HomeMy WebLinkAbout10194534 - 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 #:10194534
Pin #: 13921
E
Project Address: 1901 E First St
Assessor's Parcel: 400-081-08 Lot: POR 15 Block: NA
unit: 136 Bldg:
Tract: MAYBURY
Address Range: 1901-1903
Historic: No
Suite Range:
Zoning: C5
Building l.rse: Mixed-U3e Occupancy: B, R-2 1st FL Area: Palio:
Job Type: Tenant lmprovement Constr Type: lllA 2nd FL Nea T.l.Area: 1169
Nature of Work TUCa.d Reedor/Roof t td Equip Code: CBC 2016 OtherAreas: yards Reqd:
Existing Bldg. & uss Residentiallcondominiums Flood zone: \46o212o277J carage Area vatuation: g,t2,ooo.oo
Proposed Use Juice Ba. # of Stories: Totat: O
Descrlption of Work: New (2) restroom3, card reader for front entry doors, & roof mountod equipment (areaa aha.ed with Unit 136). New countera,
preprEeating areas, ceiling work, & kitchon equipmgnt. Per PW, a Gravity Grease lnterceptor Not Req'd
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Lyon Realty Advisors lnc
4901 Birch St.
Newport Beach, CA 92660
(e4s) 838-123e
Por-Ovita Juice
Contractor: Lyon Realty Advisors, lnc. d
Address: 4901 Birch Street
Newport Beach, CA 92660
Phone: (949) 252-9101
State Lic #: 681364
Lic Type: B
Bus. Lic #: 348008
Workers' Compensation lnsurance:
Carrier: Norguard lnsurance Co.
Policy #: CA10001581
Expires: 0710'112015
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
J.C. Marvick & Assoc, lnc
John Charles Marvick
1827 CapitalSt
Corona, CA 92880
(7141476-3829
c-22267
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
Mar, Escarlet
So, Anson
Link, Patricia
Dale. '1211912017
Dale: '1110612017
Dale: 0212012018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Account#
70184
Total
07776002
07776002
07776002
07776002
07776002
07775002
s7607
53600
5777 0
57672
57600
s7607
Permit Fee
Plan Check Fee
It/icrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$589.08
$82s.1 8
$32.58
$2.00
$21.25
$52.98
$1,523.07
$825.1 8
$697.89
Fire lnsp. Req'd: Yes
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No O j j 16002 51600
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 1 80 days after lts lssuance, o r if the work authorized
on the site by such permit is suspended or abandoned for a period of 1 80 days after
the time the work is commenced.
01 1 't 6002 51 601
01 1 't6002 516't2
01116002 57770
$21.25
$642.06
$2.00
$32.58
Permitee MID#: 2017-139449
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS oTVNER BUILDI]R DELCA RA'TION
I hcrchy rlllrnr undcr pcoillly ol pcrjury lhat I ilm cxcrnpl fronr thc Conlrack)r\' Liccnsc lrw lirr tltc folhwing rca\on (Scc.7031.5
Businuss and []rottssion Codc): Aily Cily or Counly which rcquircs il pcrnlil lo construcl. nltcr. inrprovc. dcnlolish or rcpair dny
\lruclure. pri(tr lo ils issuancc. xlso rcquircs lhc applicant li)r such Frnlil k) Iilc n rigncd slnlcmDl lhrl hc or shc is liccnscd pursuant
lo thc provisions of thc Conlrtrck)r's l-icenscd [,nw (Chaplcr 9. Conrncncing with Scclk)n ?0(X) ol Division .] of thc Busincsr and
Prolts\ion\Codc)orlhathcorshciscxcnrnllhcrcfromilndlhcbilsisli)rlhcxllcgcdexcrnption. AnyviolationofScctionT0.ll.5hyany
npplicanllbrapcnnilsubjcctslhc applicunlloacivilpcnollyofnottrtr)rcthuilfivchundrcddollrr$(S5(X)).
-1.
us owner of lhe pmfEny. or my cmpk,yces with wa8cs as lltcir solc conrpensalior, will do thc work ilrd thc slMtw is nol
intcn(lcd orolltrcdforsalc(S(.7(X4.BusincssandProlessionsCodc:lheContractor'sLiccnscl,awdocsnolapplytotrnowncrol'
thcpxlfEny whohuildsoriDrprorcsllrcrmn.andwhod(Essuchworkhinrsclforht'rsclforlhroughhisorhcrownenrployccs.
providcdlhalsuch i[provcnrnlsarcnoliilcndcdorolltrcdli)rsillc.ll.howcvcr.thchuilclingorimprovcnrntissoldwilhinonc]rar
ofconrplction. lhc Owncr Builder will halc lhc burdcn ot previrrg thal hc or shc (lid not build or iilrprovc the fmfrfly for thc purfFs of
ulc).
