HomeMy WebLinkAbout10197925 - Permitcity of santa Ana 20 Civic Cenler Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 10197925
Pin #: 11378
q
Project Address: 2115 N Broadway
Assessor's Parcel. 399-'102-26 Lot: 10 THRU 17 Block: NA
Bldg: Address Range:
Tractr E. M. SMILEY'S SUB
Unit
Historic No
Suite Range:
Zoning: P
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
Exterior ATM
Commercial-Gredit Union
Offices
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
V A, SPK
cBc 2016
x-0602320163J
0
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patao:
T.l.Area: 84
Yards Req'd:
Valuation: $10,000.00
0
Description of Work: lnstallation of (2) new exterior ATM's.
Planning conditions:
1t/1/2818
Irttns+r 19
Ref+:
1t/5/2tt\t
Owner:
Address:
Phone:
Tenant:
Schools First FCU
2115 N Broadway
Santa Ana, CA 927062613
(714) 466-866s
Schools First Federal Credit Union
Contractor: Broad\.vay Building Group, t
Addressr 4590 MacArthur Blvd. Suite
Newport Beach, CA 92660
Phone: (949) 335-7183
State Lic #: 1005485
Lac Type: B
Bus. Lic #: 370469
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9'142275-18
Expires: 10/05/2019
,,rjnl,r l:rr:
rlt. . r"li.lr.l
i.1. ,
,11 ' llr.{ir',:' i, ir,
H Hendv Asloclates l.i l.'l '
Susan Dl,pwyer -iru,, i
4770 CampuS Orive, #1O0,, rr I rr r
Newport Fbachi CA gzsso l'rr'i;r,i:r r
(949) 851-3080
c33724
Engineer
Address
I r rr:, 61oupr LL
Phone;
License #
Architect /
Desiqner:
Addressl
Phone:
License #
I_r
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Soto, Ricardo
Heidari, Fred
msden, Julie
Date: 10/04/2018
Date: l0/29/2018
Date: I l/01/2018
Subject to Field:
No
(k
( -/to Account#
71620
Total
lvlisc. Receipt
lvlisc. Receipt
L4isc. Receipt
077760 0 2
077760 0 2
077160 0 2
0117600 2
0717600 2
0 771600 2
57607
5i 600
57770
57672
s7600
57607
$160.25
$222.16
$18.80
$1.00
$22.08
$55.04
Permit Fee
Plan Check Fee
l\4icrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuancelnsp. Req'd
No
Landscaping lnsp Req'd: No Flood on $22.08
$215.29
$1.00
$18.80
eq'd YesPolicensp
lnspector ItillD#: 2018- 143286
01 116002 51600
011 16002 51601
o1116002 51612
01116002 57770 Fee Total:
Paid to Dale:
Balance Due:
$479 33
$222 16
$257 .17
i
I0! JGI
I r.lt i
rl1:
Every pemit issued shall become invalid unlessthe wotk on the sile authoizod by
such pemit is commenced within 180 days after its issuance,ot if the wotk authotized
on the site by such pemit is suspended or abandoned fot a penod of180 days after
the time the wo* is commenced
SITE-WORK DATE IDiSIG.COMMENTS OWNER BUI LDI]R DEI,(' IIATION
I h&o, afinn und6 p6ahy oa pdjdry rhar Ln crmpr rrefr rh. Coniradou Lic.lsc La\r for lh. follotrins rcsn (5(.7011.5
Dusinss and ftolsion Codc) Any Cily or Counly shich rcqunB a psnil lo conshrcl. alt6. ilnprov.. d@olih r reF'i ey
.rruclud too. to irs isDmcc. also ,cqui6 rhc applic t for such Fmir lo 61. a ssncd sralmdr rhd h. o. sh. b lics.d pusu.4
ro the pmvisioB of fi. Conracbis l-icensed Law (Chaprd 9. Corun.ncinA qilh Sdion 7(100 of Division I oalh. Busin6s dd
Profcssioos Code)orthal heorshc isexsryr lhsctom md lhe b€sis lo' rh.allered cronflio. Anyriolario.ofsdion?011.5bt4.,
.ppli.adlorap.nnnsobtersrhcappli.mrrorcivil!.n.hyofn.tmor.rheliv.hxndEddollds($500)
-1.
