HomeMy WebLinkAbout10396696 - PermitAssessor's Parcel 400-011-03 Lot: 3 Block: NA
unit: 120 Brds
Tract: 6313
Address Range Suite Range:
Zoning: C5Historic: 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 #: 10396696
Pin #: 87999 $
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
TI
Commercial office bldg
Orthodontic/Dental Officc
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
VB
cBc 2016
x-0602320164J
Patio:
T.l.Area
Yards Req'd
Valuation:
1934
0@0
$69,430.00
Description of Work: Legalize unpermitted work - new partition walls to create dental rooms, xray, office;(2) new restrooms; new e xterior door; demo
patio cover
Planning Conditions:
Contraclor: V C D & SONS INC
Address: 526 S Ross Street
Santa Ana, CA 92701
Phone: (714) 801-7604
State Lic #: 596135
Lic Type: B
Bus. Lic #: 3842
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 1877843
Expires: 11l0'll20'19
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Eir
rl
EI
Mitchell Design
Frank Mitchell
P.O. Box 29131
Santa Ana, CA 92799
1714l.760-2397
Planning Approval By:
Plan Checked By:
Permat lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Pezeshkpour, Ali
So, Anson
Zuniga, Allissa
Date: 09/18/2018
Date: 11/06/2018
Date:1111912018
Subject to Field.
[iisc. Receipt
Misc. Receipt
[/]isc. Receipt
077760 0 2
0777600 2
0777600 2
0777600 2
0771600 2
0717600 2
57607
53 600
57770
57672
57600
57607
Permit Fee
Plan Check Fee
l\4icrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
N
71098
Total
$483.50
$676.90
$18.80
$3.00
$22.08
$ss.04
$1.259.32
$657.56
$601.76
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Noyes Account#
Flood Zone Cert. Req'd: No
Every permit issued shall becorne invalid unlessthe wo* on the sito authoized by
such pennit is commencod within 180 days aftet its issuance,ot if the wo* authoized
on the site by such permit is susponded ot abandoned for a peiod of180 days after
the time lhe wotu iscommenced
lnspector MID#: 2018-143892
01 1 16002
01 1 16002
01 1 16002
01 116002
01 1 16002
51600
s't601
51612
53600
57770
$22.08
$538.54
$3.00
$19.34
$18.80
Fee Total
Paid to Date:
Balance Due:
Project Address: 1920 E Seventeenth St
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat 0
lri
Owne. Alex G Gladkov Dental Corp
Address: 5818 S La Cienega Blvd #203
lnglewood, CA 90302
Phone:
Tenant Orthodontic Center of Orange Cou
flt.€ Fee
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BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCANA'TION
I hcby amm undd p.nalty or p.rjury $ar I m cxdnpt fto'n th€ ConhcloB Lic.nse Li* for lhc lolhwing r@n {Sd.?ol l 5
B6in6s ed Plolesion Cod.)r Ary Cny or Counry shich r€quird n pcnnn to connrud. all6. inprove d.molish ot r€Pair .,:rv
$ructuq l,ior ro ns isumc., also rcqutB thc applic l for su.h p.f,nn to file . sisn€d slal@d rhd h. or she G licosd pu6udl
lo rh. provisions ol lhe Conlractoir Lic.n*d tjw (Chap16 9. Cond.n.i68 {ilh saiion 7000 of Division ] ofrh. susin.s dd
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apDli.anr fo. a pson subjcs rh. ,pplicer ro a civil p€nany of not n&rc rhd n!. hun&ed doUm (t500)
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n 6d.d or ofided lor sl. (5(.?044, B6i.ss snd PI oasiors Cod€ 'lhe Cdniractol s LiceN liw do* nol tpplv lo an osr6 or
rhc l'opdy $ho hril& o. i.rFoc ths@tr an<l who dc such so.l hitns€lf o! h.Bl f or rhrough fii5 or hd 6!n .mplov.6.
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oacompl€rioG rht Od.r Brildd wil h!rc lh. budd ofproli.s lha h. or sh. did mr blild or imlrov. the Ftpdty tot lh€ purlne of
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ofrhc pmpdy. m *cl6iv.lyconlrrclins snh li..Nai conlracloN lo codtuci th. prcid (Sd. 70'l'1. Bu(inR
dd Pnf.ssbn Cod.r Th€ Cont.cbr's Li..ne Law doB not apply to d ownd olproPeny who buildr or impro!6 !h(@n.
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-lhawandsillnrinr.inaCcnilicareofConsdlloSclllnsui.aorNork.Bconrp.nsarion,sProvid€dlorbySdrioolT00oflnLabor Code for rhc pdlommft ofthe Nrk for which the psftil is is!u.d.
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ha!. a.d will mainlaifl work.rr' co'np.carnrn i6uranc.. s r€qun.a by s*tiod 1700 ollh€ Labor Cod.. lor th. pslorocc ol
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ceniryrhar i. rhc pcrfoi,nancc ollfic vork aorwh{hlhslemn is i$u.d.l shallnol dnplay.nypmon in aov 'ndner$ s ro baomc subjer io rhc wo B .ohpaerio. laws of CalitomiB. dd d86Ihal if I should bccomc subjdt to tnc
sorl6 conrpcnsorionpovisionsorserion lT00oarhe LrborCod€. l slrall. aonh*lr!yilh
dploF lo aininal pouhi<. dd
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WARNINC: f-ailu.c lo suc sorlm .omFffation m
civil fincs up lo one hundr.! rhors.nd dollds ($100.000
1076 ofrhe l.alnr Codc. im.rsi d a
DECIAAAUq!
I h6.by affim n.ds p.n lry ofpsjury rhal I m liccnel undd prcvisio. ofChapls9(commmcinB rith Section 700Ol ..l)ivii'n I
ot the Busin* dd Pofdions Cod.. dd my li.cnsc is in rlll aor.! drd ctId.
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I h@by aIIm und6 pdahy o f psjury rhd rhd. is a codrudion lodins astry for Ue pafomncc of thc *ork for which this p.rfln t
issucd (Sc 3097. Ci!. C.).
Atrl,lcAtrLlllclaE Irax
I hqltr.jlmundd pdaliyoapsjury on.ollh. lollowi,s ddlo iom:
Dcnolition Psnits-Asb6los Norincarion reddal Rcxulali.as (lille 40, Pel6)
Requircd 1.11fl of Nolilication
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ccrlily rhar thc ledcral resuldions csardrng 4b$los rcmolal arc nol applicabl. to rl s Proj€ct
lcdiD thal I hn\€ 'cad rhis +di.a(io ion is conc1. , asrd lo romtly*irh all Cityand ( ount,
ordimncs and Slal€ L,a\s aurho.t !eF*r ar ir6 oalhis Cily ed counly lo dro uFo. $.
ibovc rdrioncd prelEnt lor
Aptrli$nr or,{tr.l Signxltrr€
e eS
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
Handicap Req.
Deputy Final Report
Engineer Final Report
FINAL It].lht fi v[\40v1 T1-TSfil/N
Certificate of Occupancy I
Notes, Remarks, Etc.
Forms/Steel/Holdowns
T-Bar
Flood Zone Certif.
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