HomeMy WebLinkAbout10196837 - PermitPermit #: lO{96837
Pin #: 4493A
E
Proiect Address: 2519 W Fifth St
Assessor's Parcel: 405-241-01 Block: NA Tract: NA Historic: No
Suite Range
Zoning
Bldg: Address Range:
Planning Conditions: lnterior work only. No ext€rior alterations or modifications.
Owner:
Address;
Phone:
Tenant
Real Estate lnvestment Trust
12011 San Vicente Blvd.
Los Anoeles, CA 90049
(310) 4764793
Vista Charter Middle SchoouSmall
Engineer
Address
PAID
JUL 05 Z[]IB
Architect /
Desioner.
Address:
Phone:
License #:
Phone:
License #
(.ity of Santa Ana
CSDA Design Group
Michael R. Schoen
889 N. Douglas Street
El Segundo, CA 90245
(310) 821-9200
c35165
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
McCann, Melanie
So, Anson
Hernandez, Kathy
Date: 07/05/2018
Date: 06/2512018
Date: 07/05/2018
Subject to Field:
Misc. Receipti
Misc. Receipl:
Misc. Receipl:
71162
Total
07776002 53500 Revision
07776002 51600 ceneral Plan Update
$222.16
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd: No N/A _ No Balance
Every pomit issued shall become invalid unless the work on the site authoized by
such pennil is commenced within 180 days aftet its issuance,or it the wo* authorized
on the site by such permit is susponded or abandoned fot a peiod ot180 days aftet
the time the work is commenced.
$222 16
$222.16
$o.oo
lnspector MtD#. 2018-142211
Fee Total
Paid to Date:
Balance Due:
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permil Counter: (714) 647-5800 lnspection Requests: (7'l4l667-2738 lnspector Section: (714) 647-5853
Lot:
U nit:
Building Use: Commercial Occupancy: E 1st FL Area Patio:
Job Type: Revision Constr Type: V B 2nd FL Area T.l.Area:
Nature of Work: Revision Code: CBC 2016 other Areas: yards Req'd
Existing Bldg. & Use: Commercial/School Flood Zone; X-0602320257J Garage Area: Valuation:
Proposed Use: pre & Middle School # of Stories: 1 Tot"t O
Description of Work: Revision to 10195922 - PER NOTICE TO CORRECT - IDENTIFYING EXISTING FIRE, LIFE & SAFETY DEVICES
Contractor: M & O Construction Group I
Address: 10353 San Jose Avenue
South Gate, CA 90280
Phone: (323) 793-9919
State Lic #: 934243
Lic Type: B, C-9
Bus. Lic #: 369379
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 1967854
Expires: 06/01/2018
BUILDING. INSPECTOR RECORD
SITE-WORK DATE IDiSIG,COMMENTS OWNEN AUILDER DEt,CARAT'ION
l hcrcby lmrm undcr pcnalry ol Friury rhar l m crcopr r!'n rh. G)nra.ro6 Liccnkhwforrtu6llowingee$n(Ss?0115.
Bu\incs rrd Polcs\ion Cod.): Any Ciry or Counry shih r{toircs d Frmir ro .otrerucr, !lt.r. inlttr0ve. dci.lhh nr Rn,n rn)
srucrric, rri,, ro irs is\urtuc. 0lso rcqu,rcs rh. +pli.r.t for su.h Frmir ro filc a sirncd ({rcmn! rtur hc or shc t li.cn*d Nisurnr
ro rh. pn)visn,ns of rhc Crnrhckr's Li.cn{d Law (Chnpr$ 9, C.m rncin8 Firh Scclion ro!X) ol Divhion I ofrne Bu\n[s1snd
PmnsionsCodc) orihar hcorshc iscx.mpt rhcrcfron.nd rhcbasi\ io,rhc all.scd cicnurion AnyvioltuonorsNtrnT03l5byrtry
Btplicanl foraI'cnnir srbjcclsrhc 4rrlicairk,acivilFoolryolnolnDrcrhJnfivchundndd.uds($5tx)).
l. o{ncr oarhc pn,lleny, or mrcnfkJycc\ wirh sascs n\ rhcn $k ompc.sarion. willdo lhc wod md lhc srdlh il nor
imcndcd oron red rdslc(Scc 70{4. Busincss d Ptuacs'onscnlc Thc Contracroi. Li.cnE lisdocan.r ryplyroanowNof
rh.pmFny who tuilds or inqmws rh.m.. rJd who dms skh uork hi'n{lfor h.^clfo! thmu8h hn or hc! owocmplo}cc\,
nrovidcd rhat such impmvcmnr\ ec mr idcnded or oftcEd ior sb lt imME, Lte hoilding or iftln,kmnr is $ld wirhin oN )tu
orcdnpLrbn. rhc o,n.. Buiticr will harc dE bunLn ol pmvins fid tE or snc dil rcl I'oild or inrmt rh. rmFdy ror rhc lury$ of
_1. a\ o*ncrolrhc pmrcny. lnr.klu\ivclrconkrrn,E *irh li.cnscd coikd.roN ro..nnru.r rh. p(+cr rse. 7in4- Bu$ncs
oxl Plofsshn Codc _IhcConrroror'sl,iccnscl-awd.cs.ollDolybanosncrolpropcn!*hohuild\ornnprovcsrhcrcon.
rtrd wh. .ontrrsturs h tmjc.t\ wirh r C.nkact (\ ) lircn\dd Nrsr rrorhcCoffdq s Lian{ tlwl
-l
amexcmrr undcr Sccrn,Il & I)( litr rl'n r.tr{nr
OPner:
IIABSEIIi:(AMIEIIAIION
DECI ANAT(IN
I l.nrct y atfirnr undc! Fnalry otprr!ry.n. ofrhc tuln,*nrt dslxrari{nN
-l
hlvc and will mintoir !CcnificarcofConsnr roScltln\urc lor worl.ts'c.n{rns,ton. ds providcd lbr bySccrion.!7(norrhd
Ijbor Codc. for thc pcriormnccoflhc woli for whichthc pnnit is isucd.