-1.
os owncr ol'lhc propcrly. atrt cxclusivcly conlrrcli[8 wilh liccnscd conlrilclors to construct thc proilcl (Sec. 7044, Bu\incs\
and l)rofcssxil Codc: l-hc Conlraclor's Liccnsc Law docs not apply to rn owncr ()l prolrrty who huilds or ihprovcs thcrcon.
und who c(nrlracls lbr such prrjccts with a Corllrack)r(s) liccnscd pursurnl lo thc Conlrlck)r's Liccnsc Inw).
-lamcxcntpundcrseclion-.B,&P'C,forlhisrcason'l)alo:()Nncr
lVOllKttRS', C()NIt't,lNSA'il0N
I)ECI,r\RAI'I0N
l hcrchy al'lirnrrrrlcr pcnnltyof pcrjuryonc of thc lblk)wing (lcchrttion\:
-l
hrveilndwill ilrainlainilCcrlillcrlcolConscnlloSclf-lnsurcli)rw(trkcrs coilrpensalknl.!s frovidcdl'orbyScclion-17(X)oflhc
Latxrr Cmlc. fbr thc pcrlortr[rcc (,fthc work for which thc pcriltit is issucd.
thc work lirr which this pennit is issucd. My workcrs' compcnsali()n in\uraltcc canicr and policy rrunrher lrc:
Policy Nurnbcr: Expircs:
-l
ccnily lhat in thc pcrli)rnuncc of thc work li)r which this pcrnlit is issucd. I shall nol cnlploy any pcrson in any manncr
so as lo bccomc subjccl to lhc workers'conrpcnsillhn ldws ol Calitirrnia. and agrcc thal il l should hcconrc suhicct k) lhc
workcr\'compcn\alionpmvisionsofScction3T(X)ofthcLxtx)rC{xlc.lshall.tbnhwilhcomplywiththorcprovisions.
WARNING: Failurc lo sccure workcrs'conlpensiltion coverage is unhwful. and shall suhjcct an cmpk)ycr lo criminal Fnallics nnd
civil lincs up to onc hundrcd lhousdnd dolles (Sl(X).(XX)). in rddition lo lhe cost olcomlrcnsnlion, dnmilgcs as providcd for thc
Scclion -1076 of lhc Lrbor Codc. intcrcsl and rttorncv's fccs.
Applitarrl:
LICFNSED CONTRACTOR
DECLARATION
I hcrchy afl'irm undcr pcnally of pcrjury lhal I am liccilscd undcr provision oIChaptcr 9 (comtrEncing wilh Section 7UX)) of Division .]
of thc Busincss lnd Proltssions Codc. and mv licen\c is ir full forcc nnd cllccl
L-iccnsc Class:_Liccnsc Nrmbcr:
I)ale:___ Contraclor:_
CONS'I'RUCTION I ENDING AGENCY
I hcrcby allinn rmlcr lrcnally of pcrjury lhal therc is a cotrslruclbn lcndirrg sScncy ti)r lhc perlbrmancc of the work for which this pcrillit is
issucd (Scc. 1097. Civ. C. ).
lrnrlcr's \untc:
l.cndcr's Atldrcss:
APPLICANT D}'CI.ARATION
I luthy allirrn undcr Pcnally of pcrjury onc of lhc lollowing dcclartlionri
Dcmolition Pcrmils-Ashcslos Nolitlcalion Fcdcrnl Rcgulalions ('I itlc ,l0. Pan6)
_Rcquired Lcltcr ()l' Notificrtiur
_l ccrlily thrl thc l'cderill rcSulatk)ns rcgffdinS ashcslos rctnovdlilrc trot nfl)licxhle k) this ft)jcct.
ahovc nrcnti(nlcd ptr)pcdy for inspcction furfoscs.
Applicililt or /\Brill Sigtrilturr:l)ille
Itrrilrilee nilnre {prinl ):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framrno
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
JVasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
,I
FINAL 7/27/tar -)
Certificate of Occupancy (
Notes, Remarks, Etc.