HomeMy WebLinkAbout10198665 - 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) 647-5853
Permit #: {O{98665
Pin #: 33727
q'
ProjectAddress: 1202 W EdinoerAve
Assesso/s Parcel 013-040-29 Lot: NA
Unil Address Range: 1501-1533 S
BristoUl202
Historic: No
Suite Range:
Zoning: OBlock. NA Tract: NA
Building Use: Othsr Occupancy: S-2 1st FL Area: Patio:
Job Type: Miscollanoous Constr Type: I B, SPK 2nd FL Area: T.l.Area:
Nature of Work: OT lnspection Code: CBC 2016 other Areas: yards Req.d:
Existing Bldg. & Use: Private High School Flood Zone: x-0602320257J
Garage Area: valuation: SO.OI
Proposed Use: # of Stories: t ,or",,
Description of Work: Overtime inspection tor 121141?018. Reference permit '10'197364, insp code 03. Our contact is John Pham @ 71+24G3585 or Jose
Desoto @ 71.t-24G3581. Their contact is Mike Jolley @ 71tH93-5760. FEES PD lN FULL ON r/l954
Planning Conditions:
Owner:
Address
Phone:
Tenant:
Roman Cathollc Bishop Of Orange Contraclor: Bomel Constructlon Co. lnc
1202 W Edlnger Avenue Address: 8195 E. Kaiser Blvd.
Santa Ana, CA 927072127 Anaheam, CA 92808
Phone: (714) 921-1660
State Lic #: 265409
Lic Typer B, A, CA
Bus. Lic #: 366252
Workers' Compensalion lnsurance:
Carrier: FederallnsuranceCompany
Policy #: 54303157
Expires: 0710112019
Engineer
Address
Phone:
License #
Phone:
License #
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
Amsden. Julie
Date:
Date:
Dale 12J1312018
Subject to Field:
Account#
71954
Total
Misc. Receipt
Misc. Receipt
Misc. Receipt
$6,41.00
$0.00
$0.00
07776002 57607 Otf lnspection
07776002 57672 Bldg. Slds. Revolving
07776002 s7600 Genetal Plan Update
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Every pemit issued shall become inva d unless tho wotu on tho silo authoizod by
such pemit is cofifienced within 180 days afrer ils issuance,ot it the wotk aulhonzed
on tho site by such pennit is suspended ot abendoned lot a pedod ofl80 days aftor
the tine the wo* is cgnmenced .
$641.00
$641 .00
$0.00
lnspector MID#. 2018-142922
Fee Total:
Paid to Date:
Balance Due:
Bldg:
Architect /
Designer:
Address:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
_1. 6 orc olrh. FoFiy, d f,y atrphtG snh e+6 s drn $b mmFsrion. sill & rlE ust rld tlE irucE i! d
i di.d or ofts.d lor sl. (SE 7O!1. B6i6 od Pmf6ti'B ( od.: Ti. codr.dd'r l-r6e t * dE d ,?ly lo x of,E of
rh. Fotdy *lb hild d inqs6 tha6^ rn *h dE sh klt hrelf or lEellor lhrcWh h6 or lE om fiplryG
Fovid.d ih.r luch inFo\q'Eu G mr ndi.d o' orI6d for nL ll h.Bd, $. hoildrB or inp.usE ir sld *'itfiin o* yd
of conpkth( rtE oMd Au&k wiu h.w rlE hnln ol Fovins rhi lE or sh. did d hill or irp.ov. fi€ plordy fG th. Frpo* ol
l. 6 o$ffi otlh. ForEry. e.tclBivcly conE(lins rn,, I'cEa.d contdm k,.odrud t,E Foi.d (Sc 7Or4- BGo6
!d hDlsrn Co&: Tt. Conkdoi r Lk.e rls d6 mr qrly ro o oq ns of Fopsly [ho h{il&.r impror a rhao..
sd \lt) odrEl3 fd rBh rrcFr wnh r Co'rrrro(!) t-q!.d p{rsti ro rrE Codrrdd ! Lt* L.*)
I m.rmpi uffE Sdnn-, A &PC aorthir rsn
Dir. Orn.r:
W(IRX}lr(' ( dNiFENSA'IION
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Lrv Co& for tlE Fftu ordE wt fq *fiah lt Fnn i! isart
_l ha\ c lnd will na'nuu wortdr' .omFBdio. i uhk.. s &qut db,Sdion 1'7(D of lh. Labor ( o&, ttr lh. Ffollr:tr. of
rhc sorl for rni.h rhd Frmit n ie.d M, w kdr comp@riion iBurm. cai6 dxj F,licy numbq 6.
