HomeMy WebLinkAbout10398450 - PermitryProject Address: 215 S Main St
Assessor's Parcel 404-091-03 Lot: 4
Unit Bldg: Address Range
Tract: BLEES SECOND AD
Suite Range:
Zoning: CSMBlock C Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Sahta anal Cn gZzOZ Building
Permit Counter: (714) 647-5800 lnspection Requests: 17'14\ 667-2738 lnspeclor Section: (714) 647-5853
Permit #: {O39845O
Pin #: 69983
Building Use:
Job Type:
Nature of Work:
Exasting Bldg. & Use
Proposed Use:
Commercial
Miscellaneous
Parking lot restriping
Commercial/Retail
Occupancy:
Constr Type
Code:
Flood Zone
# of Stories:
B
VB
cBc 2016
x-0602320276J
l st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
l
Patio:
T.l.Area:
Yards Req'd:
Valuation:$2,000.00
Description of Work: Parking lot restriping.
Planning Conditions:
Rel*
I /',)1 l',ti
Owner:
Address
Phone:
Tenant:
Contractor
Address:Address
I'esWen Chung Chao
461 E Rockaway Dr
Placentia, CA 92A7 03241
(7',t41 412-2564
Oylans Appliances
Owner-Builder
Architect /
Desiqner:
Address;
Phone:
License #:
Phone:
License #:
Planning Approval By:Pezeshkpour, Ali Oate: 1112112018 Misc. Receipt
Dale 1112112018 lvlisc. Receipt
Dale: ,t1t21t2018 l\4isc. Receipt
Subject to Field:
No
No Account#
0 777600 2
0 71160 0 2
0177600 2
o7715002
07175002
57607
53600
57672
s7600
51607
$214.00
$150.00
$1.00
$22.08
$55.04
Plan Checked By
Permit lssued By
NPDES lnsp. Req No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Kwak, Jason
Amsden, Julie
Permit Fee
Plan Check Fee
Bldg. Stds. Revolving
General Plan Update
lssuance
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the work on the site authotized by
such peftnit is commencad within 180 days aftet its issuance,or if the work authorized
on the site by such permit is suspended ot abandoned for a peiod of180 days atlet
the tihe the wofu is commenced.
lnspector MID#: 2018-147819
01 1 16002 51600
011 16002 51601
0'1'116002 516'12
011 16002 53600
$22.08
$269.04
$1.00
$1s0.00 $442.12
$0.00
$442.12
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineerl
Fee Total
Paid to Date:
Balance Due:
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMEN IS OWNEA BUII,!'ER DELCAR{TION
I hscby ailtrm undq p@lty olpdjury lh, I on .r.ibfl aio'n lh. ConrEclo* Lic.nse l,a$ for lhc aollowit8 rNn (SE 70ll 5
au.in6s and Poa6sio. cod.)r A.y Cily or Coutriy which requirs a rEhir !d .oNrocr, alr6. improvq dflol6l or (!ait dy
srflcxtr , pnor lo ns issumce, al$ rcqut6 lhc applicol lor such p.nnn ro nle a sisoed statcmst lhal h€ or shc is licms.d PuBur
ro the !,orisions of $. contracloi s Lic.n&d t s (ChaplE 9. Conrndcts tr nh Smrio. 7000 of Division 3 of thc Bsi66s dd
8n',.sions ('od.)or rhol h. or she s crcnfl rhG.ftom and thc basis tor I h. all.!.n .rdnP{ io n Any violdion olsedion 70115 by e!
,p\Qrr",, p*"ir*ur*''rhc dpplcan ru ac,v,lpmak).rno, norrhrn fi1. hundred dolla't5ool
a!,so\ndofrheEop.n].orn'y.nploy6\rrh*a!66rheir*nccobpc6arion.silldorhcwo,(edthcdtudrcisml-rnr6i€d or o,t r€d to, elc r Sd.7044, 8616 &tl Pi'ol6sioB Coder The Conricd's l-i.6* Lrw doe not opplv lo u orvnd ol
lh. pr.Fiy $ho bdl& o. ibFovd tlsen. exl who dc such wll hnnsclf or l6df or lhroush his or hd o*n.nploy6.
