HomeMy WebLinkAbout101101792 - PermitCity trf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
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Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 )r
Permit #: 1O1101792
Pin #: 3298{
Proiect Address: 1 E MacArthur Pl
Assessor's Parcel 411-071-Os Lot: 5 Block. NA
unit: 115 Blds
Tract 13802
Address Range:Suite Range:
Zoning: SD43Historicr No
Commercial
Tenant lmprovement
TI
Commerical
B
I A, SPK
cBc 2016
x-0602320278J
1 st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Patio:
T.l.Area: 2085
Yards Req'd
Valuation: $91,387.00
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
0
Description of Work: lnterior Tl- New partition walls and finishes
Planning conditions:F0!ch+r514?r:r
Owner:
Address:
Phone:
Tenant
Ocean west Partners-Stephanie Y( Contraclor: Uprite Construction corpori
210'l Rosecrans Ave Ste 3270 Address: 4300 Campus Drive #203
El Segundo, CA 90245 Newport Beach, CA 92660
12131814-1647 Phone: (949) 26s-5990
State Lic #: 932018
Lic Type: B, A
Bus. Lic #r 370828
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9263308
Expires; 1OlO1l2O20
Architect /
Desiqner:
Address:
nerol F'1nn Llpdnt
116002_ 516utr(:rfr
i 1d ins
116r:102- 516fi 1tr0n
Engineer
Rcpti:I--r293347
Trtinssct icrr T
lpr' ite (on.-truct iar
Ge
tr1
Phone:
License #
SAA
Dickson oi
18600 MacArthur Blvd, Sulte 100
lrvine, CA 92612
(949) 724-8958
c-32277
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd;
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Gomez, Pedr
Heidari, Fred
Zuniga, Alliss
No
ot7760o2
0 77 76002
0 77 76002
0 77 76002
01776002
0777600 2
5 3600
57770
51612
57600
57 601
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
o
a
Date: 10/10/2019 Misc Receipt
Dale: 1211212019 Misc. Receipt
Date j2l12t2}1g Misc. Receipt
Subject to Field:
Noyes Account#Total
57607 $542.10
$750.60
$50.83
$4.00
$22.95
$s7.20Fire lnsp. Req'd:
Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'dr No
Every pemil issuad shall become invalid unless lhe wo* on the site aulhotized by
such permit is commenced within360 days aftet ts issuance,or iftho work authorized
on the site by such pemit is suspended oi abandoned lor a peiod of360 days after
lhe time the wotk iscommenced
lnspector MtD# 2019-155024
01 't 16002 5'1600
0'1 116002 5160'l
01 't '16002 51612
01116002 57770
$22.9s
$599.30
$4.00
$50.83 Fee Totat
Paid to Date:
Balance Due
$1 .427 .68
$750 60
$677.08
Building Use:
Job Typel
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
))
Address:
Phone;
License #:
73609
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARATION
I hcr.by a,ioD unds pnalry of pe.lury rhal I an.xc,npr Eom rh. Coit{ro6 Licdsc tjw forlhc lollowinS r6on (Sd.7011.5
Busin6s md Pron$io. C$L): A.t cnv or ('ounty shich r.quir6 a pcnrn to coNtucl. allq. inprove &molish or rF6tr uy
slruciu., Fior ro its isu a, also rqut6 th. .pplicanr for such pcmir ro fiI. a sisn d slaldd rhar hc or dr is licaed pNdr
ro lhc prov6io6 ol (h. Conracror\ Lic..sd tiw (Ch.prd s. Commfl.iu wilh S€lion 7000 of Division 3 ollhc BBin6 d
Profcsions Cod€) or lnal h. or sn€ b €rcmpr rhd€6om md th€ bsis for rne allcscd exdplior. Any riol.rion olssrio. 701 I .5 by any
npplicanl tor ap€n.il subj*lslh€ appli.antloacivilpcoaltyoanolnor.thdfiv.hundr.ddolles($500).
