HomeMy WebLinkAbout10199964 - PermitProiect Address: 1330 E Seventeenth Sta
Assessor's Parcel: 400-231-02 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: C4Block. NA Tract: NA Historic: No
7 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{999fi,4
Pin #: 246-11
Building Use:
Job Type:
Nature of Work.
Existing Bldg. & Use:
Proposed Use:
Commercial
Alteration
Roof mtd equip
Commercial BIdg
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
M
V B, SPK
cBc 2016
x-0602320163J
1
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
4@60
$15,935.00
Botch9:592?7 !,t?,t?f1? I3: LF:[9*L
tll'f ict; CTYH Trnnst: 11 I sfAcct*: gcfi: 1l:t1??914lrrpti : tt264912+ 6/7 /?fiIg 2: 32 Pt1
Ir sn sor:t i on Tot 0l $575 . 68
tre
?Description of Work: Replace (1) roof mtd unit
Planning Conditions: Screening required
Owner:
Address:
Phone:
Tenant:
Target Corp
1000 Nicollet Mall Rd
Minneapolis, MN 55440
(612) 304-5s01
Target
Contractor: AES MECHANICAL SERVICt
Address: P.O. BOX 7801 15
TALLASSEE, AL 36078
Phone: (334) 252-0380
State Lic #: 970558
Lic Type: C-20
Bus. Lic #: 343377
Workers' Com pensation I nsurance:
Carrier: NAT'L FIRE
Policy #: 6043253056
Expires: 10/01 12019
Ericksen H'oid'& XHiibtihd) r: n
"''r
william aUEnnrsI [:,lon upccLn !:rc
2550 U n i pr{il$ m4)n t{EtUf_qr0 r_r r_r -
Saint PauBillilfrsffil4
(651 | 251$bi0di!r:!I- :'1rt-tLtttttt -
soo2756,e;l f idll: li;ri;dil:
11 i,:rof ilnr & DocufiirlnL:
i_r I :[ 16r.rr_1:t- i;/'i:/[ru[t[r-
iitl I r'
i.r x':rU L t:tLt 1 - ?4t_n:t[t[r[rtr -.
I t.:L {.h,:r:!'l t-t::i 1511,1
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
t'ln r-rf)
a'rl q ,)Q
ta-atrl.Lt
C I r'r'l
ta a '-.r-.
a{q ftlrrr..t rJ- r
e,t t t
lr a a a t.,
eciTq ttl!! .J , \.. a t, rJ
Planning Approval By:Escamilla, Manny
Heidari, Fred
Amsden, Julie
Date: 06/03/2019
Date: 0513012019
Date: OGIOT 12019
Subject to Field:
No
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
077760 02
07776002
08907007
07776002
07776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuanceAccount#
72521
Total
57607
53600
57770
24000
s7672
57600
57607
$160.2s
$222 16
$15 04
$4.46
$1.00
$22.08
$5s 04
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
lnsp. Req'd:
Flood Zone Cert.01 1 16002 51600
01 1 16002 51601
01116002 s1612
01 1 16002 57770
08901 001 24000
o
No
No
No
No
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs rssuance,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 MtD#' 201 9-150s29
$22 08
$215.29
$1 00
$15.04
$4 46
Fee Total:
Paid to Date:
Balance Due:
$480 03
$222 16
$257.87
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS O}VNDR BUILI)ER DEI,CARATION
I hcrcby allirnr undcr pcnahy of Frjury lhal I am excmpl lntrn lhc G)nlrrck)s' Liccnsc hw l()r lhc lollowing rcason (Scc.70llL'!
Busincss {nd Pft)lcssion C'odc): Any City or County which rcquircs a lfrmil k, conslrucl. dllcr. improvc, dcmrlish or rcpilir {ny
structrrc. pri)r k) ils issuance, {lso rcqnircs thc applicant ti)r snch Frmil k) lilc n signcd slalcnrcnl lhal hc or shc is liccnsctl ptrsuanl
t(, Ihc p(rvisions of thc Contraclor's Liccnscd Law (Chaptcr 9. Cirnrnrcncing wilh Scction 7flX) of Division .l of lhc Busincss and
Pn)lcssi([sCod!')orthathcorshciscxcmptthcrcliomandthehrsisli]rthclllcgcdexenrptiur. Anyvi(]liltionofScclhnT0.ll.5hyany
ilpplicant li)r a pcrnrit suhjR-ls thc applicanl to r civil pcnahy ol not m)rc lhan flvc hundrcd dollars ($5fi1).
