HomeMy WebLinkAbout10198645 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, C492702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #:1O198645
Pin #: 52192>)
Project Address: 1951 E Dyer Rd
Assessor's Parcel: 430-221-28 Lot:
Unit:Bldg: A Address Range:
Historic: No
Suite Range:
Zoning:Block Tract:
Building Use:
Job Type:
Nature of Work.
Existing Bldg. & Use:
Proposed Use:
Multi-Family (5 or more units) Occupancy:
Supplemental Constr TYPe:
Supplemental-Apartments-Build ing Code:
Vacant Flood Zone:
Multi-Family Mixed Use # of Stories:
A-2, B, R-2
IIIA, SPK
cBc 2016
x-0602320278J
5
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:
0
Description of Work: Supplelmental to 10190037-revision to interior design/auth on file
Ecrt,:h+ : 5422tj - 7/ + i ?t-t'ttllllf i,-r: (:lYH Trnns*: tAc,:t*: Ft*:t'
Owner:
Address:
Planning Conditions
Phone:
Tenant
Heritage Village LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Contractor: 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 #: U83N322985195'lH
Expires: 0911512020
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
r'cu'l5BCL r0n (]t t1
All iunr:e Flesident. iul liui ]ti
Architects Orange
R.C. Alley lll
144 N. Orange Street
Mission Viejo, CA 92592
(714) 639-9860
c22598
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
r\8o. Anson
\Ufr"rn"nouz, Kathy
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Date:
Date: 01/03/2019
Dale: 0210412020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
71943
Total
07776002 53600 Revision
07776002 57600 General Plan Update
Fee Total
Paid to Date:
Balance Due:
$230.87
$0.00
Account#
$eAoidl
.31
Every permit issued shall become invalid unless lhe 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 rs suspended or abandoned for a period of360 days after
the time the work is commenced.
$230.87
$222.16
$8.71
lnspector MID#: 2017-139940
011 16002 53600
L
BU!LDING. INSPECTOR RECORD
SITE.WORK COMMENTS OWNER BUILDER DELCARATION
! hcrcl'y aiiirnr urrdcr pmaity of pojury thar I m exempt from th€ Conlractom' Liccnse Lav fo, the lbllowing rwrn (Sa.7031.5
Rusinss mci Profsion Codc) Any City or County which requirs a gmnir to coElrud. alto. irnprove. dmolish or repair oy
structue. prior to its i$umce. also requirB the applicel for such pemit to file a signcd $lalm6t that he or shc is licmsed pusumt
ro thc Frov6ions rrfthc Contractor's Licenscd [-aw (Chaptcr 9, Commencing with Section 7000 ofDivision 3 oflhe Business and
ProiissionsCode)orthatheorsheisexemptthqefromodthcb6isfortheallcgcdexonption. AnyviolationofStrtionT0Sl.5byily
applicantforapcmitsubj(tsthe applicanttoaciviloenaltyofnotmorethmfivehundreddollrs($500).
l, c oMr of Ihc fropcrty. or my employ6 wrth wag6 6 their sole compensation. will do the work od the structue is not
rntmded oroilcredforsale(56.T044.BusinessandProGssionsCodc:TheContractor'sLicmseLawdoesnotapplytomownsof
thc prepen) who hrilds or improvs thson. md who do6 such wo* himself or herselfor through his or her own employes.
pr(rvided that such improvmmts ue not intmdql or olTsed for sle. l[ how*o. the building or improvqnmt is sH within one ]q
ofcomplaion. the Owns Builde will have the burdm of[roving lhd he or she did not build or irnprove the prcpqty for the purporeof
mle).
-_1. re owro ollhe prcprty. en exclusive ly conlracling wilh licqsed conlracloE to co6lruct the project (Scc- 7M4. Buinqs
od ProfssonCodc:TheConlraclor'sLicense[.awdo6notapplytodowncrofprop€flywhobuildsorirnprovesthdfr)n.
and rvho conlrads for such frojels Nith a Contracto(s) licmscd pursuml lo the Contrador's Licme Larv).
I iln exernpt uf,dcr Section--. B. & P.C. for this remon.
Date:_.-_ Owner:_
NORKERS' CO[IPENSA'IION
DECLARATION
I hercby aflirm under penalty ofpujury one ofthe f<rllowing dclarations:
_-,lhavemCwillrnaintainaCertificaleofcoNotloSelf-lnsurelbrworkgs compmsation,6 lrovidedforbySetion3T00ofthe
tabor Codc for the pefomrmce of the work for which the funil is isued.
havc and will rnaintain workers compensation insurance. I rcquired by Sation -3700 of the Labor Code, for the pqfonnoce of
thc work for which this pmit is ssued. Mv workss' compensalion insurance carie dd polic! f,umbq ue:
,^,,* 7-z/ t&/ <i ?Lea-f- CsqdZ- aF,4 *tatrc-A':":,:;:^m:-Y,^k:^'::k#
m mtobcorncsubjattothcs'ork6'compeEationlawsofCalifomiamdagrethatiflshouldbecomesubjGttothe
rvorkos' compmation provisioro ol Section 1700 of the tabor Code. I shall. forthwith comply lvith thos provisiom.
WARNING: Irailure lo wurc workers'compmation covtrage is unlarvful. md shall subjat an qnployq to oiminal poaltia ad
civil fines up lo onc hundrcd thousand dollars ($100.000). in k)providcd for the
S(lion -1076 intcrBt and attomey's fes.
I)lle:
I hoebyaffirrnundopmaltyof psjurythat I an
of the Busins and Profsions Code. md my I
provision of Chapte 9 (commocing wilh Sstion 7000) of Division 3
force md eff(l.
[.iccnsc
I hcrcby affirrn under penally ofpcdury thal lhere is a
issued (S(. 3097 Civ. C'.).
Lender's Narnc:
lending agcncy for thc polonnance ofthc wtnk lor which lhis pflnit is
l.cnds s ,\ddrcss:
APPLICANT DECLARATION
I horby affimr u nde pmalt y o f pcrjury one o f thc fo llorv ing dcc laat ions:
Dcmolition Pfrmits-Asbstos Notification Fedqal Regulations ('fitle 40, Pan6)
Rcquired Letlq of Notificalion
_l cdify thar the fedsal regulations regrding obetos renoval ue nol applicable to this proj(t.
4 cfiify lhat I have read this application md state that the atDve infomdion is corect. I with all City and (i)unty
ordinirncG ald Slalc l-aws rclaling to ulNn the
ah)!c nrentioncd propeny for inspeclion
Appli(nilt or Agcnt
Pcrnrilee nanrt
ard
l)nte
anrl to
'zd
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsulation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL Z.?g-l.ol,o Jlrtdtr 7y
Gertif icate of Occupancy
Notes, Remarks, Etc.
DATE i lOtSrC.
l).lr