HomeMy WebLinkAbout10196939 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit CounteL (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: {O't96939
Pin #: 4{ 503
Project Address: 2941 N Hesoerian Way
Assessor's Parcel 002-231 -28 Lot: POR '17
Unitr B Bldg: Address Range
Tract: POTTS, BORDEN & SIDWBlock: NA Historic: No
Suite Range:
Zoning: Ai
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Revision
Revision
Retail Sales
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
B, S-1
t B
cBc 2016
x-0602320't44J
1 st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:
Description of Work: Revision to fire damage repairs - remove (4) skylights
Planning Conditions:AIl materials to match existing
Owner:
Address
Phone:
Tenant
Thomas Pham
2941 N Hesperian Way
Santa Ana, CA 92706
(7't4l 89O-225O
Contractor:
Address.
Owner-Builder
Eng neer
Address
VP Home
Ben Phan
1154'l Elizabeth Street
Garden Grove, CA 92840
1714\ 2s14s37
57550
VP Home
Ben Phan
11541 Elizabeth Street
Garden Grove, CA 92840
17 141 251 4537
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Architect /
Desiqner:
Address:
Phonei
License #:
Phone:
License #
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
Pezeshkpour, Ali
Mazatii, Zac
Zuniga, Allissa
Date: 07/03/2018
Date: 07/05/2018
Date: 07/05/2018
Subject to Field:
Misc. Receiptl
Misc. Receipt:
Misc. Receipt:
11206
Total
01776002 53600 Revision
07776002 51500 General Plan Update
$222.16
$0 00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
NoNo Account#
Flood Zone Cert. Req'd: No N/A _ No Batance
Every pormit issued shall become invalid unless the work on the site authonzed by
such pemit is commenced within 180 days aftet its issuance,or if the work aulhoized
on the site by such permit is susponded or abandoned fot a peiod of180 days aftet
the lifie the work is cofimenced
$222.16
$222.16
$0.00
lnspector MID#: 2018-14'1 'l 10
Fee Totat
Paid to Date:
Balance Due:
0@0
BUILDING- INSPECTOR RECORD
SITE-WOHK DATE ID/SIG.COMMENTS OWNDN BUILOER DF]T,CARATION
I h.rcDy .risn u dci p.i.lry or Friury rhar I tun cr.nipr rnnn rhc c{)ntrcrorj Li.cnsc Llw lor rhe rbllosin8 rc!$. (Sn.- 7011 5
Bu\inc$ nnd Pnntssion Codcl: Ary Cily or County *hich rcquircs d pmril l(, cor(ruc|. allcr. improvc- {knoli\h .r rcpat rny
iflcrxrc, rrir kr irl ts!oc..lhortquiesrhcapl,ltarrforsuchpc.nrithfildrsigtud{lnrrrhartf,.rdrirliccnsdNrsuanr,
lo thc pmvtios of rhc Ctntoctols l-iccnrcd L,w (Chaplcr 9. Co.nnclcins wilh Scclion 70tu ol Dirti.n .l or rhc Busi'rcs\ rnd
Pnrcsio.sCoJcJ orrtar hcorrhe nercmpr rhcrcfro ud Uc bnsh ior rhc aucscdcrcnlnn,n nyvi.hn.nol'sc.riotr70ll.sby,ny
,tpli.anr roraFr6ir \rhj.ch lh. rptli.ad ro r.ivilFiatryoftror 60r.rh fiv. hutrdrcddullls(551x)).
-1.r\otrncroilhcprorEny.'nnyc',pk'yccrwilhwa8$u\lhcirsolc..mp!.n(ii,n.silldorheork,i
rh.nMmnRn
i cndcd or ori.r.d tur s lc l So.7IH4, Bu\inc* rtrd Piofcssn'i\ Cdtc: 'I h. Cotrr rcri s Li.cnsc liw docs ml a|)l)ly to !n owrcr ol
rhcpmFny wio hoilds o. i,q'mrcs lh.mn. ad rho drcs srh wo* hiDscll or hcr\cltor rhmu8h hn or hcr own cmpby.c\.
ptuvidrd rhd \uch nq,okmnrs m nor inrcnl.{ or olTcri ftr s,b ll how$cr. rh. huilding or i'r{rolcmnr is y,ld wilhi'r onc )td
ol.onplcri,n. rtEOwncr AuiBcr willhr\r rhc hurJcn orprovin8 lhd hc or shc dil nor bnild or irprow lhc pDpcny r'or rh( pu{D$.f
I. h .*n.r or rhc pft,ldy. am.,.lusivcly .ontrci i.! $irh li..n{rl cDntrt,6 ro .onstrucr rhc projccl (Sc 7044. 0uiincs
,nd ADf6si.n Code ThcConrrucnnsLiccrscl-awdocs.oraptlyloun.*ocroaploEnywhobuild\orimpolcsrhdco!.
