HomeMy WebLinkAbout10199810 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests (714)667-2738 lnspector Section. (714)647-5853
Building Permit #: 101998{O
Pin #: E{7{6v
Project Address: 1951 E Dyer Rd
Assessor's Parcel: 430-22'l-28 Lot.
Unit:Bldg:A Address Range:
Historic: No
Suite Range:
Zoning:Block Tract
Buildrng Use: Multi-Family (5 or more units) Occupancy: A-3, S-2 1st FL Area
Job Type Swimming Pool/Spa Constr Type I B 2nd FL Area
Nature of Work: Swimming Pool/Spa-Building A Code CBC 2016 Other Areas.
Exrsting Bldg. & Use Vacant Flood Zone: X-0602320278J Garage Area:
Proposed Use: Multi-Family Mixed Use # of Stories: U ,o,",,
Description of Work: New 1,080 sf swimming pool & separate 229 st spa located on rooftop of parking structure.
Patio.
T.l.Area:
Yards Req'd.
Valuation:$90,000.00
0
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Heritage Village LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Contractor: Aquatic Technolgies
Address: 32232Paseo Adelanto Ste. /
San Juan Capistrano, CA 9i
Phone: (949) 493-9548
State Lic #: 744'177
Lic Type: B, C-61, A, C-53
Bus. Lic #: 351280
Workers' Compensation lnsurance:
Carrier: Zurich American lnsurance Comp;
Policy #: WC4503556
Expires: 1010112019
Engineer:
Address.
Phone.
License #:
Architect /
Designer:
Address:
Phone:
License #:
Pool Engineering lnc
Todd L. Lacher
1201 N Tustin Av
Anaheim, CA 92807
(714) 630-6100
57656
Architects Orange
R.C. Alley lll
144 N. Orange Street
Mission Viejo, CA 92692
(714) 639.9860
c22598
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req
PWA lnsp. Req'd:
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 01 1 16002 51600
0'11't6002 51601
01116002 5'.t612
01 1 16002 53600
08901001 24000
Vince
eri
Date: 07/03/2019
Date: 07/03/2019
Date: 07/03/2019
Subject to Field:
Misc Receipt:
Misc Receipt:
Misc. Receipt:
Permit Fee
Plan Check Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance/New Structu
$824 67
$746.13
$25.20
$4.00
$22.9s
$152.5s
$1,775.50
$719 95
$1,05s.5s
72467
Total
07776002
07775002
08907007
07776002
07716002
07776002
57607
53600
24000
s7672
57600
51.60L
Account#
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance.or if the work authorized
on the site by such permit is suspended or abandoned for a period of360 days after
the time the work is commenced.
Fee Total:
Paid to Date
Balance Due:
lnspector MtD#. 2019-150840
$22.95
$977.22
$4 00
$26.1 8
$25.20
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OTVNER I}U II,I)I]R I)ELCARATION
I hcrchy rllirm lndcr pcnrlly of pcrjury that I rm c\cnrpl lirnr lhc (itririclor{' I.iccn\c l.aw li}r lhc ti)llowing rca(on (Scc.7(l.ll.5
Rusincss anJ Prolcrsrn (ixlc): Any City or oilnly which rcquircs { lrrmil lo cr[slnr(|. xllcr. inrprovc. dcnxrlish or npair any
lo lhc fll)visirnrs ol tlN (i)nlraclor's l,iccnscil [-iw (Chrplcr 9. Crrmnrcncing wilh Scclx)n 7UX) ol Division ,l r)f lhr' Bu(inc(s rnd
Prolcsst)ns(ir'lc)orrhatht'orsht'isexempllhcrcliotrl{ndlhchasislirrlhcallcgcdc\clrptur. AnyviolationofScctrrnT0-ll.5hyany
lpplicnntli)rrlErnrirsilhjcctsthc rpplicanlk)acivilp('naltyolnotBn'cthxnl'iv!-hundrcrldollarstiSs(x)).
_1. as ()wncr ()l thc prr)|riy. or my cnrployccs wilh wrgc\ r{ lhL'rr sr)lc coDrpcncxli(xl. will(L) lhc wolk rnd lhc stn(lurc is rn)l
srlc).
I. as owncr ol thc frultrly. anl c\clusively eontrrcting wilh lccnrcd contrrclors k) con\lrucl llE pr).ic(l (Scc. 7(]44. Busurcss
and PnrlbssirnCrilc: l'hcC()ntrick)r'sI-iccoscl,aw(locsilolrpplyloxnowncrol'proltrlvwhobuildsorinlprovcslhcr(nl.
tld wh() conlrrclsli)rsuchnfi)jcciswilhaOrnrrclrnl\)liccnsdlpursuanlk)thcConlrrcklr'\l-lccn\('l.nw).
I anr cxcrnol urilcr Sc(lx)rr . Il- & P.C. lbr lhis rcas(nr.
lV()RKI'RS' ('()NTPENSATIoN
t)ti( t,ARAl toN
I hcrcby nli irnr unrjcr l)cnrllv ol pcr iur v ()nc of I hc li)ll()will[ rlcclirrl iou\:
_l havc uxl will mintah a Ccrtillcatc of Conscnt lr Scllllnsurr lilr workcrs'conlt--nsalion. rs [ovilcd ti)r hy ScclirD 37(X) ol lhc
tilnr C(xlc. li)r thc perli)rnuncc of thc work for which lhc l^..^rnlil t( i\sucd.
thc work lor whrch thi\ lrrnlil ir isrutrl. My workcrs ((,trrlRn\rtlon inrurancc ernirr anrl lxrlicy nunrhrr rrc:
Policy Numhcr: Expilcs:
_l ccnily thrr i[ rhc Frlbrnrancc ol thc work li)r whie h lhis l^-rnril is i\sucd. I shrll not cnrploy nny pcrson in any iunncr
so as k) tx.conE suhjc(l to thc workers'compcnsati()D hws ()l ('ililinrur. rnd acrce lhil il l shoukl k.errrru subjcct t) the
work(.rs'conll{n\rlir)trlrovisi(rlso,Sccli()n.17(Xlr)lthcl-ahr(ixlc.lsMll.litrlhwilh(r,nrplywilhlhoscprovisir)ns.
IYARNIN(i: l:xrhrr. t) \.(uc workcr( conrf^-D\rlxnr is unlawlitl. and shall suhi'ct rn k) crimiDal lr'nrllic\ xnd
eivrl linc( up k) onc hiln(lrcil thousrnrl dollrrs t1l ur adtlition k) lhc c()sl ol'i{ pr)\'xlili li)r lhe
Scction lhc iril.rcst and
I hcrchy rllilDl un,l('r l)etrrlly()i pcriury thrl rilr L(cD\cd ultrlcr pfirvi\i(nl t) l(r)trrnen( in! wilh Scclftr 70(X)) ol l)ivi\x)n I
r)l lhL. Bu\tncs\ ilrxl llolessiorrs (1xlc. rnrl nrv l,cc[\e r\ ir lull l(n(c nrxl !-lli'cl
I
Liccnse
I hcrchy altirfir nndcr frnrlty ol pcrjury lhd
issucd (Scc. .l(197, Civ. (:.).
isa ion lcrrtlirrr apc'ncv lirr lltr'p.rlinnlnrR'c t)l lhc work li)r whrch llr\ |rtmil i\
l,cndcr's Nrtrr.
[-cntlt'r's Adrlrcss:
APPLICAN'T DECLARATION
I r+rthy all-unr unrlcr pnrlly ol I--rjury r)nc ol lh!' Ii)lli)wtrrg dcclarrlions:
Dcnr)lilion Pcrmit\-AslEslos Nolilieali([ Fcd(-rrl Rclulilion\ ( I illc 40. Pdi6)
Rcquircd l-cllcr ol N(ililicrli(nr
-l
cfll ily lhxl lhc ltrl.r al rrSlrhlirms rcgxtdirr i\h.slo\ k-rnilvil trL' not nlpli( thl(' to lhis l)r1)ic(l
I ccn rcr(l lhi\i()n iln{l \tnlc lhxl the xh)yc inli)rillrlir)n l\I iwrec lo ron)l)lv wilh rll ( itv rrxi (i)lrrlv
rIlinxI(c\l-rw\ rclnlinS
Applicanl
I'rnnilc(
lhn( I
l'rr
rn(l h.r(-hy xulh(JrizL'r)l thi\
:;T',;i"'"'""''.,'"
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence 1-L.1- ( I J)e 9'4 *(g)
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL o-/f- /q ,/)r{rh G?>
Certificate of Occupancy
Notes, Remarks, Etc.
1