6 own€r oirhc pmpaly. or ny cnployc6 B nh var6 a lhcn el. codp.aarion. *ill do thc sqk ..d tn. nnaie is noi
i 6xled or olI6€d aor sL (Se.7044. Buine ed ftofsioB cod€: Tnc (omrdcror'r l.ic.e ljs' &6 nor ,pply ro m oma ol
rh. prnFiy who t{il& o. inFov6 ih66n. rd who do6 su.n *oil hims.l, or h6.lt or lhmugh his or hr oun .mploy6,
Drovided rhat such imD.oEmts e Dor stsd.d oroE6.d tur eL. li bowB6. rh. hrildi.g or ihprovffil is $H wilhin one )w
ofcomplaion. th. O$ro &il&r w have th. h{dar oaFovi.g tha h.or slEdil.or hild or improvc th. poFly for lh. pIrpoeof
l. N owns of rh. liopsly, m €xclusiv€ly contradinS with lic.6.d contmcloE lo conslrud th€ prcj.ct (Sd ?o44. &6ms
and PlolBi- Codc: Thecontrctols LiccN.l-aw do6.ol apply to rn ownd oapopdy trho brilds or imp.ov6lhs@n.
a.d sho conl,acts aorsuch projdc wirh a Conrmdo(s) liccBcd pureu t lorhc cohrra.lors t,icmr Law).
I m .x.mpi und6 Selion , a. & P.C. for this r.Mn
Dtt€: Orr€r:
)!486!8S-.C9!!TENSATIO!
DECI.ASAIIOX
I t.r€by amno undd p.nolly olpsjury ooc ofthc lollo$iru ddlsalioG:
I ha!. ed will mainrain a Cdific.t. of CoBol ro S.lll6ur. fo! sork.B' cohD.nerion, 6 proridcd tor by sdlion 1700 ofrh.
kbor ('od., for th. pofomoc. of lh. {o for which ih. pmn is iqso.d
I have.ndwillinrintainworke.i co'npensalion rhc Lahor Code. lor rh€ pdfonnmce ol
p€nnir is issu.n. My $or[c(
,1
7
I cdilyrh i. dE pafontrmc. oI th. work for {hi.h rhis p.mn is issrcd.I shall nol cmploy any pq$n in anyBdnd
e N to b..omc subjdt lo lhc qo 6' comp€Nlioo lsws oacaliaomi0. ud asre lhal if I should b..o,n subld' to th.
uorl6 compemation provisiofls of SEtion l?00 oflfi.litor Co{q l slEll. ronh$ilh conplr *ith rhos previiions
WARNINC: Failur€ to sur. sorl.6' conpq6dio. $v.6sc is u.lavtul. ed shall subjei & enploF lo qiniial p@hi6 dd
.ivil nncs uf to on hundr.d rhousd doll6 ($100.000), nr addir lo rh. cos ol coflrp.Nt daa86 5 p( idcd aor rhc
Gdq inlsd and rro.n y\
I hd€by afiim undd tdall, of lsjury lh.l I m lica*d und6 l,mlision ofchapls 9 (comftocinB snh Se.rion 7000) ol Dirisio. l
oa th. Busi.6s a.d PrcfBioB Conc, md ny lic@ ir in full lor.. and .firr.
/o 3t Vbr"f
AITII(ANLDECIdSAIIO!
I rEdry Eitnn und.r pdally oapcrjury onc ofrhc follovins dcl&aliom:
De,nolirion Pmirs-Ash6los Notifi carion Fcd€ral R€sulahons (Tirk 40. Pan6)
-Rcqut€d
Lell6 of Norili.attun
I cerlily rh!] I havc r.!d rhis applicatnrn udsiarcrhal rhc above inrom on s.dnd.I alrelo.ompl,wnhallCilyandCounly
o mrDcsntrd Srarrln\s rcLlr,n! ro I'ldinBconsrn'cfon.aurhori2.r.r,.srdiv6oarhis Cily dCounl
abovc nmlion€d propdy for insp<l
,\pIlic.nl or AAenl Sifn.turc /9
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathino
Shear Wall
Framing Vk//\i\fix
ln s u lation/Energ y
Drywall I /?/t,l a\<x/
Ext./lnt. Lath
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL '4 rltt1 .{udo
Certificate of Occu pancy
Notes, Remarks, Etc
BUILDING- INSPECTOR RECORD
Subf loor/VenVl nsulation
Brown Coat
I
I hd.by anm ud6 p.naly ol rqjlr, rl'ri th6. is , codrucrnn l.din! a86cy for lh. pdlommc. of the vork for whtn lh$ psnn i
issu€d (Ss.309?, Civ. C.).
L.n.ler'" N!me
I.ndd r Ad&s
-
-l
cdiay ln.r rh. acddol r+ularions rcs{din3 ab6rx ramvd arc nor applicabl. ro rhis por<r.
l,rirnike,n,c(I,'n,t):
I
=