HomeMy WebLinkAbout10196264 - PermitProject Address: 3401 S Harbor Blvd
Assessor's Parcel: 414-262-08 Lot: POR 3
Unit Bldg:
Tract: WILLIAMS
Address Range Suite Range:
Zoning: PBlockr NA Historicr No
City of santa Ana 20 civic center Plaza (M-'19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1IJ196.264
Pin #: 33278
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Miscellaneous
Repair Carport
Commercial
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
U
VB
cBG 2016
x-0602320258J
Patio:
T.l.Area:
Yards Req'd:
Valuation:
Planning Conditions:
$57,000.00
Botch+!4{,t26 - 6/21/?ttl9 I0: LEoSALES0tfice: CTYH Trflns+; ? 1 ol 1Accti: Rcfi: 101?3264
Rcpti:02299848 - 6/?1../2019 9ri,q An
Tnansort i on Totol i1?3.43
Owner:
Address
Phone:
Tenant:
Kaiser Foundation Health
393 E Walnut St
Pasadena, CA 911880001
Contractor: T K B Construction
Address: 8801 Brookdale Road
MILLVILLE, CA 96062
Phone: (530) 515-1052
State Lic #: 952434
Lic Type: B
Bus. Lic #: 369092
Workers' Compensation lnsurance:
Carrier: EXEMPT
Policy #:
Expires:
T K B ConEtruct ion
6enerol Plsn Updnte Fe,:
01116002- 5160fi000-
Eu ild ins
01u6002- 5160t000-
Elds Stds Revolv ins
011t6002- s1612000-llicrolih & Docurtent s
01116002- 57770000-
SNIP
09901001- 210000011-
Viso
CC+: r*irrrlrrr*r0234
t21 .25
i361.ttr
i3,otr
t2t .?2-
s15.96
$123.43
Authi:609191
Addressl
Architect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd:
Planning lnsp. Req'd
Fregoso, Vince
So, Anson
Amsden, Julie
o177600 2
0777600 2
0777600 2
08907007
0777600 2
0777600 2
0177600 2
57607
53 600
57770
24000
57672
57600
57607
Permit Fee
Plan Check Fee
lvlicrofilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Datet C41251201A Misc. Receipt: 70888
Date: 06/18/2018 Misc. Receipt:
Date: 06/2112018 Misc. Receipl:
Subject to Field:
$308.52
$427 .72
$21.72
$15.96
$3.00
$21 .2s
$52.98
No
.No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd: No Flood Zone Ce(. Req'd: No
Every pemit issued shall bocomo invalid unless the work on the site authoized by
such pemit is commenced within 180 days afler its issuance.or if the work authoizod
on the site by such parmit is suspended ot abandoned for a peiod of180 days after
lhe tifie lhe work is commenced .
lnspector MID#: 20'18-142299
0'1 1 16002 51600
0'1 1 '16002 51601
01116002 51612
01 116002 57770
0890100't 24000
$21 .25
$361 .50
$3.00
$21.72
$15.96
$85'1 .'1 5
$427 .72
$423.43
'1 st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Description of Work: Repair (e) carport du6 auto damage
Engineer:
Fee Total:
Paid to Date.
Balance Due:
SITE-WORK DATE ID/SIG.COMMENTS OWNFJR B('II-DI]R DELCARATION
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ro rhc J,rovi\n \ .flhc Conlrrcror'\ l-iccn*l L0w (ChaPtct 9- Co.,nrcn.in8 wilh Sccri.i ?OD ol Divhion I ol rh' B!\nrss rnd
P rcs$.nr codc) or Ihrl tE or\h. is cxctrl lhcrclio andrhchasi r(tr rhc rlkscJ cx. rl)!on. Anyvnnalionorsc.li ?o315hvanv
rlfli.n.! lbr0rEnir \tbj..rsrhc ot'tlic!rrronci!ilNnnxyorn.rmrcrhrilivchundrcdioll \r15fi))
-1.
a\ owrs ofrh. pmFny. or ny.nfloyccs wilh *oscs as rh.n sb con{Etrsari.n. *ill{l. rlf wo rlrhcimtxrcismi
inrc'tcd or otitrcd ar {k lse 7044. Busincss (nd ltof.sn,N Codcr 'rhc Codrnc(tr s Licctr*- Law docr not lFllv lo !n o*tui or
rhc Ireped, who bxilds or in{,roves rhcmn. md wlo docs such wod tinsc ll .r hc clfor rhtr,ughhis or hcroMcmll.vccs.