t_
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e at' b.tnft $bd lo lh. *!rt6' comp.Bdio. LBol( llitodil a,ld .*E thd if I ihool..l b..oE subel lo trt
wolt6'comp.dslionprcvilirBofS6rionlT00ofrh.lrh,r(.d.,lJtrll.aonh$nhcomprywnhlno*prcvitioN
wARNtN(; F.illrc io s@ $0116 omp.Balion co!a8. it unlavtul. ed $dl .ubjd dplor6 to aininal Fullis dd
civil lin.r ut to on. nund!.d lhou!$d dollN lll00,00o). in lddnion lo lh. .or oa.onp.Mlion. dmlsd s lrovid.d tu rhc
Sdnrn rc76ofrh. t bor Cod.. mrdcn6drh6rftr'. fc
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Df{la8Arro!
I h@br .flm undd Frly ol Fjuy lhi I m lic!.d und.r FryisD. of (trFq 0 (ftffih8 wnh S.(bn ?000) of Divilir. l
of rh. B6inB ed Pmf6io6 Cod., od my licaE ir in full forcc En clf61e 2-Gs40q
rz-\,3 I r €1,r*-"-G;+^-.. \- ?c,* 9t=\L-<-'=-.iS^..
(axsraltcll(Idrllutc GIilrI
I hsrt t imnn und6 F.ohy ofp.iJury thn lhs. rs r srBltuclnn Lnding asd(' nn rh. pdf.nmc. ofthc qorl n r *h'ch rht lEni 6
i$ucJ {sd 10e7, (-iv (.)
lr'dd r a.Li6
-
afturA[Lrr(latAIla!
I H,} !,Im und6 pq.Xy or Fjuy oE of $c fou,owiry &r l&.rmnt:
ttnolirion Pmis-Alt6ro! Nolific ion F.dd.l R.ruht nnr ( l'nE 40, Pan6)
-Raluir.n
ln16 of Nor'6cariu
I csr ify lhd rh. tdl'.I (sulnn'B Es,nliry abckB im! rr e mr rppli..bk lo lhi I'oi.!l.
I.d'ftrhdIh6.Mdrhir.pplt.rir.rnesrcrhdrlE.hn.inlomdnnLct16lI4rdro@tpl)*nh.[(n!lrnCoud,
ordimft6adsrrl.ll$sr.l,dBrotlildinS.oifuio(,nh6.bsdlErizrqr&riivdotrhaCny&d(oo,rodauFnllr
h,r. trknlknBt lnop€nr ld 'tr\rrr(r l{rtr{1.
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per$it* nrm. {prin(): f^-"a< l -c-'O
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Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Framing
lnsulation/Energy
Drywall
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
A\
FINAL >-tI-tt v.\Lba)
Certificate of Occupancy \7
Notes, Remarks, Etc.
Shear Wall
Ext./lnt. Lath
OYNER BIJILDER DEl'AR TION
I lEdry .lIm u.d6 pd.n) of Fju) lhi I e ddlF fiom l,t co r..ldr' l-i(.M t,$ for lh. tollotrll8 rNr (S6.?0ll.J
BGin* &d Prof<ion cod.): an, Cnt o. cody trni(h (quir6 a Fni ro odtucl. .16. inFore &ttulilh or tp.r uy
(oduq Ftu ro ir3 is!ft.. .bo r.quiE rlE rpplicDl tor s.h Fmn lo fik t tisn d ,rffil lhn lr or .h. ! li.aE d plI:@
k, th. provtrioB ol$. Conl..crd t Li..nkd Ltw (Cirpr6 9. Comtring wnh sdion ?000 of Divirion ! otlh. BGr dd
Proa.sfu.s ( od.) or th,i tE d rh. i! .rmpr ln@6om od rh. b.!t for th. lllcs.d Gxdrplior. Any rDhlion of s.dio. 70] I 5 by my
lrrlic&r lo.. pqnir bjalr tlE qrli.ul ro a civil p<n.hy of ml rcr rho fir. hrndr.d doll6 (lJoo)
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