HomeMy WebLinkAbout10191747 - Permit,
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit #:1lJ191747
Pin #: 38735@City of Santa Ana
Permit Counter: (714) 647-5800 I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853
Project Address: 1665 N Sycamore St Unit.Bldg:2 Address Range: Bldgs 1&2
Historic: No
Suite Range:
Zoning:Assessor's Parcel: 005-153-09 Lot:Block: NA Tract: NA
Building [rse: tuultl-Family (5 or mo]e units) Occupancy: R-2 1st FL Area: 1458 Patio: '179
Job Type: I'low ConstrType: VB,SPK 2nd FLArea: 1456 T.l.Area:
Naturcotwork: Townhomes-Building 2 Codei CBC 2013 OtherAreas: yards Reqd:
Existing Bldg. & use: vacanuParking area Flood zone: x.o5o2320163J carage Area: vatuation: g2,3oo,ooo.oo
Proposed Use: Resid.ntial # of Stories: , ,o,",, 2gl4
oesc,iption of work: l{ew townhomos . (3} I bedroom lolB. lncludes dew micrc piles and column rgfinforcem.nt in parking gaEge below. SAUSD#3674
Planning Conditions
Owner:
Address:
Phone:
Tenant:
Meta Housing
1640 Sepulveda Blvd #.425
Los Angeles, CA 90025
(310) 575-3543
Contractor: WestportConstructionlnc.
Address: 125 W.Maple Avenue
Monrovia, CA 91016
Phone: (6261 447-2448
State Lic #: 712732
Lic Type: B
Bus. Lic #: 12345
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Co
Policy #: 7600015708
Expires: 1110112017
DCA Structural Engineering
David Choi
1327 Lima Avenue
Long Beach, CA 90804
(562) 382-8040
4784
studiooneEleiven il1llr: ,, , r,
Michael P. Bohn i
245 E. Third 9tr6et ' ' , i' lt-'
Long Beach, CA 90802
(562)901-1500'' :'] ', f i"
c21 695
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:il F er:i?1
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd: Yes
Planning lnsp. Req'd: Yes
Pezeshkpour, Ali
Heidari, Fred
Link, Patricia
No
Dale: 07 t2412017 J Vtisc. Receipt:
Date: 0712512017 Misc. ReceiPt:
Dale: 07126t2017 Misc. Receipt:
Subject to Field:
Yesyes Account#
0'1116002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
08901001 24000
07776002 5!607 Permit Fee
0777600;2 53600 Plan'chetk Fee
0890L00L, 2,4000 SMIR,'Galegory 1
07776002 5a5Lz' Bldg. Stds. Revolving
o77t6ooiz 'Sl'6do Generai Ftan Update
0 77 76002 e1607 lssuagcB/New Structu
'::ii "-' : '
69004
Total
Fee Total:
Paid to Date:
Balance Due:
$773.25
$3,216.72
$299.00
$92.00
$21.25
$141.32
$4,543.54
$2,943.14
$1,600.40
Fire lnsp. Req'd:
Police lnsp. Req'd:
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after ifs lssuance,or if the work authorized
on the site by such permit rs suspended o r abandoned for a period of 180 days after
the time the work is commenced.
$21.25
$914.57
$92.00
$273.58
$299.00
lnspector MID#: 2016-133708
BUILDI}IG- INSPECTOR RECORD L
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby aflirrn unda penalty of psjury that I m exempt from lhe ContracloB' License Larv for the folkrrving remn (Se.703 1.5
Busin6s and l'rofsion Code): Any City or County which requira a pennit lo construcl. alto, improvc, dqnolish or repair any
slruclurc. prior lo its isuarce. also require the applicant for such pmil to file a signed statmmt thar he or shc is licflsed pursuol
to the provisions ofthe Conlraclor's Licensed Law (Chapltr 9. Commencing wilh Section 7000 of Division J ofthe Business and
ProfcssionsCode)orthalhcorsheisexempllhqeliommdlheb6isfortheallegcdcxonplion. AnyviolationofsslionT0ll.5byany
applicantforaponitsubjatsthc applicanttoacivilpenaltyofnotmorethanfir'chundreddollus($500).
