HomeMy WebLinkAbout10197770 - Permitcify of Santa Ana 20 Civic Center Plaza (M-19), SantaAna, CA92r-02 Building
Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (71q 447-5853
Permit #: 1lJ15777(J
Pin #: 93304
q
Project Address: 2677 N Main St
Assessor's Parcel:003-013-18 Lot: MANY, SEE COMBlockr A & B
urit: 860 Blds
TG.|7211315
Address Range:Suite Range:
Zoning: SD31Historic: No
Building Use:
Job Type:
Nature of Work:
Existang Bldg. & Use
Proposed Use:
Commercial
Tcnant lmprovement
lnterior Tl
Commercial/Offices
Spec Suite
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
II A, SPK
cBc 2016
x-0602320163J
1 st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total: , .
til i'
0
Dsscription of Work: lnterior Tl only for unit 860
:)
' U/1/2$18 ID I 'l'lrflns+: 31Rel+: 1t:t l:
11/:i/?r:r1S !:1t'rtol tl r6i
Owner:
Address:
Phone:
Tenant:
The Muller company
1100 W. Town & Country Suite 810
Orange, CA 92868
(714) 543-0100 ext. 202
CoPower
Contractor: KN R Builders
Addressr 14701 Myford Rd #B
Tustin, CA 92780
Phone: (714) 259-1700
State Lic #: 7733A7
Lic Type: B, C-9, C-33
Bus. Lic #: 6843
Workers' Compensation lnsurance:
Carrier: State Comp lns
Policy #: 1972863
Expires: 111111201A
Engineer
Architect /
Designer:
Address:
Phone:
License #:
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
Orozco, lvan
So, Anson
Chavez, Dave<.4'
Fire lnsp. Req'd:
Police lnsp. Req'd
Dale:0912412018
Date: 10/25/2018
Date: 'l l/05/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
0 77760 0 2
017 76002
017 7500 2
017760 0 2
01776002
01775002
71562
Totai
s760 7
53600
57770
57672
5760 0
s760 7
$561.75
$786.45
$3.76
$3.00
$22.08
$55.04No
No Account#
Flood Zone Cert. Req'd: No 0i 116002 5160C
Every pemit issued shall become invdlid unless the wo* on the site authotized by
such pefinit is commenced wilhin 180 days aftet its issuance,ot if the wotu aulhoized
on lha site by such permit is suspended or abandoned for a period of 180 daysafter
lhe lime tho work is commenced.
$22.O8
$616.79
$3.00
$3.76
lnspector MID#: 2018-146296
01116002 51601
01 1'16002 s1612
o1116002 57770 Fee Total:
Paid to Date:
Balance Due
Patio:
T.l.Area: 2247
Yards Req'd:
Valuation: $56,250.00
Planning Conditions:
A,;dress:
lii
CDL Associates lnc
Carolyn Doyle Larson
9265 Research Dr
lrvine, CA 92618
(949) 679-6456
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$1,432.08
$786.45
$645.63
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.
-1.
6 osn6 ot$c I,Np.ny. or my flplorG rvnh var6 a lhcn sE coftposarioo. {ill do tc ss! ed lh. id.lG ie ml
intatcl o. olId.d aor !rl. (Sc.?ol4. Buire ed Pr.fcstions Codc Th. Conlruclols Lic.M Liw &6 nal rpply lo u oqs of
rh. popcly rho bilde or inpmr6llEon. 6d wlF do€ sucn vod( hiesclao, hcrlr or llwush his or hd oM .mployG.
prolidcd lhat such inprovmrs @ nol hr6(k or olIq.d aor ek. Ii tula6, th. hlidi't8 or itrllrcvoEr ie eU vi{hin ok }d
of.ompldio,L th. omo &ild6 will hnvc 0. htrd6 ofprovi.s tha h. or sh. did mr biL4 or imFov. th. FlFry tor lhc puFe of
l. 6 own6 of th. Ptopqly. dn.rclusiv€lyconrrocrin3 wilh lices.d conlEdo6 ro consrrucl lh. projrl (sd 70.14, Bcr6
rnd R!ft$bn Cod.: Th. Conk.cloi s LiceN. Law do6.ol +pl, to m own6 oapop.ny sho builds o. ihprovcs thqen.
and who contmcls lorsuch proj.€rs virh a CoflrEclo(s) ltccd pu^unt lorhc Cohrh.rofs Lica€ LNI
_l m cr.'npt ud6 S.dio.- B &PC forlfiis l@n
D q Ontr.r:
vaBKEA!_CAlISEllAr!9rqucla-8Arot
I hotby .mnn unJs pcnaliy o I polury one ol the lollos in8 dddatioB
l have ud qill nriarain a Cenificatc of Co64t ro S€la-lnsure for workeB conrp.nsar io,r, .s pro!ided lM br sNrion lT00 ollh.
L.bor Cod€. lo, lh€ pgaof,rwcc ofltc No lor shich the pmn is issu.d
lb halc and s'll nrainrain tror[cs compcmalion insurance. as requned by sdron ]70{ or rhc Lah.r (odc. rorlhelsfomanccof
rli.\o'lln,\hL.hrh\to,rnr'sisnnl Nl!\o'lds r.n,Fnsrri,inin\urn...rtr,o,trrllx,l,(\ rni.'r.
( xnLn . fhfc 0^. D"n rAtl; a Tn,u.an c. Ead-i77rcZ,d/7 - //-//- >0/tr
l.dify rhrt in rh. pdfo.nmc. of th.qo for shich rhir Fmir i! issucd. I sh.ll nor o.ploy any pcMt i, ony ndnd
e s to bc.on. lubjdr ro rl'. No*6' codpdsdion krvs olcalifomia. dd as,e $al if I should bdonc subj(' to lhe
rvort6' .onp@rio. povtioN ol Sdion l?00 of th. Labor Cod€. I sldl fonnGlh .onply wirh lnor pmvilioB
WARNING: Falue ro s@ $0116 compasrion @vcE€. i. mlarful, ed sh,ll sobjdl m onployd to qimin.l peuhii md
ciyil fme up to on. nu.&.d thoMd dollm ($100.000). in addnio.lo rh..oi oacomFNrion. dm46 6 provid.d lor lfi.
S(riof, 1076oalhc kbor coiq imdd 6d al(omy's f.s/tr-/s 4-L-
DDCIAEAIION
I hs€by a,lim uad6 p€nahy ol psjury lhal I m licenscd unds provision olchapld 9 (..nmdcin! *nh S<iio. 7000) of Division l
ol thc Busins and PmtdsioBCod., ad mylic.N is i. lull force md €rT6l
El t-l cr)7 7 7)//
",,",' l/-r'/9 co,,,,,c,,w--+ .?---
c0lllaucuaN.LEdDlrcic!!.Cr
I hdeby amnn undd pd.hy ol psjory rh.r rh6€ is 0 consrtuction lqrdins asdcy for rhc pdfomancc ol rhc Nork aor trhicn this psnn b
i$u.d (s(. :1097. civ c )
AISIICANLIECI.A8AIION
I lErby 0fmn ondd p6rhy of Fjury one of thc followinS drldaiions:
D.nolilio. PmiteA3b6r6 Nolifi.alion F.d@l R.*ulariorc (Tnb40, Pd6)
R.qut.d Ldrs olNodncdio.
-l
colily rhar th. tcdsal r.sularions rcsadins sbGlos rmorsl se er applicabl. io rhir pojd
J( cfiit rhar I hlve r@d rhs rppli.arion rnd stal. rhar lhc .bo$ inaomrio. is coE..l t .srr ro co'nply \rilh all Cny ud Cou.ry
odi.anc6 .nd Sr.te tiws r.hins ro hildins coBttuction. od h€eby authorirc r€prMlariv6 or rlis Cny dd Comry to drd ,p.n th.
rb.ve mdniobed pmpdy lor imp&1ion puFs6
^pplicMr
or^*enr sisn.rur€ *
remirenrmeoano, )(.a,,r aa * ro,t
,",", . //-r/f,
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathino
Shear Wall
Framing h ltltX t 'fMofYk F\,
lnsulation/Energy t'0
Drywall ////r,//t '?7//t-va-/d> -Ext./lnt. Lath
Brown Coat
Ivlason ry
Pool Fence
T-Bar x l/,2/-/B-,t/.$*?r,
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL //1r-/u.JJ.J>dd
Certificate of Occu pancy
Notes, Remarks, Etc r'r
-+
COMMENTS OWNER BUILDER DEI,C RATION
! hqcby amfln und6 pdahy ofFrjurr lhat I m.r.npl ftom tn. Conlracto6' Li.en* Ii$ lo! thc followinr t.en (5@7011 t
Busin6s ad Prolsion Codc): Any Cily or Counly $hich r.qui,6 a rE ril lo .oEltud. ,lro. nnprore ddrolish or rcp3t my
nod@, prior ro tu issuec.. aLo ,cquiB lnc applicdl tor such !.rnn ro an a signcn staldnot rhar hc or dr n lcos.n p6uel
to the Fovisio6 oltn CoDlrlcloi! Liceiscd ljw (Chaptd 9. Com€nciflB unh Sdion 7Cr00 olDivision .l ofth. Busi.6s md
Prulcsioas Cod.)orthar hcorshc is crcnrpr rhq€liom d lhe besis lorrheaU.sed.xorrion Anyliolario.ofsdionT0ll.Sbrany
arpli.afl ao.ap@ir subj<rsrhe applicafl lo acivilrcnahyolnor dorerhm fiv.hundr.d dolltrs($500)
L..,i(iAdd*'_
I
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Burlorns
October 30, 2018
CITY OF SANTA ANA, CA.
DEPARTMENT OF BUILDING AND SAFETY
AUTHORIZATION TO SIGN PERMITS FOR CONSTRUCTION
I HEARBY AUTHORIZE THE FOLLOWING PERSON(S) TO ACT ON MY BEHALF IN
OBTAINING PERMITS AND FROM THE BUILDING DEPARTMENT AND TO SIGN PERMIT
APPLICATIONS FOR KNR BUILDERS.
I ASSUME FULL RESPONSIBILITY LINDER THE LAW FOR PEKMITS TAKEN BY PERSOT/S
AUTHORIZED TO ACT ON MY BEHALF.
THIS AUTHORIZATION SHALL CONTINUE WTIL THE DEPARTMENT OF BUILDING AND
SAFETY OF THE CITY OF SANTA ANA NOTIFIES ME IN WKITING THAT SUCH
AUTHORIZATION IS CANCELLED BY ITS CONTRACTOR.
PERSON(S) AUTHORIZED TO SIGN PERMITS AND THEIR SIGNATURE
Signature
Max Jackson
nF urWUiit Vice Presidenr
/xua swLoens, LT:ENSE #773387 :LASS B-l
14701Myford Road, Suite B, Tustin, CA 92780
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