HomeMy WebLinkAbout10195377 - Permitcity of santa Ana 20 civic center PIaza (N4-19), Santa Ana, CA\27O2 Building
Permrt Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (7'14) 647-5853
Permit #: {O195377
Pin #: 24234
EProjectAddress: 2500 S Garnsey St
Assessor's Parcel 410-024-08 LoI NA
Unit: NA Bldg: B Address Range
Tract: NABlock: NA Historic: No
Suite Range;
Zoning: M1
Building Use:
Job Type:
Nature of Workl
Existing Bldg. & Use
Proposed Use:
Commercial
Alteration
SOG Replacement
Commercial/Warehouse
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2016
x-0602320259J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patiol
T.l.Areal
Yards Req'd:
Valuation: $95,000.00
0
Description of Work: Remove and replace existing slab on grade.
Planning Conditions:
bzPerr,|Lo eGu!*,
Contractor: Juarez Masonry & Concrete
Address: '16056 Jasmine Street
VictorYille, CA 92394
Phone: (750) 955-1437
State Lic #: 716979
Lic Type; B, C-29
Bus. Lic #: 369470
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer
Address
Mourad T Aziz
Mourad T Aziz
331 W Doran Street, #121
Glendale, CA 91203
(818) 913-8002
c769'16
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By;
NPDES lnsp. Req
PWA lnsp. Req'd: No
Planning lnsp. Req'd; No
Fire lnsp. Req'd:
Police lnsp. Req'd
0177500 2
0 77760 0 2
0 777600 2
08907007
0177500 2
0 777600 2
0777600 2
57607
53 600
57770
24000
51672
57600
57607
Permit Fee
Plan Check Fee
lvticrofilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Gomez, Pedro
Mazarji, Zac
Amsden, Julie
Date: 0112512018 Nlisc. Receipt
Date: 04/'16/2018 [/isc. Receipt
Date: OSl24l2O1B N.4isc. Receipt
Subject to Field:
No
No Account#
$154.26
$427 .72
$32.58
$26.60
$4.00
$21 .25
$52.98
No
Total
Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No
Every peftnit issued shall become invalid unless the work on the site authorized by
such pemit is commenced within 180 days aftet its issuance ot if the wo* authorized
on the site by such pemit is suspended ot abandoned lor a period of180 days after
the time the work is commenced
$21 .2s
$2O7 .24
$4.00
$32.58
$26.60
$719.39
$427 72
$291.67
lnspector MID#: 20'18-14'1 1 03
01 1 '16002 51600
01 116002 51601
01 1 16002 51612
01116002 57770
08901001 24000
Fee Total:
Paid to Date:
Balance Due:
Owner: JWCEnvironmental
Address. 2600 S Garnsey Street, Bldg B
Santa Ana, CA 92707
Phone: (714) 4384753
Tenant:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BTIILDER DELCARATION
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lo lhc nmvisions ol lhc (in rador's Li..nsd tis (ChrPrcr 9, C.nrmcmin! wirh Stcrn'n 7Ux) of Divhion ] olrhc au\nts\ and
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]1QBK!8IL.Cj)!IIENSAIION
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AIIIICINLDECLASAIION
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Dflnolinnr P.rfrh+Ash.sos Notificllion lrcdcrul Rc3rlnri. s l-Iirlc tl0. Pin6)
Rcquirud t trc.ulNoriication
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div.s olthis Ciry 0nd Counryro.nrcr u|mn lh.
hit I hrvc rcad rhisrprli.di{,n Jxl dddrhrr I
ordinaNcs dod Shlc Lis\ rchr ing io huildi
ftov. nrtrri(,rd DmNny hr irs
kpp coir or
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>l'rmilee n{nre (p.inl)Z 5 -z\ee
Set Backs ,A
6-K"]Y
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathing
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coal
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
Frrrr\/f\&L nr/q h-rrP 6-7E-lY i
FINAL
Certificate of Occu nc
Notes, Remarks, Etc-7-Jl-/y: (e,eJuff, atY x/*tl,-
Forms/Steel/Holdowns vfw].,)
Shear Wall
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or conpLrion. *r oumr Buildcr will h.w thc bnr&. or ptuvin! rh,r r. .. sh. dil mr l{ild or iqet rhc lmpdy ror lh. puqn{ ol
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and Asft$bn C.dcr Thc Contr.clors Liccnsc L0u des nol anply ro anowtr.. ofrmll.nyPho $uilds or imPdwr rh.rm..
and wno onrEcts for su.h proixh wnh , (rrnrDd.rlr) lkdl*d pursunt lo lhc Co.r,Dct, . Lhcns. bw).
