HomeMy WebLinkAbout10194858 - PermitPermit#: {O194858
Pin #: 4o532
*
Assessor's Parcel 403-20r-01 Lot: l\!A
Bldg Address Range: 1601-1671
Historic; No
Suite Range:
Zoning: 5069Biock: ll.\Tract: NA
Commercial
Tenant lmprovement
TI
Commercial
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area: 2000
Yards Req'd:
Valuation: $71,800.00
0
D6scription of Work: Tl-lnstall partition walls and t-bar ceiling.
Planning conditions: lnterior ti only
L/21:-t/2111;" I'ons,i: ?3
tl/ rtt / zJLy
Owner:
Addressl
Phonel
Tenant:
W&JPropertiesLLc
2280 W 208th St
Torrance, CA 90501
(310) 618-3737
Montrose Environmental
Conlraclor: BainConstruction
Address: 449 W Foothill Blvd, #324
Glendora, CA91741
Phone: (626) 393-2233
State Lic #: 902967
Lic Type: B
Bus. Lic #: 371173
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9216854
Expires: 12l03l201a
Address
Architect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #
,u(Le F.-,F"'
r-ll-luu-
t_l r_ll-ll_r
Planning Approval By
Plan Checked By
Permit lssued By
Carvajal, Verny
Mazatii, Zac
Amsden, Julie
Date: 05/05/2018
Dale: 06/05/2018
Date 1112012018
Subject to Field:
o777600 2
0 7776002
0 77 7600 2
08907007
0 7776002
0 777600 2
07776002
57607
5 3600
57770
2400 0
57672
57600
5160 7
Permit Fee
Plan Check Fee
Microfilm Records
Sl,4lP - Category 2
Bldg. Stds. Revolving
General Plan Updale
lssuance
No
No
No
No
No
No Account#
70325
$1,334.06
$680.00
$654.06
NPDES lnsp. Req'd
PWA lnsp. Req'd:Fire lnsp. Req'd:
Police lnsp. Req'dPlanning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No 01.i160025i600
Every permit issued shall become invalid unless fhe work o, the s,te authorized by
such pemit is commenced within 180 days aftet its issuance,or if the work authorized
on the sito by such pemit is suspended or abandoned fot a peiod of180 days aftet
lhe time the wo* is commenced
lnspector
01 r16002 51601
01 1 16002 51612
01 1 16002 53600
01 116002 57770
08901001 24000
$22.08
$55s.04
$3.00
$20.00
$33.84
$20.10
Cify of Santa Ana 20 Ci'''ic Center Plaza (i\':'19), ':j:...aA'1", ! ).^.g ':/a?. Building
Permit Counter: (714) 647-5800 lnspection Req ::,ei.ir (7 i4) 667-2'3: lnriprrio, Sec{ion: (714) 647-5853
Project Address: 1631 E S.+,Andrew PI Unit:
Building Use:
Job Typel
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
B
V B, SPK
cBc 2016
x-0602320276J
l.(
lrl
ri,
Ht
lr
Environmental Service
Nicholas Caniglia
1306 W Taft
Orange, CA 92865
(714) 919-5500
71451
Engineer:
l.[.]-
\ti9
ul-t -
rl-llt
Fee Total:
Paid to Date:
Balance Due:
Total
t\,4isc Receiptl
Misc. Receipt:
Misc Receipt.
$500.00
$700.00
$33.84
$20.10
$3.00
$22.08
$5s.04
MID#: 20'16-130029
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNET BUIT,DER DEI,('ARATION
I hercb sft m undq paalry of pfjury thar I @ .rcmpt tum rhe ConlracloR Ltens. l i{ for Ihc folloNins r.Mn isc 70n l 5
Busin6s ald Prolsion Codc)r Any City or County shich r.qut6 a p6mil ro consltucl, alrd. impm!., donolish or rcpu
'srtucrre prior b ns istra.c.. als. r.quir6 lhe applicut for such pcm lo tu. a sisned $ahdr rhd he or shc is licord p6udl
Io rhc prolisiom ol th. ( ontroctois LicetrFd Law (ahaprd 9. Commcnci.s wilh Scrion 7000 of Division I olrhc lrDsiflcss ad
hoiesio,s Codc) oi rhat h€ or she is.xdo rhscnoE dd the bs6 aor Ihc allcg.d .ranplion Anvliol.tioflofSc.li.o 70.1I 5 byMy
applicdr for a p.flnir subjr$ lh. aprlic rtoacivillndhyolnornuethmfivchundrcddoll s(5500).
l, 6 oNnd of lhe FoFny, o! my cmplorc Nith was6 6 I heir $le conpaqltJ.. will d. t. Nol{ md th. stMue is nol
intdd.d or ofiod for sl€ (58.7044, Bsi6 dd Poi6sF6 Cod.: Th. ( onrr.clois Lictrc tir do6 n l {rply ro d ownd of
rhcpropeny sho 6ril& or inprovB mn. dwhodcschM hnnsell or h6clror lhoush his or hd own anploye.
