HomeMy WebLinkAbout10197833 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2
PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Building
a/
Permit #:10197833
Pin #: 86579
Project Address: 1951 E Dver Rd
Assessor's Parcel: 430-221-28 Lot
Unit Bldg: A Address Range:
Historic No
Suite Range:
Zoning:Block Tract:
Building Use Mixed-Use Occupancy
Job Type: Supplemental Constr Type:
Nature of Work: Supplemental-Parking structure-Bl Code:
Existing Bldg & Use Vacant Flood Zone
Proposed Use Multi-Family Mixed Use # of Stories
Description of Work: Supplemental to 10189902-barrier cables
Planning Conditions
A-3, S-2
IB
cBc 2016
x-0602320278J
I
1st FL Area
2nd FL Area
Other Areas.
Garage Area:
Totat
Patio
T.l.Area
Yards Req'd
Valuation:
0
Owner:
Address:
Phone:
Tenant
Heritage Village OC LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Conlractor: AllianceResidentialBuilder:
Address: 450 Newport Center Dr #550
Newport Beach, CA 92660
Phone: (949) 706-8460
State Lic #: 897318
Lic Type: B
Bus Lic # 362720
Workers' Compensation lnsurance:
Carrier: Travelers Property Casualty Comp
Policy #: UEl3N3229851951 H
Expires: 0911512020
Seneca Structural Engineers,
K. Dirk Bondy
23276 South Pointe Drive Suite 209
Laguna Hills, CA 92653
s3921
Architects Orange
R.C. Alley lll
144 N. Orange Street
Mission Viejo, CA 92692
(714) 639-9860
c22598
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
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
Chehade, Nabil
Amsden, Julie
Date:
Date:10/10/2018
Date:06/10/2019
Subject to Field
Misc. Receipt
Misc. Receipt
Misc. Receipt
71 586
Total
07776002 53600 Revision
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$222.16
$0.00
Account#
Flood Zone Cert. Req'd: No N/A _ No Balance
Every permit issued shall become invalid unless fhe 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 susperded or abandoned for a period of360 days after
the time the work is commenced.
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No
$222.16
$222.16
$0.00
lnspector MID#: 2017-139940
BUILD!NG. !NSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS owNt:R Irtiil,t)t:R t)t:t,cARATtoN
I hcreby affrm unde. penalty of perjury that I am excnrpt fronr the ContracloE' License lrw for the followint rcasn (Scc.7031.5
llusincss aM Prol_ession Codc): Any City or Counlv which rcquires a fErmit to conslruct. alter, improvc. demrish or rcpair any
slructure. prior to its issuance. also rcquircs lh€ applicanl lbr such pemil to file a signed slalcrcnl lhat lE or slrc is licetrEd pursant
to thc pmvisions of thc Conlrrclor's l,icenscd lnw (Ch0ptcr 9. Comrncncing with Section 7000 ol l)ivision 3 o, thc Busincss and
Prote$si(ms Code) or thal hc or she is excmpt therefiom and tlE basis tbr the alleged exenrpliotr. Any violarioil of Secrio 703 I .5 hy ,ny
applicrnl for a p€mit subjects the npplicailt lo n civil pcnnlty of not rmrc th{n five hundrcd dollars ($5(X)).
_1. as owncr ol rhc propcnv, or my cmployccs with wagcs as thcir solc compn$tion, willdo (hc work ard the stmrure ir mt
irilcnded or offered for sle (Se.7(X.1, Business and Prefcrsions C(xle: The Contractor's Licensc law docs not opply to an owncr of
thcpn)pely wk)buildsorinproveslhersiLUrdwlk)doessuchworkhimselforlErselforlhroughhisorherowncmployees.
providcd tha( such improverrcnts ue ml intcndcd or ollbrcd lbr srlc- ll, howcvcr, rhc buiHing or improveimnt is yrld wihin onc )ru
ofconpbtiu, the Owner Buildcr will luve the burdel ofpovirg lhd lt or she clid N{ build or improve lhc prcpcny [)r tlE puq$se of
srlc).
