HomeMy WebLinkAbout101101732 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section. (714) 647-58a, V
Permit #: { O{ 1fl1732
Pin #: 2o574
Project Address: 1921 E Alton Ave
Assessor's Parcel: 430-191-21 Lot:POR 115
Unit Bldg:
Tract:lRVlNE SUB
Address Range: 1901-1921
Historic: No
Suite Range:
Zoning: PBlock: 9
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Alteration
Remove Column
Commercial
Occupancy:
Constr Type
Code.
Flood Zone:
# of Stories:
A-2, B
III B, SPK
cBc 2016
x-0602320278J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation:
3@60
$2,000.00
Description of Work: Removal of storefront columns
Planning Conditions:
Owner:
Address:
Edward Lifesciences
1 Edwards Way
lrvine, CA 92614
Phone:
Tenant: Edwards Lifescience
Contractor: Coast Pacific Builders lnc.
Address: 18201 McDurmott Street We
lrvine, CA 92614
Phone: (949) 7014921
State Lic #: 21O71O
Lic Type: B
Bus. Lic #: 351052
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 186893218
Expires: 1'|.10112020
Address: 5301 Cal
lrvine,
Zeeshan Masood
Zeeshan Masood
(949) 701-4163
s51 91
Engineer:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
ue, Suite 100
BI
rt1
11r
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Arabe, Jill
Heidari, Fred
f psden, Julie
, (,No
Date: 10/07/2019
Dale. 1011712019
Dale: 1112712019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07L76002
07776002
08907007
07776002
01,776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuanceAccount#
73586
Total
57607
5s600
57770
24000
57672
57600
57601
$166.53
$461.74
$43.01
$0.56
$1.00
$22.9s
$57.20
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: NoLandscaping lnsp. Req'd
Every permit issued shall become invalid unless the 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 ls suspended or abandoned for a period of360 days after
the time the work is commenced.
01 1 16002 51600
01116002 5'1601
01 1 16002 51612
01116002 57770
08901001 24000
$22.9s
$223.73
$1.00
$43.01
$0.56
Fee Total:
Paid to Date:
Balance Due
$752.99
$461.74
$291.25
lnspector MID#: 2019-154920
BU!LDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILI)ER I)ELCARATION
I ht'rchy allirnr unJcr pcnalty of pcrjury that I am crcmpl liom lhc Conh'ack)rs' Liccnsc Law ti)r the lbll()wing rcason (Scc.7031.5
Busiltcss and Proli'ssion C(xlc): Any City or County which rcq[ircs n Jrcrnrit k) construcl, allcr. improvc. demolish or rcpxir dny
struclurc. pri)r to its issuanrc, alsi) rcqrircs the afplicanl tbr such fLrmil lr tilc a signcd stalcmnt lhat lr or shc is liccnsd pursuanl
m thc provisions ol'thc Contractor's Liccnscd Law (Chaftcr 9, Ci)mmcncing with Scclion 70(X) ol Division -l of lhc Busincss nnd
Protcssi()nsCodc)orrhrthcorshciscxcmpttherctromrndlhcbasislilrthcallcgcdcrcmpli(m. Anyviolationo[Scclion70.]l.5hyany
rplliranlli)rapcrmilsubjcclslhc apfrlicanlk)!civilpcnrllyoltrotnxil'cthanfilchundrcdrlollus(S5il1).
_1. ts owncr ol'thc proFrc(y, or my cmpl()yccs with wagcs as thcir solc compcnsati()n. willdo thc work erd thc slruttrc is nol
intcndcd rrroll'ercdli)rsalc(Scc.?044,BusincssandPfl)ftssionsCodc:TheContrack)r'sLiccnsel-awdocsnotapplyk)anowncrof
thc pr)lErty who huilds or inrprovcs lhcB)n, md who d(rcs such work himsclfor hcrsclfor lhrough hls or hcr own cmpk)yccs,
providcd thal such improvcmnls m not intcndcd orotlcrcd li)r sak. If. h()wcvcr.lhc huilding or impRlvcmnt is soll wilhm onc ycil
rll eomplction. lhc Owncr Buildcr will havc thc hurdcn ol pr)vi,rg that hc or shc dd n()t buikl or improvc lhc pruIEf,y lor lhe lurytr of
salc).