fl,vidcd rhrr such impmv$Enh arc mr iddd.i orofTcrd fttr sL ll howcw. rll tuiHill8 or r{rotqEnr is $ll] wiriin nm vt]r
ol con{'krbn. rhc O*nur Auihd *ill harc lnc htrlcn ollJrl,vin8 rlaf lE or shc did nor buiU or nqnnvc rlrc PDpdy tur rhc l'U{n{ of
-1.
as owncrofrh. tn{dy. .n cr.h{ntly..ftr.r i.8 wirh lice.se,l conr ror lo con(tucr rh pmjcd (Sec 7044. Bn'ncs
and Pmr.\sion codc lhccl,nra.lofs t-iccnsc l-ow(loes nor rpplyk, tflowmr olProFnywln builds or nnrrovcs rl[tcoo.
dnd sho .o ttr.s for such pmFck wirh Como.ro(t li(cnscd nuru h thc Codlrroi\ Li.cnsc hw )
I! rcxcm undcr S(rion-. tl &PC lnrlhtrerrnr
D.le: ()*n..
woR(ElRs- aoM PFNS TIoN
DES.ANAIION
I hcEby at tuor undd ,uilry or'Frrury o c .ih. rolbwire dNllrlrtun\:
IhrvcudwillNinun,nCcificarcoIConscnrloSclllnslrcforworlcr'dninnrdion.nspmviicdfoibyScllion:l?(X)ofrh'
trbl, C.dc, fin thc rcrlbrN.. ofthc *o* fo! *hich rhc psnul i\ i$u.d.
,l hlrc 0ff1will mdintain workcs cohp.nslrion insxroncc. rs tcquilcd by sccr ion l70o of rh. hbor Conc. lnr rh' r 'rnrnQot
rhc work for shi.! rhir !.rm is ksuct My eorkda .omF.trsoln,n insut"n.c.rEicr and Fricv nu'hb.r sel
RnicyNumbcr ExPncs
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v) N ro hcc.trE $bFr b rhc qo cr' conrFnsrnn, Irws .f C.lituflir. rnd rrrcc rh if I dFuld tB.m suhFcl brh'
wortcn'corlpcnsrri(,nPolisn'trsofS.cri.n3?(Dolrhcl-rhorC(xlc.lshdl.ilnhsirhcoo{lysnhrhospmvhions
W,{RNING kilurc k' {cuc trlrkcG con[cnelion corcragc is utrhwtul. ! d \hJl srb]c{l an rqrloJ$ b ninrinll Fturhic\ r'd
nr'l n r\ uD r, um hu ftJ rhour
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\p.,.,e/z/tx
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DECIdBAIIQN
I hcrcby ofilrm und.r r..,xyolp.rJury rh l,'nli&nslutrdctProvi\ionotChairs9{co'n@n.nlgsilhScclion7ln0)'fDiviri'n:l
of rhc Aurimssand PrcfEshnsCdc. a mylicctrs i\ in rull forcc o.d crlccr
t\."
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CONS'I'RI](ITION LljNDINT: A(]ENCY
I hcEbyuinflnundcr Fh,lryoip.rjuryrhrr rhcrc hncoNru.li hndi'lsalcnyIrrncPcrr.nn.tucolrhcNorkn'r[ichrhisaalniris
issucd 1sLr.3E)7.Civ C )
lxnJc r Nrnr.: ---
Lr
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
/_\
FINAL g-27-*.tutal
Certif icate of Occupancv V \-/
Notes Remarks Etc.
MJ((/b!- ,J/v j'!2 i./C."-f
1
\..
BUILDING- INSPECTOR RECORD
Subf loor/Venti I nsulation
( rnicr:-
Ixtrdcrs Addre{
-
A.STUCANLDEILISAIIO!
I lstby dinn u ndc. r.nalry ol Frjury om of rh. ftrlowin8 dcclml ions
D.u,lirion Pcrmik-Ashcstr N.rificrrion Fcdcral Rc3trbrnrns ( lirl.'10. P!n6)
_Rcqun d hns of Noritr.dh.
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