HomeMy WebLinkAbout101104342 - PermitCity of Santa Ana 20 civic center Plaza (M- 19), santaAna, c492702 Building
Permit Counter: (714) 647-5800 lnspectron Requests: (714) 667-2738 lnspector Section: (714) 647-5853 *p
Permit #: 101104342
Pin #: 835{3
Project Address: 1717 N Old Tustin Ave
Assesso/s Parcel 396-311-04 Lolr NA
Unit: C Bldg: Address Range
Tract: A.B. ChapmanBlock B Historic: No
Suite Range:
Zoning: Cl
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Revision
Units numbers
Commercial
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
1st FL Area:
2nd FL Area:
Other Areas;
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:
Planning Conditions:
Phone:
Tenant:
Contractor
Address:
Owner-Builder
Engineer
Address
1717 OLO TUSTIN RD LLC
PO BOX 473
Silverado, CA 926750473
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone:
License #
Architect /
Desiqner:
Address:
Planning Approval By
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'dl
Planning lnsp. Req'd
Graham, Jeffery
Le. Tung
Amsden, Julie
Date: 08/18/2020
Date: 08t18/2020
Date: 08118/2020
Subject to Field:
[,lisc. Receipt
Misc. Receipt
Misc. Receipt
07776002 57770 l\ricrofilm Records
07776002 57600 Genelal Plan Update
\
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Landscaping lnsp. Req'd
Every pemit issued shall becorne invalid unlessthe wo* on the sile aulhoized by
such pefinit is commoncod wthin 360 days aftet ls issuance.or I lhe wo* authonzed
on the sle by stch peml is suspended or abandoned lot a penod of360 days aher
lhe tirne the wo* is commenced
$4.05
$0 00
s4.0s
lnspector MID#: 2018-',l45365
01116002 57770 $4.05
Fee Total:
Paid to Date.
Balance Due:
B
VB
cBc 2019
x-0602320164J
Oescription of Work: Suitss B & C reversed from original setof plans. Fees collscted on 101104341.
Ownerl
Address:
Phonel
License #:
$4.05
$0.00
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS otfNltR BUrLDl:ta Dtil-clta TtoN
I lE!!, .nm ,rt r !6.r, ot Frrry dr I m .&trpl t!6 itr Ciddr' tiff t * rr ft lollor4 6s (se.1oll.,
ItBitus rid ft.fBiri C.d.): ant Ciry or ceny yl,ih Equer r Fd ro 6dM, dra, ir?mw. .kmlid ,.Fir ey
stuM, !n, ro iis ise., !L. EquGr rh. rppli.dr fo. s!.h [.mi[o 6L A d sl{.Ed rhd lE or r& i lirtrql plEar,
to rtE Fvniotr .r tl! Conrdre r ljdned tr* (Ctp...9- Cohfttuiia *irh Serbn 7clu of Divnhi ! ofrh. Buirs..d
Prcf.snn: Co&r q rrq tr d dr i!.r.nir rrEdrDo rd rr.lis for rL rl} !d .rcl4.in Ary vtiLti{ o, Sdbn ?Oll.t by.r,
.ppli..d ror r Fmr {6Frt rh. .p?lkrd h . ovil ,681, ol d llm rh& fiv. hdidEd dolL.r (l5q)).
-L
6 orn.r of rlE FlEny, dr hy c'rthEcr sirh w{cr c rh.n arL orlEndiri, will d1 r}t wI lld rh. {M@ k d
idsrlal r DlT.r.d fd rL ( S( 7oa,a, Buli*! rnJ PrDfBior C{rL Th. Co rdor'! Lj( n.lrwdErdiftlytoeowrof
rll FrFry wrD hljlh r n T.D6 rlElr !d vb &B rdr \i{it hier or lE f,lr q drDurh hir r tEr o*n.trpbr6,
prold.d rh'r r*t ogrmtu c d id.ddn[dd Id sL lf.t NE, rlE hrlt d lrtrqrd ! b! rihi! c Fr
or.mpLria ilE OwEr Boil]a willh.E 0r lnln olFsvina rhd lE or CE lii Bn h(itl or rp.!E t E FDFr,lor EF FEof
-1.
