HomeMy WebLinkAbout10198654 - Permitcity of santa Ana 20 civic center Plaza (M-19), Santa Ana, c492702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: 1O198654
Pin #: 61686fiq
Proiect Addresst 2301 N Tustin Ave
Assessor's Parcel:396-141 -01 Lot; NA
Bldg: Address Range:
Tract:A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5Block: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Parking Lots
Parking Lot
Commerical
N/A
N/A
cBc 2016
x-0602320164J
'lst FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area.
Yards Req'd
Valuation: $24,000.00
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Description of Work: Extend parking lot by (2a) spaces
Planning Conditions:
t-t'/ 7 L
Owner:
Address
Phone:
Tenant
The Rego Group C/O Cliffhaven Cc Contractor: P R Construction lnc
4340 Vo Karmen Ave #110 Address: 1995 Batavia St
Newport Beach, CA 92660 Santa Ana, CA 92865
(949) 705-0426 Phone: 17141637'7848
State Lic #: 673267
Lic Type: B, C-33
Bus. Lic #: 313645
Workers' Compensation I nsurance:
Carrier: Everest National lnsurance Compa
Policy #: CAI 0002583191
Expires: 0110112020
Engineer:
Address:
Phone:
License #:
Architect /
Desioner:
Address:
Phone:
License #:
nn Upflol
5l 6U|]t:t[il
51611lt:lr:il
Stantec Architecture lnc
Jeffrey S. Leberman
38 Technology Drive, Suite 100
lrvine, CA 92518
(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
Dale: 04104120'19
Dale 01128120'19
Dale: 0412412019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
71949
Total
07776002
07776002
07776002
07776002
o7775002
57507
53600
57672
57600
57607
Permit Fee
Plan Check Fee
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
$260.00
$300.00
$1.00
$22.O8
$55.04
$638.1 2
$150.00
$488.12
No
No Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless fhe 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 is suspended or abandoned for a period of360 days after
the time the work is commenced.
Account#
01 1 't 6002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
$22.08
$315.04
$1.00
$150.00
lnspector MID#: 2017-139816
Unit:
M
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS O1VNER BUII,DER DELCARATION
I hcrcby allirnl undcr pcn{lty ol pcrjury thrl I an cxcnrpl iir)m thc Contraclors l-iccnsc l-aw li)r lhc li)llowing rcason (Scc.70-ll 5
Busincsr and Prolcssiut Co'lc)i Any City or Counly which rcquircs a lErmit lo cotrstrucl, {ltcr, imfrovc, dcm)lirh or rcPrir any
stnrctrlrc.priortoits issuancc.alsorcquiresthcafplicanllirrsuchJrcrnritk)lileasigncdstalcmcnt thathcorshcisliccnscd pursuanl
to thc provisions ol'thc Contrackrr's Liccnscd Law (Chxptcr 9. Commcncing with Scclion 7fiD of Division -l of thc Bu\inc\s and
P()ftss()nscodc)orlhrllrcotshciscxcmPtlhcrclionldndthcharislbrtheallcscdcxcmplion Anyvi()latbnofst'cli{)n7011'5hy'ny
applicantlbr!f^-rtrlitsuhjcctsthc applicdntk)acivilpcnrltyol'notmorcthanlivchumlrc-rldollars(S5U)).
_1. ac owncr i)l thc prolxr1y. or nly cnlployccs with wagcs a\ lhcir solc conrpcnsrtion. wdl do lhc work ukl the slK*tm L\ n()t
iilcndcd orotltrcdlirrsalc(Scc.T044.BusincssandProtissionsCrxlc:-lhcGxlrack)r'sl-iecnscl"awdocsnolapply()rnowncrot
lhcpn)lErty whohuikh()ritnprovcsthcrcon,Mdwh(,dr)cssuchworkhin]\clforhersclfortlrroughhisorhcrowncmpl(lyccs.
provided th{t such itrrprovcnrcDt\ itrc not intcndcd orollcrcd Ibr salc. lf. howcvcr. thc building or improvcmnt is sold within onc ycu
ofcoilplction. thc Ow0cr Iluildcr will hlvc thc burden of pr)vtrr8 llnl hc or shc did nol huikl or improve lhe pmpcny tbr lhc pufx)sc of
salc).
