HomeMy WebLinkAbout101102254 - PermitProiect Address: 2100 E Wilshire Ave
Assessor's Parcel 402-11',t -13 Lot: NA
Unit. A Bldg: Address Range:
Tract: NABlock: NA Historic. No
Suite Range:
Zoning: Ml
City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 101102254
Pin #: {645$
Building Use:
Job Type:
Nature of Work
Existing Bldg & Use
Proposed Use:
Planning Conditions:
lndustrial
Tenant lmprovement
T.l. - Demising Wall
lndustrial/
B
VB
cBc 2016
x-0602320277 J
1st FL Area
2nd FL Area
Other Areas:
Patio:
T.l.Area: 3000
Yards Req'd
ti*i{!s, irb,dqulp,i
Occupancyl
Constr Type:
Code
Flood Zone:
# of Stories:
Garaoe An6C'h i: iii75t-t" tifl i ce: CTYHTotat r)cct+:0
Oescription of Work: T. l. to expand unit A by 3000 square feet from unit B Accessibirity upsrades to *"-[H].:ililiil*ti',r" i
Ref+r ll:111t:I2?i4
t/ 6/ZttZCt 2;,14 pfl
3881:1.71,1
Anthong.lohn Vocctlr o
Phone:
Tenant
Northern Mc Fadden LP
25242 Arctic Ocean Orive
Lake Forest, cA 92630
(949) 533-5722
Contractor: Anthony John Vaccaro
Address: 8132 Malloy Dr
Huntington Beach, CA 9264
Phone: (714) 975-8035
State Lic #: 834650
Lic Type: B
Bus. Lic #: 374744
Workers' Compensation lnsurance:
Carrier; Exempt
Policy #:
Expires:
rrI I I6r:11112.. 5I6r]ftL-lr:rLr-
flu r Id ins
r:r1 1 I6Ur:r2-.'-,150Irl|]|-r-
eldg Stds lievo]vine
r11116iru2- 516l2Lll1ll-
llicrof i I irt & Ootu ents
rll I l it{:r 2- i777t:-tiuitl-
?,*:fl i:lm.eH - x*r * * i(rr5s r :r
150 Paularino Avenue, D-195
Costa Mesa, CA 92626
(949) 581-22ss
c-r9789
Engineer
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #
Auth+:82$;;4(
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
Arabe. Jill
J Lee Engineerin
Zuniga, Allissa
Date: '11/18/20'19
Dale. '12116120'19
Date.01/06/2020
Subject lo Field:
7 3764
Total
01776002
0 7 776002
0 77 76002
0 77 76002
0 77 7600 2
0 77 76002
$780.00
$1,080.00
$19.55
$1.00
$22.95
$57.20
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'dr No
Every permit issued sha become invalid unless the wo* on the site authoized by
such permit is commenced wilhin360 days aftet its issuance,or if the wo* authorized
on the site by such pefiit is suspended ot abancloned fot a peiod of360 days after
the tirne the wo* is commenced
lnspector MtD# 2019-155925
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01116002 57770
$22.9s
$837.20
$1 .00
$19.55 Fee Totat
Paid to Date:
Balance Due:
$1.960.70
$1,080.00
$880.70
Owner:
Address:Address:
s7607
5i600
57770
51672
51600
57507
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcEby aili,n undcr ncn,lly,)l t'.rjury rhd I ah.ichtt fr.m rhc Conkrknr Liccnsc tjq |d thc rolblns Eanrn (Se.7oll5
Burincss anJ Polc$i{,n Codc): Atry Cny or counry which lcquircs ! lcrmil l. con(nEr. llrcr. imtn,v.. dcmolish or rqDir any
slrucruro, prtr, b ih rruancc, uho rqNrcs thcapplrMr Lr ruch Fmn h fiL r siencJ drrcmnr rhd hcor \hc n liccnsd pusu!
tJ rhc ln,rhnrns of lhc Conrrn lmr LrccnkJ Lnq (chrfl.r 9. Commcncins *irh Sedion ?0(lO ol Divntun I ofih{ Bulrc\s dd
Itolc$ions CirJc) dr thal l{ or she h crcql rhcrdnnn and rhr h,si\ tu rh. dll.c.d .r.hflnnl Any vi,'hrn'n 01 Srlbn 701 L5 by ry.mled ror n p.mir subJ.cB rn. rmlunr lo i .ivn ncn,lry or nor hxtr rhM lilc hunJr.d Jolhrs ($500)
-l,
r! own.rollhc l]l)!(ny. (tr nry cn{loy&i wirh ws8cs rs rh.i nnc conr|rcnslri,'n. will do lhc wo* lnd rlt {nEhm N ur
(fcndcd dr nlt rcJ for sk (Sr 7011, Burincs\ an,.l Pr]f.ssnns Cclc I lr (i r!c(r'\ Liccn\. Law d€r nnr anrlv n, rn o*ncr ol
rh. |['Bdy *,rhu ls or inlPnr(\ rhcNr, o*l who drs skh work him\.ll .r hcrrll .r rhun,Sh hr or hd .$n cn[l.yccs,
pnivn,L:t rltu such inDovcnrn* e mr intcfrlcd d oficrcd Lr s .lt, hi,q.vcr, rlr huiunrl or ihnnr.tunr i $l'l wirhinore ycr
ol cotrll)Lrion. rhc Owmr Bnild.r wdl hx\r rhc htrr,Ln ol poving rharlE or slrc lrl N bu l,trr{revc $.ptuFry ld ih. puqxr* ol
_1. ro$ncrolrhcnn)pcny. !ncrchnNclyconkrcrh! wih ll..nr,l conk.rkr^kr.ondnr.nlr |[rj(cl (scc 7(114, BuqrE\\
rnl Pnra$ n.i r: lhcCl,ntknn'\ l.icc.te Law locs frn lt)plyh.trow,rcrof[op..ywho h$ldsor inrt'ovcs rhcrcon.
