HomeMy WebLinkAbout10195702 - PermitCitv of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 }N Building
I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 I 4) 647 -5853
Permit #: { O{ 957o2
Pin #: 27227
Proiect Address i 2424 N Tustin Avea
-
Assessor's Parcel: 396-261-55 Lot: 8
Unit:
Historic: No
Suite Range: 3,4
Zoning: R4
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use.
Proposed Use:
1st FL Area.
2nd FL Area:
Other Areas:
Garage Area:
Total:
Descrlptlon of wo.k Exp.nd co.t closet op6ning for wrD ln unlts wlth 2 bathroom6, No-bedroom addition, et$,Siiffi?fidh t1tH9! !fuSttid0 btl#fJqll
footago propo.ed.t thb tim.. originalP/c perfor ed uner#10193842. ;i:i;;- '"" rll+: r,,l?:i,,-r?
Multi-Family (5 or more units)
Alteration
WD Partition Wall(units 3,4)
1s-UN!T APT WDET CARPORTS
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories.
R-2
VB
cBc 2016
x-06023201 64J
2
Patio:
T.l.Area:
Yards Req'd.
Valuation: $14,000.00
Rcpt+:Lr?1937119 - 3./7/?Lt1g 4!l;? F11
Tnnnqn,-t inn Tntn I *(.'79I I ?Planning Conditions:
Owner:
Address:
Phone:
Tenant:
The Bascom Group, LLC
26 Corporate Park Drive, Suite 200
!rvine, CA 92606
(949) 9s5-0888
Contractor: AMA Repiping Plumbing, LL
Address: 401 Timberpoint Ct.
coLUMBrA, SC 29212
Phone: (866) 262-1815
State Lic #: 991 194
Lic Type: C-36, B, ASBS, C-16, C-10, C-20
Bus. Lic #: 368085
Workers' Compensation lnsurance:
Carrier: Technology lnsurance Company, I
Policy #: TWC3675469
Expires: 1212012018
AIIA Rep ip ins Fluntti ine. L L t:
tienernl F1crn Ur.dotri l-r:e
ltl 1 1 6(t'J?- 51 1r:rU[fl_rrr -
Eu i ld ing
Ltl 1 I 6rJtr7- 51 1[r1t:il-ri.!-
Bldg 5[dE F:e'iol,.,ins
M ichael Pr Bbffi8{lfry & l{hl{Mtttes
Michael Hgodruu4, r:rlr:?t,i$
P O Box 154
Blue Jay, CA 92317
(949) 208-2979
Engineer
Address:
Phone:
License #:
Architect /
Desioner:
Address:
Phone:
License #:
t2l .25
+ 361 . 5r1
,1 . tlr:l
tlr?96,15
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:
Chavez, ,.u" <7 ?
Date:
Date:
Date: 03/07/2018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 s7607 Permit Fee
07775002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$308.s2
$1.00
$21.25
$52.98
$383.75
$0.00
$383.7s
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01 I 16002 51600
01 1 16002 51601
01 1 16002 51612
$21.25
$361.50
$1.00Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after its issuance,or if the work authorized
on the site by such permit is suspended o r abandoned for a period of 1 80 days after
the time the work is commenced.
lnspector MID#: 2018-141736
Bldg: Address Range:
24-K
Tract:A.8. CHAPMANBlock: A
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation
Roof Sheathing
Shear Wall
].1/--/1a4Framinqi/a /,rq 9-y.a-,6
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
^, lr/ f
ty' 9Vrc'-
FINAL 4-o7zl9 SD
'7Certificate of Occupancy
Notes, Remarks, Etc
-t
r,.}i,?jhTlifu if"q'ffi i:k;:,:'::,::iff ["ffi ;il"il
slructurc. pri(r'kr ils issuance. also requires the applicanl for such pcrnlit lo file a signed slatenrot lhat he or she is liccnsc,l prrrsill
b thc provisioils ofthc Contractor's Licenscd l-a$ (Ch.ptq 9. (lnnrncncing rvith Section 7t)00 ofDivision I oflhe Business and
Profcssions Code) or lhat hc or she is exernpt thqeliom and lhc b6is for the allcged cxonplion Any !iolalion ofSeclior 70] 1.5 b]'aily
applicant for a pcrmit subjecls thc applicant to a civil pcnalty ofnot rnorc than five hundred dollars ($500).
