HomeMy WebLinkAbout10198889 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853
Building Permit #: 1O198889
Pin #: 61164t
Proiect Address. 928 E Third St
Assessor's Parcel: 398472-03 Lot: 2,3,4,5,6,7,8,9 Block: 2
Bldg: Address Range: 905-927 *
Tract: W Z COOK,S ADD Historic: No
Unit:Suite Range:
Zoning: SD84
Building Use: Commercial Occupancy: N/A 1st FL Area Patiol
Job Type: Demolition Constr Type: NrA 2nd FL Area T.l.Area:
Nature of Workr Demo Building Code: CBC2016 Other Areas yards Req,ct
Existing Bldg. & use: commerical Flood zone: x-0602320276J carage Arca vatuation: ,3o,ooo.ooProposed Usq # of Stories:Totat ,, 0 :
Descdption ofWork: Demolish allst.uctur6s to lacilitat. new rosidential project. Founation and parking lot td reEtain. AQMD on lil..lBond.po*ad.on
tt_12052
"'Stom Water Pollution Prcventaon Plan Reo'ai"
Planning Conditions:Addreases need to be d€activated once demdlished.
Owner:
Address:
Phone:
Tenant
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
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Toms Truck Center
909 N Grand Ave
Santa Ana, CA 92701
(714)560414s
Contractor: Tight Quarters lnc
Address: 2031 S Anne St
Santa Ana, CA 92704
Phone: (7141 557-9701
State Lic #: 584915
Lic Type: C-6'1, C-2'1, C-12
Bus. Lic #: 133416
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9243055
Expires: 0110112020
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Guevara, Jerry
Zuniga, Allissa v Date: 01/'10/2019
Date:
Date: 01/10/2019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07775002 57600 General Plan Update
07716002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due
$160.25
$2.00
$22.08
$55.04
Account#Total
01 1 1 6002 51 600
01 1 16002 51601
01 1 16002 51612
$22.08
$215.29
$2.00Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after its issuance,or if the work authorized
on the site by such permit rs suspended or abandoned for a period of180 days after
the time the work is commenced.
$239.37
$0.00
$239.37
lnspector MID#: 2019-148703
BUILD!NG. INSPECTOR RECORD
S!TE.WORK DATE ID/SIG COMMENTS OWNI]R BTJILDER DI:I,CARATION
Busincss and Proltssion Culc): Any City or Counly which rcqukcs u Frrtril k) conslnrct. rltcr, improvc, dcmolish or rcpair an7
stnrcturc.pri()rklits issuancc,als(,rcquircslhcappli(antti)rsuchfErnritlolilcasigncdslalcrrcnt thathcorsheisliccnscr.l pursurnf
to thc provisions ol rhc Contrack)r's Liccnscd ljw (Chaplcr 9. Commencing wilh Secti(,n ?0m of Division .l of lhc Busincss and,
ProlassionsC(xlc)orthatheorshcisctcmplthcrcliomandthcbasisli)rlhcnllcgcdcxempli()n. AnyvidationofScctxrnT0-ll.5byany
afplicantti)rapcrnritsuhjcetsthc applicrnltoacivilpcnrltyolnotmorcthanl'ivchundrcddoll$s(5500).
_1. as owncr ol lhc propeny, or my cmployccs with wagcs as tlrci solc conlpcnsation, willdo llrc work uld thc stnElfic is not
uilcndcd or()llcrcdlirrsalc(Scc.T044.BusincssandProlcssionsCorlc:'lhc(hlilractor'sLiecnscl,awdoesnolapplyt){nowncrol
thc pn)Fny who builds or improvcs lhcB)n. Md wh() d(Es such work hinlscll or hcrscllor lhnrugh his or hcr own cmployccs,
Fovidcd that such inrprovcmnls tm nol inlcndcd orollirc(l li)r slc. II. h)wcvcr. lhc builJing or inrpnrvcmnl is sold wilhin onc ycil
ol comphli)n. (hc Owncr BuiLlcr will hdvc tlrc budcn ol provurg lhat hc or shc did nil build or impR)ve the pmlEfly lilr thc puqD* of
snlc).
