HomeMy WebLinkAbout104106583 - PermitCitY of Santa Ana 20 civic ce4
l
Permil Counter. (714) 647-5800 lnsped
Project Address:
Assessor's Parcel 396-313-03
Description of Work: Legalize new extsrior door
Planning Conditions: Materials & design to match othe
Ownel
Address:
Building Use:
Job Type;
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Altoration
New door
Commercial mall
o
Da
Jerome J Krueger Trustee
1881 SE Skyline Dr
Santa Ana, CA 92705
(714) 504-6671
Pharoh's Tatoo
Phone: I
Statetrc# I
Lic Type: I
Bus. Lic #. I
Workers'CoJ
Carrier: I
Policy #:
IExprres: I
Contractor
Address.
Planning Approval By:
Plan Checked By:
Permit lssued By: ,/
NPDES lnsp. Req'd: '
PWA lnsp Req'dr No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Kelaher. Selena
msden. Julie'>^/no
Fire lnsp Req'd
Police lnsp Req'd:
Flood Zone Cert Reqr
Every pennl lssued shall become hvahcl unless the work on lhe sile au
such peml is cofimenced wlhin 360 days aftet its tssuance or if the workp
on lhe site by such pormit is suwnded or abandoned for a period o1360
lhe lime the wotk is cofifiencecl .
lnspector MtD# 2021-165476
r Plaza (M-19), Santa Ana, CA127O2 Building
n Requests: (714],667-2738 lnspector Sectron: (714) 647-5853
Permit #: lO4l06583
Pin #: 9{956
Suite Range
Zoning
Patio
T l.Area:
Yards Req'd:
Valuation:
Occupancy UnKnown 1st FL Area
Constr Type UnKno'wn 2nd FL Area:
code: cBc 2019 other Areas:Floodzone x-0602320164J
# of stories Garage Area
NOTICE OF VIOLAnul[
Engineer
Owner-Builder
Address
salton lnsurance
e O4l13l2o2'l
NO
d
$3,000.00
Phone:
License #
Architect /
Desiqner:
Address:
Phone
License #
07176002
07776002
0 7776002
07776002
0 7716002
07776002
07776002
0 771600 2
57607
5i600
57770
57607
57507
57672
51600
57607
Permit Fs6
Subjecl to Field
Microrilm Records
Investigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
lvlisc Receipt
[Iisc Receipt
lvlisc. Receipt
s172.64
$172.65
$4.0s
$104 26
$261.96
$1.00
$23.79
$59.30
lect to Field: Katayoun tangran
ffi Account# | rotrl
dbv
01 't 16002
0't 1'16002
01 1 16002
01 1 16002
01 1 16002
51600
51601
51612
s3600
57770
$23.79
$598.16
$1.00
$172.65
$4.05
Lot
Unit: G
Tract.
Bldg Address Range:
Block.
05t0412021
Historic. No
Phone.
Tenant:
$799.65
$0.00
$799.65
Fee Totall
Paid to Date.
Balance Due:
SITE-WORK DATE ID/SIG.COMMENTS
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/'/,tl
FINAL ,/p/a/w3
Certificate of Occupancy t 't
Notes, Remarks, Etc.