I. 6 oMcr of th. FotEny. or my .mplolG with ras6 6 rh.ir $lc .o'nposnion- will do lnc worr dd Oc niud@ n @r
inrodai or orcEd f.r sL (se.7044, BGins dd Prc fBn,a Cod.: fi. conta.loi3 Li.c. tnq do6 not .pply to m own6 oa
the porql, who hrild! or Lqrov6 th6on. dd vho do6 ech *ork hi'm.lfor hdclf.r rhoush hir or hd oM dplor.6.
pmvid.n rnal such iDprcvormls e nor inloded oI ofi6{n for elc l[ nowdd. rnc h]ildins or imFovd@r ir sld snhin on ]a
of.omtld6., the Ome Buildd will h6!. lh. brd6 oapro\in8 $d he or shc did not hrild or nnlmv€ lh. pDpqly for lhc purpose oi
_1. * oM6 olrnc prepcir. d dclurivcly .ontraqing snh licasJ coffadoE to onsltud lh. FoJ..I (56 7044, B6iIB
md PEf€sion Cod.: ThcConkactois Licmc Ls* do6 nor apply lo doEnq ofpropdlywho buil&or inpro!6rt6@..
a.d *ho comGds tu such projdsvirh aCoddo(s) li.Nd puNmt to thcConrractois Licsc Law).
I m.k.mpt u.ds s-tion ,B & P.C. forrhis r.6on.
ORnerl
EQtf,EBS:t0llt[lldr&!
DES,ANAIIQN
I lEcby.firm unds p.naltyofpdjuryonc oflh€ followitrr dElualions
I havc ud will mainrain a C.nincar. olcoMt ro S.lf-lNur€ aor wd6 comrqEarion. a povid.d for by Scrion 1700 olrhc
Lrbor Cod., for rh. p6fomdc. oirnc wort for which lh. pdmit is isu.d.
I have and vill mainrain worl€6 comp.nsar io. iBurancc. 6 rquncd by s6rio, 1700 ot rh. Lrbor Cod., for lh. p6fomm.€ ol
!h. sorl rorvtu.hrhiepomn is isucd. My sork6
.,-- * Sl"^iz f,- d
"^n *, *J 3Zlqlln
contposdion iBud.c .dia aod policy .@bd q.:
-l.diryrtat
in rh. pdloroan .ollhc wor* for ehi.h rhis pdnil is i.su.d. I shall not mplo, ey p6on in any mannd
$ 6 to lx.one subjd lo the wor*6 .onposrio. laws of C,lifomia. md .s@ that if I should bcodc slhjel lo t
wo 6 compsMlion provisioN of Sel ioo l7O0 of lhc l,b.r Code I slall. ron
o.plo)s ro Eiminal lEnallis ud
ior, danqgcs 6 provid.d Ir lhc
WARNING: Failor. ro scurc $olkds .omp.MriDn covmBc is
cilil fin.s rp lo one hundrcd rhousand dolltus ($100.001)). in addit
se.li0n 1076 oflh. ll}rr code inr66r and
rz ln l 11
I heehy.mm unds pdnlryofpcrjury rhat I @ licm\cd unda provision ofch,prc 9 (commmcinB with S€clion 7000) o
of lhe llNifl6s d Pror6sio6 Cod.. d
'ny
lictuc B in full fo(e dd clT(r
\7 L r(
I hftby amm undd p.nalty ol pojury rhar rhd. is a N.srtud ion lddinB .gd.y for rhc pdfomec. of th. work lor rvhich lhis p6nit is
istrcd (Sc 1097. Civ. C.)
artucaNfD[ctA8Allg!
I hs.by arfm !od6 pd6hy olpdjury on. ol $c lollowins d(ldalionsl
Dcmolilion Pcmils-Asbdros Nolilicalion fcd.ral Resulations (Till. 40. Pan6 )
R.quir.n L.t16 of Noli6calion
I cqlilirhar th. a.d.ral rcsulartuns esdding or appli.able tu r[is l)rcj..1
H;"r*:"ll I hi\c rc.d rhis applic.rion ion ie c.tr..I. I asr€ ro @npl, wnh 3ll Cnt and Coum,
arc Li\$ reLriru ro buildin olrhL cit) dd (i)unirro orc upon rh.
aolc,ndlioncd ropdy lor
,tpt,liQtrl or AB(trr SiBnhlu 4
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framinq t &+trcx v)
lnsulation/Energy U\
Drywall 7'l-;iltt*t,Dq)
Ext./lnt. Lath U I
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 4"r.6r-l ,a/
Certificate of Occu n
Notes, Remarks, Etc
BUILDING. INSPECTOR RECORD
tl?4@n
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