HomeMy WebLinkAbout10196361 - PermitE
Project Address: 1851 E First St
Assessor's Parcel 400-071-o2 Lot: POR 16
unit: 750 Blds:
Tract: MAYBURY
Address Range Suite Range:
Zoning: SD54Histooc: No
Permit #: {019636{
Pin #: 20719
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
High-Rise Commercial
Tenant lmprovement
Tl/Card Readers
Commercial/Offices
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Description of Work: lnstall partition walls to create offices, conference room, break room, etc. Sliding glass barn-door type moveable walls.
card readers. t.
Planning Conditions: lntsrior work only.
Occupancy:
constr Type:
Code:
Flood Zonel
# of Stories:
B
I A, SPK
cBc 2016
x-0602320277 J
16
Patio:
T.l.Area: 5767
Yards Req'd
Valuation: $175,000.00
(3) new
0
Engineer: Grimm &t0h6n Strudt(hal Engi,rnlr+ i ijri
Owner: 1851 E FIRST STREET Contractor: Coastline Development JeffY Chhn rir lii,i+r '),i.. r ,
Address: 2020 Main Street. Suite 8OO Address: 13911 Enterprise Dr Address tzsoo nelUttrl Ai/a*dC i Stite z+6/?:i/ lt"tt;, : ',
trvine, cA 92514 carden crove, cA92843 trvine, cd urBi4l l', i 't' ittlrri 'l"i l'i' I
Phone: (949) 390-5504 Phone: (714) 265-0250 Phone: (949) 250a+150 i rri,: t)r,,ictorrerr1.
Tenant CNA state Lic #: 485,t87 License #: 4699
Licrype: B Architect/ sr,",."q$il{ ffilj$.ilil[I.,1 ',.,Bus. Lic#: 161044 Desiqnel i;, i; ,,,;Workers' Compensation lnsurance: Address: 3649 AtlanticlAyigr.)ue t:iI 6tl I ll[rlCarrier Everest lnt'l lns Co Long Be4gh,pAigp8ol r\,(, I ,,. I rrilPolicy#: 7600014215 Phone: (562142+A21l,tr.t ) ::i1(t')r.rtrt.e,ri,ur, oiloilzotg ri""n." *,
lil,
,,lli.,i,l*
I,.,illi i_i.li],,r,,
0 7776
0 7776
0 7776
002 57501
o02 53500
Permit Fee
,,r 4 lllll Ir I ..
Ptbh fitlig! fee
Microfllm Records
Planning Approva
Plan Checked By:
By:aher, Selena
abil
Permit lssued
NPDES lnsp
By:, Teri
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every permit issued shall becofie invalid unless the work or, the site authonzed by
such pemit is commenced within 180 days after its issuance.or if the wotk aulhoized
on the site by such pemit is suspanded or abandoned fot a penod of180 days aftet
lhe time the wo* is comfienced.
lnspector MID#: 2018-'143205
Date: 06/28/2018 Misc. Receipt: 70933
Oalet 0612212018 lvlisc. Receipt:
Date: 06/20/2010 Misc. Receipt:
Subject to Freld:
No
;;. Account# Total
002 57770
oagotdtt\ltdbo Si0idEdads6#) i l'
07776002 57672 Bldg. Stds. Revolving
07776002 51500 General Plan Update
07776002 51501 lssuance
o
$1,361.64
$e,068.62
$47.06r' $ag.oo
$7.00
$21 .25
$52.98
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No +?*'Di),\\01116002
01 't 16002
01 't 16002
01 1 16002
08901001
$1,414.62
$7.00
$47.06
$49.00
Fee Total
Paid to Date:
Balance Due
51600
51601
5'1 612
57770
24000
$3,607.s5
$1,854.76
$1,752.79
heha
city of Santa Ana 20 Civic Center Plaza (M- 19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Block: NA
BUILDING- INSPECTOR RECORD
COMMENTSSITE-WORK DATE ID/SIG.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/lnsu lation
Rool Sheathinq
Shear Wall
v,Framinq 7-(6 -B_lleSoI&
lnsu lation/Enerqy \
7-/b-E--J laSa{o ?)Drywall
Ext./lnt. Lath
ltlasonry
Pool Fence
T-Bar 7-40 q6.l,l4*114/
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certil.
qqFINALg4t4s-lr.Sb-to
Certif icate ol Occupancy
Notes, Remarks, Etc.
OWNER AUILD!:IT DELCAI{ TIoN
t hcrcby JIIrm un{t.r ptn"lry of Friury lhlr I nm cicnPr fnm lhc aonrrnrF t-icdnsc t-rq ior lhc follo*ids rcaq rs{ 7ori r
llusincss lnd PR,Lsion Cdc): Aoy Ciry or Clrniy whi.h tolutcs a pcrnir t, .utrslrud. alrct. inDtuv.. dcnnnkh or rcPn 8ny
nru.tur, rior ro irs tsuan(. d$ r.quircs rhc 0PP,ic l li,r snch Pcmr ro filc I sisned sdctunr lhal lE or shc n li.cn*d purunnl
ro rhc pn,visi{'n\ ofrlr Cotrrructois Liccn{d llw (Chaprcr q. Conrdcmi.! wirh Scdion TlXl) of Oivision.l ollhc Burin.*.nd
Porcs\n,s codc) or lh{l hcorshc ncxc.rpr rhcrcliom{nd lhchnsi\ rq rhc.llcScd cx.mpli('n Anyviol{lionofSNrion?0ll.sbvrnv
rptli.a turapcnnir subjccr\rht .rfli.an[. a civilpcnllirornor nx,crhrn li!. hundr.d doll8tr (5500)
-1.
