HomeMy WebLinkAbout101100746 - Permitcity of santa Ana 20 Civic Center Plaza (M-19), SantaAna, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Sectionr (714) 647-5853
Permit #: 1O11OO746
Pin #: 45540
\,t
ProjectAddress:1900 E Fourth St
Assessor's Parcel 400-08'r-03 Lot POR 15 Block NA
Bldg:
Tract: MAYBURY
Unit Address Range: 1900-1910'
Historic: No
Suite Range:
Zoning: P
Building Use.
Job Type
Nature of Work:
Existing Bldg. & Use
Proposed Usel
Commercial
Revision
Revision
Commercial
Medical Offices
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
III B, SPK
cBc 2016
x-o60232027 7 J
Patio:
T.l.Area:
Yards Req'd:
Valuation:
Oescription of Work: Revision to '10'198041. Remodol (e) Lab area.
Kai3er Foundation Health Plan lnc
393 E. Walnut St.
Pasadena, CA 91188
Phone:
Tenant:
Conlractor: Kaiser Foundation Health Pl
Address 1707 Barcelona Circle
Placentia, CA 92870
Phone: (909) 4274700
State Lic # 37OA71
Lic Type; B
Bus. Lic #: 2i08
Workers' Compensation lnsurance:
Carrier: Dept of lndustrial Relationg
Policy #: 1053
Expires: O1lO1l2O2O
Lionakis
Matthew Raymond Melcher
4000 MacArther BlYd, Suite 10'l
Newport Beach, CA 92660
Engineer
Address
Kaiser Permanente
Phone:
License #
Architect /
Oesigner:
Address:
Phone:
License #
4629
Lionakis
Scott Mackey
4000 MacArthur Blvd, Suite 101
Newport Beach, CA 92660
(949) 955.19r9
c31142
Planning Approv
Plan Checked By
Permil lssued 1y
NPDES lnsp. Re\d:--l
PWA lnsp. Req'd:
Planning lnsp. Req'dl
Landscaping lnsp. Req'd
eya , Pedro
c Century Slructural Engineoate: 07122J2O19 l isc Receipt
- Erodowski, Teri Date; t1ro5r2ot9 Misc. Receipt
No Subject to Field:
No Fire lnsp Req'd No
No Potice tnsp. Req'd: No Account#
No Flood Zone Cert. Req'd: No Ol116002 53600
07776002 51600 Revision
07776002 57600 General Plan Update
$461.74
$0.00
Total
7a8fi{.
Every pem tssuod shall become nvalid unless the wotN on lho stto authonzed by
such peml is comfienced within 360 days after its lssuance.ot I the wg* aulhoized
on lho sto by such pe ntt is suspended ot abandonod for a poiod 01360 days after
the ttfie lhe woi< is cofimenced
ZVJ,*
lnspector MID#: 20'18-146944
Fee Total
Paid to Date:
Balance Oue
s461 .7 4
$230.87
$230.87
1st FL Area:
2nd FL Areal
Other Areasr
Garage Area:
Total: 0
Botchi152969 - 1l/5/2019 ID: NGAR(
offices CTYH lpsnsfi 76 1 olAccl;t Ref+: 10111:ll:174
Rcpt+:(12801?5,1 - LL/1/2019 12:51 F'l
Trancort ion Tntal t?3ft-R7Planning Conditions:
Owner:
Address:
Iloster Csrd
CCi i irlr*rrrrrrr3031 Authi i Lri 5
By Date; l'll05/2019 Misc. Receipt: 73187
BUILDING- INSPECTOR RECORD
SITE.WORK DATE tD/stG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subfloor/VenVlnsulation
gRoof Sheathin
Shear Wall
Framing
lns u lation/E nergy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL t-L-zn }N U-"u\'
Certificate of Occupancy \,/
Notes Remarks, Etc
OWNER BUILDER DEI-CARATION
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