HomeMy WebLinkAbout10195906 - PermitCity nf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: 1O1959OG
Pin #: 43144
Project Address: 1951 E Dyer Rd Unit Bldg: A Address Range:
Historic: No
Suite Range:
Zoning:Assessor's Parcel: 430-221-28 Lot:Block Tract:
Building Use: Mixed-Use Occupancy:
Job Type: Supplemental Constr Type:
Nature of Work: Supplemental-Garage A Post-Tensi Code:
Existtng Bldg & Use. Vacant Flood Zone:
Proposed Use. parking Structure # of Stories:
Description of Work: Supplementalto 10189902. Post-tension shop drawing
N/A
N/A
cBc 2016
x-0602320278J
I
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio,
T.lArea.
Yards Req'd
Valuation:
0
Bntch* :53106 - lt /217/ 2r.tl?
0lf ice: CTYH Trnns+: i?Acct*: Rel*:
Rcpti:02s10710 - 11,i?irl?ir1Planning Conditions
Owner:
Address:
Phone:
Tenant
Heritage Village OC 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 #: U83N3229851951H
Expires: Ogl15l2O2O
BPA Group
Michael GIBiosde Ree ident tirl Ei',r rlrirr
18271 McDurmott Street West. A
trvine. Cf!*Iilfhl -F'lqrr [,lpCirir: i-i:,.
b;;ib;#,$-[ff r:'uz- ii f io' IrrI I :.r
C37 457 Lr I 1 I 6LrLr2- :,1 6r:r I r-rLrrr-
rvrirre.nnitffi'fi{ilhlo,'i[dua 0,.,,.,Matthev4ffff$Fii,,r
"i
-Do,=,.,,0,:,, r,
P.o. BoE I0St0rL2- :j777r:rr rr:rr:r-
San Cler1gpt6t$Al92673 r.rr_rr.rr-rr,i., ;: .i i
(562) 44717101:hecfr r:r[u:ririi i ',,1,.
Ii:L (:li*,:ll l:li:llrUl-r,: i ''
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp Req'd: No
Landscaping lnsp. Req'd: No
So, Anson
Hernandez, Kathy
Date.
Date: 10/28/2019
Dale: 1112012O19
Subject to Field:
o1116bti2ii3L6o1
07776002 53600
07776002 57770
08907007 24000
07776002 57600
07776002 57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
General Plan Update
lssuance
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
70734
Total
$160.25
$222.16
$56 40
$0.00
$22.08
$55.04Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd: No 01116002 51600
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 is suspended or abandoned for a period of360 days after
the time the work is commenced.
No
No Account#
01 1 16002 51601
01 't 16002 53600
01116002 57770
$22.08
$215.29
$8.30
$56.40 Fee Totat
Paid to Date:
Balance Due
$515.93
$213.86
$302.07
lnspector MID#: 2017-139940
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BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS ()IVNI]R BUII,I)ER t'EI,CARATI(-'N
I hcrchy nlltrm undcr pcnilty of pcrjury thrt I am c\cDrpl liltnr lhc (:ontrackns Liccnsc Lrw li)r lhc lbllowtrrg rcasu (Scc.70.11.5
Irusi,tcss {Dd Prolcssion Crxle): Any City or County whirh rcquitc\ a fcrnril lo ronstruct. altcr. improvc. dcrnrrlish or rcpuir any
shlt(ttrr-,pri()rloits isstrancc,alsorcquircsthcllpliednlii,rsuchFrnlitk)lilcasi8ncdstatcmcnl lhrthcorshcisliccnscd pursinnt
k) lhc pfi)visi(nls of thc Contrrck)r's Liccnscd l-aw (Chaflcr 9. (i)mnrcncing wilh Sccti()n 700{) of Divisiril -} ot thc Ilusincss atd
rpplicxnrl{}rtlErntitsuhicctsthc applicantk)rcivilpcnallyol-nr)lnn)rclhailfivchundrcddollars($5(X)).