_1. as owncr ol th(. p()fcrty, am cxchsivcly conlractirtg wilh Iiccnscd c(rllrack)rs k) conslruct lhc Fn)jcct (Scc. 7044. Busmcss
an(l lh)lbssidlCodc:l'hcContrdctor'sl,iccnse[-awdocsnolapplytoanowncrofprolcrtywhohuildsorimproveslhcrcon.
and who conlrrcts lilr such pn)jccts wilh a Cilntrrck)(s) licoiscd fursu{nl k} lhe Contracl()r's Liccnsc Law).
_l rnr c\cnrpl unllcr'l). & l'.(. li)r lhrs rcx\or.
Iht(.:-
lYORKERS' CONIPENSATTON
DECLARATION
I hcrcby all'irm undcr penally ol t^:rjury onc ol thc Ii)llowing dcelaralions:
_l hdve and will maintain a Cciilicatc of C(,nscnt k) SclFlnsurc lbr workcrs' compcnsation. as lrovidcd lirr hy Scction .1700 of the
L{tx)r Codc. lbr thc pcrf(}muncc o[the work ,br which lhc pcrnrit is issucd.
_l havc an,l wrll maintril workcrs compcnsrlion insurancc, ns rcquircd hy Scction -l7U) ofthc t-ah)r Codc. fi)r thc pcrlbmlancc of
thc work li)r which this pcrmil is issucd. My workers' compcnsalion insurancc canicr and Jnlicy numhcr ucr
c,
Policy u loLlaq"
I
_l ccrtily tlul ir thc pcrli)rnrancc of thc work li)r which lhis pcrlril is issue(i. I shxll nol cmploy any pcrson in any manncr
so as kr hccomc subjcct k) thc workcrs'c()nlpcnsalt)n laws ol Crlili)rnia, and ntrcc lhnt if I slxruld hcconrc suhjccl lo thc
workcrs'conrpcnsrti(nprovisi(ilrsolSccti(rr.17U)oIthcLulxrrCodc,lshnll.li)nhwithcomplywilhllpsprovisi{)ns.
WARNING: Frilurc b sccurc w()rkcr\'conrpcnsalir)n e()vcragc is unlawlll. and shall suhjcct an cmpllycr k) (riminal lrcnxltics and
Scct()n -1{)7(r ol lhc Codc, inlcrcst und atkrrney s ltcs.
L-7 t1
I hcrchy {llirm under pcmlly ol Frjury that I anr liccn*rl provisil[ of Chrplcr I (conlmming with Sccti(]n 7fim) ol Divisi()n 3
{)l thc llu\inc\s and Prolc\si(ilrs Codc, ilil my lircnsc is in lirll lincc rnd cllccl.
Nu mh!a':o
CONSTRUCTION LENDING AGENCY
I hcK-by allirnr undcr Fn{lty ol F-rjury that thcrc is a constru(li(D lcDdins {gcncy l()r thc pcrlirrmancc ol thc wt)rk li)r which lhis lttnlit i\
issucd (Scc. .1(197. Civ. C.).
lrrrrJer's Name : _
[-cndcr's Addrcss:
APPI,ICANT DECLARATION
I lf,'rchy allim undcr pcnalty of fc{ury onc ol-thc li)lk}wing dcclnratn)ns:
Denr)lil()n Permits-Ashe{tos Nolilicali()n Ftdcral Rcgulalx)nr ('l illc 40. Prrt6)
_Required Ir(tcr of Nr)tilication
_l (crlity lhrt lh('ltdcralrcSulili(nrs rcciudint aslrc\k)s rcrnovxl ilrc nril appli(ablc k) lhis lrojccl.
_l ccdili that I havc rcrd this applicalion ul statc lhal lhc alx)vc inti)rmrtion is cotrccl. I agrcc lo comply with all City and Counly
ordinanccs and Statc l-aws rclding k) building conslructi(nr. ml hcrehy ru(horizc rcfrrc\cnlalivcs ol lhis Cily and Counly t) cnlcr uF)n thc
mntxrncd propcfly lirr inspcction PurF)scs.
or Agent
nxIt(,/ e,u iru t/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
llandicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL Ylrlg,-n >-^. cy.,)'.dt)
Certif icate of Occupancv UI
Notes, Remarks, Etc.
-<o,r", tt/al/t ?