I amcxcmpt undcr Scclio.- a. & P.c. tor this rco$n
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SPECIAL INSPECTOR REPORT
E DAILY tr WEEKLY tr FINAL
Report Date 064{-2018 Euilding permir * l0l 95377 City of Sanla Am CA Districi Offre I
Job Address 2600 S Gamse\ A\e Sa a Ara CA
Location on site warehouse T&I Al rEurr of sitc
Descripti on of wofi Obseri'e and inspcct installation of # 4 ban as dowels into existing concrete slab & footings $.ith 6" min
embed@ 12" oc. 5,15 total . Using Simpson Ser )(P Epoxy ro ICC ESR2508ard LARR 2574,1e\?. date 09-2019 \lith the
holes blown out and brushed clean prior to inshll. \€ri! materials . Iocations. and workmarship. All work to 2016 CBC code
ard guidelines.
Discrepan 6u" None
All wotk on lhis job T satisfactorily completed in conformance with the approved plans and
requiremen ts of the g Code
Signature tD#P028287 931s 06{4-2018
P.inl Full Name KiIk Mosher LADBS # P02828 ICC#51731{2 Daytime Phone I (714) 719-8957 kmosh-@.,y mail com
6"*131 6onl1E6or Ouner builder /JMC oncrete & Masonry Ehgineer of Record Maum T Aziz # C 76916
lnspec{ion Frequency: E Continuous D Penodic
Type of lnspeclion: O Reinforced Concrete D Gunite / Shotcrete O Presiressed Concrete O Masonry
Fot any of above types of lnspections provrde D6ign Mix
-
PSI-
! wetdlng I BiglFslrength Bolts E Epoxy I Ottrer_
Type of
lnsp€ctaon
Requlred
D weams
E ttigtrstrengfir aohing
fl rirc Prooflng
[} Reinlorced Concrete
I Post-TensionConcrete
I Reinlorced Masonry
I shotcrae
D Epoxy/Dta
! otfrer._-.-_-_
Proiect # :Permit: \o\9.!3J7Proiect: Tt rc L=nv;ortm?ntq.,\-
A,IJurisdiction:Address: 2€OO S. &rnse s+.. B\#B
Architecl:Type of Structure: $,. O . G ,
* €rt eciEngin6€r:Matsriaf D€scription: A ncreff
Conlractor:lnsp€ctor: '-liizrl 7;11 Mo r-a.,2
Subcontractor
Type of Sample Slump Ouantity
t/v q+
Bill to
lnspection Summary:
(/
C
Registered lnspector's Daily Report Date d- tr-r 8
IN
W6 hereb cenitv thal. at lhs lim€ ot this insDoction, wo hal/e ob6ewed all ol
lho abovdteoort-ed work. unl66s otherwisg ilolad To the bsst o, our knon'l'
€doe aid beliel. we have tound *lls wo.k to comDlv wllh the approv€d plans.
so&incations, and applic&le soclioi(s) ol lhe Unitotm Building Cods. as
abdicabl€ !o thg l6fr[ty whqo O*s ptoircl is located. Thi6.eported cannot
bo consirued b be a .econrneidaion ol work ol any nalure to be p€.totm3d.
5,AA
The DedormarEe ol our obseryation sewicas is sutioc,t lo trle tetms aIld
coadiiions as describsd on tlte rov€/se side ol tl'tE Obaervahon REpod. The
o\.nrgr or a s{rcc€s3or in intaresl shall hold harmloss Allctty hspeclbn
Sewice lnc-. trom legal ol any nahjre whgtsoovet.
9y rhis signature on the Observation Reporl, I aclnor/edge fiar
ACIS. hc. perto.med me above observallon and am bound by lhe
that is related lo tlle sewices
terrns and corditioos on the aever6e rcPot1.
TIME OUT
Io ,AA
r.5x
Approved by:
Proracl - Fo.a6tn - Olh€r
and
e of Regisbred
ACIS Proiecl #:
Tests Performed
K
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F-lt
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(e^N*e 6q56.o 97 i,,S-peashy NU Agency