HomeMy WebLinkAbout10197061 - PermitE
Project Address: 3100 W Segerstrom Ave
Assessor's Parcel:414-201-O1 Lot: POR 2
Unit Bldg: Address Range Suite Range:
Zoning: M1Block: NA Tract: '1013 Historic: No
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA g27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: {Ol9706{
Pin #: 73571
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
III B, SPK
cBc 2016
x-0602320258J
1st FL Area:
2nd FL Area:
Other Areasl
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation:$30,000.00
Description of Work: lnstall a new interior bridge crane. Per contract price.
Planning Conditions: All interior work. No extsrior alterations or modifications.
0
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Ac,:t +: Ref+: 1rl197ir-l
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Tronsoct ion Totot tSs4 'il1
Owner:
Address
Phone:
Tenant
Airborne Systems
3100 W Segerstrom Avenue
Santa Ana, CA 92704
(7141932-0775
Contractor: SA Kehl Construction
Address. 6531 E Smokey Ave.
Orange, CA 92867
Phone: (714) 337-5004
State Lic #: 597211
Lic Type: B, C-9
Bus. Lic #: 350238
Workers' Compensation lnsurance:
Carrier: State Comp. lnsurance Fund
Policy #: 0543204
Expires: 10/01/2019
MohsserhKari8l I , nn,.r.rr,.t ronMohssef Karimi -
8so2 E. q}+fl{Fe[ 4titrdlr ttpdote Fee
Orange, 0tttt&l- i 1 ;rlor:rotr-
(714) 932g0il?! ir,e
;73;4 itl 1 16r:rrr? 5 1 rr'r I r'ri-rtl-
Blds Stds sevolvlne
uxo coNftll6tlB*-a L1,n*fi!9ff nq
11 t ,:'r nf i 1r '\ o-ocurents
8502 ch{+ilflr+&? ', /77[r-rttr-
ffi tr:iffiltl - I +r I loolrtr -
( ( +: r.{rrr*rr}**3225
Engineer
Address.
Phone:
License #:
Architect /
Designerl
Address:
Phone:
License #:
t22.f_rjj
$;l . r'ltl
6- 6 .52
$8,411
$:,94 .34
Authi:0676r rG
Mar, Escarlet
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
Mazatji, Zac
Amsden, Julie
No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Date: 07/18/20'18 lvlisc. Receipt
Date: 09/28/2018 lvlisc. Receipt
Date: 11101/2018 Misc. Receapt
Subject to Field;
No
No Account#
51600
5'1601
51612
57770
24000
07116002
07116002
07716002
0a907007
07716002
07776002
07716002
57601
53600
57770
240 00
57672
57600
51607
$320.50
$444.32
$26.32
$8.40
$2.00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pennit issued shall become invalid unless the work on lhe site authorized by
such permil is commenced within180 days afler its issuance or il the wo* authorized
on the site by such permit is suspended or abandoned fot a period o1180 days after
the time the wotu is commenced
lnspector MID#: 2018-143520
01 1 16002
01 1 16002
01 1 16002
01 1 16002
08901001
$22.08
$375.54
$2.00
$26.32
$8.40
Fee Total:
Paid to Date:
Balance Due:
$878.66
$444.32
$434.34
lndustrial
Alteration
Bridge Crane
lndustrial
Planning Approval By:71258
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEL'ARATION
I hdeb, artrm 0ddd p€Mlly oa pejury lhar I n ermq aron rhc (onracro^ L(.nsc ljN forrh. rolb\da rsg$n (Sd70.115
tsBinss ed Prolsioa Code)r Any Cily or Counly Nhich requi6 a pennt to co6tn,cl, alld, i'npiove &molish .r prn ,
srrudurq prior to 'ts isudce. also rcqun6 rhc applico ao. such [tmn ro filc a sign.d sr.tmor thal h. or shc G licdsed pBu l
ro rhe pmvisions offie Conr,acloi,l-ic.nsed L,s (Chapr6 9. Conmcncins sith S{rion 7000 of Dililion ofrh. BusinN ed
Prcfsions Cod€) or tha h. or sh. i! crcdpr rh@6oD dd rhc b6sis fo, rn. all.gdl amplion An, riol.lion oasEtioD 703 I .5 by y
applicanr ior a pmnir subJe8 lhe applice loacivilp€nallyofnotmorclh lilc hun&.d dollds ($500)
_1, a oMn of rh. prop.ny, or mt anplore sirh w.g6 a rh.ir $1. comp.nsalion. will d. llE {orl dd lhe s!l(r@ 6 mr
int6d.d or off.r.d for $1. (S6.?0v4. Buio* ed l\olsioN Cod.: Thc contaclol s Lic.N tjs do6 nor apply to u owns oa
rhe p6p.ny who b{il& or if,1Drov6 tfiq@n. ,}d who do6 slch $orl hinsclf or h.*lf or rhmusi iis oi hd om cmployc6.
providcd rhal such inipftrad6 ft mr idod.d or olTaol fo. $1. I t, howd6. lh. boildin-! o, ihForffil b $E snhin one ,q
ofcompLrion. tnc o\"nd Bu dd will hav. lhc hrda otprovitr8 ttd he or she did oor liild or inipore ftc Foroly lor th. purpos oa
_1, soMcrof rh. protoly. d.x.lusir.ly.onta ns virh li.m.d.ontrlo6lo onsrrud lhe lIoj{t (Sc 7014. BErns
and Profsion Coder TheConrractoas Licmse Law do6 nor applyto d ow.cr o lprcp.dy sho huilds or imprcvB lh6on.
and $ho co racrs foi $ch Fnjfls wirh a Conmdo(s) lica*d ponMr b lh. Conl8clois Lics. Law).
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Me\cno undd S6rioo-. B &PC loilhb rcaon
Drrc: o0n..
WOR(DRs" COIIIPENSAT'ION
Dlict daalla!
I hs.by ailnn unds lqilty of psjury onc ol lhe followin8 d*lratioN
_l hav. dd $ill mim.ln a cdincd. ol consmr ro sela- lnsur. lor *ork.B conrpensrion, d arolidcd for by Sel ion I700 oarhc
I2bor code, for rh. pdaoflm.. of lh€ eo, k ior which lhc pdmil is issu.d.
Zat
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cslify lhat in lhc p.rfomoc. of thc wo,k for wbich lhi. pdmit i! i$uol.l shtll nor cmPloyanypsen in dy ndnc
e B to b..om. slbjsl lo tn vorka composlion la$s oacalilomia. md asrec lhal if I should bdon subj(t Io lhc
"oi(6'conp.6ario.povisioNoasdlion3T0OoflhcLahorCodelshall.fonhvnhNnplrwirhrhosprovhionscomFMrnrn co\d3c is 1. md shall subj.d anplorq lo sininal Fuhi6 ad
cosl ol cornp.ns ion. daExes as prolidcd liJr rhe
x*,..1 1
'an
DECLAAAIION
I hcrcby amrm undq pddlry ol r.rjury rhar I an li6s.d !n!d prcvision olchapld 9 (comncrcins wilh SsrDn 7000) olDivision l
of rn€ Dsin6s and Prot6sio0s Code. ud my liccnsc is in luu lorcc dd dId
,,*3-/S?f z-rr
t{,o,F HL
lo!$aiJcllolJ,rNDlNclcffcr
I hncb, allrm undd Fnony of pdjury
'hal
lh6. is a connrudion kndins asocy aor lh. tdfomdc. oao. Norl loi which lnis Fnil i.e
tsu.d(Sd :1097. Civ. C ).
AIIUCANLDI0.AaAUQX
I 'Eor+ dlnnn unds r..aliy olperjury o.c oalhc lollowing dalartbns:
D€nohtion Pdn$Asb6ros Norifi.alion Feddal R.gularions (Tnt40. Pan6)
Requned Ldlcr(aNorirr.arion
-l
cdiiry ihal lh€ lcdsal rcsulalioN rcssdins AbBlos rmoval a. nor appli.abl. ro $is p,o.j€cl
con,ply sirh .11 Cir, a.d Co
his Ciry Md ( ounryto c.ls
,"," ll
-l
cd'6 rlat lht'c 's,j '\6 tot'.ar'.n dd sr.I.rh{ rh. aL!'r. inlonniri^n s cond I a!'(!.
J,l]ln c6 &d sra,. rr$ s Fhrin! ii\y'lrlis odtudrtr e,l hd.D, our io, zc , €p 6ordr!6 o I I
1H---HH::."?j?J]L z, ta-L\\\"..i,*n,.",,.i,,,, 2:T*e A. l4e A f-
Z.> r 3
Set Backs
Forms/Steel/Holdowns il"t7-tK EILfl)0 EJ(r'{r qrrrlT. d.il.\dt8i
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coal
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
A,
FINAL la-7-tg yAuJti
Certificate of Occu n
Notes, Remarks, Etc
7
er q.
e5 32.,z<l t io O1
$ARNINC Failr.lo su€ workm'
civil lurcs up to on€ hundred lhousd
,$r'i t\6
I er.lcr ' ^J.16.
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