_1. m orvner oflhe prrpeny. or nry ernploym rvith wagc as lheil mlc conrpcmattrn. rvill do the rrork ard lhe slndrre is not
inlmdL{ or offered for sle (Ss.7044. I}usins and ftollsions Code: The Conlractor's Licmc [-aN do6 nol apply k) an orvno ol
thc pro;uty who luilds or irnJrovc thssn. and who do6 such work hirnselfor heselfor lhrough his or het own empkryecs.
pror ided that such improvonmts nre n(x intmdql or offsql for sle. lf. hou'q,o. the buildirrg or improlmeil is solcl $'ithin one 1eo
ofconrplaion. thc Owncr Builds will have thc lurdo ofproving that he or she did oot build or improve the pr)lEly for the puqx)se of
ele).
l. 6 o$'ns ofthe [ropdy. an exclusively contraoing rvith licosed coniractoE k) corolruct lhe projd (S{. 7044. llusincs
and ftoftskrn Code: The Contraclor's License Law do6 nol apply to an owner ofpropeny rvho builds or improves lhereon.
aild rvho conlmcls for such prejcts with a Corilracto(s) licmed purslant to the Contractor's LiccNe La$ ).
-Ianetcmptundgs4tion-.B'&P.C.forthisreron.
Dste: _Ohler:
WORKERS' COIlIPENSA'I'ION
DT]('LARA'IION
I hcrcby alfirm undcr pcnalty ofpojury one ofthe [ollorving dcclarations:
_l have ud will rnailtain a Cedillc8tc of Consent lo Self-lnsure for workos' cornpensalion, 6 provided for by S(lion 3700 oIlhe
tnbor Code. for the pqfonnmce of the work for rvhich the pemit is isued.
lhaveandwillmaintainworkss'comFEnsationimurance.6 rcquiredbySstionlT00oftheLaborCode.forthepafonnanceof
the work for which this pennit is issucd. My rvorkm' compmsation insurdce cmia md policy number ac:
c-i-, ' <+(d' h, ctc' - - t
.o,,.r*,,,n*. '-ET\lg z brerloz;* .-du4o.
-l
cerlify thal in thc perfonnance of lhe rvork for rvhich this permil is issued. I shall not onploy any person in any manner
so 6 lo boconre subj(t lo thc workm' compmsation larvs of Califomia. and agree thal if I should becorne subject to thc
rvorkm' compsrstion provisions ofSetion -1700 oflhe Lah)r Codc. I shall. fonhwith comply u,ilh thoe provisions.
WARNINC: Failure to secure workers' compflsation covsaSe is unlaw ful, md shall suhject an qnployer to oiminal pcnaltiB aild
civil fincsuploonehundredthousanddollare($100.000).inadditionlothecoslofcornpensation.danragesasprovidedforthe
Selion 3076 ofthe Labor Code. intset and altomey's fe6.,*"ffi_[I 201-[
I hereby aflirm undo pflally ofpqjury that I am licosed ofChapl6 g (cornmmcing s'ith S$tion 7000) ofl)i!ision 3
of the Business and I'rofssions Codc. md nly license is in lirll force ud eflect.
l-icemeClus:-L g
_[.icensc Number:4ti
*", p1\R ,0 7 20lScontrrctor:* J&
CONSTRUCTION LENDING AGENCY
I hereby alfirm unde pmalty ofpqjury that thqc is a construclion lending aSmcy for the psfomrmcc ofthc uork for rvhich this pernit is
issued (Se. 3097. Civ. C.).
Lenrler's Name:
l-cndcr's Arldrcss:
APPLICAN'T DECLARA'I]ON
I horby amnn undq poalty ofperjury one ofthe follorving dalrations:
Dernolition Pmnits-Asbstos Notification Fedqal Regulations (Titlc 40, Pad6)
Required Letlq oI Nolilication
lhis pr(iccl.
I agre lo co[ply with all City and ('ounly
ild County lo enls up()il the
atnve rnentioned properly for insp(lion
Applicnill or Agenl Signafure:I
Permitft nsme (printl, (. -fi-,a-ffi,l.0?20 iB
BUILDING. INSPECTOR RECORD