_1. as (,wncr ol't he proFrcrly. or my cmpl)yccs wilh wagcs rs lhcil solc e oillpcnsal i()n. will do thc work and lhc stntcltw is nol
uilcnd&l orollcrcdli)rsrlc(Se-.T044.BusincssandProltssionsCodc: l-hcC(nilraclor'sLiccnscLawdocsnolapplylonnowncrol'
thc fn)l^-rly who huilds or improvcs tlrcB)n, drl who d(Es sue h wo* himscll or hcrsclf or through his or hcr own cntploycc\,
provid(l that such imfrovcnEnts m ftil intcrrdcd or otlircd lor s!lc. Il: howcvcr. thc huildiDg or impnrvcrrcnl is soll wilhin rnrc yctr
ol'contpbli(nr. tlR Owncr Buildcr will havc lhc hurdcn of provulS lhal lrc or shc did n)l huild or improvc thc Jn)lfry li)r lhc puqr)s (]f
_1. !s owncr ol lhc prolrcdy, am c\clusivcly conlracting wilh lrccnscd c()nlraelors lo conslruct thc p()Fct (Scc. 7044, Bu\irrc\\
arrd Prrltssirn Codc: 'fhc Contractor's Liccnse l,aw docs not rpply k) an owner ofproFrty who huilds or improvcs lhcrcon,
lnd who c()ntrxcls ti)r such projccts wilh a Contracl)r(s) liccnscd pur{uant k) Ihe Clontrrck)r's Liccnsc llw).
I rD) c\crnDt undcr Scctiirn , Il. & P.C. tirr this re$otr.
lVORKER,S' CONIPI'NSATION
I)!]CI,ARATION
l hcrchy allirnr unrlcr pcnxlty ol pcrjury onc oflhc lblhwirrg dcclrratirrns:
l2{nvcttnlwillmnintainrCcrliljc{teofCotrscDtk)SclLlnsurcli)rworkcrs compcnsalion.as proviilcdlorbyScelx[.]7(X)o1 lhc
t-abor Coilc. Ior thc pcrfi)nlancc oflhc work lor which lhc pcrnril is issucd.
will nrrinlain workers'i()nills0rrn(c.as rcquirc(lhySccti(,n.l70Oofthcl-xbrnCodc.li)rlhcfcrli)rDlincc(!tI hxv(' an(l
lhc w(trk l(n is issucd.insurancc canicr anrJ policy nunrbcr uc:
1/r/=ol'olicy
_l ccflily that in thc l--rli)rmancc o[ thc work lor whrch thi( pcrnlrt is isruc<I. I shall not cmploy any Fcrson in any nranncr
$i) r{ k) bccoillc suh}cct k) thc workers conlpcnsali()n lnws ol'Cxlilinrir, rnd agrcc thal il I sh()uld hce()nrc suhjcct nr thc
workcrs'(onrpcn\rli)nprovisionsofScction-l70oollhcl-ah)rC(xlc,lshall.li)rlhwithcomplywilllthoscprovi\(rns.
IVARNIN(;: l;ailurc k, sccurc workcrs'c()mpcnsrlion covcraSc is unldwtirl. xnd shall suhje(l an cnlployer lo climinal Frmllics and
crvil line's up to (!nc huntlrcJ thonsand dollrrs ($l(x).(xx)), m rd(lilxnr l()of compensdti(il. danragcs as providcd li)r lhc
ilt)rDcy s l'cc\.
I herchy al I ir nr unrltr lurlly r)l l)cr iur y lhxl I trrr lt(tn\c,l utrlcr llr()!isir)rr 9 (conlmencing wilh St'etion 7(XXl) ol Division .1
r)l thc Bu\rnc\{ rril l,n)lc\sx)ns C()(l!'. rrrl my |ctrrsc l\ flr lull li)r(c itr(l ('lli'cl.
l.iecnsc ( lass:NuDllrr:
I)illc
CCINS'TRUCl'IoN I,I,]NDIN(; AGENCY
issucd (Scc. -1097, Civ. C.).
[andcr's Namc:
l,cn(lcr'\ Arl(irc(si
APPLICANT I)ECLARATION
I hch..by allirm unilcr pcnrlty oI pcrjury onc of thc Ii)llowinII dcehrxtions:
Dcmolilion l'crnlils-Asbcsk)s Notilication Fcdcral Rcluhtions ('l illc 4{), P{I16)
-Rcqrircd
lrtlcr ol Nrililicaton
_l ccrlili lhal lhc tcdcralrcgulations rc8uding ashcslos rcnt)v!lnrc nol applicahlc k) this pr+ci.
_l ccrtily thrt I hsvc rcad this application ilkl slalc thrl thc ah)vc inlbrnlrli([ is corcct. I as@ k) comply
ordinanccs an'l Slatc Laws rclding b building conslruclion, nlj hcrchy autk)ruc rcprcsentativcs of this Cily
with all City and Counly
to cnlcr uF)n thc
atx)vc mntioncd lrolEny for inspectionu(
Applicsnl o. Agent
Itcrilril(a.nililrc
rnd
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsu lation
Roof Sheathino
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[Vasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 7-2{ -2o2o Jda{r{,@
Certificate of Occupancy
Notes, Remarks, Etc