HomeMy WebLinkAbout10197957 - Permitq
Project Address: 901 W Civic Center Dr
Assessor's Parcel: 405-183-12 Lot: NA
Unit Bldg; Address Range:Suite Range:
Zoning: SD20Block: NA Tract: NA Historic: No
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspectof Section: (714) 647-5853
Permit #: 1O197957
Pin #: 88970
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Alteration
TI
Commercial
B
IA
cBc 2016
x-o602320't4/,J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $15,000.00
0
Description of Work: lnterior T.l. - Landscaping planter in interior courtyard.
Planning Conditions:
I/L? /?ttli"i I
ronE+t 75
ftef+ I
tl it9 /1v19
{rt-r'11
Address
I I idnr'[tt.l. ]Owner:
Address:
Phone:
Tenant
Santa Ana corporate Office center Contractor
3455 Wilshire Blvd. #184 Address;
Los Angeles, CA 90010
Deleon lnc dba Builderwell
1622 Edinger Ave Ste E
Tustin, CA 92780
ndqtP tee
-I:rarLi-Phone: (949) 232-0555
State Lic #: 1022234
Lic Type: B, C-6
Bus. Lic #: 371157
Workers' Compensation lnsurance
Carrier: Exempt
Policy #:
Expires:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Architedt AP+E
Sean Notirani
2451 AliSier Avenue
Tustin. CA 92782
(424) 36s-2070
: r,Lru-
,r,,iii
_ r rll_l-
,lilfitlrrt,S
ir '.rU.
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
Arabe, Jill
Kwak, Jason
Zuniga, Allissa
Date: l0/08/2018
Date; l1114/2018
Date: 1'l /'19/2018
Subject to Fieldl
l\4isc. Receipt
N4isc. Receapt
Ivlisc. Receipt
017760 0 2
0177600 2
0777600 2
0777600 2
07776002
0 777600 2
57607
5i 600
57770
57672
s1600
57607
$160.25
$222.16
$22.56
$1.00
$22.08
$55.04
Permit Fee
Plan Check Fee
lvlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
Yes
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 116002 51600
01 116002 51601
01 116002 51612
01116002 57770
Account#Total
Every pemit issued shall becorne invalid unlessthe wo* on the sile authoized by
such Demit is confienced within 180 days after its issuance,ot if the wo* authorized
on the sile by such pefinit is suspended or abandoned for a period of180 days after
the lime the wo* is conmenced.
lnspector
$22.O8
$215.29
$1.00
$22.56 Fee Total;
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories;
Engineer:
$483.09
$222.16
$260.93
MtD#. 2018-144239
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.OWNIiR SUII,DER DELCARAI]ON
I hdeby aftrrn undd perah) of tdju! lhd I en .rc'npr lsm rh. (onlracroB' Lic.ns. Law lot the follorvirr! r.Mn {Sa.?0.11.5
srsih6s anrl Prol6si0. Cod€): Any Cily or Counly {hi.h rlqut6 a ponir ro .oNtruct. all6, nnprov.. dqnolish or ripan v
slruclue, rrior to il! isumcc. also r.qut6 rhc agplicdt lor such Fm to fil€ s siSacd slar.md rh.l h. ot shc ir li<ds.d p6uel
ro rlE provisioN ol lhe Conrrocrois t,ic.ns.d lj\' (Chlrre 9, Com,nen inr wnh Salioo 7000 of Division I otlhe BBinG &d
Poisions Code) or rhar h. or shc is excmpl rhserron ed rhe bdis lor lhc allcg.d erdnlrion Anv violirionotS..lion 7011.5 bvan,
applt,rlorapmirsubjeclslhcapDli.adtlotcivilp.nallyofnotmotelhdnv.hun&.ddollds(1t00)
l. s oqs oflhe pmFny. or my cmplo)G $nh wa86 s rhen eL conp.nsslion, Nill do lhc trotk dd lhe sr*tr t mt
inrd&l orolra.d ao; sl. rsd.?044. BBins d Prclsn B cods Tnc contractol s Licos. lis do6 nor gpplv to e ov do'
lhe pm!.sly sho b!il& or nnpmv6lh@( aid *ho dG sucfi wo& him.lf or hdlrorihrcush his or hd o*n cmPlov€d.
prcvid.d rhar srh impmvoftils @ mt L 6&d or otIJqj loi sk ll fiow6 6. thc building or inprovddn is $U rnhin on€ r@
;acompl.rion, lh. Osnd Blilda will ha!€ lhc htdn of poring thar hc or she dd nol bnild or nnFo* Ue PDFrv lor $c O4oe of
-1.