-lh0vcrnd
will mainhin workcs conr|enslrin insuruncc. !\ rcqDn d brS.dnrn lTmofrhc tibor Codc.lor lhc pcrloil rEcof
rhc work r'or which lhis pcnni is i\\ucd M,workcN comncn\trinnr i'NurM.c cMi$,nd loli.y nurnbcr rc:
I c.niry rhar in rhc pcdormEc ollhc wort for which rhn Frmir is nsucd. I $rll nor.mpk,t any lciso. in any manncr
$ $lo bc.onE subjcct to th. workcF c mpcn$rion la*\ olCllifon,ix. r d.gtc (h,r irI should lEtoE sub,cd ro rh.
sr*cr' comn nsrion F,vhion\ of Scdnnr :llm of rhc ljbr Codc, I \h3ll. ionhwirh conrply wirh lhoc tmvisioo\
WARNING Flilurc h *curc aolkcs omp€mtrliotr covcrlSc is lolosful, ,nd ihrll subjccr 0n c$Ploycr ro qiminrl pcnalric\ rnd
civil n.cs up lo oN hundrcd lhousrtrd dollors ($100.000), in addiri.n k, rhc c.s orconwtrstrlion. drnEsc\ as tmlidcd rd rh.
Sdion 1076 ol$e ljlxtr Codc, itrlcrcslrnd {rlure}} r'as
ucliNsf,rleoNr3 slQaDttr .E.rlla!
I h.rchy llttni rnd.r ntndryorp.riury rhar I an licnrrl und$ r,otishn ofChapter 9 (ommmins wnh s..rio. ?000) olDiri\ion l
ol thc Ausincss and Pmfcssions Codc, ad ny lkc.\e ir i. fnll ttrcc rd .net
I iccn\cc[\\: Li.c \c Numh"r
IONSIIIJCII!.|N.LENDINGIIiENT.I
t h.rhy drfirm undd lrtukyorp.rjury rhar rhcrc r..nnslflct$tr lcndin8 a8cmy ior rhc Fraorronc. drrh. work for which rhn P.r!i n
i\sucd(S( :1097- Civ C )
A.TIUCANLDECLAEIII9N
I rrRhlafiimutuicr pcmlry orpcrjury otrc ollhc hlhwnrS d.ilrtrrliors:
l}!nrnii,'n Peflniis Ashcnos Norili.rrnrn F.dcralR.Sullt(rr\ ('Iirl.41). Prn6)
-Rcqun
d tr crof Norilrdidr
l.cni[ rhd rhc ndcral rcsulaiion\ esd in8 a\tr{o! rcB)vrl rr nor +tliGb]c rr rhis ptuF.r
I ccdilyrh.r I h!!c rciil rhis apnliurin md nrrc rh llN lh,rc i!tuiitu io. n ..ftNr. l .3re ro conDly *nh rll Cnr rnd Cornry
oilimn csmd Srrlc Ljws rcl.tinsIo huildinscon(ruclion. lnd lErch,ru(htrizc rcPrcrnrarivc{olrhis CiryrtulCounlyt,. rcr uB rlf,
rh,vc
'mnr
ioicd Impcn y fr inspc.rtnt lurlbsr
Appli.nrt or AActrl Si8nolurc:
l'c.n lre ntrnE(prinl):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Ve nt/ ln s u latio n
Rool Sheathino
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Ivlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Beport
Engineer Final Report
Flood Zone Certif
FINAL 9/7ltg ,.u4{D
Certilicate of Occu Ipancy
Notes, Remarks, Etc
l.ntlcr's AddrcI'
-T------
I
IA
PUBLIC WORKS
LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY DIVISION
SPECIAL INSPECTOR REPORT
Eactr inspector must copplete this report and mail it to the Distncf Offce where the permit was issue d.
AILY T WEEKLY
BUiLDING PERMIT
T FINAL
TOTAL TltvlE O
JOB ADDRESS
N JOB (IN DAYS)RICT NO
252 -sGs C,l(
/{oGENERAL CONTRACTOR
TYPE OF WAIL
TYPE OF WORK: f NEIHTORCEO CONCRETE I\4ASONRY ! ui-rrHsrrr BoLTTNG
I pnrsrnrssED coNcRErE I wEmtnc
L->3r:g /6'L4
OIHER
DESCR]PTION OF WORK INSPECTED /--
u)
D@ E) n//.
LOCATION IN STRUCTURE
REMARKS
Alt work on this job to date has been satisfactoily completed to the approved plans and requirements of
the Los Angeles Counf Building Code.
Joa-P4rz+o* L,i-G4N *06?5-7-s-/B
NT).rLoc w gz?st-Bq'M'
41-73185-tO
5 r(P Daie
Xe 7/
speoar rnspector (s r GNAru R g -t C-- O E V L7 gl _(% _ C
P/bspub/Resea..fi/EDB\S lR E PORT
REVISED M{5
Oaylime / Cell Phone Number
I
SIZE OF BUILDING NO, OF STORIES
-