HomeMy WebLinkAbout101101620 - PermitProject Address: 1951 E Dyer Rd Unit:Bldg Address Range: 1951-200'l E
Dyer Rd
Historic: No
Suite Range:
Zoning:Assessor's Parcel: 430-221-28 Lot Block:Tract:
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Building Permit #:1O1{O{620
Pin #: 31633
Building Use: Multi-Family (5 or more units) Occupancy: N/A 1st FL Area Patio:
Job Type: Signs Constr Type: N/A 2nd FL Area T.l.Area:
Nature of work: Signage-illuminated code: cBc 2016 other Areas; yards Req'd
Existing Bldg. & Use: Apts Flood Zone: X-0602320278J Garage Area: Valuation:
Proposed Use: # of Stories: Totat
Description of Work: lnstall (3) monument signs, (1 ) blade sign, (1) wall sign & (2) parking signs for The Heritage, bond posted on M-73630
Planning Conditions
$40,000.00
Owner:
'Adcress:
Phone:
Tenant
PR/Broadstone Heritage l, LLC
450 Newport Center Drive
Newport Beach, CA 92660
(949) 3s7-368s
Contractor: Outdoor Dimensions
Address: 5325 E Hunter Ave
Anaheim, CA 92807
Phone: (714) 578-9555
State Lic #: 1042246
Lic Type: C-61, C-45
Bus. Lic #: 556
Workers' Compensation lnsurance:
Carrier: Falls Lake Fire and Casualty
Policy #: FLA00779200
Expires: 0110'112019
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
VCA Engineers
Thomas Daniel Van Dorpe
1845 W. Orangewood
Orange, CA 92868
(714) 978-9780
4611
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
Fregoso, Vince
Kwak, Jason
Zuniga, Allissa
Date: 09/23/2019
Date: 09/30/2019
Date: 10/'15/2019
Subject to Field:No
No
No
No
Account#Total
Misc. Receipt
Misc. Receipt
Misc. Receipt
01L16002
0L7L6002
07776002
08907007
07776002
07776002
017L6002
57601
53600
57770
24000
51612
57500
57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$166.53
$230.87
$78.20
$11.20
$2.00
$22.95
$57.20
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
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.
lnspector MID#: 2019-154530
01 'l 1 6002 5'l 600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01116002 57770
08901001 24000
$22.95
$223.73
$2.00
$230.87
$78.20
$1 1.20
Fee Totat
Paid to Date:
Balance Due:
$s68.95
$0.00
$s68.9s
r
BUILDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER DEI,('ARA'TION
I hereby affirm undo penalty ot periury that I dn erempl fiom lhe ContracbE- License Law for the follo$.ing redon (Se.70-11.5
Business ard Profssion Code): Any Cily or ('ounty Nhich requirs a pmnil lo conslruct. alt6. improve. denolish or rep.ir any
sn'uclurc.priortoits issuance.alsorequirestheapplicantfirrsuchperrnjltofilcasiSnedslatemtrt thathcorsheislicensed pusrant
lo lhe pro!isions oflhe Conlrack)r's l.icensed Law (('hapls 9. Conlnencing sith S(tion 7000 ofDivision 3 oflhe Busincss md
Pnrfessions ('ode) or lhat he or shc is exempl lhqeliorn and lhe basis for the allegcd eremption. Any violation ofSslion 703 1.5 by any
applicant for a pemit subjftls the applicant to a civil pcnalty of not rnore lhan llve hundrcd dollars ($500).
