HomeMy WebLinkAbout10190381 - 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 #: 1O190381
Pin #: 99956
EProject Address: 2208 N Main St
Assessor'sParcel 399-101-06 Lot: POR 5 & POR 5 Block: A
Unit: C Bldg: Address Range
Tract: ROBINSON'S Hislorc: No
Suite Range:
Zoning: C'l
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
t B
cBc 2013
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation:91 ,000.00
Description of Work: Legalize demising wall to creat€ Unit C
Planning Conditions:
Owner:
Address
Phone:
Tenant:
2208 Main Street Llc
2208 N MAIN ST
Santa Ana, CA 927062704
(71419204405
Easy Auto Test Only
Engineer
Address:
Phone:
License #:
Phone:
License #:
tt/3O/ZoIA I0! HGAR
Tr(tns+: 2114 L uRef+r 101?l-r3E
11/3ir/2016 {:2? i'qi t45i. 1,i
liqr'r nh
ies
Contractor; Cariboulndustries
Address: 1103 N Broadway
Santa Ana, cA 92701
Phone: (714) 543-9484
State Lic #: 309638
Lic Type: B
Bus. Lic #: 179211
Workers' Compensation lnsurance;
Carrier: Employers Compensation lns Co
Policy #: E|G1723786
Expires: 03/01/2016
Architect /
Desiqner:
Address:
Gerr er a 1
tU 115ut11
BuilCins
011 161101
P'ldg StC
01116u01
16r:r10 UB-
evol u iirs
16120*0-
inr:t.:i1
ijp6irte
,1tr 0 tr l:r:r -
Planning Approva
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req
PWA lnsp. Req'd:
lBy
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
uilar, J Date: 08/16/2016
Date: 11/'15/2015
Date: 11/30/2016
Subject to Field:
07776002 57607
ontaoib sseoo
01776002 57770
07775002 57572
07776002 57600
07776002 s7607
$149.25
$206.91
$3.50
$1.00
$20.s6
$51.26
68407
Total
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
o,
ski, Teri
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No Account#
Flood Zone Cert. Req'd: No
Every permit issued shall becofie invalid unless the wotu on the site aulhoized by
such pemit is commenced wilhin 180 days after its issuance,ot if the wotu authori2ed
on the site by such pemit is suspended or abandoned tor a peiod of180 days after
the time the wod< is commenced .
$20.56
$200.51
$1.00
$3.50 $432.48
$206.91
$225.57
MtD#. 2016-131218
Fee Tolal:
Paid to Date:
Balance Due:
Building Use: Commercial
Job Type: Alteration
Nature of Work: Demising Wall
Existing Bldg. & Use: Commercial
Proposed Use: Smog Testing
Caribou lOdustries, lnc.
Micheal Hltrahlt
Santa Ana,,9A.
(714) s43-e484
if.
l\,4isc. Receiptl
I\,4isc. Receipt:
Misc. Receipt:
01 1 16002 51600
01 1 '16002 5160't
01116002 51612
01116002 57770
lnspector
BUILDING- INSPEGTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hs€by aflim undq pqally ol psjury lhal I m cxcnpr &on lhe ConradoE Lictuc Llw for $e aollo*ins @$n (Sd.70l l 5
aulin6s ann Proa6sion Cod.): A.y Ciry or Counl, *hich r.quir6 . p6nir ro coGlru.r. ahd, inprove. ddnolish o! r.Fn my
shclu.. priorlo it! issumc.. elso r.qun6 th. applicd for su. h pcmi' ro fi Le . si8n€d $aroncg
'hd \rfr :h. is licmkd pucu l
bin provlsio6 ofthc Conradoi! Li..n..d tlw {ch3prd a, conm.n.inS wirh S.clion 70OO ol Div6ion I .frh. ttusin.s and
Prcfsions Codc) orln3t hcorsh. is.rdnpl rhd.fronand rh. basis for lhc allcscd cr ption. Any \ iol2tion ol S$lhn 70:l I 5 by any
applicd loraFrn subjrl. rh. amlicaorma.ivilpc!6ltyofoornorcrhdnvchundrcddolles(1500).
-1.
