoldings LLC
'10240 G6ary ave
Sania Fe Spnngs, CA 90670
(562) 699{611
Conlraclor: T L M Petro LaborForce lnc
AddTess: 909 N ALAMEOA STREET
Compton, CA 90220
Phone: 13101639-2227
Stale Lic #: 761755
Lic Typer B, A, HAZ, C-10
Bus. Lic #: 364698
Workers' Compensation lnsurance:Ca.rier: State Fund
Policy #: 1541150
Erpires: O1lO1l2Ola
r L ll F€tro Lobor Force In(
Engineer:
Designerl
,',,Er{I Plqn Upd(lte Feeiit6tfi?- I16a0r:ri!-
:tii6trtr: 516t6mtr-r I Che,:l i.r 1lr35tl
$2t
3.1rJJS 5+
'1{
Planning ApprovalBy:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'dl
Planning lnsp- Req'd:
Landscaping lnsp. Req'd
Date: 08/01/2017
Date: 0713112017
Dalei 08/01/2017
Subject to Field:
tvisc. Receipl
07776002 57606 PetmilFee
07776002 57605 lmprovemenls
07776002 57600 General Plan lJpdate
07776002 57605 lssuanca
$925.56
$2,360.00
$21_25
$52.98
Sarlak, Eehrooz
52.4'No
No
No
Fire lnsp. Req'di No
Police lnsp. Req'd: No
Flood Zone Cerl. Req'dr No
Ewry pemil issued shall becone invalid unless nko wo* on tho sne aulhodzad by
soch penil is .omnenci.l wilhin 180 days afle. ts issuance,ot il lhe wo.k autho.ized
on be ste by seh pennil is suspended ot abandonod lot a Pd.iod of 180 clays aflet
the tino tha wotk is @mren@d.
Total
lnspector
01116002 51600
01116002 51606
$21-25
s3,338.54
Paid lo Date:
s3,35S.79
$0.00
$3,359.79
Building Use:
Job Type:
Nature ofWork:
Existing Bldg. & Usel
Proposed L,se:
Commorcial
Now Commoaclal
Description of Work: Rough Grading, Iinal grading/aurtacq drairago
MID#: 2015-119845
GRADING-INSPECTOR RECORD
APPROVALS DATE COMMENTS Ovncr Blildd Ddl.6'ion
I h.r.hy,mrn und.r r.Mlty o ap.rjury lhat I am ci.mDl f(trm lh. Conlra.loro' Lic.n* tow f.rih. foilowins r.!nn (s 7011.5 B8incrs
.nd PNf6non Cod.) Any cdy.r counly wh'ch rcquire a Frmn l. onnrucl, alrd. inprok. demlhh or r.r'!n any srdcrurc. lfior r. irt
hsuancc, oho requircs lh. arplicad for sch r.mir to filc . siSn.d {,l.m.d lhal ht or sh. B li..ns.d Nm,nr to rh. ,'m$tr,ns of rhe
Conlmclf s Lrc.nsd Ltrw (Chlplcr 9. Com.tuF8 * hscri,n 7000ofDivkion I otlh.BlrinBsa.d Proa{{otrr Codcl.r lhal h.nr
.h. ir.xanDt rh.r.fmm and rh. hdir fo. th. all.s.d cx.mFrion Anyvioldhonofselio.T0ll.5hyanyamlm foru lBnril suhj.crr rhc
arnlic.trr ro a civil n mlty ot ret mr. thnn nv. iundred dollm (3500).
l, .r ow..r of rhe pmp.dy. or rny .mplor.cs *irh wn!.s * rher $ l. compcnst ion, vill do Ih. *ork tnd ih. nrud !E R nor 'nr.nd.dor .lLftrl ftr sl. ( Se 7044, Busik$ and Pma.ssio.s (-ode I h. Coak*ttr s Lic.nE l-is'ItE mr dpply t' 0n o*m. .l rhc ,mFdy
who l,n,ldr or m,pbnc. rh.rsn. rnd wh. dos flch *ork himFlfor h.Nltor rhmush hh or h.r os'n cmploycs, pmvidcn thlt rlr
'hrr.v.m.nr3rr. mt inr.nd.i or ofI.r.d foreL lt how.v€r. llr huildins or mpmkn.m is eld q'nhn on r.6r ol.onrrlchon, th.
ONn.FBund.raillhav.lheturdenofprolrnslh h. oBh. et build or inrrrerc for rh. Durl'oc.f sak).
l. fls owner o I rhe nhn.ny, .m .rc lusiv.ly conk.crins w ith lic.nBl Nnrrach6 kt bnitrud rh. nrejal ( sd 7()4-4, 8urin.,< md
Pmacssion Cod.:'l hc ConrEcroas Lic..s. tiw d.ca nor 0pnly ro .n os'ftr ofropcny who buildr or rmpmEs lher.on. rnd sho
conf.cts lor such lmJ.ch *irhn conr.lcro(rl li.cndid Nminrro rh. commcrois Liccnk ljw )
_l !n .r.hpt otd.r S&rion .a & P.c lor lhis rcosn
!48IEES-CAUIETSAIION-AICIA8ArX]N
I hcrc$y amrm lndcr p.Mhy of pd.,!ry.E o[rh. follosnS dehhrions:
I ha\e md *ill fta'nlain . Cd ific,r. o I Co.sd io S.lf.l nsurc a.r qo.k.F coml.trsr on. I Dmvid.i aor hy sdrion I700 ol rlt
L.hor Cod., for lhe nefomame ol rlE work for*hich rh.r.rmn h k.u.d.
-l
hovc.nd willnoinlDin workcB Nmp..slhn i.fldeq .3 ,.qutr.d by Sel ion 1700 of lh. L!b.r cod., aor lh. p.rfomnc. oa llE
wort forwhich rh& pdmn ie is.d. My qorl.u emp.nsrhn in$6nc. cdid.nd Poli.y numlid e
""",* '5,(r.1e F,rrJ
tSLl | [50 - 20 \1 ot-6\-?or6
(1 hh Kt ion E.d not b. .ooplct.d if lh. l.mi r nrr Oft hundEd dolhE ll 100 | or L$)
I c.ilify lh.t in rh. p.rforMm. ot th. wort fo. vhich lhi. ,.mn i3 is.d. I sntll nd .noloy My ,.et in any n..*. so 3c ro
h..dm. $bjer h rlE mrlcn ' onp..$l ion lawr olc.litooi.. ..d .8ft lhst if I sl$uld b.totu lubi*l to ih. wo*ss
6aser io. 1700 ol
'h.
bh.r Cod.. I
t rf
wARNING l,iilur€ro wurc *ork.n comp.tudrion cokra4 rmlowful,andshallslhjs!an.nlloy.rrocrimin0lp.nollicraodcieil
nn.s up to oR hudrcd rnousnd doll6r (t 100.000).in addn io. t rhc oi o f conlEnsarion. drn+e di ,mvdcd for th. S-l nn l(|76 o,
rh. Labo, cod.. inr.rcsr lnd 6iiom.y . f.s.
LICENSED CON IiAC1 OR-r DTCLARAI I(tN
I h.eby {m.n utul.! t Mlry ol F.jury rhat I !m lic.nrcd !nd.r pbvhbn dtchapln 9 (mmncncirs wiih S.clio. 7lxr0) ol Divhi.. I ol
rh.ousi*srafld Prcl4sions Cqle, sad ny I'c.dc n rn tull rot. .nd .ller.
155f)9o 11f\'L G
I r1
qgliralglrax-Llxurc-{Gtlc.!
I h.rhy,mm uodd Fuxy ofr.,jury rh.t ihc h ! codruclion l. tinsa8.dy for rh.I'dft,mN. of lh. qork tor whth rhi. p.mi ir
is$.d (Se. ld)r, Civ. C.).
AETLICANI.iDEqdAAIIQN
D.mli{ion P.miri-a-th.rlG Notificdrior I.ddl R.8xrldrprs (f irk 40, Prn 6)
R.quiEd L.ltr.f N6ti,icr!ion
_l ceniay ih€r rh. f.d.El rcs(ldt ion! r.geding aibdror Emv.l 6.. mr amliehl. lo thir nmj.u.
A I c.n'fr rh.r I hrv.6d rhFal,!lrcdor Dnd sidl. rhlr th. lhoc infom io. i3.oGr, I .8t* lo comnly *ilh all Ciry lnrt Counry
ordrMrcF ad Std. Lam Elorms ro burldrng .onnrudDn, and h..cby 6ulhoriu r.pr*nlali!* olllit Caty ard Cou.ry ro.nr.r uFn rh.
-')$lr lr
Preliminary Soil Report
Excavation
Fills
Sub Drains
Buttresses
Soils/Geology Report
Statement of Compaction
Compaction Report
Flood Elevation Cert.
Paving
Sub Grade
Aggregate Base
Water Test & Seal Coat
Asphalt Concrete
Soils Eng. Cert
Rough Grading Release
Final Civil Cert.A
FINAL \-+1-u q-\t\4.
Notes, Remarks, Etc.
-l
ID/SIG.
.trvc m.n"omd pmp.ny to, l}{('iotr rflrs r--,
Aprricln,o,ascn,6is NLIUnT) lL: tS*
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