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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.