HomeMy WebLinkAbout10185999 - PermitAssessor'sParcel: 109-071-07 Lot: NA Block: POR I
unit: 1 8 Bldg
Tract: WEST Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Sarita'AnaicA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Permit#: {O185999
Pin #: 1496{!
Building Use: Commercial Occupancy: B 1st FL Area: Patio:
Job Type: Tenant lmprovement Constr Type: V B 2nd FL Area: T.l.Area: 33OO
Nature of Work: TURoof Mtd Equip/Walk-ln Cooler Code: CBC 2013 Other Areas: yards Req,d: 0@0
Existing Bldg. & Use: Comm/Tortilla Mfg Flood Zone: x-0602320257J carage Area: vatuation: $118,470.00
Proposed Use: Take-Out Food # of Stories: Total: O
Description of Work: Expand unit by removing (2) demising walls. Tl includes interior partitions to create new kitchen, walk-in cooler, & office. New roof
mounted equipment & walk-in cooler. Grease interceptor req'd per PW memo.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
lnvestor's Property Services
'15707 Rockfield Blvd. Ste. 225
lrvine, CA 92618
(949) 900-6160
Flor De Mexicali Tortilleria
Engineer
Address:
{
E & A Engineers
Gil V. Evangelista
20505 E Valley Blvd #'l1l
Walnut, CA 91789
(909) 598-504s
2422
TRS Engineerinq Design Division
Eduardo Garcia
9196 PEPPER AVENUE
Fontana, CA 92335
(909) 227-3629
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
-;
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd U Account#
Soto, Ricardo
Heidari, Fred
Chavez, Dave
Dale: 0712012016
Date: 07/19/20'15
Date: 08/10/2016
Subject to Field:
lvlisc. Receipt
NIisc. Receipt
lvlisc. Receipt
Permit Fee
Plan Check Fee
l\4icrofilm Records
SMIP - Calegory 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$'r,057.50
$1,502.82
$21.00
$33.17
$5.00
$20.s6
$51.26
$2,691.31
$1,4s7.06
$1,234.25
66560
Total
57607
5i600
57770
24000
s7672
51600
57607
Flood Zone Cert. Req'd: No 01116002 51600
Every pemit issued shall become invalid unless the work on the sito authoized by
such permit is commanced within 180 days afler its issuance,ot ifthe wo* authoized
on the site by such permit is suspended or abandoned for a period of180 days aftet
the time the wotu is commenced .
lnspector MID#: 20'15-123084
01116002 51601
011'r6002516'12
01 116002 57770
0890100'1 24000
$20.s6
$1,108.76
$5.00
$21.00
$33.17
Project Address: 1212 S Bristol St Address Range:Suite Range:
Zoning: C1
Contractor: RomanConstruction
Address: P.O. Box 1146
walnut, cA 91788
Phone: (909) 229-2099
Slate Lic #: 971274
Lic Type: B
Bus. Lic #: 353031
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
0 77760 0 2
o177600 2
0777600 2
08907001
o7776002
0777600 2
0111600 2
Fee Total:
Paid to Date:
Balance Due;
SITE-WORK DATE ID/SIG COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall ,,s
Framing h"9"t7 /4.V/tLA
lnsulation/Ene rgy Y/i
Qrywall 7-zl"t.?KYBI )uti
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
FINAL Ur.tb2"J).5r]2(@
qertificate of Occupanc v
Notes, Remarks , Etc
BUILDING- INSPECTOR RECORD
OWNER AUILDER DELCAR{TION
I hseby arm !.ds la.lry ol r,6jury llul I m ermpr 6on th. Co.t.doE LiccE Law forlhc lolloNirs rNn (Sc.70!( 5
Btrsins ud Prolesion Code): An, Cny or Cou y which r.qun6 a padr ro conslrud, dlld, inptuve, dsnolbh or rq6n )
slnrlue prior ro its isu cc. also r.qun6 lhc appli.d aor such tEnn lo frI. r siencd $ardd rhd h. or sh. n licred puNM
io rh. provbions ofrhc conrracrofs I-icenseJ tr* (Cn.prq 9. Commencins virh Sdio. 7000 of Division I ofr& RusnE$ &d
PrefNions Cod.) or lhat h. or sh. is .idnpi rhd.fron ed rh. 6ai! lor 'l[ dl.!.d .rmprion Any viobtbn of Sdion 7011 5 br'..y
appli.anr lor apeftir subjdslhc applica roacililpcnaltyofnolmo.erh fivc hundrcd dollss (!5(lO)
l. !s owno ollh. prcld1y, or my cmFlorB wnh wa!6 as rn* ele c.mtetualio., Nill do rlE $ork &d th. nndm is mr '
intod.d or oflqed for sl. ( Sc 70.14. Busins md Pmlsiore ( .i.: Ti. codtadors Li..N tiw d.6 nor rpply ro .n o$nd oT
lhc pm!.n), who build. or imp.ov6lh@n. ud who do6 such N\trlhi,nsellor tmclfor thronsh his orhd oNa.mploy6,
providcd rhar strch inprol.l1ds m nor inrmLd or ofid.d for el€ !I ho*6 6, rh€ hilding or inprovflol is $ld * irhin on. \qi
oaconpleiion. rhr Olhd Buildd Nill hav. rhc hnd6 of Fmvirg thrl hc or sh. did nol build or inproE lh€ Fropsty aor lh. purFrc of
l. 6 os ns of thc Fop.ny, dn .xclNiv.ly contrrdi.S \ith lic.N.d .o.rraclo^ ro cotrntud rh. pmjd (Sd. ?014, B6ins
md PrDf.ssion Cod.: Tn. Contactor'! l-icos. l.aw do6 not apply ro an own6 o iDrop€.ry who builds o. imrrov.s lhs6n.