_l.as owncrol'thcpropcrty.ormyctnpl()yccswithwagcsaslhc'irsolccornpcnsalion.willtftllhework&ndthcslruclueisnol
intcrxlcd orofl'crc.dftrrsalc(Sc.r-.7()44.BusincssandProl'cssions(lilc:'l-hc-(irnlracl()r'sl.icenscLawtftrcsnotapplyloanowncrol'
thc pnrJrcfly whl huiltls ()r inlpr)vcs lhcrcon, and wlxr docs such work hinlscll'or hcrsclf or tltuluglt his rlr hcr own cnlployccs.
pnrvidcd that such impnlvcnrcnts arc m)t intcndcd or otl'crctl tirr sah. Il. howcvcr. thc huiklilrs or intprovcnrcnl is sokl within onc ycar
sah).
_1. asowncrol'thc property. atncxclusivclycontracting with liccnsctl conlractonloconstruct lhc project (Scc. 7()44. Btrsincss
and PnrlbssirtnCodc:'l'hcContractor'sl.iccnseLawdoesnotapplyloanowncrol'propcrtywhohuildsorimprtlvcslhcrcolt.
antl who contracls tilr such projccts with a Conlractor(s) liccnscrl pursuant to lhc'Conlractor's Liccnsc l-aw).
I am cxcnrnl undcr Scction . If . & P.C. lirr this rcastxt.
IVORKERS' CONI PENSATION
DECI,ARATION
I hcrr'hy all inn untlcr pcnalty ol'pcrfury onc ol'lhe lirlkrwirtg dcclaralions:
_l havc antl will maintain a Ccflilicatc of Consent to Scll-lnsurc'lirr wrlrkers'conrpcnsation. As providcd lirr hy Section 17fi) ot'thc
l-ahrr Crxlc. firr the Jrcrtilrnurrce ol the work tirr which thc prmit is issuerl.
_l havc will Sc'clion.17(X) ot'lhc I.ahor (irrlc, lor thc lrcrtitrttultcc'ol'
I ltt'carricr irnd grlicy nunthcr nrc:
€
Policy
_l ccrtit'y that in thc pcrkrrrnancc ol thc work lirr which this J^-rnril is issuctl. I shall nol cnrpkry any pcrson in any nlatlncr
so as to lrcomc. suhjcct to thc workcrs' conrpcnsalion laws ot'Calitorrria. and asrcc lhat il' I shoultl hccomc subjcct ttt tltc
workcrs' comJrclrsation provisions of Scction J700 of'thc l-alxrr (iilc. I shall. Iirrthwith utntply with lhose provisiotts.
IVARNIN(l: Failurc to securc workcrs' conrlrcnsation covcrasc is unlawltrl. antl shall subjccl an ctnpkrycr to crintinal pcnaltics lurd
civil lrnc's up lo onc hundrcd tltrtusantl dollars ($l(n.(XX)).
Scction 1076 ol'thc I-alxlr Codc. irtlcrcsl and allorncy's li'cs.
ilr addition kl lhc cosl ot'c()mlrcnsalion.as providcd lirr lhc
,^*, b-L7 4q,
l .l('1..\.'s l..l ) ('( )N'l'R,\( "l o R
t)E('l,AR,\'l'loN
I hcrchy al'lirm undcr pcnalty of pcrjury that I arn lit:cnscd undcr provision of Chaplcr 9 (comnrcncing with Sc-ctkrn 70m) of Division J
of the Busincss and Prrlbssions Codc. and nty liccnsc is in tirll lirrcc ard cll'ecl.
[-icclrsc-Numlx'r:
o^*, (o-74Q t
CONSTRUC-TION LENDING AGENCY
I hcrchy allirm undcr Fnalty of Frjury that therc is . construclkrn bnding agcncy for thc lrcrlirrmane of lhc work tbr which lhis Frmit is
issucd (Scc. -1097, Civ. C.).
[rn,lcr's Namc'
lrndcr's Addrcss:
APPLICANT DECI,ARATION
I lrcr--hy allirm undcr pcnalty ol'pcrjury onc ol'thc tirlklwirrg dcclaratiotrs:
Dcnlrlition Pcrnrits-Ashcstos Notit'icatiorr Fcttcial Rcgulalions ('l'itlc 40, Part6)
_Rc'qu ircd I-cttcr rtt' Nolilicatkrrr
_l ccflily lhat thc tl'tlcralrcgulalions rcgartling ashcslos rcmoval trc not applicahle' to lhis pnrjc-cl.
_l ccnily that I havc. rcad this application urd slatc lhat lhc ahrvc' inlirrnraliott is crtmccl. I agrcc to conrply with all City and Counly
ordiltarrccs antl Slirlc [,aws rclaling lo huikling corrstrttclion. arrd hcrc'hy ivcs ot'this City attd County lo cnlcr trJxrn lltc
atxrvc nrcntionctl proJrcrly tor inspcction
Applicant or Agcnl
Irennilee nrnre (prinl
,or", (g -7 - (q
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/VenUl nsu lation
Roof Sheathinq
Shear Wall
Framing
lnsulation lEnergy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
,.h,
FINAL 17-Y1-V0 .\{I)n
Certificate of
Notes, Remarks, Etc \./