HomeMy WebLinkAbout10196609 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (71q 6A7-2738 lnspector Section: (714) 647-5853
Permit #: lO{96609
Pin #: 27524
Proiect Address: 4002 Westminster Ave
Assessor's Parcel:198-032-02 Lot: NA
Unil Bldg: Address Range:Suite Range:
Zoning: SP2Block: NA Tract; NA Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
U
VB
cBc 2016
A-0602320143J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat 0
Description of Work: lnstallation of exterior concrete pad 13' X13' X 18" thick for a 8500 gallon tank measurhg 15'5" in height and
Planning Conditions:
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Patio:
T.l.Area:
Yards Req'd
Valuation:
.;., ,
10' in dia.
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
Gomez, Pedro
Heidari. Fred \^ /
Zuniga, effissa\\V
\\No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Date: 05/31/2018
Date: 10/16/2018
Dale:1112612018
Subject to Field;
Misc. Receipt
Misc. Receipt
Misc Receipt
0 717600 2
07776002
07776002
08907007
0 77 7600 2
07776002
0 77 7600 2
71048
Total
5760 7
53600
57770
2 4000
57672
5 7600
5760 7
$160.25
$666.48
$11.28
$4.20
$1.00
$22.08
$55.04
Flood Zone Cerl. Req'd: No
Every permit issued shall become invalid unless the work on the site authorized by
such petmit is commenced within 180 days aftet its i$suance ot il the wo* authoizec!
on the site by such pemit is suspended or abandonad fot a peiod of180 days after
lhe lime the wo* is commenced.
01 1 16002
01 1 16002
01 1 16002
01 1 16002
0'1 't 16002
08901001
51600
51601
516't2
53600
57770
24000
$22.08
$215.29
$1.00
$238.76
$1 1.28
$4.20
$920.33
$427 .72
$492.61
lnspector MID#: 2018-143525
Fee Total
Paid to Date
Balance Due:
E
lndustrial
Tenant lmprovement
Exterior tank wconcrete pad
lndustrial/Manufacturing
$15,000.00
Engineer: B A Sims Engineering, lncOwner: Adoh. Farms Llc Contractor: R C Foster Corporation Bradley A Sims
Addressr 4OO2 Westminster Address. POBox77055 Address. 5150 E Pacific Coast Hwy, Sulte 2bd"
Santa Ana, CA 927031310 Corcna,CA92877 Long Beach, CA 90804
Phone: (714) 775-5081 Phone: (95'l)738-8211 Phone: (562) 735"+955
State Lic #: 569693 License #: c 59239
Lrc lYPe l,'A Architect /
Bus. Lic # 371189 Desroner
Workers' Compensation lnsurance. Address.Carrier: TRAVELERS PROPERTY CASUA
Policy #: u8009J123399 Phone:
Expiresr Ot/01/2019 License #:
,
Permit Fee
Plan Check Fee
Microfilm Records
SN4IP - Category 2
Bldg. Slds. Revolving
General Plan Update
lssuance
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CAR^TlON
I hseby amm uod6 poalry of pdjury lh l €rcmpl liom lhc aont.clols l-rc."i. hrv for lh. follosinB rcMa (Sc.7oll5
Busins ari Profsion Cod.): Any Cily or Courly *hi.h icqund a p6fln to connru( ah6, imP.o\c, dc{olth or r+at My
*dc1uc, pritr lo ns issu&ce, aLo rcquird lh. applicml lor such p<nnit lo file a sisn.d salEnot lhat he or sh. i licms€d pu6udt
ro Ih. pmvisions oith. Conl.acloas Lic.ns.d Llv (Chapld 9. (om.ncin8 \virh Sstion 7000 oaDivisiofl I otlhc Busin€s ed
Proa.ssio,B Cod.) or lhal h€ or shc t ex.ipl rh6.6om atul fi. b6is fot lhe allesed cidnprion Any violation ols€crion 70ll s bv anv
oDplica lor a pcmil subjds rh. applicam ro acivilpflahyotnol no,ethd nr.hundr.ddollds($500)
-1.
s otrnd oflh. prop6ly. or oy edplorG wnh wt86 s thcir $le conpdsalion, sill do lhc qork a{ th€ slBrr. t ml
irraded or orI(qj hr sL(sd.7044. gusins dd Profsios Cod.: Tllc Conlraclois Licsc tis &d not atplv to u osr(or
rhc pmpdy trho hikh or inFov6 thdstr md sno dc su.h s!'l hims.lt d hmll or ihrolah his or hE oM dplort6.
prolid.d thrt such i,nprcvmts Ec @1 iddddl or of6.d for $1. I I no{6's. th. blildins or inpmvffil G sld *ithin on ta
oacofrpldion. rh. Omd Buildd will hale lh. hnto of prcvins rhd h. or sh€ did nol hrild or i,qtoic rhe plpsly for lhc pu4bs oa
I. 6 own6 ollh. pspsly. €xclusi!.ly conlracrinB *nh licmed cont,aclou lo .oi.ltu.l rh€ Ptj..l (Se 7044, aas6
aad PD65sion Code Th. Conlrscloi s Liccnse Law do6 nol agply lo d ownd of rrop.n y *ho builds or imProvd thren,
ad *ho .of,lmds aor sucn pmjtds wnh a Coira.lotls) li.6s.d pu6@t lo rhe Cohtr.dois Liccc kN}
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m .rdpt mda Saioi- B. & P.C. for this ra$n
Drle: Ornd:
,UqAI!!'BI-1:OUTENIAIANu!cl!1-8ll!g!
I hcr.l,l amnnuider pe.ahyolpojuryoncorrherollorvinsdNlr i.rs:
-l
navc dd *ill maidah . C.nifical. oaco.Fr ro Sela-Irotrr. for \rcrtss cotupenslion, s prorided aor by S<! ion I700 o I th.
t,bor Cod€, lor rhe pofotlmcr oart. "ort fo, which lh€ p@ir 6 i$udl
I har. ed w ill ,nainlain work..t cohrasario. imurtncc, s r.quircd by Sdnon :1700 ol the kbor Codc, lor lh. pdfomuc€ ot
is isn6l. My workgi conrfasatjon r6urd.t ffid md lolicy numb€r a.:
o t-l -22/f
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c.nily rhar in {hc pdforroncc ollhc wort lor shichrhis Fnn is is €d.l shall nor dnploy tny p.ren in any n@d
$ 6 lo b6o'nc subjel lo lhc "orld' omPoslio. l.ws ol Caliloml4 ed a8r rhar if I should b€com. subjd to th.
NorI6' comr,delion pmvisioc of Sdtiod l?00 ofln€ L{bo! Code I stBll. fonhRilt comply Nith lhos Povisions.
W RNINC: Fanur. ro su. workds' compselion covmg. is unl,sful, d shall subj<l a. dplo)€r lo oimtal Doalrie md
civil fin6 up kr one hundrcd rhols d dollss ($lol),Ctro), in addirion ro llE con of conpcMriod. dana8cs 6 provided for th.
Strtion 1076 oarhe Labor Cod€. i.ldd ud
I hftby .fim und.r p.mlry ol pdjury $d I aB lic.c.d lndr povision olchapra 9 (conmdcins $nh Saiion 7000) of Division 1
of the Busins dld Profsions Codc. dd oy licoe ir in ftll forr .nd €iIEt
.A 1L
coNsrauulatLlitu&G-dcrNcl
I hercby amrm unds p.hahy o f pdjuty lhar lhdc is a conslru(n n hdid* agdrcy ior rhe psnrnnm.c ol rhc \ ork for * hi.h rhb ptrnit is
issucd (s.\ l()9?. Civ C )
ATTIIQTILDICIJSAIIOIi
I ttdth, amnn undd p€nalty ol p6jury o.. of rh. follo{in8 dalod tuns:
Denrlirion Pcmirs-Asb6r6 Norincalion rtdqal Rqulaltuns (Till.,l0, Pd6)
-Rcqut
d L.lto of Notilic.lion
-l
c6li& that lh. Lddal rcsuLtios rcBedins sbalN rooval e not appli.abl. to rhb pmjdl.
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cdriry rtll t h,!. @d iti3 applicalion old slar.lh.| $c lbon inaomalion iscor.d.I arc lo omplv silh.ll Cirva.d Counlv
ordinanc6 and Surc lavs Elatina I nc olrhis Cilyud Coumy ro 6rd upon
abo\e,noli.ned prop.ny lor
,\pt'lictrtrr o,
^srir
Sis rhr
bur ldiDS .odrud 0,. ud hr.h. r h.ri7. r.nr6lrhr
furE ,,* t/- za - t6
Set Backs
Forms/Steel/Holdowns o I ).. lo( .e./tt -rx
Erection Pads o{)/ '' A!)
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL l/zr/rO -{/zz4t 7?.)
Certificate of Occupancy
Notes, Remarks, Etc
BUILDING. INSPECTOR RECORD
Pool Fence
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