and rvho contmcrs aor sucfi pmj.€ls wirh a ao mdo(, li.d.d Plluua.r ro rh. Conradols Lic@ trw).
I m.xempl undd Sclio.
Dilq Orn€r: -WORKEXS C(}MPENSATION
!EC!A8A]rO!
I hr€by ailim undd p€nahy o I psjury one ol the follovinr dRl&.lioB
I have ed s iU oarnlain a Cd i,icdtc of Co6qr ro S.ll-Insur. for \ 0116 compssrion. a Folided for by SErnin l?00 oi lhe
l-ahr Cod€. for th€ pstonnanccoflh€ so for Bhict rh. tmii is isu.d
I harcandrvillmaintain wort6 .omp€nsalioa iBuranc€. s r.quir.d by Secliof, 1700 oithe Labor Codc. forihe pqfonnanc. ol
lh. * ork aor which lhis D€rmn is (q.4 My Nork6 comDdsion insurmc. cffii6 ed D.licy numb6 s.:
ElPtdl
I .dilyrh{ in rh. pdadlfun..oalhc work aor *hicfi lhis Fmil is issu.d. I shallnol mrploy aly p€.$n i! aiy man.s
$ 6 to hccom. s'bjd lo 1fi. 10*6 co,rpdsation la(i o I Califomia, md agE rh.l il I snook beomc subj(t to th.
\0*6 comFnslion provisioG ofS.dio.1700oarh. tib.r C.dc,I slhll. fonhwnh.omply wnh Ih.c prolisioB
WARNING: Failu( lo kue *ork6' comp.Gation co\6.sc is unlaNtul. a.d shall subj<t mploy( lo siminrl rEralri6 and
ciril frB op r. o.. hundr.n rhousnd doll6 (!100.0C{). in addilion Io rhe cost ofcoDrEnsrion, daruad d provid.d ror th.
Sdiion 1076 of
'hcL.borcode.
inrdBtdddromcy,s 16.
I,ICENSED CONTRACTOR
DECIAAAIIOI
I hdcby amm und( r€nahy of pcrjury that I an liens€d !f,dd pmvision olch.pls 9 (comdcirB wnh Setio. ?000) ofDivisioo l
of lh. Acind md Pof*ions Cod.. dd my licm. i. in full fon. an1 .fimr
caNualJculN-L[NDtlc-Acllcr
I h@by amrd und6 p€.ally oi pdury lhal th6. is a onslnrclion k dins.s6cy for lhc pdfomanc. oflh. work lor *hi.h this psnrh G
issu.d (S*.109r, Civ. C.)
lado s Mmc:
AITTICINLDICIAAAIIQN
I hqdry aflinn unds Faalty ofgrjuq oneolthc follosin8 drlddions
DenDliiion Pemic- Asbdlos Nol incal ion Fcddal Rcglldions (Tnt40. Par6)
tetrned l-elier oiNolificaltun
I ccn,lythar rhc fcdsal ,.sularions reg din3 osbslos rdro\ al dc not applicnhle t. rhis projd.
l.6rilyrhar I havercadlhisappli.arionedsrar.rh6r rh€attrve ioromehoi is corc.1 IasrenJcodply*irhallCiryandCounry
odinancB md sr,rc L.{s rclring ro buildins .odntudion. ald hrchy adhor;. rcF*nr{iv6 o f rhL Cny dd Cou.ly ro ore upon $e
rbor. frorio.8j popcny for insp.dioo pupoc.
.\ft)li.i r 0r rrrtrr si[nrltrrr
\
UFER Ground
Ext./lnt. Lath
Flood Zone Certif.