HomeMy WebLinkAbout103105232 - PermitProiect Address: 2001 E First St-a-
Assessor's Parcel: 400-081-06 Lot: POR 15 Block: NA
Unit: 209 Blds:
Tract: MAYBURY
Address Range: 2001-2011*
Historic: No
Suite Range:
Zoning: C5
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {03105232
Pin #: 20944
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Commercial
Tenant lmprovement
TI
Commercial
B
VB
cBc 2019
x-0602320277J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T l Area: 2B2g
Yards Req'd
Valuation: $18,000.00
Occupancy.
Constr Type:
Code.
Flood Zone'.
# of Stories:
Description of Work: Legalize unit 209 - offices, patient rooms, Adding a storage roorrlauth on file
NO OCCUPANGY APPROVAL PRIOR TO FINAL ON ALL PERMITS
Planning Conditions:Bobchi:57317 Ll/24/2t-r2fi ID: onsr.sieg
\Engineer:Ac,:t*:
Rcpt*:03116335 II/2+/ ?1120 9: LI6 An
Tronsoction Tobo1 tlr5lllt.7?:.
Fn i nbnrs & Chqse Fnm i lv Trust
Bu i ld ins
01116002- 5160100tt-
Generol F lsn Update Fee
Ltl I l6ult?- 5160t-t[t[t[t-
Blds Stds Revolv ing
Ltl I 16LrLt2- 5161 zLtlt0-
llicrof ilr & Doculents
U1 1 1 60Lt?- ?-,777iritrrr-r-
llica
Rel*: ttl3lr-r q',T,
Owner:
Address:
Phone:
Tenant
Fainbarg & Chase Family Trust
125 W Wilson, #100
Costa Mesa, CA 92627
(s4e) 722-7400
Obria
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires.
Address:
Phone.
License #:
Architect /
Designer:
Address.
Phone:
License #:
$921 .5
$23. 7
077L6002 sL6OL Permit Fee $762 21
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Kelaher, Selena
So, Anson
Hernan dez, Kathy
Date: 1112412020
Date: 1112412020
Date: 1112412020
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:\rfr'No
74950
Total
07776002
0 77760 0 2
07776002
07776002
077760 02
53600
57770
57672
57600
57607
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$1 ,044.51
$24 30
$1 00
$23 79
$s9 30No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 116002 51601
01 1 16002 51612
01 1 16002 57770
Account#
Every permitissued shall become invalid unless the workon the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-162799
$23.79
$821 s1
$1 00
$24.30 $1,915.11
$1,044.51
$870.60
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby atfum undcr lrcnally of Frjury lhnt I am crcmpl h('m thc Grntrack)N' Liccns Las lirr thc folkrwing rcavrn (Soc.7O-11.5
Business aul Prolcssion Gxlc): Atry City or County which rcquircs a lErmit to c(rnstruct. allcr. improvc. demolish or rcpat any
slructurc, pdor to ils issuancc, dm rcquircs thc applicanl for such lrcmit k, lilc a sigrcd slalcmnt lhat hc or slE ic liccnsd puBuanl
to tlre pft)visiurs of thc Grntract(r's Liccnsd llw (Ch{ptcr 9, (ommcncirg with Sccti(rn 7000 of Divisiotr .J (rf thc Businc$s and
P()lbssr)nsG)dc)orlhathcorshciscxcmptlhcrclirmandthcbasisforthcallcgcdcrcmption. Anyviolati(rnofSctbnTO3l.5byany
applicant t(,r a lrermit subjccts lhc applicant to a civil pcnalty of trol morc than live hundrcd dollars (S5(x)).