I. as owncr ol I hc p()J)cf,y. anr c\clu\rvcly contra(lir8 wilh Iiccnscd c(nilrack)rs lo c(rlslnrcl lhc projcct (Scc. 7(I44. Bu\flrcss
and P[rlcssirr(ixlc:'I'h!-Contrr(l()r'sl.iecnsc[-rwdocsnotxpplyloxn()wncrolprot--rlywhr]huilds()rinlprovcslhcrcon.
and wh() ronlrarl\ li)r such proiccls wrlh a Corlrackxl\) liccDscd pursunnl lo lhc Conlrark)r'\ l-iccnsc Lrw).
_l am crcnrpt undcr Scct i()n-, B. & P.C. lbr lhis rcason.
Orvner:
\\'( )tiKI,tRs' ( ol\tPI,.Ns,\.t't()N
t)t.t( L,1tt,\ il()N
l hcrchy al l irnr undcr pnalty ol ptr iury onc ol lhc lolk)wilw dcclaral i(n\:
lhaveiurlwillnuinrainaCciilicatcofconscnlk)Scll:lnsureli)rworkcF compcnsation,a\ pn)vidcdlbrhySecli([.l70Ooflhc
Lakrr Codc. firr t hc pcrlilmancc o[ th. work tbr which the pcrmit is issucd.
thc work li)r which lhis pcrmlt is issucd. My workers conrpcDsali()n irNurancc caricr md F)licy nunrhcr trc:
tPolicy
I ccnili thrt in rhc perlbrmrncc ol lhc wrrrk tilr which lhis pcrmil is issucd. I shall not cnrpkry any pcrson in any manncr
so as k) hcconr suhjccl to thc workcrs' conrpcnsat ion laws of Calilbmia, aDd aSrr'c I hal if I sh)uld hcconE suhjcet k) thc
workcrs'compcnlatir)npro!isi(DsolScction.lT0Oollhcl-at{)rC(xlc.lshall.l'onhwilhcomplywilhthorcprovisions.
IVARNING: fiailurc to scurc workcr\'compcnsrlion covcrlqc is unlawlil. antl shall subjcet an cmploycr k) canrilal lrcna[ics and
ctvil lincs up ((r rm hundrcd th{Nund dollars (Sl(X).(XX)), in ndditknr to lhc cosl ol'coDrNnsrtron. drmrScs d\ l()vidcd ti)r thc
Srct il ot (ixle. iolcrc\l tnd
I \o \
DECLARATION
I hcrcby all-rrm undcr pcnalty of pcrjury that I am liccn$d undcr provision ol Chrplcr 9 (commncing with Scc(ion 7()U)) ol Divis()n .1
ol the Busincss nnd Prolessions C(dc. ilil ilry liecnsc is iD till lbrcc ud cllcct.
l,icensc \Nunlbcri 9o qr lf
CONSTRUCTION LENDING AGENCY
I hcrchy atfirm unrlcr Jrcnalty of pcrjury lhat thcrc is a con\tnrclion lcndilg agency lor thc pcrlormancc of lhc work li)r which this lErmit is
issucd (Scc. .1097, Civ. C.).
lf,nJcr's Namc:
l,cnrlcr's Arldrcss:
APPI,ICANT DECLARATION
I hcrcby aflim undcr pennlty of pcr.iury onc of lhc li)llowing dcclaraliors:
Dcm)lilion Pcrnlits-Asbcslos N(ilificrtion Fcderal Rc8ulati{Ds (Tille 40, Pan6)
_Rcqutrcd [xltcr of Nolil'rcati()n
_l ccrlily thrt thc lcdcral retluliltioils rcguding rshcslos rcrnovalarc Dol xpplicublc k) thi\ prr.jccl.
_l ccnity thar I hxvc rcad lhis applicali(ilr iuxl slatc thdl thc ah)vc iDli)rnrali()n ir concct. I rgrcc lo cr)nrply wilh all Cily and Counly
ordmanccs afil Statc ljws rclatinp k)0f this City ard Counly to cnlcr uF)n lhc
itx)vc renlioncd proFny for
Applicanl 0r Ag(nl I I
It rnlitcc Damc
ukl ^%;;#""'
.()
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation
Roof Sheathinq
Shear Wall
Framino
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lMasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
//1\
FINAL 1-2*7 klw\t
Certificate of Occupancv
Notes, Remarks, Etc.
lhlo