_1. as owncr ol thc proncrty. anl cxclusivcly conlraclinl wllh liccnscd contractr)rs tr consllllel thc projccl (Scc. 7044, Busrrcss
ad PDllssiu Coilct 'fhc Contrtck)r's Liccnsc l-aw d()cs n()l npply b rn owner ()l prolxrly whr) huilds or imPr()vcs lhcrc()n.
nnd wh() c0ntracls lilr such pn).iccls wilh a C(nilrrclr,(\) liccnscd Pursuant k) lhc Conlracktr'r Liccnsc [:w).
_l am crcmpt undcr B & P.C. li)r lhis reason.
Dalei-
WORKERS' CONIPENSATION
DSCIABAIX}N
I herchy allirm undcr pcndlly oi pcdury one ollhc li)lk)wing dcclffalions:
_l havcam!will maiilainaCcilil-rcatcofConscnttoscll:lnsurcfi)rworkcrs'compcnsalit)n.as providcdli)rhySection-UU)oflhc
I2tx)r Gxle. lbr lhc pcrli)rmnncc ol thc work ti)r which thc Ftrmil is issucd.
_l havc anrl will maintni[ workcrs compcnsati(]n insurancc. as rcquircd by Scction -17(n (][lhc ljtx)r Code. for thc lrrl(]mancc of
thc work t{)r which this lrrmit is issucd. My workers' compcnsati()n insurance caricr ilrl Fx)licy nunrher ilc:
Prll( v Numhcr: Ernirc*:
-
_l ccnily thrl in thc pcrlhrmancc of lhc work li)r which thi\ pcrnril is issucd. I shdll n()t cntpkry any pcrson in any manncr
so us b hccomc suhjcct lo thc workcrs'compcnsatirxr laws ofCalilornia. and agrce that il l should hccomc subject k) lhc
workcrs' compensalir)D provisions ofscclion l7U) ol lhc tJh)r G)dc. I shall. tbrthwilh comply with thorc proviri{}ns.
IVARNING: Failurc lr scurc workcrs
civil fincs up to onc hundrcd lhousrnd
comfrcnsati(m covcraga is unlawftl. and shall subjccl an kr crrminal 1^_nrllrs antl
dollrrs (SlU).{xX)). r[ rdd(r)n k) thc eost ol as providcd li)r lhc
Scetx)n ll)l(r 0l lhe l.rli,intcrcst and alt)rncy s ltcs.
I 7
DEC:LARATION
I hcrchy alTirm unrlcr pcntlty ol pcrjury that I am liccn*d unttcr pn)vision ()fChtptcr 9 (comnlcncinS with Scction 7000) of Division l
of lhc Busillcss ind lkrltssions Code, md my liccnsc is in Iill l()rcc and eftccl.
[-iccnsc
tl
CONSTRUCTION LENDING AGENCY
I hcrcby allirn undcr frcnalty ol pcrjury lhat thcrc is a construction hnding agency t)r lhc Jrcrlirrmancc of thc work lbr which this lErmit i\
issucd (Scc. -1097. Civ. C.).
lrnder's Namc:
lrndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby aflim undcr penalty oI pcrjury one of thc li)lk)wiil8 dccluati(ns:
frcfr)lilion Pcrmits-Asbcstos N()tification Fedcral Rcguhlx)ns (Titlc 40. Pd6)
_Requircd tf,tlcr of Notilicat()n
I cedily that lhc li'dcral reSillali()ns rcgrurJirrg asht'slrts rcriloval Alc not upplicahlc lo lhis pfi)j'.cl
-l
ccrlily lhxl I hrv!- rca(l lhir afpliclti{}n ild slxtc lhnl lhc illx)vc corccl- I agrcc lo c(nrply
I lhis City
wilh all City and (\trrnly
oldinanccs and Stalc l,rw! rclilin8 lo buildintr rnd |) cnler ulrrn lhc
alx)vc nlcnliur!'d pr()lEI1y li)r
7Applicant or AEcnl
Pemile name (priDalt-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Vent/l nsu lation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL ?Z?4oza J)c{ab vo
Certificate of Occupancy
Notes, Remarks, Etc.