a\ owncr.frh. pmtEny, or my emrloy*s lirh w{8cs as thcn s,h .lrnrcnsarioD. vill do rtE sork rnd th. {r-ra k n
i'ncid.d or.Bcrcd for elc lsd.?ol4. ausinc$.nd Profesions Codc Tlr Conlracktr s Lic.nsc tjw drcs nor aprlv ro ano*ncr ol
rhcpnFny lho boilds.r irrymrsrh.en, vi wh. dc trh sll hinsclf ot hcrtlf or rhtuuBh his or icr o*n cnrbvccs.
providcd lhBr such inrpmvcnrnrs m ml inrcndcd or olTcnrl ror eh. ll k'wcv5. ih. buildins or inllmvc rnr is $tl wilhin nnl,td
;f conplcri,,r tr OBncr Builder will h,h $. b{rdcn o, Pmvin-q lhll h. oi shc did not build or in9rort l]Ic PnFalv r. k lutlnE of
-l..sow"cr
oirhc pblcny. nncrclusivclyco rtrinB wirh lrccoscd conrracron b constru.r rlE ptujcd (Se. 7I)44. Bu.ifts
DM PDrssion Codc: Tnc Co.ktrcror's Li.cnsc liw dm\ nor apply ro.6ownct.rProP.n, *ho builds or ihprovcs rhcrcon
rnd who comtu k lor rch,mjcch *irh r cunhfurls) ltc.sd Pu6uun! ro
'h.
Conlraclois Liensc Lrw)
I rm.rdtrrnr un,l$ Sc.r
Dsl..-_ O*ner wotxrts' cou Porslridn=
DECIAMIIAN
I hcEby arnrh !ndc! FnrlryofDcrjuryo.e oflh. rollowing dccl*alio.s
-l
har Nod will roirtain a Ccnif(arc otCotr{d ro Sclalnsurc fu ftrkds o,nP.trstion.!s Ptuvidcd for bvSari.n:1700 ofrhc
ht r Codc. for Ihc pcrfortun.. of fic wo* Iot qhich rhc ptrnr is hsucd
-l
havc Md will mai ain wortcc codpt.srtn'n insur0rcc. !s rcquicd by sNrion 1700 ofrhc bbor Cod€. forlhc pdtunDn'c or
rhc Bo,k tu which fiis D.rmn is isodd. My workcrs omp€nsation insurarcc clricr and ,oli.Y numbcr uc:
Policy Nun,hcr
-[xP
I..nify thal h rh. !.dortui.c ofrlE work ior qhich rhk P.rnir is issucd. I shall ndr cnrPlov anv P.6on in,trv manncr
so as ro bccotu subic.r lo rhc woi(cr' conpc.s{tun Irws ol Crlifunia, d d8rcc rhlrift slDuld b..onf, subjd ft'rtr
io. provhi.ns or S..tion l?u) of thc Llktr Gxr.. l \hrll. lonhwirh omply wnh Ihos pDliin r
\IARNINC liilurc r. *.urc Norkc.i co n ..v.ag. is unlawlnl rnd shdll subict an cnpl.)t. ro niminal r^-nrlris nd
.ivi! ftrs up lo onc hudrcd rhousrnd dollor (15 ).lXX)r. in Mrlirion ni rhc con (n conrPcn! ri{nr, darrgc\ r\ nroridcd tur rhc
sr.rion :11r76 0l rhc lltxn coJc. id$c{
6-- SF- /y
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IhcrcbytrlnrnunddlEnrlryoio.riurylhdIa'nlietrs.dundc!fovhionofChaplc!9(.oorcicingwirhSatiotr7fiX,orDivis;'tr'l
ol rhc lusinc$ lnd Ptur.srnsCollc. ud nrrli.cnsc ir ir iull hrcc a&l cll.r'
4 ly'il/J'Z
{.2 4n-
I hcr.by rrhnnutrdcr Fnahyorp.rjutyrlDr rhcrc
i{su.d rScc :10S7. Civ. C.)
aconsrocrk,nlcndinEllcncyaorih.pcrforunccolih.w.rklhrwiichrhi\pcrmiris
APPLTCANT DF(]I,ARATION
I hcd,y lmm undc. rcnllty ofpcrjury.nc ofrlr followin8 d(larurio.i:
Dcmkbn Pclnns Aibeqkx Noiificalion FedcBl Rceuhrions (Tnt 40.lnn6)
_Rcq!tcd krr$.f Notifi calion
fedcral rcgulnrio.s rcgrdnE ashc{o\rc mvnl,rc n.r rmli.$l.h rhis pmjcd
md rhh applic,rion,Jrl i,rc th,t rhc 4hovc inturnftotr n corecr.I rsrti t,..nllvNirh allcirv,nd Counr,
ljw!rldinalohuildinscoii.rio.ituhcrciy!drh.ri7.r.trc{nlllnc\orrhrcryrndCoonrlrocnrduP'D
/4/'2-
a/,L Z Abzzru:e44
Brown Coat
L.ndo \ Ad.lE\
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