_ l. o orvno of the Sroperty. or my cmploye rvith *age m theL mle compemation. uill do lhe wo& md the slrudue is not
inlmdql or offoed for ele (Se.7044, Busins md hofsioro Code: The Contraclor's Licos Law do6 not apply lo il ou'nq of
lhc protrly who builds or improve th@n. ed who do6 such wo* himself or hmelf or through his or hs own employes.
provided thal such im5rovanols ae not intqded orofked for sle. li hows6. the building or improvonenl is sld vilhin one y@
ofcompldion. lhe O\r'no Builds will have the brrdo ofproving thd he or she did nol build or improvc the propqty for the purpos of
sle).
l. 6 olvner of the properly. m erclusively contracting with licmed contractoElo conslrucl the prejet (Ss. 7(},14. B$ins
and FloftssionCodc:TheContraclor'sl,icenseLawdo6notapplytodowntrofpropenyrvhobuildsorimprovesthcron.
and rvho conlracls for such projecs rvilh a Contracto(s) licfised pursuot to the Contraclor's LiceNe Law).
F4U"1it -| ---@
I hcrcby alfirnr undcr penally oIpojury one ofthe follorving declarations:
I have od will nlainlain a Ce[ificale ofConsent to Self-lnsure for work6s' compensalion. a providcd fot by Scctbn ]700 oflhe
t-abor Code. for the pofomrance ofthe work for which the pmnit is issued.
I have and rvill rnaintain rvorkere' compemation insurance. 6 required by Setion 3700 oflhe Labor Codc. [or lhc psfonnance of
lhe rvork for rvhich this ponit is issued. My workffi compffialion insurilce cmie md policy nunrber ac:
policyNunrber: -Ir-ooot5Zo?t t"I E-ei,*, ltfl l11
I ceniry thal in the psfonnance of the rvork for u,hich this pmil is issued. I shall not mploy any person in any mmno
m otobocornesubirttolhework6'compenxtionlarvsofCalifomia,andagrcthatiflshouldbe.omesubj(ltolhe
work6'cornpcnsalionprovisionsofSelionlT00ofthetaborCode.lshall.fonhu'ithcomplywilhthosprovisions.
WARNINGT Failure to sue workss'compfi$tion covmge is unlarvful. dd shall subj€t m mployo to siminal penalie md
civil fins up lo one hundred thousnd dollm (SI00.000). in addition lo the cost ofcompcMtion. damages as providcd for the
S(tion -1076 of thc tabor Code. int6d ed attomey's fc.
I hoeby atlirrn undr pmaly of psjury lhal I an licosed unde provision of Chaplq 9 (commocing rvith Swtion 7000) of Division l
oI thc l]usinss md Profsiom Code. md my licrue is in full force ild eff6t.
Liccnse ('lass:b LicenseNumt*r: :lLn3Z
o^", 1lz6l11
CONS'IRUCTTON LENDING ACENCY
I hereby aflirm under penalty of perjury lhat thse is a conslruclion lending agency for the pofonnace ofthc u,ork for which this permil is
issucd (Sec. .1097. Civ. C.).
Lender's Narnc:
[,ender's Addrss:
APPLICANT DECLARATION
I lptb allinn unds penalty ofpsjury one ofthe following delarations:
Demolition Ptrmils-Asb6tos Norification Fedsal Regulations (Tille 40. Pdt6)
Required Ldl6 of Nolifi cation
-l
cdify lhat lhc fcdtral regulations regdding abatos rmoval oe not applicable to this prcjd.
-l
cdify that I havc red this application md state that (he above infomation is cotret. I agrc lo comply with all City and County
ordinancG md Stalc Laws rclating to building conslructior\ ild hseby au(horize represtativ6 of rhis City ild County to mtq upon the
above motioned prop€rty for iNpection purpos6.
y'pplicrnt or ngcnt
Yernritce nrnre lprint;:
l)alc:lzbln
Set Backs
Forms/Steel/Holdowns f?z-rQ tt?.<-z|
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenVl nsu lation
Roof Sheathing n at -lq /) -a*P,*'LU
Shear Wall I u-t ,l./eu//\4.AD <* Nbu y
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath /D-/7-t 9 fta2a
Brown Coat i/-v-/?/-cz\
lt/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL 624-zs /L Q,st )xrbs Hry
Certificate of Occupancy
Notes, Remarks, Etc.
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