I *ho snihcr s ftr su.h pdi.( wirh r C. a.trG) licco\.d lu^und t, rh. Cofta.ktr s Liccn€ trs )
IrNcrcnit,u crSc.tn ,B &PC lnrrhisr.an
Ormr:
IIOAffAILCOMTETSAIIO!
DI!;LAAAIION
I h$cb, !finor undcr ri.nalrrorpcrjrrtonc ofrhc r,rl,,*in8 ncchrarions:
-lhlvc
IwillnBn dn a Ceniti.atc olconscnl h Srlaln\urc tiri vorkcE cofi,cns $n.us Drovidcd lor byStrridn lTtx) ofrhc
tih1r Cod.. aor rh. ,rrormn.c ol rhc work ror whi.h rhc pdmir n issucd.
-l
hlvc rnl $illnuinr.in workcn co,np.ns!ri,,n insuraNc. !s R\utcd br Sccrion:l?01)orlhc Lzbor Cod.. rrtr
'hc P..fonun.c ol
rhc work tor whnh rhi Frnil is tsxi My{orkcn conrpc,sarion insuEme.:dcr ud Policy nunh.r dcr
-ExPnes
I.cnifyrhdri.rlrltrforrtuncc.frh.sorkfrwhi.hrhi\pcr i n h\ucd.I shnlnotcnUloy ny pcson in ony nranncr
v' r ro icom \uhr{l lo lhc *orkcr' .onrpcnsd iotr hw\ or C iri) ria.!Mlsrccrh it| \hould bcconr sol,jcd k'rhc
*orkcF c.npcnsalion pnvisionsotSeciion.l?Olrolrhc lnhor G c.l shrl1.lonhwirhcomFly wirh rlx)* pmuiiiotrs.
WARNINC: Iiulurc lo e.urc workcri .ompcnsali('o c.vcnAc i\ unhwh'1. trnd shrll \utrFr rn cnl,tolrr k, mmDrl Ntrrlrar and
.ivil nncs up ro onc hund,ed rhou\and dolh^ (Sl(xl-i{x)). ir rddirion t) rh. cod or co'npLnsarion. ddntScs r\ froridcd li't Ihc
Sccrn,n.lllT6 of rhc ttrhn. G .. inrcrc{ Md ormr'r flr\
ur!!$lr0NrBAcroa
DICI.ABA.IION
I hcrcbt alfrm undci r..,hy ol r.rjury lhd I aD li.cnk]d urdcr pmvision olChitlcr 9 (enrmn.ins *ilh Sc.ri.n 70OO) ofDivk,on 3
ot lhc Businc$.nd Pmfcssion\ Codc, and ntylic.n{ i\ in lull forc.urldflccl.
C( }NSTRT'CTI(IN t ENDIN(; ,{(;ENCY
I hceby ditm undcr lEnaht o! lErjury thst lhd. is ! cotrsrucriotr lctrdioe qcncy |or ltc pcrfo rnEncc .f I hc wor* ror which rhis Fanrir (
i\sucd rsc. 3m7. Civ. C L
AIILTANLDECIAAAIAN
I H,y allrm undcr pcn.hy oip.,juryorc ollhc followinS dechrntions:
Dcnxnirion Pcrmils.Asb.(os Norifrari.n rtd$al RcEul.lio.\ (Titlc,lO. P! 61
,Rcquncd L.rlcr ol Nolifrotion
I..n'tyrl r rh. l.lcrrl ,cguLri,,tr\ ngrrJrn! a\h.(o\..nr)ulxr. mr q,flxnh. ri Ihtr fxJjc.l
-l
ccn iiy Ihar I lulc rcd rhis amlicrrin ud srurdhur tlr rborc inlbn'ur ion is cotrcr I rgru b co.Dly wirh ,u Cny a.d Counry
uldinanccs und St{rc Llws rclllins ro l,uildins consrrucrion. und hcrchy lurhori4 rcr,.eorariv.s orrhis Cnymd counly lo cntcr uFrn thc
ihovc nrhrnd ttupcny tu
.\DDli( ntor1!ul Sirn rurr ?lrtu ".,.<:/5/Zt7
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Rool Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
FINAL I lqln T vnl..*xf 2h)
Certificate ol Occu u\:pancy
Flood Zone Certil.
Notes, Remarks, Etc.
tf,nd.'-\ AdJ...
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