pro!i!<l thd such inp.o\tlMts s. tul hrodsl or oEs€d ror slc Il ho$dd. thc buirlin! or improtlmdt i.r sU Nnhin one )E
ofcomplciion. the o\xo( auiilg sill havc thc bor&" ol prelins Ih, h. or snc did nor bnild or Lbpbv. th€ pllps1y fo, thc purrn* of
t. s ownd oathe pro!.ny, m€lclusivclyconlraclins \vi!h licss.d conta.lors lo co6lrucl thc projel (Se 7044, Ausms
d ttoltsion Code: Thc conr,cror's Lic.nse Lav do6 nor apply ro m oLvns olprop.d, $ho builds or improvcs lhd.on.
atrd who contmcts lor slch prcjsrs\irh a Conlado(s) Iice.s€d punumr ro lhcconlracroas l-icde
s"I
-
l havc dd *ill baimain r c.dillcarc of Co,sdrl to Sclf-l6ure fo. sorkea' conrpcns.rio., s t ovid€d lor by Selbn lT00 ofrt
I ibo. Codc. for lhc psfo,r@.. of rhe {orr aor which rhc pmnn is iso€d
-l
hrv. ed *ill mainrain rvo*es conrpsalion iNuranc.. s requt.{i by sdrion I700 of rh€ L{bor Cod€. lor rh. Psfonnecc ol
lhc $rk aor Nhich lhis lffinil is isu.d My sortds- coDp€Nlion insuoc. .ei.r ad P.licy number e
.difrthd inrhctrform.nc€ollhcwork lor rhichlht ps ir is is$lcd.l shall .ot employ anr pe6on in aiy man d
so s to b€.om. subj€cl ro lh€ wort6 conp@rion la\rs of Califomia. ed asd that ir I snouu b..o6. srbjcd lo lhc
work6'comptualionprorisioftofsdio.lT00ofrh.Labor(rrdelstsll.fonh*nhcomply*hhrhosPtolisio6
W RNIN(;: Failur. to sarc worksj composalion covgagc
rilil fincs up to one hundrcd lhousand dollm ($1m.000). in addir rft cosl ol comp€marion,
)d,rrc,
!-L!!Nt\ll1)!
Fnahyotls]urylhrl I dn li.ssrd undcr p(,risnnr of( haplLr o (c.Nncn.i'u \riih
.f rhe Blsines and Prcfsions Codc. ald my licme is in iull rorcc dd.rLr'
License Clas:-Lic€Nc Numbs:
.cl)![rB!cra!l.[NDlrc-ac.E!c]
I lE.by arr lndd poahtofpsjurythat lh6c is a consltuclion lendiiE alMcy tor rne pdtomanc€ ol lhc $!rk for which rhis pdinit ie
isnEd (Sa 1097. Civ C.).
ATIIICANLDECI.AEAIIO!
I h6eby a,lDn uidd !oal', of Fjury one ol the tollos ing dNldal ions
ttmolirion Ptrmic-tubelos Norifi.alion F.ddal R€gularions ( litl€.10, Pa16)
-R€qtrt.d
Lelrq otNorFcario.
_ UDi{L:Jr,t
,hr rh. r.d*r rcsu ldrioG r.sd.!n! abeh \ rnc"r tu ' nor Jpplicabl' ro rhl' prcrd
L4l cdity rhat I har. rad rhs applrcah.n dd nal. rhe rhe ahv. idaomarion iscorc.l.I asre ro conply *hh .ll Cily ann Coutly
ordi.,ncs and starc liws r.hl in3 to building
al{lc,nmrio..d lropdy for isprlioo
kippricinr or
^smr
sisn.rur€
Nl.n irenrn,ttprn,r):^*t
Cnyand ( ountyro dts upon thc
Set Backs
UFER Ground
SLAB Floor
Subf loorfu enVl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/)
FINAL la/at//A 1F gn^b)
Certificate of Occupancy \JV V
Notes, Remarks, Etc.
Forms/Steel/Holdowns
Erection Pads
undo pdulryolpcjuryone olrhe nntN in8 d€claEtions
L.nder's Ad&e:
-44"
I
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