HomeMy WebLinkAbout10197813 - PermitCity of Santa Ana
Permit Counteri (714), 647-5800
20 Civic Center Plaza (Nil-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
@ Bu ild ing Permit #: {O{978{3
Pin #: 22863
Proiect Address: 4450 Westminster Ave
Assessor's Parcel 198-301-02 Lot Traclr NA Historic: No
Suite Range
Zoning
Bldg: Address Range
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Miscellaneous
Flagpole
Commercial
Flag Pole
U
VB
cBc 2016
A-0602320143J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $5,000.00
Description of Work: New flagpole
Planning Conditions:
Owner:
Address
Phone:
Tenant:
Thumbs Up Management, lnc./will
18752 E 17th St.
Santa Ana, GA 92705
(714) 801-151s
Two Thumbs Up Express Car was
Contractor: Strong,lnc
Address: 10373 Los Alamitos Blvd
Los Alamitos, CA 90720
Phone: (562) 936-1454
State Lic #; 746901
Lic Type: B, A, HAZ, C-10
Bus. Lic #: 366195
Workers' Compensation lnsurance:
Carrier: StarNet lns. Co.
Policy #: BNUWCo143650
Expires: 0410112019
Engineer:
Address
Langston & Associates
Jim L Langston
'1810 E 'l6th st
Santa Ana, CA 92701
(714) 836-865s
c29373
James Gartner & Associates
James R Gartner
2036 N Broadway
Santa Ana, CA 92706
(714) 560-9210 ext. '102
c17450
Phoner
License #
Architect /
Designer:
Address:
Phone:
License #
Planning Approval By:Fregoso, Vince
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd:
ski, TeriB
Date: 08/13/2018
ry Structural Engineoate: 1 U1al2O18
Dale:1111412018
Subject to Field:
Fire lnsp. Req'd
07176002
0890100 7
0 777600 2
07176002
07116002
51601
240 00
57600
5160 7
Permit Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$160.2s
$'l.40
$1.00
$22.08
$55.04No
No
):. Account#TotalPlanning lnsp. Req'd: Yes Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall becofie invalid unless the wotk on the site authorized by
such petnit is commenced within 180 days after its issuance,ot if the work authotized
on the site by such pemit is suspended or abandoned for a period of180 days after
the time the work is commenced.
011'16002 51600
01116002 51601
01116002 51612
08901001 24000 $239.77
$0.00
$239.77
rnrOo I MID#: 2O17-138372 o
$22.08
$215.29
$1.00
$1 .40 Fee Total:
Paid lo Dale'
Balance Due:
o
Unil:
Block: NA
Occupancy:
Constr Type:
Codel
Flood Zone:
# of Stories:
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE tD/srG.COMMENTS
Forms/Steel/Holdowns
Erection Pads
UFER Ground
Subfloor/VenUl nsulation
Roof Sheathi ng
Shear Wall
Fram i ng
lnsulation/Energy
Drywall
Ext./lnt. Lath
tylt4ason
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
En gineer Final Report
Flood Zone Certif.
fltoo+qFINALALt4t4 J _>'")
Certificate of Occupancy
Notes, Remarks , EtC
OWNER BUILDER DI,LCA{ATION
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Busin€ss and ftofdrion Codc): Any Cny or Comly which r.quts a Fnnir to constfld. a116. improve doolish "r r$an any
srruclrc, rtur to ils issu.ncc. atso .€qutB rh. arplic l lor such Frnit to lilc a sisn.d stotmdl rhar h€ or sh€ is licdr.d n6u@r
ki the psvtioB oarh. Conhclo.s Licensed Lrw (Chapl6 9. Conod<ing wnh s(rion 7000 oaDilision 1 oflhc trNins i"d
PolessionsCodc)orrharheorshciscrcmptthrefroomd(h.bsistorln€allcs€dero.plion.Anyriolalionotserion?0:ll5byany
.tplicadloraponirsubjclsrh.applica.rroacirilpe.alryornormorcrhmiv.hun&eddolltrs($500).
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6 oBncr otrhc rmpcny, or ny cmployG wirh was6 6 lh.i. elc compdsalion, \ill do lh. wo.l dd ln. s&dm ir ml
i d\tdi orood.dfor elc(56.7044, aai.6 dd Phl6ioN Cod€: Theconrracrols l-ic@ tfl dod nor applr ro an own6 oi
rhc pmFly who buil& or ioprcE tt6sn. ald sho do6 slch $dr himsclior h.rlf.r lhrcush hb or hd oM.hdoy6.
providcd rhar such imp.ovcrc.rs d. mr inrodcd d ofided for slc I I hos6'6. rh. toildinr or inprewr G sU *nhin on. rd
of.o'npldio.. th. O$r{ 80'116 will har rh. hrdin of provins lha h6 or shE dd @l hnE or inprorc t. pmpdl, for Ih. Frro* ol
l. a ownr or rh. lropdy. m .xclusilcly conradinS $ nh Ii.aE d .odtdo6 to o,od rh. pmjal (Sr 7044. a6ind
and holcsion Codc Th. contr.rof3 Licds liw do6 nor apply lo u owns ol propdry who builds or inprovG rh6on.
and Nho conlr.cls forsuct proj..rs *nh !Co mclo(s) licas.d puBu.n ro rh.Conrrrcrors Licsc ljw).
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D.tc OPner
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I lNcb! rmnn uDder rcnalry oipgiurv one of lhe folloNinr decledions
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havc &.d sill oainuin a Cdir{d. orconst lo S€lfJnsur€ lor worleB .onrp.ns.ri.n, 6 povid.d lor by Sstion l?0o o f lhc
l{txr! Code lo. lfic pdfomecc ollhc rvolt lor uhich lhe psmit G isucd.
_l havc .nd will ma' din wo.kcis coftpcGation iaurancc. 6 @tuncd by ser ion 1700 ol lh. libor Codc, for lhc pEfomdcc ot
rhc work f(tr *hich rhis pcmn is isdl My workdr compftdion insurm.. cmid ond p(llicy nualbs re:
worlss compmsdtionpruvtioN olsdrioo 3700ofrh. Lah.r codc.I shall. ao onrly qilh thore po isnrns
W,{RNINC: llllure to Bure workoJ compasrion coveragc is unla\fu shau subjer an mplot r ki dlnrinal Ignllis ain
.ivil fi es np kJ onc hun&ed ihoBdd douds ($100,000), in add't hp.rerion. dana-*cs 6 providcd lor Ihc
S€crion 1070 olllE t,ab.r Cod., iord6r dd .tror.ey's 16.
DECI.ABAIIO!
I h@by amrm u.dcr p@lly oa pdjury rlla I @ licensdj undd previlion ofChaflo 9(comdcinS enh S6lion 7000)oiDirision l
of lhc BsinN d PrcGsioro Codc. ad a, lictu tu in tuU lorc. dd cnc<1
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I hscby amln trnds rEBltyoipsjuD- that ihqe is a consrtuclion lcndins aaoc) lorlh. p6rom ccolrhc\orkfor{hi.hriistdDir b
isstred(sa 10q7. civ c ).
AIILICANLDECITIE IIA!
I H,y nrm lndd !.na,ty of psjury onc of ih.lollowir8 delmlionsl
D.molilioo Pmnirs-Asbetos Nori6calion Fcddal Reg larioN (Tillc 40. Pan6)
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L€tlcr olNolifi calion
I .dlil, rhd th. f.doal r.gularioro rcB&ding at-los ranolal d. nol ,pplicrbl. b lnis pmj6l
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c6rify thal I h!\€ rqd this appli.atioi dd srdl€ lh.l rh. aborc inlomation is cod..l I asrc ro.ompl, wnn 3llCilyand Counly
.'di',trncLs and Slnrc l.a\s rcliriry t, huildins c aurhorr. Icrr*emarirs oarhis ('
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Set Backs
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I ccniiyrlEr in rtu peraomuncc oalhe wort for which t|k pdmir is issucd. I shallnot en{,loy any psson in an, rtund
$ dsb hAo,n. subjd nr rh. ulnk6 con+tudion laws orcalirofria, d.d aaN rhat irl should b(ome $rbj.d tr the
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