, l. as orvncr oflhe propeny. or my etnployees with wagcs 6 thcir sole coillpensation. will do the work md the ilNcture is nol
iilmded or oflsed for sle (5(.7044. Busines and Profssions Code: I he Conlractor's l.icms€ l-as do6 not apply to an orvno of
thcproFrly rvhobuildsorirnprovatlrq@n.ddwhodo6suchrvolkhirnselforlroselforthreughhisorhdownenlployes.
providedth.tsuch irnprovsnmtstrenolintmdedoroffqqlforsale.lf.ho\v$,6,thehrildingorirnprovonenlissoldwilhinone]ru
ofcompldio[ lhe (hvner Buildq s ill have lhe burdm ofproving thal he or she did not larild or improle lhe prcpd]., for thc purFrs of
sle).
l. as owner oflhe propaty. an exclusively conlracling with licmsed conh'actoN lo construct the prej(t (Sec. 7044, Busin6s
and ltofession Code: The Contraclor's License [-arv doe not apply to .n orvntr ofpropeny who builds or irnprc,r.es theron.
and \\ ho conlracls for such pojets rvith a Conhaclo(s) licensed pursuant to the Codlraclor's Lico$e l-a$').
I iln cxempl under Sslion_ll. & l'.('. lir llris rcason.
DSter Owner: _,
woRKltRs' cotll PENsA't'to N
DECI,ARA I0N
I hereby aflirm under penahy of pojury one ofthe follorving declarations:
lhaveudu'illnrainlainaCedificaleo[ConsenttoSelf-lilsurcforrvorko's conrgrensalion.o providedforbySstionST00ofthe
Latmr (hde. ftrr the po fomance of lhe work for which lhe pmnit is issued.
I have and rvill maintain rvorkers' compensation insurancc. m required by Section -1700 oflhe Labor ('ode. for the pqfomance of
lhc *ork for \hich this.Imrit is i$ued. My rvorkm' compcnstion insurance caricr ild policy nurnber ae:
cania Zrr- a F' r '
,^u*r*,,^ni lZaZa-zrran - Erpres: ,4r-/S'r /-
-
I certify lhat in lhe performance ofthe work for which this permit is issued. I shall nol employ any penon in any mmr.tr
s 6 to beconre subj(l (o lhe wo*6' compsEation larvs of Califomia, and agree that if I should become subjat to the
workos' coilrpensalion provisions ofSection -1700 ofthc Lat$r ('ode. I shall. fonh$ilh conply rvith those
WARNINCT Failure to sue rvorka's'cornpmsation corcrage is unla*'ful, and subiect an prraltis and
civil fincs up lo one hundred thousand dollars ($l in arldition to for lhe
Seclion 1076 oI Lalxx iilcresl aild atlomcy s
I hocby alfirm undo pmally of pojury that I am licmsed uild6 pr(vision ofChapttr 9 (comnrocing rvith Section 7000) of Division -1
of the Busins and Profssions Code, ad rny license is in full force and effect.
t-iccnsc(rass I CIC
Da,e to/r{/z
/4r?z
CONSTRUCTION LENDING AGENCY
I hereby aflirn undo penahy ofpsjury lhat lh6e is a construction lmding agcncy for the pofommce ofthe u,ork for u'hich this pennit is
issued (Sa. 3097, Civ. C.).
Lends's Nanre:
I-ender's Addrss:
APPLICANl' DECLAIL{TION
I hueby alfimr unde poalty of perjury one of the following d(ldalions:
Deilrolilion I'crmils-Asb6los Nolillcation Fedsal Regulations ( l itle 40. Parl6)
Rcquired Lellcr of Nolilication
I cciliry lhal lhc lbds al regulations rcgucling mbtshs ronoval oe not applicable
I cdify thal I have reacl this applicalion and
ordirrarrcts and Slatc l.au's relating to builclirrg
alnvc rnentionccl propeny firr inspetli6ira
Al)l)licanl or,\genl Sigilrlurc
l'rrilrilR nrtrre (priol):Z
hschy
lhis
lhlr:
with all City and Counry
md Counly lo ?q utnn lhc44,
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenVl nsulation
Roof Sheathing
Shear Wall
Framing
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 I I ze/rr2o /)Jtfi 'w)
Certificate of Occupancy tl
Notes, Remarks, Etc.