HomeMy WebLinkAbout10498362 - PermitCity of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permat Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: {0498362
Pin #: 36496
Y
Project Address:1638 E Sev ntee n h Stt Unil:Bldg: Address Range:Suite Range:
Zoning: C5Assessor's Parcel: 400-251-03 Lot: NA Block: NA Tract; NA Historic: No
Building Use: Commercial Occupancy: B 1st FL Area: Patjo:
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: lnterior demo - n/v Code: CBC 2016 Olher Areas: yards Req,d:
Existing Bldg. & Use: Qe66sTcial office bldg Flood Zone: X-0602320163J Garage Area: Valuation: $5,000.00
Proposed Use: # of Stories:
Total:
Description of Work: Non-structural demo of all interior walls/ceilings (complete gut of offices/restrooms) on the 1st & 2nd floors, 5800sf. Letter of auth
on file.
Planning Conditions: lnterior demo only
Owner:
Address
Phone:
Tenant:
Trinidad Cisneros
1125 E Seventeenth Street, W-17
Santa Ana, cA 92701
Contractor
Address:
Owner-Builder
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Danny Rodriguez
Danny Rodliguez
'1317 N Custer Street
Santa Ana, CA 92701
(714) 9264389
Architecl /
Designer:
Address:
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd
Kelaher, Selena
Amsden, Julie
Date: 10/29/2018
Date:
Oaie:1111412018
Subject lo Field:
07776002
07776002
07776002
07116002
07776002
07776002
07116002
5160 7
57770
s760 7
5760 7
57672
57600
5760 7
Permit Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd ffi Account#
$160.25
$3.76
$86.78
$243.'r6
$1 .00
$22.08
$ss.04
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unlessthe work on the sito authorized by
such peftnil is commenced within 180 days aftet its issuance.ot if the work aulhorized
on the site by such permil is suspended or abandoned lor a peiod o1180 days 1ftet
the time the wotk is commenced
$22.08
$545.23
$1.00
$3.76
lnspector MtD#. 2018-147302
Fee Total:
Paid to Date:
Balance Due
Phone:
License #:
Phone:
License #:
sns+:,
Fef +
tl l l4 t'?l
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
01116002 51601
01116002 516'12
01116002 57770 $572.O7
$0.00
$572.07
BUILDING- INSPECTOR RECORD
SITE-WORK DATE rD/stG.COMMENTS OWNER AU!LDER DELCAIIATION
I hqcby amnn undr penaliy ofp.dtry that I tun.rcmF from lhc contadoB'Lic.nsc L.w lorln€ lollowi.s rcMn (S€c7011.5
Busin6s rnd Profsion Codc) Any Cily or Counry *hich rcqund a ldmir b consirucr. ah6. improve. d@o,Eh or ftp0r d) -
nrucruc. F,or Io irs asudc. aLo requn6 ln€ .pplicanl for such p.m lo 6lc t si8n.d srahenr thar k or sll. G lir.Nd pueui
lo lhe Forisro6 olrfic Contrcloas Lic.nsed hw (Chap{d 9. Con,ncncin-s *nh Selion ?0o0 ot Dirision I oflh. Busins md.
Prorc$ions Cod.) or tlml h. or shc is.xdnpt lhd€from ed lh€ h€sis lor rhc atl.8.J .x.mplion. Any riolarion ofSElion 70lll.5 bv ev
ffi#;;' ffi;-,ffi;;;;ffiil'-*:r**:$.",
rhe ptupdly Nho boil& or irnFov6 lh(@n. ud vho do6 such *o hnnselt or h6.lror rhorAh his or h€r o$n .nPlova
provid€d lhal such mprevonrs ft nor id6.lal orolTmd for sle lr, hor'66, fi. hildin-! o. ispmvo@n i. sold silhin one )@
olcompldion, d. Or'nr Bu dr will haw Ih€ burd@ olprorin! $d h. or she dil ml boild or nnprov. fie plopsly lor fte pu{Es of
I. 6 o$ ncr olrh€ prepq1y. dn .x.lusircly conl,aclins pilh licn*d conrsdo6 ro co6nu1 th. prcjed (s€ 7l!t. Bsms
and holdion Cod.r Th.Conlractois l.icds. Lawdo6nor applylo mosns olprop€nt$ho buildsor impro!6lh€t6n.
..d who codmrs lorsuch lrojeb wnh a Co.tBlo(s)liceffid pusudr r. rlE(onl.aclor's Licsc LaN).
1
DECIASAIIOI
I hEeby anirn Mdd F.ahyoapgjury on. oilhc louowins ddldario.sl
I h.vc ard will mainrain d Cdifical. oaco.mr to s.lf-lBuc tor *orkdt conrpasation, e Eovid.d tor by Sdion 1700 of thc
tibor Codc aor thc p6fomuc. o I lhc wo.L lor *ti.h lh. ldnil is isued.
I nav€ andwill mainrain wo&.r! .ool.6ario6 iGura..e, s r.llut€d byScclion l7(J0ofrhcl-aboraode,lorlh. pdaonnmc. ot
rhc $ort for whi.h liis D€flnil is $uel Mt workes .onpdttion iNumcc cnio &d !.li.y nunrb6 se:
-l
ccnify thlr in rhc pdfo':mcc of lh€ volk for whrch this pt@n ir issu.d. l shall nol dploy dy po$n h an, m nq
$ N lo b.comc subjcd to lh. wo*Ed coore@lion l,ws oacaliaomia. ud as,e lhal ia l sthrld beom€ subjd Io 'h.sorlm' ompmotion pBvtioB olssr,on 1700 ol lhc bbor Code I siall. fonhwih .!mpl, with thoF previsio.s
WARNINO Failu€ ro sue *.rkds' comp.Mlion uihstul. od shall srbjdt an flplora lo dinin.l pexhi6 and
civil fin6 up ro one hu.dral rhoo$nd dollds ($l rd ln cos ofcomp.nelion, dda!6 4 prorided for th€
Setion.1076 orlhclrbrCod.. inld6l d atlo'rey sq'
DECI,AAAI(}!
I h.rcby .rtr'n u.dd p.aalty o lpEjury $ar I d Iicftsdl tr.dd prolisioa ol Chapla 9 (conmcn i.e
oa rh. BsinB d Profsions Codc, od my liccBe n in tullaor.caderl6l
Lic.Be CIss:-Lic.M Nun$d
conrm.br:
CONSIAUCIIONIIIDIIC3CIICI
I hseby atnnn undd penaht ol ldjury rhal th6. is a connrudion lodins asen.! tor thc pslonnancc of th. \eot! aor thich lhis pann b
iss!.d (S(.109?, Civ C.).
AIIUTANLDECIAAAUO!
I lEri'y altrn und.r p.nahy olperjury one otlh. tollo!'ios dslrations
DenNlitnrn Pqmirs shesros Norin.dioo l'.dsal R.rulaiions ( hE t0- Pan6)
onscoE(l l.!,6tocontly\rilhallCnyandftrunU
n,x r.rcd ativ6 ofthis City ond Counry'o nro upon lhe
ob.E
"EmiotrcJ
propel, (]r
,\pDli.ant or \A. t Signrl *,.lqr'/ -/ %
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 6/,,14 *lM ,/)
Certificate of Occupancy
Notes, Remarks, Etc
UFER Ground
PolicyNumbd: ExptrG:
-
LenJe' ! Addrs
-
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