HomeMy WebLinkAbout10196596 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building Permit #:10196596
Pin #: 79926
City of Santa Ana
Permit Counter: (714) 647-5800 lnspection Requests: (7 1 4) 667 -27 38 lnspector Section: (7 1 4) 647 -5853
Project Address:1951 E Dver Rd
Assessor's Parcel: 430-221-13 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)
Alter Materials/Methods
104.10 Modifications
Vacant
Multi-Family Mixed Use
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
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: provide building phasing for building A into four separate phases
Pl"nning condltlon"' 6or,',,r,ru,ar,, u,,o,ro,, , r,*,,tEngineer lrtt ri e: Cly irflnlr+r',Owner: Heritage Villege LLC Contmctor Alliance R$identi.l Build.n A,:,:t+: tr.ii.; ri
Address: 195t E Oyer Rd Address: 450 Newport Cent rDr*550 Address: tri:rl.i:rl2t35g2l :/21/2ni9 ':ti I
Sant Ana, CA 92705 Newpot Beach, CA 92660 Tr'rnini:tror lr)l'(l l'lll-
Phone: Phone: (949) 705-8460 Phone: .. aILdn.E tiEsiitErit,i.l lrrriL,tirr.
T6nant siate Lic#: a973ta
Lic Type: B Arcnitecl / Archte&bI#* l.-.,.^....
Bus. Lic#: 362tm Deiis;;;, 'da:';iilwE-Errrri- !'vnrLirrrrlr'
Wo*ers'Compensalion lnsurance Address: t{4 ti. Otnierslffqq*r I r, , : r ,., ;r,t . iCanier: Tr.veleE Property Carually Comp Mb3ion Viaio, CA 92692
Policy #: TRJUB.a245B187 Phone: (714) 639-9860
Expires: 09/1tm19 License 1: C22598
Planning Approval By:
Plan Checked By: So, Anson
Permit lssued By: Hernandez, Kathy
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning Insp. Req'd: No
Date:
Dale: 021'1212019
Dale 0212612019
Subject to Field:
01116002 53600
Ottl 60rL 576o.
07776002 s3600 Alter MaUMethods - S
07776002 57600 General Plan Update
Fee Total
Paid to Date:
Balance Due:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
71041
Total
$886.50
$0 00
Fire lnsp. Req'd:
Police lnsp. Req'd
Yes
No Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued 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 authorized
on the site by such permit ls suspended o r abandoned for a period of 1 80 days after
the time the work is commenced.
$886 50
$853.39
$33.11
lnspector MID#: 2017-139940
$88€'-d'}* 11tl
BU!LDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BI.]II,DER DEI,CARATION
I hcrchy allirm undcr lrndlty of l^-rjury thrt I anl cxcmpt lil)nr thc C(,nlrncbrs Liccnsc L{w li)r lhc li)lk)wirg rcason (Scr.70-}1.5
Ilusilcss anil Proltssion C(xlc): Any City or County which rcquircs a lrcmil k) conslrucl. nltcr. rmprovc, dcnr)lish or rcpair any
slructurc.pr$rk)ils issuancc.nlsorcquucrlhcapplicanlli)rsuch[rcrnliltrlilcasigncdstatcntnt lhalhcorshcisliccnscJ Pursuanl
t) thc provisions of thc Contrack)r's Liet'nscd llw (Chaplcr 9. Commcncirrg with Scction ?Ux) ot lrivi\i(]n .] ol lhc Busincss and
ProlissionsCode)orthallrorshciscxcmptthcrcliomindthchasislorlhcallcgcdc\cmption. AnyviohlionolScclionT0.ll.5hyany
apflicrnlli)rat^-^rmitsubjeclslhc applcrnlloacivillcnrllyoln(ilnn)rclhanfivchundrcddolldrs(S5U)).