_1, as owncr of lhc propcrty, or my cmployccs with wagcs as thcir solc compcnsation. willdo thc work and thc str'.&*lurc is not
intcldcd or oll'crcd lirr salc' (Scc.7044, Busincss arrd Pnrl'cssions Crxlc: Tltc Cortlractor's Liccttsc l-aw drrcs not apply to an owncr of
thc pn)pcrty wlxl huikls or impr()vcs llrcrc.on. aml wlxr tl<rcs such work himsclf or hcrsclf or thr()ugh his rtr hcr ttwlt cmployccs,
providcd that such improvcrncnls arc mrt intcndcd or oll'crcd tilr salc. Il, howcvcr. thc huilding ()r improvcrncnt is soltl within onc yc'iu
ol'complction, tlrc Owncr Builder will havc thc hurrlcn ol'proving that lrc rlr shc did mrt buikJ or intprovc thc propcrty lbr thc purJxlsc ol'
p , asowncrof thc profL-rty, amcxclusivclycontracting with liccnscd conlractorstoconslruct thc projcct (Scc. 7U4, Busincss
Pnrlbssirn Ctxlc: Thc Contractor's Licensc Law rloes not apply lo an owncr of proJrcrty who huilds or improvcs thcrcon.
who conlracts for such projects with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnsc Law).and
_l anr cxcnrpt B.tirr this rcason.
I hcrcby alf irm undcr pcnalty ol'pcr.iury onc of thc lirllowing
_l havc and will maintain a Ccrtiticatc of Consent to Sclt'-lnsurc tirr workcrs' comgrcrtsation, as providcd filr by Sccti<ln 1700 of thc
l.atxlr Crxlc, lor thc Jrcrfilrmancc of thc work tirr which thc Jrcrnrit is issucd.
_l havc and will maintain workcrs' comJrcnsation insurancc, as rcquircd by Scction .17ffi ol'thc Labor Codc, l<lr thc Jrcrlirrmancc of
thc work lilr which this ;rcrnrit is issucd. My workcrs' cornpcnsation insurancc carricr antl Jxrlicy nunrbcr are:
Policy Numbcr: Expires:
,
& f ."nif y that in thc ;rcrlirrmancc ol'the work lirr which this pcrmit is issucrl. I shall not crnpkry any lrcrson in any tnanncr
F,-, to bccomc suhjcct to the workers'comJrcnsalion laws of Calitirrnia, antl agrcc thal if I should hccomc subicct to the
workcrs' comJrcnsation pnlvisions of Scction .17(X) of thc Lahrr Gxlc, I shall, tilrthwith comply with thosc provisions.
WARNING: Failurc lo sccurc workcrs' compcnsation covcragc
civil lincs up to onc hundred thousantl dollars ($100.ffi0), in
is unlawlirl, antl shall suh.icct an cmploycr lo criminal pcnaltics and
kr thc cost of conrlrcnsation, dantagcs as providcd lirr thc
Scction J076 thc Ctxle. intcrcst anrl attorncy's l'ccs.
o
I hcrcby allirnr undcr pcnalty ol'pcrjury that I am liccnscd undcr 9 (commcncing with Scctiott 7m0) ol'Division 3
of thc Busincss and Prol'cssions Codc. arxl my licensc is in tull tirrcc arxl clfbcl.
Liccrtsc Nunrhcr:
Dale:
W
I hcrcby allirn utrdcr IEMlly of lErjury thal thcrc is a coDstructt)n htuling agcDcy lilr thc lrcrli)rmncc of thc work fitr which this tsmil ir
issue'd (Scc. 1097, Civ. C.).
kndcr's Name:
Lcntlcr's Addrcss:
APPLICANT DECLARATION
I hcrctry all-rm undcr Jrcnalty of Jrcrjury onc of thc lilllowing dcclarations:
Dcmolition Permits-Astcstos Notification Fcderal Rcgulations (Titlc 40, Part6)
_Rcqu ircd lrttcr of Notilical ion
_l ccrtily that thc tbdcral rcgulations regarding asbcstos rcmovalarc nol applicablc to this pnljccl.
statc that thc- ahrvc inlirrnution is corrcct. I agrcc to comply
reprcscntativcs of this City
with all City and County
atxrvc mcntiorrcd pro1rcrty lilr inspcction
Applicant or Agenl
Penrritec nanle
conslruction, and hcrchy authorizc and
o
uJxrn tlrc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf lo orlV ent/lnsulation
Roof Sheathinq
Shear Wall
Framinq
Insu Iation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
. '
FINAL l2-ll4*7,02 vWst)
Certificate of Occupancy l\-/
Notes, Remarks, Etc.
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