_1. rs owner ofthe propefly, am cxclusivcly conlracting with licensed conlrtclors lo conslruct the preject {Sec. 7{X4. Business
and [\)lesstilrCode:TheCrxtractor'sLicersel,awdoesnotupplykranownerofpropertywhobuildsorinrprr)vcsthereoil.
nnd who con(racls for such pro.iccts wilh a Contracktr(s) liccnscd pur\umt lo lhc Contractor's Liccnse LAw).
_l am excmDt under Section-, B. & P.C. t()r this reasoD.
w()RKt :RS' ('Ol\tPIINSA'IION
IX]CI-ARATI()N
lhcr!'hynllirmundcrpcnaltv(,fpcrjuryonc(,llhcli)tl()wing(lc(hrilttr'ns:
_lhrvearxlwill nEintainaCenilicntcofComentk)Selflnsureforworkers'conrpe[salion,as pmvidedforbySection3T00oflhe
Latnr Codc, {or the lrcrformmc of thc work ,br which |hc pcrmil is issucd.
_l have and will nraintain worken'conlpcnsati([ insurancc, as rcquted by Section 3700 ofthc tjhor Code, tir thc pcrfomutre of
thc work lbr which this pcrmit is issuql. My workcrs' crmlEnsation insurilncc cMicr luxl lDlicy numtrr ilc:
Policy NumtEfl Expircs: _
_l ccrity that in the 1*-rfornuncc ol tlrc work li,r which this pcrmil is issucd, I shlll not enrploy any pcrson in any ntanncr
so as to bccorrc suhject to the wo*crs' coillpcnsal ion laws ol Cnli lornia. xnd agrcc that if I should bccorrc suhjccl 1o I hc
worlers'compensationprovisionsofSectionlT00oftheLat$rCbde,Ishall,fofthwithcomplywithtlDsprovisioils.
WARNING: Failure to sccure workers'compcnsrtion covcrirgc ir unlawful, dnd shall subjcct an cmploycr b criminnl pcnahic$ and
civil liDes up to one huDdred thousatrd dollrrs ($l(X).(XX)). in odditiotr to the cosl olcompensalion. damages as provided for the
Sectiotr 1076 of the tibor Cixlc, interest and atbrncy s fccs.
I,I(:ENSRD CONTRA(:ToR
!l!:l@IJgN
I hcrcby allirm under f*naltyol pcrjury thal I arn liccnsd undcr provision ol Chnplcr 9 (cornrrcncing with Scctirn 7(XX)) ol J)ivision :l
of rhc Business and Prcfcssions Codc. ill n)v liccnsc is in full Iarcc md cffcct.
Liceosc Class:-Liccnsc Numbcr:
(-.rnlroclor
CONSTRTJCTTON I,1;NI)ING AGENCY
issucrl (Scc. 1097, Civ. C.).
I rn(lcr's N^mcr
lrn,lcr's Address:
APPI,ICANT DECI,ARATION
I hercby affm under penalty of pcrjury one of the followiDg declarations:
DenFlition Permils-Asbestos Notificarion Federill Regulntion$ (Title.l0. Pdn6)
_Required trtter of NotificalioD
_l cenily thar rhc federal rcgulations rcgarding astEsbs rcnDval arc not applicablc ro this prcjdt.
_l cc(ify thal I luvc rad lhis application anl statc that lhc abovc infomtion is corect. I agrE to crmply with all Cily and Counly
odiunces and Statc liws rclatiDs to building constructioD. arxl h.rchy autlDrizc rcprcsntativcs ofthis Ci(y ail County to cnt6 uFDn thc
ak>vc arcntioned prcpeny for irupedion purF)ss.
Applicrnt or Agcnt
Pemlle tlMG (prlnt):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[t/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 7.%-ua > Jdlsfi ?c@)
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. 08-07-201 5