_1. as owncr ol'thc pr)[E(y. or my c mlk]yccs wil h waScs {s I hcir solc compcnsrlion. will d() thc work uxl lhc stnNlurc iJ not
intcndcd orotlcrcdlorsalc(Scc-T044.BusincssudPn,lission\Codc:ThcConlrack)r'sLiccnsc[-awd(]csnotapplyl)anowncrof
thcpn)lf,(y wk)huilds()rimprovcrthcBln.iurdwhod(rcssuchwo*himsclf()rhcrsclforthroughhisorhcrownempk)yccs.
provided that such improvemnts dc not intcndcd (,rolllE{ li)r salc. Il, h()wcver. thc huihling or irnpn^cmnt is sold within onc yeitr
ofcomplct(D. thc Owncr Buildcr will havc thc burrlcn ol proving that lrc or shc did ret buill or imp()vc lhc pfi)FLffy lirr llE puryr)* of
sab ).
l. as owncr of thc prcpcfty. nnl cxclusivcly c()trtrr(tilrg willl Iiccn\crl contrack)rs t) conslnral lhc pi)jcel (Scc. 7(I,14. Ilustrrcss
tnd who conlrrcts li)r such projccls wilh a Ci)rilrnclor'(\) licctrscd pursuxnt k) thc Contractor's l-iccnsc l-ilw).
-IrnrcxcmPlundcrsccti(u-.l]'&P'C.Ii)rthisrcason,
TVORKERS' COI\IPENSATION
t)ECl-ARATION
I hcrchv nllirm un.l!'r l^-nrlly ol FIjury onc ol lhc k)llowin! (lcchralx)ns:
_l havc erl will mainlain a Cenillcalc ol Conscnt k) Scll:lnsurc li)r workcrs' comlEnsation, as pn)vidcd li,r by Scctmn -1700 ol lhc
htx)r C(xlc. lbr thc lErli)mrancc ol lhc work lbr which lhc fErmil is i\sucd.
_l havc and will maintain workcrs compcnsali(nr insurancc. as rcquircd hy Scclion -1700 ollhc tlh(,r G)dc, li)r thc pcrli)rnlancc o[
thc work lbr which this permit is issucd. My workcrs corllxnsati(,n insrrancc cuier erl F)licy nunlhcr dc:
Pohey Numhcr: Erpircs:
_l ccdity lhtt in thc pcrli)rnililcc r)l lhc work in'whrch lhrs pcrnrit is is\ucd. I shill nol cnrfk)y xny fcr\ln ilr rny mirlncr
workcr\'coirplJrsalirfiprovis()nsr)lScction.lT00olthcl,rlx)rCrx,c.lshall.linthwilhcomplywilhthoscnn)visi(nrs.
crvil IiDcs up l()huntlrcd lhrrrcarrl dolhr\ ($l{)0.01x)). ir lo cosl ol- corlpensrli(rl.lbr lhc
Srclxnr 1076 ol irilcrcsl rild rtkrrncy \ lics.
I hcrchy undcr Frmlty ol pcrjrrry lhal I rnr ol Chaptcr 9 (eonrnrsrcinS with Scct()n 7(XX)) ol t)iviriu -l
ol' thc Busincss and Pn)ttssi()ns Codc. md my is in l'()rcc url cffcct.
[,iccnsc 3.
I herchy alltm undcr [Enally ol pcrjury thal lherc lcnding agcncy tor thc pcrli)rnrancc ol lhc wr)rk li)r which lhis t--rmit is
issucd 1Scc. -1097. Civ. C.).
Lcndcr's Namc:
l-endcr's Adrlrcss:
APPl,ICANT DECLARATION
I ltNby rllirm under Jrcnrlty ol pcrjury rnc ol I hc l;l[)wint dcelinl (rs:
[)cnx)lition Permits-Asbcstos Nolilicnlron Fcdcral Rt!ulalioDs (1 ilIc 40. Pan6)
Rcquircd hltcr of Notil'icrliur
_l ccniti lhat the fcdcralrceulations rc8ilding ashcsk)s rcmovlltrc not applicablc lo lhis proFct.
_l ccnily lhat I htve rcad lhis application and slarc thal thc rtx)vc inlomation is corect. I agre h c{)mply wilh all Cily and Counly
ordiranccs ild Statc Laws rclaling k)()l this Cily rnd
rhovc nEntioncd properly li)r
Applic{nt 'rr Ag€nt
I'crtrrilcc nanrc
inrl hcrcby rutl$rizc
Als
lo cnlcr uF)n lhc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framino
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL b/f.?Pr,o Jr'e{th -Yd
Certificate of Occupancy
Notes, Remarks, Etc.
L-