6 oMd otlhc proFny, or my cmplo'6 with saa6 s lh.n $le compsN.lior. $ill &r ltE wolk ed $. strucrE is nol
i,tGlld orofd.d forek(Sc.7044, Busine dd Eol6sio6Codq TrE Co.bador's Licc6c L!8 do6 not arply to oMdof
lhc propdy wno hikG or ihprovGllsor dd rvho do6 uch roi( hinsclf or he*lfor ttroush hir or h6 o*t mploy.6,
provi(H thar such inpmrma e mt inla{h orofii,Ed for sle If. hoBBc.lh. toildins or inprovffil is sld wirhin on. ,*
ofompt io[ $c O$nd Buildd will hav. tlE hr&. oiFD'ii* rhd h. or sh. dd @l t{ild or imFlr. fi. Fopal, for tlE plrros of
L a o\wd ofrh. pmpdy. m .rclusi!.l, contrdin! r irh li..n*ri conra.toE ro coGrrud th. prej..l (56 70,14. lnlend
dd P,of6sion Cod.: 'l hc Conlracloas t,ic.nsc t,as do6 nol applylo !n oNnd ofplopcny *ho builds or improld fia.on.
ed who .onthss for srh pruj.os wirh r Co Edorl3) li.@d pmumr lo th. Cont.ctois Licm. t $)
I u cxmpt u.dd Setiod ,B &P.C aorfiis r€aon
D.ter OnGi
loax[Ss'laMSElsAllo!
DECldf,ArlO!
I h.rcby amxn und6 pm6hyofpqjuryon. ofrh. followin! dcltuario,ts
I havc dwillmainiain0C.nificorcofcons..troSclfinstrr.aorsorkos compdsalion. s providcdfo!byS€clnn1?00ollhc
La6or Codc lor lh. pdfomancc ollh. sorl for shich lhc tsnil is irsucd.
I hav. a sillmainiainworl.6'comp.nsationiBumnc..ar.qun€dbyStrlion1700oflheLiborCodeforlhcpFlenndcc.l
lh. wort for Nnich lhis Fmil is issuol. My workdi .ohpmatiof, insurmcc c iq {d policy numb6 sc:
I .diry rnd in rn Faomanc. oarh. \ro aor shi.h rh6 pdnn is i,su.d. t shall not mplo, o, p6son in any muns
$ 6lo b€.ornc subj..l to thc worl6 composolior laws ofcolifomia. ed asre thal ifl should b<odc subjftl ro lh.
wort*'comp.NtionprcvisioGofSelionlT00oflhcLlborCodelshau.lonhsithcomplysnhlho$povBioB.
WARNINC: Failur. ro suc sorkd .onFErion c.v@gc i. ulasful. Md shall subjei dplols lo oimi.al p<EtiB ed
civil line up lo o.c hundrcn rhou$nd dollds olcompensalion. dnnrgd rs pr idcd a.r rh.
:::'i;1i;7i2.
DECIJf,AIlQtr
unda provision olChapl6 9 (conmdcins $ilh Sc.rion 7000)ofonision.lI h6cby amm nndd pdalty o f p.rjury lhsl I
of lt. Busin6s ud Pmacsio6 cod., rnd m! li.ds is in i!11 lor.. dd clld
",, ry'io// 6 _
I h.rcby amnn under lcnaxyof pcrjuryrlla lddidg agscy aor rh. pafonnar. oithc{ork for \rhich lhis pqnrit i!
isuot (sc. 1097. Civ. C.)
APTITCAtrLDECLAAAIIOX
I hoqaftnundd p.nahy ofrdjury on oflhc lollosins d<l&ationsl
Doolilion P@ils-Asb€ios Notifi$t ion F.ddlReauLtio.s (Tnlc 40. Ptr16)
R.quir.d Lltq of Noi6cdion
I c61ii that lhc f€ddal rcsulatioB r.strdins sb€tos ranolal s€ not appli.able lo this prerel
abo* i.aomarion is conar I a8ra lo complyvirh.ll Cityond Counly
rnd hd.b, aurhoriz. rcFMr.rn 6 of this Ciry and Counry ro oltr urEn lh.
^,",t/s/zi
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
SubfloorNenVl nsulation
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Qqruty Final Report
Engineer Final Report
Flood Zone Certif
FINAL b/t/tc{9t1f7
Certificate of Occu pancy
Remarks
UFER Ground
Roof Sheathinq
Notes,Etc.
cdi-r-
Poli.y NMb6:_
I
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