6.w of lh. F}pqty. e.!U{Ell stury *ah lactrql .ddm t. onaui rlE FoF lS€ ?O44. Buih
ul PEtq{Cod. TIE Coddq'r LE.E trs d.B d rt l,buorEotFopdy*l!buildro.,nproE rh.te^
lnd *ho morrdr {d ch FoFb eirh. c.dftro(r) lt4€d f{Bud ro rh. c.did.1' Lj..M bf,).
-l
d.rny{ unLr Sd$r-, B. & P C fq tha Ersnr
uaf,rErut(l)llt};Nlfl&!
DECLA&iIIUi
I h.r.bv 'rhrmun&r !.n.ny.I Fjurvee o, rh.ld[DnE d.cljdr)n)
I h.E.rl plllBurrin r Cdfir. olcoM ro s.lf-lNuE ,{tr *rrli6' NiFdirn, I F.viLd tor hy Sdbn ]lm of ill
uhn Cod., lor ih. pdktrmr. .f rh. wod tu qhth rh. iEmn i !$.d.
_l hrE.d will .luu m.t E .ontr6rrb. uora!, u Ertu-sl by Sdrs l7m of rlE t l,or co&. fd rlE rEflm ot
rll uit r{ vhrh .h! IErd ! isrd My eoltd! otrpcdr'. lN.le @ rn I.lIy NnlE ftl
-l
cditythd 6rlEFnor'ffiof ih. volt lq rh*h thi4cm n$wn,I .llrcr.qb,u,Fhnn,yMM
s r. ro lxor obirr l. rh. s*.r'6n?.n{i6n L*l of Ciifohi.. rnd 4e rh{ if I *huld b..otu .ubj6r r. tlI
E 6 @ilEurrn porilix ofselp! 3?m of E Lld cBi..I3lrrl. tdhwlh $nDly wirhrlE pDam
WA&YING f.i!E ro @ Eta'orFdE. @s{. ir u.Lylul !.d rl,.I tu6F -.rEbF h sirr !a.r6 !n
c'vil liBr oF ro oE hrdr.d rlI,ud doll6 (llm.fi)). h rd.rinn ro rl! cor or.o(EErio.. d.!q., a povir.d ror rlE
Sdrion 10'16 ol rlE bhn Cqlq ir.d !i droEy r fes
''r]ffi
DEEIdBAIIIX
I hcrtty rmrm undd p.^.hy of p.rjury rhtr I rm lie^ed und.. fnvui.i ofCh.rrd, (comrtuing wnh Sdrtr 7(ID) nll)ivi.ion l
or rhc AUiEB .,i PDL ou cod.. nl my li.ns n in tuU for !r! .tf.c'
cQlirrBlclloNrldDMlquu.q
I h.Eby !flim unn.r lEnrlryorFjuryrhar rh.E t !. .iru.1inr larlurg ag.r..y lo. rh.IEomr. ofrtu *dl td whi.h rtut F Dr n
uru.d rs.c ltRT Ci! C)
ATE.ICATIDECIA8^IIO!
I ha*'y tfm udd Foly ot Firy om of E folbwor &.L.rtioB:
D.rolirion P..mik-tuh.no! t{diri.rrDn F.tL.d R.!uLri,ns Onl.10, Pd6l
Raui&l lrnd or No.ift.rbn
-t
.dlr} rhd rk a.doi EluhliiN Egrrtug rrlBix Emtrl E d qrrli.lhk ro rhir pn,Fd
_l cd'frrha! I hxwE rhn .pplt.rion uri {.r.r .boy. rrormrion
^
.ordr I ltc ro onplt wirh lll Cir y lid Cou ,.rliur6 rrrl Sri. titr Err€ddiw! of rhi Cly rd Couny ro d d ,4or ilEt,t
Set Backs
Forms/Steel/Holdowns
Ereclion Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathinq
Shear Wall
Framino
lnsulationi Enerqy
Drywall
Ext.i lnt. Lath
Brown Coal
ltrlaso n ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif.
-l/-r,
FINAL .4lt[ztza Ufw/rdl q4 s)
Certiricate of Occupancy
Notes, Remarks, Etc.
Rev.08'07-2015
Drr.: