HomeMy WebLinkAbout10180945 - PermitCity oI'Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702
I nspection Requests: (7 1 4) 667 -27 38 I nspector Section : (7 1 4) 647 -5853
Building Permit #:1O180945
Pin #: 92855
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Proiect Address | 2130 N Grand Ave
Assessor's Parcel: 396-19144 Lot: POR G.L. RUSSEBIock: A
Bldg: Address Range:
Tract:A.B. CHAPMAN
Unit:
Historic: No
Suite Range:
Zoning: Rl
Building Use: Other Occupancy: A-3, B 1st FL Area: 12469 Patio:
Job Type: New ConstrType: V B, SPK 2nd FL Area: 3l4S T.t.Area:
Nature of Work: New ChurchrRoof irtd Equip/Ext Ek Code: CBC2013 OtherAreas: yards Reqd:
Existing Bldg. & Use: V.c.nt tot Flood Zone: X-0602320163J Garage Area: Valuation: $2,186,,112.00Proposed Use: Family/Meeting/Multi-Purpose Roo # of Stories: , ,odr, t56t,l
Oeacription ot Work: Ngw church including assembly area, conference room, gymnasium, lockor rooms, Estrooms, kitchen, storage; 2nd floor balcony;
exterlor elevatorrsAusD #3533-fee exempt
Planning Conditions:
Owner:
Address:
Phone:
T('flant:
Alliance Church of Orange
2130 N Grand Avenue
Santa Ana, CA 92705
17141542-0777
Alliance Church of Orange
Contractor: Rindtek ')lcY- ftL'Address: i44o E28th f,;; 0-fl.62f
Signal Hill, CA 90755
Phone: (310) 696-8271
State Lic #: 966844
Lic Type: B
Bus. Lic #: 346862
Workers' Compensation lnsurance:
Carrier: Benchmark
Policy #: CST5004911
Expires: 0211912015
Buchan Engineering Structure
lain Buchan
221 S Ola Vista, Suite 203
San Clemente, CA 92672
(949) 489-9786
57157
Square [1] Design Groruplr '; " '
Miles Samuel Reifsnyder
10451 Samoa Drive
Huntington Beach, CA 92646
(949) 701-1929
c-24620
Engineer:
Address:
Phone:
License #:
Architect /
Desioner:
Address:
Phone:
License #:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
077L6002
08907007
07776002
01_775002
07776002
5i600
57770
24000
57672
57600
57607
$4,887.60
$13,149.19
$82.75
$612.20
$88.00
$19.46
$129.40
07776002 57607 Permit Fee
Planning Approval By:
Plan Checked By:
. Permit lssued By:
NPDES lnsp. Req'd:No
PWA lnsp. Req'd: Yes
Planning lnsp. Req'd: Yes
Fregoso, Vince Date: 09/03/2014
CSE-Century Structural Engine0ate: 0910312014
Hernandez, Kathy Dale: 1010212014
Subject to Field:
Fire lnsp. Req'd: Yes
Police lnsp. Req'd: Yes
V"u
Account#
61 736
Total
Plan Check Fee
Microlilrn Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance/New Structu
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd:
Every permit lssued 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 authoized on the site by such permit is
suspended or abandoned for a peiod of 1 80 days after the time the
work is commenced.
lnspector MID#: 2014-113352
No o1 1 16002 s1600
01 1 16002 51601
01 1 16002 51612
01116002 57770
08901001 24000
Ollt(AL 5)0oo
$19.46
$5,017.00
$88.00
$82.75
s612.20q a+e?t
Fee Total.
Paid to Date:
Balance Due:
$18,968.60
$12,906.44
$6,062.16
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BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads a/I
UFER Ground -<-,*t AuuL<
$L@floor'subflqzt/VenUlnsul. //-;Boofsheathing t5l ta/E t\ s,l-
Shear Wall /,s-ft'-/15 s",s#vz+
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
,t
FINAL 6Jbo/tb=fffiiu 'tu-/0d
Gertificate of Occupancy vv ll/I
Notes, Remarks, Etc.
I
o
t-
rll-l
Owiler-Uuilder Declaration
I hereby affrrm under penalty ofperjury that I am exenrpt form lhe Contractors License lnw for the following reson (sec.?0] 1.5 Businessi
and Profesion Code): Any City or County which requircs a permit lo co6lrucl. ahcr. improvc. demolish or rcpair any struc(u.c. prior to its
issuance, also rcqutes the applicanl for such pcrmit to file a signed statcmcnt thal he or shc is licensed pursudnt to thc provisions ofthc
Conlraclor's Licensed Law (Chapler 9. Conrmencing with Seclion 7000 of Drvision 3 of the Business and Professions Code) or lhal hc or
shc is cxcmpt thcrcftom and lhc basis for the sllcgcd cxcmption .Any violation ofSeclion ?0,11.5 by any applicant for a pemit subjccts the
applicant to a civil pcnalty ofnot ntorc than fivc hundrcd dolls6 (9500).
I. 6 owner oflhc propcny. or my cmployccs with wagc as their solc compensation. will do the work and lhe struclurc is not inlcndcd
or offered for sale ( Sec ?044, Business and Professions Code The Contractor's License Law does not apply to on owner ofthe p.opc(y
who builds or improvcs lhcrcoo. 8nd who docs such work himsclfor hcEclfor tfuough his or hcr own employccs. providcd lhal such
improvcmcnls arc nol inlendcd or offcrcd for sale. If, howcvcr. thc building r improvcment is sold wilhin onc year of complcrion. thc
Owncr-Buildcr will havc thc burden ofproving that he or shc not build or improve for lhc purpose ofsalc).
_ l. as owncr ofthc propcny. am cxclusivcly contracting with liccnscd contrsctors to comlruct the proiecl ( Scc. 7044. Business and
Profession Code: The Contraclor's l-icense Law does not apply to 6n owner ofpropeny who builds or tnproves thereon, and who
contracts for such prolects wilh a Contraclo(s) ltcensed pursuanl to the Contraclor's License Law.).
_l m cxcmpt und6 Scction _
Dstc:Owncr:
WORKERS COMPENSATION DECLARATION
I hercby allirnr under pcnalty ofperjury onc ofthe following declaralions:
_l have and will maintain a Cenificatc ofConscnt to Self-lnsure for workers'compensation, as provided for by Section 37oo ofthe
tabor Codc. for the pcrformance ofthc work for which the permit is issucd.
-l
have and will maintain workers' compenslion insurance, as required by Section -'1700 ofthe kbor Code, for the perfornrance ofthe
work for which this permit is issued My workers' compenstion insurance canicr and policy number arc:
_.8. & P.C. for this reason.
Can'icr:
Policy Numbcr:__Expires:
('lhis seclion need nor be completed ifrhe perrnil is firr One hundred dollam l$1001 or less)
I ce(ify lhal in lhe performance ofthe work for which this pennit is issued, I shall not employ any person in any nranner so as k)
became sublect to the workers ' conrpenstion laws ofCalifornia, and agree that ifl should become lo the workers'
those
I. and shall an employer kr crirninal fnlahics and civil
damgcs u ptovidcd for thc Strtion 3076 of
4
LICENSf D ('ONTRA('TORS DE('LARATION
I hercby affirm under penalty of pcriury that I am liccnsed undcr provision of Chapler g (comrncncing with Section 7000) of l)ivision -1 of
the Business and Professioro Code, and my licensc is in full force and cffect.
fincs up lo onc hundred thousand dolla6 ($100.000).in addition to thc cosl
the Lahor Code. rnterest and sttorney s fees
a
Liccnsc Number /1/License
Dale:
Lender's Namer _
Conlractor:
ofperjury thal lhcre is a coNtruction lcnding agcncy ofthc work for which Ihis pcrmit is
+
Lender's Address:
APPLICANT'S DECLARATION
Demolition Pcrmils-Asbestos Notillcation ledeml Rcgulations (Tille 40. Pan 6)
_ Rcquircd Leller ofNolificstion
_l ce(ify that the federal rcgulations regarding obestos removal arc not applicable to this projcct.
I ce(iry that I havc rcad lhis application and statc that thc abovc infomation is conect. I agrce to comply with all City and Counly
ordinEnces snd State Ldws rclating to building cofflruction. and representativcs ofthis City and Counly to enlcr upon lhe
sbovc mentioned propcny for inspetion
[)ale:LApplicant or agcnt sig.
Peflnittee name (print)
Applicanll