,",",J:
OWNER BUILDER DELCARATION
pa,hy of p.rlury rnd I an doF nom rhc CodrdoR LEc@ trs 46, ih. aollowinS ra$n (Sc 7031 J
Cod.) tuy Cirr o, Couny uhrh ..q!c , Fni to codtuct. !Xs, iftFov. &eliil' o. qt' &y
Bumq .!o cq!"6 th. lp?licrr for $.h FDi to 6k . ti3'Ed ndtul rhr lE ot !h. a I'ca.d F,!d
ttE CoDrreroas Liccnrd lrw (Chrpra 9, Conmo.inE wirh Sdiion 7000 of Divilion I ofth. Bsod ud
or rhll lE or ih. u danl,l rhdciom r.d rh. b.rL for tlE .lle.d dardDn. An, r iolr&n of S<lbn 701 I t bt a,
h ubjd th. dpplir.nr ro ! .iril pdhy of mr mE fie 6y. hundrld doll6 (l5m)
h. FDFry. u hy oplotB *nh {is6 6 rh.r bL ompdiios *iU & dE wt ad tlE in6E b d
lor 3,1. (Sc.7o44. ABi.d ed ProfsioB Co<lc Th. Co'nrr|oa! kq& L.* &6 nor .pply b u o*n6 of
or usoE oE@lr !n who LLE k-h *nd hirelf or haElf or ltNur] hn or lE ow dnpbr6,
imF!ffi Gd nroi.d or otu!.j irr s.l. l( ho6q, dE lnilliB d "'!.--".:rd it $ll "ito oE td
ll]ildd Hll ha( $. htrddr of Fovin8 $n h. or slE dn ol tlild or ih['ov. lhc FlFry for dE F,Fr of
h. FoFdy, m d.hsrv.ly contrdins {nh licalql co'rrreloE ro andtu( ttr F.jd (Se. 7044. &!i,6
Ir. Co sloas Li. . hw d,6 nor +plt ro s olra olFoFry sho b{'kh or inFov6 tn6@n.
rm iuch pmFs qnh a Conrdo(r, lrasri Fll:@ i. rh. coMoir Lt@ L&)
_.8 &PC for
r,r r!!r!t L!!r\
on. oflhc follo*ins dalgalioN
lroi.rh . CdifEd. orcoMr h Scla-lEe fm $!116 @nFer(n. a Flvikn 6r b, Sdbn 1700 oatlE
pqfolr@.. olrh. *od for whi.h rh. pdmn is 6su.d.
n.inim world .onp.E lion '6ufu.. a Grur.d !y SEro.]7m of rlE L.bor Cod., lor rh. Ffoffi. of
lhb p.flnit is isu.d. My wo.kd conpnts,lion tuua.. carid ed policy nunb.r rc:
rhcpdfomnccollt *ork aor which lhn pdn G nluni,I sh,llmr dnploy..y F$n in uy meng
16 rtE *dt6' 6mFErio. l$! of cltifomia an Br rht if I nbuld haoe ebr<l lo tlE
pr.vbioBofsdion J70Oofth. t bm Co&,I adl fonhunh codgly wnh dbc provirioB.
ro su. $ut6 cohpq$lion covoisc i! uoL*ful. dd .hrll $bjer m dpl.y6 lo ainiNl Fuhi: od
oE hu*lrd rhusd dou6 {tlm.ooo), 'n
rddnEn h rlr cor oa co.r!.M'on. rh,r[36 E FrriLd tor llE
L5hn Cod., inl6Bl.nd drorE, s *;1 ffizyrzc2
r rt rkstu t oern"t ftrtr 7'.t,l(t r{{rt trr\
rhr I n Lcs!.d uxl6 FvBo. of cluFc a (comirS *ilh Sdbo 7m0)oaDnsion l
anl my licm* n in full lorc. tud cflel
COIiIAII]I{I!.IEEDINGJCIdCI
p.ndlry o f Fjury rhd d6. ir . oNrruclion Ln&B lsdcy for I hc pdfolfu.. of th. *ort 6r *hth lhis Fmn u
7. Cir (')
APPLICANT NECLAXATION
pd.h,of Flury oE oarlE,olL$inj d.(lrdioB
*Asb6rosNorncarion l.dddl R.subtbns{rnE40. Pd6)
rh. f.dd.l EgulaioN r.8sdi,B stEr6 @v.l uc.or +pl.rbk 'o
lnn Frir
l h,vc r.sd rhis apnlication md star. rhd rhc shrlc intomaln,n is (od(1 , atre lo conply wilh ull Cily a lCounly
L.*! Eliill lo toilrs coirodio{ .d h6cby riho.ia rcF6.Miv6 o f $a Cny ad Coudy lo 6lq l4on 0r
-g U ooal!.", 9t-41
BUILDING- INSPECTOR RE I'
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