HomeMy WebLinkAbout10189902 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Bui
I nspection Requests: (7 1 4) 667 -27 38 I nspector Section. (7 1 4) 647 -5853
lding
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Permit #: { O{ 89902
Pin #: 826{5
Project Address: 1951 E Dyer Rd
Assessor's Parcel: 430-221-13 Lot:
Unit Bldg: A Address Range:
Historic: No
Suite Range:
Zoning:Block Tract:
Building User i/lixed-Us€ Occupancy: A-3, S-2 1st FL Area: 33256 Patio:
Job Type: New Gaage ConstrType: lB 2nd FLArea: 33256 T.l.Area: 11826
Nature ofwork: Parking Structure-Bulldlng A Code: CBC2013 Other Areas: 1GBOOg yards Req,d:
Existing Bldg. & Use: vacant Flood Zone: \46o232o278^J GaEge Area. Valuetion: t7,139,000.00
Proposed Use: t utti.Famity Mixed Use # of Stories: t ,or",, 234i21
Do6cJlptlon of Work: New p.rking 6tnrcturo dSth floor dgck with awimming pool (BUpporting structuro only) rsatroomE, mgchanical room Swimming
pool under3ep.Et permlt. SAUSO#3673
Planning Gonditions: First & Second floor walls and colums to be painted light color. Upper leve! above un painted to match exterior of
Engineer: Seneca
K. Dirk
neers,
Address:
Phone:
Tenant:
Owner: Heritage Village OC LLC Contractor: AllianceResidentialBuilderr
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 #: TRJUB4245B187
Expires: 0911512017
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
23276 South Pointe Drive Suite 209
Laguna Hills, CA 92653
s3921
Architects Orange
R.C. Atley lll
144 N. Orange Strcet
Mission Vlejo, CA 92692
(714) 639-9860
c22598
1fl er
:.t
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Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd;
PWA lnsp. Req'd: No
Planning lnsp. Req'd: Yes
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 ifs lssuance,o r if the work authorized
on the site by such permit rs suspended o r abandoned for a period of 180 days after
the time the work is commenced.
Date: 1'111312017 Misc. Receipt: 68239
Dale: 06123120'17 Misc. ReceiPt:
Date: 12t21t2}'17 Misc. Receipt:
Subject to Field:
Yes
t;; A""ornt# Total
$21.25r'
$33,538.60'
$286.00,/
$695.04v
$1,998.92 '/
Fregoso, Vince
Chehade, Nabil
k, Patricia
07776002 51601
07776002 si600
07776002 57770
0890700L 24000
07776002 57672
07776002 57600
07776002 57607
Permlt Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance/New Structu
$33,397.28
$31;536.44 '
$695.04.2
$1,998.92./
$286.00,r'
$21.25'
$141.32/
$68,076.25
$31 ,1 1 8.1 8
$36,958.07
Fire lnsp. Req'd:
Police lnsp. Req'd
01 1 16002 51600
01 I 16002 51601
01 1 16002 51612
01116002 57770
08901001 24000
Fee Total:
Paid to Date:
Balance Due:
lnspector MID#: 2017-139940
a lll booL 5 rvol t 4 18,zt-
to
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl nsu lation
Roof Sheathing
Shear Wall
Framing
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 2.zg-ueo J ).G,1,4v)
Certificate of Occupancy
Notes, Remarks, Etc
OWNER BUILDER DELCAR,ITIoN
IheebyaflirrnunderpenaltyofpcriurylhalImexemptliomlheContraclos LicmseLa\vforthelblkrwingreason(Sec.70-1t5
IJusiness and I'r'ofessi<rr Codc): Any ('ity or Counly which requires a pmrit to conslruct, ahr. irnprove. donolish or repair any
slructurc,priortoils issuance,slsorequirestheapplicantforsuchpmnrttofileasignedslatonent thatheorsheislicensed pursuant
to lhe Fovisions oflhe Conlrackrr's [-icensed [,aw (Chaptq 9. Commencing with Seclion 7000 of Division 3 ofthe Business and
Professions Code) or lhat hc or shc is exempt lhqefrorn and the b6is for the alleged exenrption. Any violation ofSction 703 1.5 hy any
applicantfcrrapemritsuhjectsthe applicanltoacivilpenaltyofnotmorethanfivehundrcddollas($500).
l. as orvno oflhe poperly. or my employe6 rvilh rvags a their mle compensation. will do the work ild lhe structrtre is nol
intoded oroffoedforsle(56.7tX4.BusinesandPrefmionsCode:TheContractor'sl-icenselnwdo6ndapplyloanowntrof
the pmtuty rvho builds or irnFrcvs thqsn. md who do6 such rvort himself or hmelf or through his or hr own employcc.
proyided thal such i,nlrovqnenls ilc nol inloded or oflfrql for sle. If, hoNsq. the hrilding or irnpo|mot is mld $.ilhin one 1w
ofcornplaion. the Orvno Builds N ill have the burdm ofproving tha he or she did not boild or irngove the prcgaty for the purfnse of
sle).
I. as ou ncr ofthc ;ropmv, m erclusively conlracting s,ilh licflsed conlrad06 lo construct lhe proist (S&. 7O14. Busins
and [tofqsbnCode:'lheContractor'sLicenseLawdo6nolapplytodown6ofpropertvrvhobuildsorimprovGth6mn.
and who contracls for such projrcls wilh a Contraclo(s) licensed puBuanl to the Conlrador's Licose [arv).
-I ()nncr:
t)E( l,Atr\.iloN /4,LUE
I hereby a{firnt undcr pcnaltl oIpojurl one oIthe declaralions:
I have md $'ill n)aiilain fl ('erlillcale of lo Self-lnsure for workss'composation. as provided for by Smtion 3700 ofthe
the pamit is issued.Lahor ('odc. for lhc pofonnancc oflhe rvork
I have and rvill nraintain workers compensation insurance. as required by Section 3700 ofthe l-abor Code. [or the pq'fornance of
the work li)r which this pcrrnil is issucrl.works's compensalion
Policy
I ce(ify lhal in thc pcrlormance ofthe rvork for rvhich lhis pemit is
so as lo b€come subjecl lo lhe rvorkss' composation laws of Califomia. and agre that if I should hecome subjst lo lhc
\r'ork6s' compensation provisions ofSeclion .1700 ofthe Labo. Code. I shall. forthwith comply silh tho$ proYisions.
WARNING: failure lo sure workss'composalion covtrage is unla\,ful. and shall subjel an anployr lo qiminal pmahiG af,d
cilil fines up to thousand dollars addition to lhe cosl of compensat damagcs as provided for the
-t076 of Codq inlsGl ild attonrey's >)/7
DI.:( I,AIL{I'ION /4,128
I heeby allirm unde penalty ofperjury,ftat
of thc Busins and Profsions Codf, md
lan undo provision ofChapts 9 (comm6cing \vith S(lion 7000) ofDi\ision -r
is in full force od effet.
--,*tLicense C
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I herebv alfirnr rnclcr ltnally ol pq iury lhal lhdc is a lending agency lor lhe ps'trrnancc ol lhc lvork lbr uhich this 1urnil is
issued (Sec. 1097. Civ. C.).
Lender's Nsrne:
l,eids's AddrBs:
APPLICANT DECLAR{TION
I hotby affm undr pmalty ofperjury one of the following dalarations:
Demolition Psmils-Asb6tos Nolitjcalion Fedsal Regulations (Title 40. Part6)
_-Required [attr of Notification
-l
cstify lhal the fedsal rcgulations regdding dbeslos rmoval ae not applicable to this preject
_l c6tif) that I have read this application md slate lhat the above infonnation is cor(l aSre
ordinancs and Statc laws relatinS to and reprcsenlalils
above molioned propffy for
or Agent
l'crilrilcc nanrc
)
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