provid.d rhar su.h imprerdndrs @ nor imaded or orqcd (,r ele. I I h.sds, rh. bdildin* or inpmv.mml is sE wnhin on. )€r
orconpl€lion. rhl Ou6 Buildr \ill hai€ thc htrda orp(\ins lhd & or shc did not buil{ or imFovc rhe pmpoly fo, tie Dur!(le of
-I,
6 omr orthc p(Fry. an .xcl6i!.ly conarding *ih licdsed contBctoE kr onshld lhe p.oj4r (S€ 7044, B6ins
d PrDfesrion Cod.: Th. Conrrlcrois Licasc l,aw do6 nor.pplylo o ownd ofpropd, who buildsor nnprovcs lhsmn,
dd $ho conl]a.ts for such Fojds with. Coor6cto(s) li.d!.n porsMt to theComr.cloas l.i€se Liw).
I m.xmpt und.r Se on . a. & P.C.lo.lhi!,@n
D.t.: Onner
IABIiESTTAIIIEISAIIO!pncldBArro!
I hercby amrm utrdr p.nally of psjury o.e or r& lNrins d€lrario6,
-l
harc ud pill mainlain a C6likal. ofco6dl to Sclf-lNure ior work.rs conr!.nsalion. s pDvidcd for by Seclion .1700 oilhc
L.bor toia for lnc pdfoflrscc ofln€ M tor \'fiich lhe pgrnil is isued
Ul Mvc and trill mainlain wor[e6' coop€Balion iBurancc, 6 rqut.il h, sdrion 1700 of thc Labor Codc. lor lh. ,)<lomdc. of
rh. $rk lor which lhis Fnil is isEd. My wortsl .oot erio. i6oid.. cmid and policy .u,nbd e€
qLt6?59 - t1 2-e
Jcniry rU u rlc paroflnanc. of rhe work for shich Ihis p€,nir is issucd. I shau nor dploy e, peBon in any mmncr
$ d to b.comc subjcl lo lhc Nrrk6r' conp€nelio. laws 6r( al'aonia dd asrt rhar if I shorld bdon. subi{t lo th.
\o.k6 conpl6ar bo povirions oas<tion 1700 olrhc bbor ( od..I shall. fonhvilh o,nply wiih thoe prcvtnhs
wARNlNc: Irrilur€ to su. rork6' comp€Nlion .ovnse is unlas'lul. 4d shall subj* d onplotc ro aininol pouhiB dd
civil fin6 op lo on. huodr.d lhous.d dollds ($100.000). in addixon lo lh. cosl orconlpcMrion, dma8es 6 ptovid.d ror th.
K"",
^.6-'.sraorlc innT6l ad alrd.r].r 46.Z.//-74 14
I r(T\suD ( (rN t'lI ( ll)R
I)ll(.ldalrQ.N
I hercby nmm undq p.nalry of prjurr rhat I d licctuai undd povGio. ofch0pi6I (commdcins silh Seclion 7000) oaOirision l
or rh. ausin6s md PotsioG Codc. md my licnsc is in tull forc. ad cfid
D Qe:L967
1/-Lo 49 -."*'- Bei< {carsmi:ff erl
COIiIBIIiIIOAIDNDINCSCEICI
I h.eby a,Im unda pdulry ol rejury rhd Os. is a .oBtrucrion LndinS a86cy tor ifi€ p6fom&cc ol lhc *oik for snich rhis poni G
issu.d(S{ 3097. Civ C ).
l-cnd.is Namc
AIELT{iANI.D&CBAAIPX
I ho dt amnn uidd p.nalrt olpcju.y on. ofrh. aollorvinB ddld,lions:
D.molition P.rmils-Asb6los Norillcarion F.{joal Rcsuldions [rirb 40. Pan6)
-Requted
l-ellq olNolifi calion
-l
cdirytha rh€ f.d€ral r.luldio6 r.rddrn[ 4bsrds rmovrl e. mr rpplicablc to this prcjEl
rvl .d rly rh, t h,\ . rad rhrs anph(arion md s olc rhd rh. abovc infoflnar nin is cotrc! I asrc lo codpl, wnh aI Cny .nd County
'ordimrB dd srare ti\s Ebr'nE 1o burldLnr coNrudion. ed hd€by aurhodrc rcp6drdiv6 oalhb ciry ed Counlyto ml6 upon lh.
aLa\ r nrnhoncd I)nl{ny li r irrlf,.totr fu'lxx.s
k,,n*
?er Ll-ln^^
,,",", ll-zo-l(
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framinq zlultqfin
lnsulation/Energy I -t a
D rywall 4rflur lr 7-r)
Ext./lnt. Lath I
Brown Coat
Masonry
Pool Fence
T-Bar 4l9luQ,/>)
Handicap Req I {u-
Deputy Final Report
Engineer Final Report
I
FINAL *lzsll,q'i t<4llreA @
Certificate of Occupancy ttul
Notes, Remarks, Etc.
L
Flood Zone Certif.tt