HomeMy WebLinkAbout101100306 - PermitCity of Santa Aoa 20 civrc center Plaza (M-19), saota Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O1100306
P(Pin #: 46286
Assessor's Parcel 430-221-26 Lot
Unrt Bldg: B Address Range
Histoflc. No
Suite Range
ZoningBlockTract
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use.
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
U
VB
cBc 20't 6
x-0602320278J
6
'l st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:$80,000.00
Mixed-Use
Swimming PooUSpa
Swimming PooUSpa
Apartment complex
Multi-Family Mixed Use
Description of Work: New 880 sq ft inground swimming pool and 142 sq ft spa. Letter ofauth on file.
Owner
Address:
Phone
Tenant
Heritage Village OC LLC
450 Newpon Center Dr #550
Newpon Beach, CA 92660
(949) 706-8487
Conlractor: AquaticTechnolgies
Address; 32232 Paseo Adelanto Ste. /
San Juan Capistrano, CA 9i
Phone: (949) 493-9548
State Lic #: 744177
Lic Type: B, C-61, A, C-53
Bus. Lic #: 351280
Workers' Compensation lnsurance:
Carrier: Zurich American lnsurance Comp;
Policy #: WC4503556-07
Expires: 1OlO1l2O2O
Todd L. Lach6r, Pool Engineer
Todd Lacher
1201 N. Tustin Ave
Anaheim, CA 92807
(7'14) 630-6114
c67656
Architects Orange
R.C. Alley lll
144 N. Orange Street
Mission Viejo, CA 92692
(714) 639-9860
c22598
Engineer
Address
Architect /
Desiqner:
Address:
Phone.
License #
Planning Approval By:
Plan Checked By
Permat lssued By.
NPDES lnsp Req'd.
PWA lnsp Req'd
Planning lnsp. Req'd.
Landscapang lnsp Req'd
Misc. Receipl
Misc. Receipt
Misc. Receipt
07776002
07776002
0 7776002
08907007
0 77 7600 2
07775002
07775002
5760 7
53600
57770
2400 0
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
S[IlP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
No
Orozco. lvan Oale. 1012212019
So, Anson Date: 07/0'l/2019
Amsden. Jutre N oar- 1ot22t2o1g
i \ll subrect to Fierd
rrre tnsp. RJq'd No
Police lnsp. Req'd: No 19
7267 4
Total
$643.86
$582.54
$78.20
$22.40
$4 00
$22 95
$57.20
No
No
No
count#
Flood Zone Cert. Req'd No
Every permil $sued sha becofie nvalid unless the wotk on lhe stte aulhotized by
such pemit is commenced wlhn 360 days aftea its issuance.or il the wod< authoozed
on tho sle by such pemit ts suspended ot abandoned for a period o1360 days aftet
tho tin€ lhe wo* is commenced
01 1 16002
011 16002
01 1 16002
01 1 16002
01 1 16002
0890'100'1
51600
51601
51612
53600
57770
24000
$1 .4'l 'l .15
$562.10
s849.05
lnspector MID#: 2019-151909
$22.95
$701.06
$4.00
$20.44
$78.20
$22.40
Fee Total:
Paid to Date:
Balance Due
)
ProjectAddress: 1901 E Dyer Rd
Planning Conditions:
Phone:
License #
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs r't,33.U,JC?,9
Forms/Steel/Holdowns
Erection Pads I
UFER Ground '4/-ZoZ".J/a@ (4
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Framing
ln s u lation/Ene rgy
Drywall
Ext./lnt. Lath
Brown Coat
ltrlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Flood Zone Certif
Enqineer Final R eport
FINAL /.?-/7-22.Jaret{2 (w)
Certificate of Occupancy
Notes, Remarks, Etc
BUILDING. INSPECTOR RECORD
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AOUAT-H OP lD; BMz.{. -----tACORD CERTIFICATE OF LIABILITY INSURANCE 09/11/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETI',/EEN THE ISSUING INSURER(S), AUTHORIzEO
REPRESETiTATIVE OR PROOUCER, ANO THE CERTIFICATE HOLOER.
IMPORTANTT lf th€ ceniticatr holdo. is an ADOITIONAL I SURED, the pollcy(ies) mlJ3t bB endo.sed. It SUBROGATION lS WAIVED, rubiect to
ths lormE and condltlona of the pollcy. certain policies may r.qulre an endoE6ment. A statoment on this certilicat€ do6! not conlor right! to the
c€rtificate holdor in liou ot such andoE€ment(s).
PROOUCER
Cro3bv lnsurance
8181 E- Kaiser Blvd
Anaheim Hills, CA 9280E
INSUREO Hart Brothers Construction lnc
dba: Aquatic Technologies
32232 Paseo Adelanto #A
San Juan Capistrano, CA 92675-3600
7 11.22',1-5200 7 11-221-52',10
5 AfFORDIXG COVERAGE
rNs{rRER
^
: colony lnsurance company 39993
INSUR€R E: AMERICAN ZURICH INS.CO.10112
rNsuRERc: Navigators specialty lns co 35056
rilsuRER o:zurich American lns. co.16535
rNsuREA E rOhio Security 21082
INSURER F
COVERAGES CERTIFICATE NUMBER
THIS IS TO CERTIFY THAT THE POLICIES OF INSUMNCE LISTED SELOW HAVE BEEN ISSUED TO THE INSURED NAT'EO ABOVE FOR THE POLICY PERIOD
INOICATEO. NOTWITHSTANOING ANY REOUIREMENT TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN HE INSURANCE AFFORDED 8Y THE POLICIES OESCRIAEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS ANO CONDITIONS OF SUCII POLICIES. LIMITS SHOWN lvtAY HAVE EEEN REoUCEO BY PAID CIAIMS-
1,000,000SEACN OCCURRENCE
PREMISES (Ea.a!rs.csl 100,000I
MED EXP (Any oE peBon)
PERSONAL A AOV LNJURY
t
I
5,000
1,000,000
GENENAACGREGATE 2,000,000s
PROOUCIS. COMP/OP AGG 2,000,000I
COMMERCIAL GEN€RIL LlAAIL'TY
6EIT,L AGGR€CNqTA UMI] APPLI€S P€R
x
x
x
tl LOC
CLAIMS MAOE occ!R
.JECI
1,000,000,
103G10010241 05 10/01/20'19 10101t2020
Emp Ben,
'1,000,000s
SOOILY INJURY {P{ pmon)5
5EOOrlY INJUFY (Per acc6€.r)
5
B x
AIJTOMOBILE IIA6II.ITY
HIRED AUTOS
SCHEDULED
AUTOS
NON OWNEO
AUIOS
ALL OII/NEO
AUTOS
8AP4s03537-07 10/01/2019 't 0t0't 12020
s
x EACI] OCCURR€NCE 2,000,000g
x
UXBRELLA UAA
EXCESS UAB
OCCUR
ctalMs{r oE AG6REGAIE 2,000,000,c
RETErrl ON t
sE18EXC846938rC 10to,v2019 10t0112020
s
x STATT,]TE ER
E,L EACh ACCIOENT 1,000,000
r.000,000$EL OISEASE EA€MPLOYEE
o
vrrotl(Eill coxPlt{sanox
AXO EUPIOY€RS' LIASILITY
AI.iY PROPRIEIOR/PARTNER/EX€CUT VE
OFFIoEAATEMBER E'(CLUOEO'
DtSCRIP-rlON OF OPERAiIONS d e
10/01/2019 10101t2020
E.I DISEASE , POL]CY LIMIT 1,000,0005
E L6assdrRented
Equipment
BKS(20)5676't546 '10i 01/2019 1010112020 Limit
Oed
100,000
500
DE5C&PiION OF OPERAIIO|S / LOCA TOI{S / VExrC LEg (ACORO l0l, ddldor.l R.m.fi! S.h.duLi Ey !. .nrcn.6 lr hor. .p.c. i. ..quhdl
'Ten days notice of cancsllation will bo given for non-paymont of premium.
RE: Operations usual to the named inauiad p€rlormed undgr written contract.
SHOULO ANY OF THE ABOVE OESCR|aEO POLICIES BE CANCELLEO AEFORE
THE EXPIRAI1ON OATE THEREOF, NOTICE WILL BE DEUVERED IN
ACCORDANCE WTH THE POUCY PROVISIONS,
PROOFIN
Proof of lnsurancs
I
G"LILU\1,^,?
O 19E8.2014 ACORD CORPORATION. All rightr to!.wed.
The ACORO namo.nd logo.rs .egirb6d marts ofACORDacoRD 25 (2014/01)
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AUTHORIZEO REPRESENIA'IVE
AcIuaticTECHNOLOGIES
l'()()l s.\1,\5-\\'\ll_l{ ll, \l l_'Rl:s
March 7, 2019
To whom it may concern:
I authorize Lisa Zoscak to sign for and represent Hart Brothers Construction, lnc. dba Aquatic
Technologies for the purpose of obtaining any necessary permits and applying for a business
license.
Sincerely,
David B. Hart
Vice President
Aq uatic Technologies
949 493-9548 office
714 350-2310 cell
32232 Pzsco Adclento. Stritc ..\
Srn lueo Cepistrrno, {'.A 92675
949493-9548 fx 949-{e.1-8.195
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