HomeMy WebLinkAbout10198640 - Permitf City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: 10198640
Pin #: 43895{€
Proiect Address: 2301 N Tustin Ave- -a - -Bldg: Address Range:
Tract A.B. CHAPMAN
Unit
Historic: No
Suite Range:
Zoning: C5Assessor's Parcel:396-1 41 -01 Lot: NA Block: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Miscellaneous
Light Standards
Commerical
U
VB
cBc 2016
x-0602320164J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Area:
Yards Req'd
Valuation: $13,800.00
Occupancy.
Constr Type.
Code:
Flood Zone.
# of Stories:
Description of Work: (6) !ight standards
Planning Conditions:
Owner:
Address:
Phone:
Tenant
The Rego Group C/O Cliffhaven Cc Contractor: P R Construction lnc
4340 Vo Karmen Ave #1 10 Address: 1995 Batavia St
Newport Beach, CA 92660 Santa Ana, CA 92865
(949) 705-0426 Phone: (7141637-7848
State Lic #: 673267
Lic Type: B, C-33
Bus. Lic #: 313645
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Compa
Policy #: CA10002583191
Expires: 0110112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Stantec Architecture lnc
Jeffrey S. Leberman
38 Technology Drive, Suite 100
lrvine, CA 92618
(949) 923-6000
c29534
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Kelaher, Selena
Scott Fazekas & Assoc.
Zuniga, Allissa
No
No Fire lnsp. Req'd No
No Account#
Date: 04/04/2019
Dale. O'l128120'19
Dale 0412412019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07775002
07776002
07776002
07776002
Permit Fee
Plan Check Fee
Bldg. Stds. Revolving
General Plan Update
lssuance
71949
Total
s7607
s3600
57672
s7600
57607
$160.25
$222.16
$1.00
$22.08
$55.04
Police lnsp. Req'd:
Land d: No Flood Zone Cert. Req'd: No 01116002 51600
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authorized
on the site by such permit rs suspended or abandoned for a period of360 days after
the time the work is commenced.
01 1 16002 51601
01116002 51612
$22.08
$215.29
$1.00
Fee Total
Paid to Date:
Balance Due:
$460.53
$222.16
$238.37
)
ng nsp. Req'd
lnspector MID#: 2017-139816
BUILDING. INSPECTOR RECORD
SITE.WORK DATE IDiSIG.COMMENTS owNER BUTLDER ITELCARATION L..I hcrchy rli'rrm undcr pcnnlty ol pcrjury lhal I am c\cmpt from thc Conlraclors l-iecnsc Law tbr lhc li)llowing rca\rrn tsc(.7o.rn
Busincss and Prolass()D CG.lc): Any Cily or County which rcquircs a lrcrmil t) construct. altcr. inrprovc, dcn]llsh or rcpair rny
structnrc.priork)it\ i\suancc.alsorcquircslhcrpplicanlli)rsuchlratrrllofilcasiSncdstatcmcnt lhnihcorshcisliccnscJ pursuanl
k) thc provisions ol thc Contraektr s l-iecnscd [-aw (Chrpter 9, Conrnrcncing with Scclion 7000 ol Division .] ol thc Busincss and
ProllssionsCodc)orlhatlrcorshciscxcmptthcrcliotrllndthchasisli)rlhcallcgcdcxcmplion. Anyviolali(mofScetxnTOll.5hyany
rpplicintli)rrpemritsuhjcclslhc applic{nlk)acivilpcnxllyolnotntrrrcthanfiv!'hundrcddollars(S50{)).
_1. t\ owncr ol lhc ln)Fny, or my cnlpl(,yccs with waecs as thcir s()l(- conrpcnsati(rl. willdo thc work and llE struclurc is nol
idcndql oroll'crcdli)r$lc(Scc.7044.[]rsinessand['roltssionsCodc:'IhcConlrnck]r'\l,iccnscLrwdocsnotapply(ornowncrof
thcpr)Frly whobrihlsorimpnrvcslhcrcon,mdwhodrEssuchworkhirrscll'orhcr\cllorlhK)uShhisorhcrowncmpl()yccs.
providcd thal such imprl)vcmnls m ilil uilcndc.l rlr oll'crcd li)r salc. Il. howcver. lh! hurldirg or improvcrmnl is sold within unc ycd
ol conrpkni(nl. llN Owncr Buildcr will havc lhc hurdcn ol pn)ving Ihdt hc or \hc did n(il hurkl or improvc tlE pr)fErty li)r thc pur[x)* ol'
s{h).
_1, rs owncr ol lhc Ix)[L-f,y. anl cxe hrsively coDtrrel ing with liccnscd conlrack)rs t) conslnrct thc nn)icel (Scc. 7(X4. 8u\trrcss
atr, l\)lbssi)n Codc: 'l hc Contraclor's l,iccnsc [-aw docs not apply tr) an owncr ol propcrly who huild\ or improvcs lhcrcon.
and who contrtcls li)r such f()jccts wilh a Corilftckrls) liccnscd pur(urnl k) thc Contrack)r's I-iccnsc [-aw).
I anr cxcmpt undcr Sce ton-. B. & P.C. lirr this rcason.
WORKERS' COI\IPT]NSATION
DECLARATION
I hcrchy rllirm undcr pcnalty ol I^.r.itrry onc of thc li)llowing dcclarxtir)ns:
_l hrvc and will mainlain a Ccnilicatc ol Conscnt k) Scll:lnsurc li)r w{)rkcrs compensali(nl. as providcd fbr hy Sce tirrr .1700 of thc
t,ahrr (ixlc. lbrthe 1^-rti)rnlaDcc ol lhc work lilr which lhc pcrmit is rs\ucd.
_l hnyc and will malntain workcrs eompcnsati(rl insuranec, as rc.luirc.l hy Scclt)n -l7U) ol thc litx)r C()dc. for lhc [Erformancc of
thc work li)r whieh this pcrmit is issucd. My workcrs conrpcnsalion insurancc caricr uxl Jxrlicy numbcr uc:
Poltcy Nunrhcr: Erpires:
_l ccaili thrt i,l rhc pcrli,rmilncc ol lhc work lbr which this l^*rnril is isrucd. I shlll not cmploy rny lL-r\on in any nrdnncr
sl, ns k) hceomc ruhj{ct k) the workcrs'compcn$tion lnws ol'Crlifi)rnir. rnd agrcc thal il'l should hccomc suhject lo thc
workcr\'compcnsiti(mprolision\olSccli{rr-17U)ollhct-nlxrrCodc.lshnll.tbnhwilhconlplywilhlh(}scprovis()ns.
WARNING: Faihrr(- k) sccurc work.r\'compcnsalion covcra8c is unlawlitl. amJ shall ruhjcct !n cnrploycr h criDirrl J^-nallies and
civil lincs up k) onc hundrcd thouslnd dollars (Sl(X).(XD), in addili(r k) lhe co\l ol compcnsnli(n.as pro\,idcd for thc
Sccrx[ -1076 of thc lrtxrr Code. intcrcst and atk)rrcy s lics.
f
DECLARATION
I hcrchy altirm undcr lEnally of ltrjury lhat I am liccnsd !nder provis()n ofChaplcr I (commncing with Scction 7000) ol Division 3
ol thc Busincss and Proltssions Crilc. arl my liccnrc is in full I{)rcc md cltcct.
Lre('n\c
'tq
CONSTRUCTTON LENDTNG AGENCY
I hcrchy allirm undcr FnElty of frcrjury thal thcrc is a construction lcndine aScncy for thc Frcrlirmahcc of lhc work li)r which this lrcmil is
issucJ (Scc. -1097. Civ. C.).
kndcr's Namc:
l,crricr's Addrcssr
A PPL IL^ANT DECLARATION
I lrrchy afiimr undcr pcnally ()f pcrjury onc ol thc tilllowinS declaral!)ns:
Dcnx)lition Pcrmils-Asbcsbs Nolificdlion Fcderal RcSulalions ('Iitlc 40. Put6)
-Rcquircd
lrltcr ol Ndilication
_l ccniti that thc I'cdcralrcgulali()ns rcgtrilin8 ashcsk)s rcmovdlnrc n(il tpplicahlc lo lhis pn*cl.
_l ccnily that I hnvc rcad (his applicatiotr md slate thrt thc atx)vc irtlbmution is cotrccl. I agree to conlply with all Cily and County
il*:::[ffi :::wrirui/i//."""".".':::"""";'i,";;;."
Pemrllee n[me (Drint):
Set Backs
Forms/Steel/Holdowns I Tlelto) L ul'qfi4l
Erection Pads I
I
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lVasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL -16/r,te{vt D <IL9 /znzo
Certif icate of Occupancy
Notes, Remarks, Etc lt
I0 - 30"(,4nt)
L/,I
I
q NNL \v\ Ii