6 oM6 oflh€ prcpsly, an .rclusiv.ly coolnclinB *ilh lichs€d conlracrou to co6trucl lh. Fold (Scc 7044. B$ins
ard PDfsir.Cod.: Th.Conlradofs Lictue La* do6 nol applyro o$n.r ofprop.nv{ho builds or impro!6lhrNo.
eod who co Eds for su.h trojd8 wifi 0 ContEclo(s) li.oscl Pu6oanl lo rh. Conlrrclois Licm. L2w)
I tun.r€,nd und6 Sdn,n-, B &P( aor'hisre6on.
IVORKI,RS' COMPENSATION
DEC.LAEAIIO!
I hqeby amm mdd p4alry olpdjuryon.oalhc followi.s d(ldarioG:
-l
ha( a,rl will moiniain a Cdificalc of aoosdl lo Selt-losurc tu vorkcs @nlPo..lioa. s prcvidcd tot bv Sation 1700 otrh.
Labor Codc, for lh. pqfomnce ot lhc sorl foi shich th. pqmit t a3u.d
rcqun€d bySe.lion 170{ oflne libor ( odc. for lhc pafonnd(e of
ion insurdc. cdi.r 6.d tnlicy nnnha mI Iarcand willmainr!in Lvorkc( .onrFnsar
rh. \.rk tur Nhich rh6 pennir is issucd. My
I cdr&rn.t in th€ perlomance of rh.it for whichlhis p.mn isissu€d.l shau not anployaoyP.6on in anv mannq
s 6 lo b..o,n€ subJer to thc so.l6 conpo:Mr io6laws ofCalifomia, and aBE th.t itl should tE om.subjd to rh.
so 6' compoelion pmvisions of S.dion 3700 oarh. Lab.r Codc. I shall. aonhwilh
WARNINC: Ir.ilurc lo sue work6 .o,npcneliln corsase ii unlarv
civil tines up lo onc fiun&.d rhoused dolla^ (n. ddn.tcs 6 provid.d ior rh.
Sdrion 1076 olthc libor (ird(-t4
I d liccnsd undd Drovision ofch.pts 9 (commd(ins q nh S&1ion 7000) oaDivtion lI h. by €.lrundn poalry o f |Erj
t 02?-L3y
I n*by amnn undr paulry of poju,y rt ur rla is rmio,, tddins a8oc, for th. psfodec. of rhc {ort for *ii'h rhis pdnil i!
issu.d (Sd. 1097. Civ. C.).
I cn,ld's Nrme
-
Len'ier ! AdtL6.
AIELICANLDECI,AEAIIOtr
I h6tby aflim uod( p60lly of pdjury on. olrh. follo$in8 d(ldalions:
D.holnion Pfl,ils'Asb6tos Notificalion F€d.61 R.sularioB (lnle {. Pan6)
-R<uir.{j
lill6 of Norifiqtion
-l
c6lilyrlh rhc ledsal rcsulalioro r.8edin8 sb6Ios reno\al,tc nol spplicable lo lhis projd
I c.iily rlrd I hi!. rqd this amli.ar
ordi.tu.6 md stale t ws
ab.vc !rcnrionql rmpdy fo! i
,\pplicntrr or Asdr SiA rl
ion is cotr*r I rlrdtocomplyw hallCn,and Coutrly
rpc renr6ota,^6 olrhis C ) dd cuunr, h ors ulign th.
I; il-tq'tL
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVlnsulation
Roof Sheathinq
Shear Wall
Framinq
ln su latio n/Ene rgy
Drywall
Brown Coat
lrla so n ry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL lllL4/t(t ,a*
Notes, Remarks, Etc.
COMMENTS
Ext./lnt. Lath
an unploys to oinriral FElti6 and
of rh. Busins and Pref6siotu cod., dd my lic.n* n in rull forc. ud elTcr
1 1Lr
)
,?z