h'l who.onrru.rsntrsuch|$jccr$wirlrConka('(s)liccnsc,lpruldbtlE(nra.usLienscLrw).
I I'ncxcmpr trnJcr Sc.rir
ltoRKERS. CONIf UNSATTON
lEg,lndusN
I h.rby rllirnun,l.r F-nllryol l.riuryo . ol rh. ralk,winL Jc.lrrrr0n\:
-l
hr!. rJ wnlm trranr aCtniiulrcrlc.nscnrn' Scll lnnrc tur workc 'omtctrstoq r pn,iJcd nxbvSc.rl'n.l? )olthc
Ijtrtr CoJ..l,tr rhc pdnmun.c oirhe work tur wh(h rhc Fftn i\ ts&,1.
I hrvc.nd w,llmlnrrin workcrr conrp.n\ali(r insuhD.c. r\ r.quircrl by s(r n,n l7n of rhc Lrbor Gr'lc, ntr rhc Frfomrkc .l
rhc w.rk ntr whrh lh,\ Iirn, i\ n{'.J My (omn ns iur r!$in...dnicr rl nr(ynun$(s.
-ExpiEs:
l..n'ly rl,ri in rh. Nnormrn(c olrlr t Lr whichrhr |rlnit is r\sucJ,I rhall nnr cnllt,vanyrc6o[ 'n ] mrnncr(, .s b b(on* rulicct ro rh. ai'rk.^ conFni&on law\ oi(.alitumia, atrd nsrcc llml 1f I druld h.com subjc.r k' rhc
wort.n conrti.n\nthn lno l\r
cmnloycr n' crinrinll F-ullEs rn
ion, 'hmr3cs $ poviicl br rhc
llALNIN(;: Frilurc n, *.urc wolkcs' conlrnlnr
crvrl lircs ut tu onc hrnn'cd rlnns n &)lhtr
Sculknr 1076 ol nr Lhtr (i,ti. inr.r.(Tc-70
IECId8AIIA!
I h.rcty arllm oftler FnalryolFrjury rhar I rm lknr.d undcr lrotnn,n ol Cnaptcr I (.lmmNins * hS.ction7000)orDrvr$nloi rhc Busincs .nd Pofesion! coJ., ald m, lic.n{ n in tull l','rc e, eflirr.
CONSTRUCTON I FNDINC AGENCY
I hcrby,flnn und.r Fn,lr!ol p.ijoryrh,t rh.rc is !.onsrru.ron Lndr8 a!.n!y ror rh. n normtuc ol rhc wo litr which rhi\ pcmir N
ssuctl (s.. .ltr97. Civ. C )
PPT.ICANT DECLAR TION
I lrNby.ltnn trn,l.r pcnahy oipcrjury onc ollhc f.lbwin8 Jcrlrdrbnsl
Dcdolirion Pcrmirl^shc(os NorlMli.n Fcdcral R.strldlnN (l'irlc 4r). Plnh)
-Requncd
bttc! ol Norificaridr
I ecndirhrrrhc li{crrlr.luhrions m3rnus rsh.{dsrcnu,rl^r. n.r dlld'.rlrc b rh'\ I'r)r..r
I ccniltrhir I hrvcrcr,l thr ippl
onln.ncc\ iftl srdrc trwsrldmg k,
th.ih)lc n,lornBnon N..rc.r I rsren,.onDly wirhrll c yrrlc.! y
nkfmdrirc\ d rhtr ciry rndcoutrrvrrcnrcruBrrlE
dlinvc r.rrrnul f,otEry l,
,\t,plnxnt dr,\,r.nl Si!nirtr A.ZD
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sr-rbf loor/Vent/l nsu lation
Roof Sheathing
Shear Wall I
Framing //t</zo -7wA
lnsulation/Ene
Ext.i lnt. Lath
Brown Coat
l\4ason ry
Pool Fence
T-Bar
D ut Final R ort
Engineer Final Report
Flood Zone Certif
I
FINAL
Certiticate of Occu anc
Notes Remarks Etc.
Drywall
Handicap Req.
'-t /tr / -ir'1 ,aL&,,l\
l)nr._
t^t" ' /-6.?,0
tJr'1.' . JJr!: