HomeMy WebLinkAbout10196586 - Permitcity 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
Permit #: 1Ot96586
Pin #: 65345
q
Proiect Address: 2677 N Main St
Assessor's Parcel: 003-013-18 Lot: MANY, SEE COMBlock: A & B
unit: 110 Brds
Ttacl:7211315
Address Rangel Suite Range
Zoningr SD3'lHrstoric No
Building Use: High-Rise Commercial Occupancy: B 1st FL Area:
Job Type: Tenant lmprovement Constr Type: ll A, SPK 2nd FL Area:
Nature of Work: Tl Code: CBC 2016 Other Areas:
Existing Bldg. & Use; Commercial Flood Zone: X-0602320163J carage Area:
Proposed Use: # of Storiest 10
Totat:
Description of Work: New partition walls to create a conference room, offices, reception, storage, server & break rooms.
Patiol
T.l.Area: 2754
Yards Req'd:
Valuation: $98,900.00
8ot,:hi:445r:rB0ll irei (:TYH
Arcti;
l _ Fi0
L
Planning Conditions: lnterior ti only.
Engineer
Address
lr
t['ildrit.r
n Totnl
InrOwner:
Address
Muller Company
1100 W Town & Center, Suite 810
Orange, CA 92868
(7'14) 543-0100 ext. 202
Sanctuary Hospice
Contractor: Buildritelnc
Addressr 1609-D East McFadden
Santa Ana, CA 92705
Phone: (7141547-7737
State Lic #: 830308
Lic Type: B
Bus. Lic #: 310487
Workers' Compensation lnsurance:
Carrier; Everest Nal'l lns Co
Polacy #: 7500007095
Expires: 0410112019
CDL Associates lnc
Carolyn Doyle Larson
9265 Research Or
lrvine, CA 92618
(949) 679-6456
Architect /
Desiqner:
Address:
Phone:
License #
Phone:
License #
$1 ,755. C, r-
Planning Approval By
Plan Checked By
Permit lssued By
NPDES lnsp. R o
ki, Teri
71034
Total
0 77760 0 2
07776002
07776002
07776002
0 77760 0 2
01776002
s7607
53600
57770
5 7612
57600
57607
$660.96
$936.36
$32.58
$4.00
$21 25
$52.98
$'1 ,708.13
$936.36
$771.77
Dale: 0612712018 Misc. Receipt
Dale: 0611212018 lvlisc. Receipt
Date: O6t27l2O1B Misc Receipt
Subject to Field:
No
No Account#
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceNo
No
No
Fire lnsp. Req'd:
Police lnsp. Req'dPlanning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No 01t1600251600
Every pemil issued shall becohe invalid unless the work on lhe site authorized by
such permit is commenced within 180 days after its issuance,ot if the work authodzed
on the site by such permit is suspended ot abandoned for a period of180 days after
the limo the wotk ts commenced
$21.25
$713.94
$4.00
$32.58
lnspector MID#: 2018-143657
01 1 16002 51601
0'1 1 16002 51612
01116002 57770 Fee Total:
Paid to Date:
Balance Due:
$/27/;.
Tr'o n s "'
f,
*1,.;5-9.n
Phone:
Tenant:
PWA lnsp. Req'd:
BUILDING- INSPECTOR RECORD
SITE.WORK DATE COMMENTS OWNER BUILI}DR DFJt,CARAT1ON
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Bu\inc$ r l Pn,f.*i.n Cod.): Any Ciry or Coutrry whrh rrlluircs ! tErmir to con{rucl .hcr. inrpfuvc. d..r,lish or rcp8t ,try
iru.ruo. prior k ir\ ,$u,n.c,.ho rcquircs rhc +rli.i r n, su.h tEirnit Io lilca sirncd (llcrcnl rhur lEor lh. is liccn{d N$uanr
b rhc F,vnnn$ ol the Conr6crois l-icc.*d tiq (Chlprcr 9- ConhcicinS wirh S.cliotr 7uD oi Divnion :l olrhc Busincs and
Pmfcsnnx Codc ) or rhnt hcorsh. iscxcmpl rhcrcfnmnnd rhcbisn for lhc lllcscd eicmprnrn Any vn,hri.nofS{rirn703l5 by.ny
lprlicanr lhra pcnnitrubjNls lhc lppli.anrioacivilpcnrlryornorfrnerhanfirchundrcddollirc($500)
I. N o{trd of lh. l,olEdy. or my employccs with wu8$ rs rhcn qre c\impcnsri,,r, lill do rhc w.lk tuil ttr ddN i5 trur
irkded or orcrcn lor silc (Ss.7(x4. Busircss rnd ltr'c\sions Gdc: thc (-onttror'i Liccn$ tiw dms nol 0rDly ro u o*ner of
r hc ln,l.dy whl huilds o' in{,rov.s lhcmr dwhodftssu.hw.rkhirn\.lforhcrscllo,thnugnhiso.hcro*ne'npl.yccs.
providcd rhlt ruch imtmvcm s N nor i cndql or ofiircd li,r \xlc ll ho*c!u. rhc h^ildin8 or inyn)v.m is s,ld within nnc JEr
or co pltrion. th. owncr auildd w l h.vc rtE budcn ol ,'nvirS rlrr tu or shc did mr build .r i,un.vc rh. f,mp.dy ror lhc |)Ur[nr of
-r.!sowncrofrh.lmpeny.amcrclusirlyconr,adinswirhli..n\cdcontrcro^t,connrucrrrEtojccr(sc.7oil4.Bu{ncsanl Asf6ssnCod.'IhcConrmcror'sLicctrseL!{dcsnora0tlyroanosncrotnropcnywhohuild\.rnhpmrcsrhcrcon.
ad Nho co.hck ror su.h ptuic.r qirh r co.rn brl s) lk{r*d puNan o rhc conrrroa s Ltcn{ ue)
lrNd.nfl und.rsccrion .a &PC lnrrlri\rcrwr
OPner:
trl)Btr[85:caufl:ll IoN
D[(;L$4.U0!
I hcrchy amnnutrdcr pcnrliyolpcrjuryorc ofrhc lollowinB d(lamrions:
lh.!cntrd w,llnuirrotu0 Ccrrilicalc of Con$nt ro Scli-lnsurc r'or sorkcn compctrsdnii.as previdcdrorbySalion:lT0Oorrhc
tih.r abd..lar rhc NrlnnDmc ofrhcwork for shich rhcpcirnf is ksucd
_lharc lnd willfluint.in $o,kcr' conllen\Drb! nNurrNc. Ds requn d byseriotr lTtDoarhc tilxtr C((lc.lor lnc pcrturnDn.cor
lhc work forwhichthis pcrflir is issucn M,worlcE conllrcnsari{nr insurakc.mifi and rolicy nu{rhci ne:
Policy Nu'nbcr:-ErpiB:
I.cniry rhrr in
'he
F.rrormn.c or rh. work lor whih rhN Fnnir i\ tsucd. I \h!ll nol cmploy trny ptr{,n h ant nri.ncr
s s to heom subj.{l lo I hc sorkcn' compcnsa' bn hw\ ol Calirbrnin. Md 4m th,! il I should bc.onE $h/cd ro
'lEworkcrl conrpcnsrion provnions olSccrion:17(x)dtrhc litnr Cdd..l\hxll. rbnhwirh conrdy with r hoc ,'mvirionr
WARNIN(; Frilurc (, surc w.rkcn compctrsrtion covcrr8. h unlawtul. and shall subtcr m cnplortr b rirninrl lEtrlhis lnd
xx)). rtr rd(lii,itr t) rho .on ol .on\f, \rrr!r. dr !.! pnxiJ.J rnr r[r
,lQ-a11 t
DECI.AAAUON
uM.r rmvision ofChaprcr 9 (c.mDfting wirh scrion ?000) ofDivhion 3I hrrcht rllimu or t^-.nrlryol pcrjuryrhrr I t I
of rhc Busim$ md PrcfcsionsCodc. a,i nryliccn* i\ ir fulllnru arxl xffc.r
,l t(
I hcrcbyilllrmtrndcr Ntrdtyofncrjuryrhit
is\ucd (Sc.. 109?.C1v C ).
rucliu lcn.linga8cncy f.r rh P..lotn .c olth. work lnr([ichrlrit pcnnir's
AIILTI;ANLDEII.AAAIION
I h.afiy a,linn u c!,Enally olFrjury.nc orrhc rolk,*ine dNhnrionsl
Dcml ion Pcrmih-Asbcsros Norificarion Fcdcral Rc8ulnrion\ (Tirlt J0. Pd6)
-Rcquircd
t rrcrof florificarion
rctrk^nlirc ror.ptlicnbk n) this pn)F(r
rhtr! nlnnnrrioi n.orc.i I r8ret,..n{)ly$irh lL( ir!nnd (,{ r"ry nl (,)utrry ro cn(cr qrotr rlr]rrchyxurhri2. rctrc{nhrivc\ ol rhis (:i
l( 7--
tfu/tx
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/Vent/l nsulation
Roof Sheathing
Shear Wall
Framing z//n 4 X'q^
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lVlason rY
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
I
FINAL fl/ib//a /dd<Al
Certiticate of Occupancy / ' L/ / \\ 1 U
Notes, Remarks, Etc
ID/SIG.
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