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10190461 - Permit
City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, cAg27o2 Building Perrnit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 1Ot9046{ Pin #: 85670 E Proiect Address: 120 S Pacific Ave Assessor's Parcel 007-320-04 Lot: NA Block: NA unit: 37 Bldg Tract: NA Address Ranqe Suite Range Zoningllistoric: No Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Condominium New New Condo w/garage Vacant Lot Occupancy: Constr Type Code: Flood Zone: # of Stories: R-2, S-2 V B, SPK cBc 2013 x-0602320257J 3 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l.Area: Yards Req'd: Valuation: 369 728 864 460 1961 $226,237 .00 Planning Conditions: Ownerl Address: Phone: Tenant: Olson Company 120 S Pacific Ave Unit# 34 Seal Beach, cA 92703 (s62) 596{770 Contractor: Olson Urban Housing L P Address: 3020 Old Ranch Pkwy #400 Seal Beach, CA 90740 Phone: (562) 5964770 State Lic #: 939166 Lic Type: B Bus. Lic #: 353131 Workers' Compensation lnsurance: Carrier: CypresslnsuranceCompany Policy #: 1NWC904593 Expires: 0110112019 Engineer Address: Phone: License # Architect / Desiqner: Address: Phone: License #: PAID }1AY OB 2t]1B City of Santa Ana Planning Approval By: Plan Checked By: Maza(ji,Zac Permit lssued By: Zuniga, Allissa NPDES lnsp. Req'd: No PWA lnsp. Req'dr No Planning lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp. Req'd Noyes Account# NIisc. Receipt NIisc. Receipt N,lisc. Receipt 0777600 2 0177600 2 3771i002 08907001 07715002 0777600 2 0177600 2 57601 5i600 57991 24000 51672 57600 57607 68297 Total $804.7s $2,712.O9 $5,732.80 $29.41 $10.00 $21 .2s $141.32 Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every perfiit issued shall become invalid unless the work on lhe site authoized by such permit is commenced within 180 days after its issuance.or if the wo* authorized on lhe site by such pemit is suspended ot abandonod for a poriod of180 days after the time the wo* iscommenced 01 1 '16002 0'1 1 16002 01 1 16002 08901001 31 1 13002 51600 51601 51612 24000 s7991 $9,451.62 $2,634.21 $6,817.41 MID#: 2016-130951 $21.25 $946.07 $10.00 $29.41 $5,732.80 Fee Total: Paid to Datel Balance Due: Description of Work: New condo- Plan 48 (3) bedrooms, (2.5) bathrooms/SAusD # /fees pd on M- Date: Date. 02102120'17 Date: 05/02/2018 Subject to Field: Permit Fee Plan Check Fee Res. Dev. Fee - N/y'V SMIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance/New Structu lnspector BUILDING. INSPECTOR RECORD DATE ID/SIG.COMMENTS OWNBR BU!LDER DEI,CARATION I h.rcby afirnxndfi pcn,lr, ot ncrjury lhar I ! excnlpr tmnr lhc Conkr.roF Liccnrc L,w lor rhc tollosing rcrsotr (scc.7rll5 Businc$ rtol Protsnnr Codc): Any Ciry .r C.unry whi.h ruqun s , Frmir lo ond cr. slrcr. inProvc. d.moli\h or rPan tny {rucru.e, nrior ro irs issuancc. also r.qntcsrhc applicr tu sn.hncrmir lo filca sttud n,rcmn' lhar hcorshc n li.ctr!.d ,ur$Nnr ro rh. pmvisions oflhc Conrracroir l,iccoscd l-,w (Chrfld 9. Cdnnnrn.ins !ilh Sccrn,n 7fi)0 or Divisiotr 3 ol lhc Busines aid Pmfcsions Codc) or rharh. or shc is.rcnlPt lhcrcfroo.nd rhc bosis for lhc allcgcd cxdnrrrion AtryriolarionofS*ri,.70115 byntry rrpli.anr rorap.mn subj(t llE ipplicanrt, scivil!.nsllyornor xtr rh.trfivchnndrcddollarl$5flr) l.a\ ownootrhcFruFcny,ornrycmployccswilhrtrsc\!slhcisolcco'nPrNnrt,n,triudorhcwork dihcdnrrur'(tr.r inlcndcd or olTcrcd for elc (SE 7u.1, Burin.sr rnd ftot $iois Col.: Thc (-oniractn \ l-iccnsc Dw dor< nor arDlv k' an okkrol rh. |,ltEdy who t'uilds.r iqnovcs rhcNtr-,Jld who dms \u.h *orl hinNclfor h.lsclfor (hrouSh ht ot hcr o*.cmplolcc(. pn,r idcd rld $ch inlpn,vc :m m Nr irtrcfrlcd or oficBl a(tr slc ll how.r.i rhc hoildine or i'Jpbvcmnl i\ \oltl *ir[i'r otrc rnr ol.oD[Ltion,lhc Oqncr Buildcr sill hr\t ih. burdcn ol PmvinS rhsl }r or shc did mr tNikt or i'qnrR rhc Pm!.n, tor lhc nDrlnror - l .A"uf(.oIh. nn|{n).,n'c\'u.'\c\ n.i'rr'ng " h hrctr{J.rnrh!rnr n,$r.r .rrhcF}11is.! r{!. tlusm.. rnl Pnlissbn cl e: ThcCont(ntr's Ltcnsc Lrw docs trol (J) yro rnosnc'ofnhlddysho buildsor imlrolts rhdrcon. ind who.oma.tsrnrsuchpn*cr\wirhaA'nhci{(nli.ctr*dtursuMrrorhcConrracroisl-k.nscbt). I {Dcxcnrpl undcr Scclbn-. B. & P IIICLABAIIAX I hcrch! amnn undd ,cmlry ol FIury onc of rhc lbllo+ i'ls de.lrrr i. s: I hrvc antl * ill Minldn ! Ccniliclrc of C.ns.m b sdll lNurc hr sorkcN conrpcnr nrn. as ln,lid.d fo. byS(rion.lTlx).ftht ljtrr Gxi., fr, rh. !.rfornlmc o f ll'e wori tor *hich rhc n rmir il isx.d -lhovc and willmanrl{nr work.^ .onlf,ns0li.i insur.n.c. rs rcquircd $yssri{ -l7cn .r lhc tjtx, Codc. lor rlr ld(trnrn.c .i rhc Norl lbrwhichrhn pctuii ir issncd Myq..kcs comptn$lon insurrNc crtridr,nil Fli.y nunbc! are: -l ccnil, rhar inrh. pcrturmn.c ofrhcvork litrwhich lhh tcrmir i\ issocJ.l \hrlltror cmfl('ynnypc otrinrtry'nrtrNr q, rsro hc('N suhjccl Iothc workcrs'compcisrri n hwsofcrhfniid, r a8rerlNrill \k,!ld t*(rm {bjcd rorhc tci t, dimin(l rnullics and $orkcn .onrpcns i{nr pmvi\ions olS..rn)n:lT0Oofrhc tjtxtr Codc.l shall. tonhwirh.onlP ! $! IV,{RNIN(: Irrihrc ni *.ur. *1rlc^ .onrcn{ riinr co\c'i!c is trnL*lnl .ivil 6trc\ up b onc hrndi.d th.usrn,l doll(l (SlOO.U)o). iD ad iri, sccrion :1076 ol rh. trtx, clxlc. intcrc(lnd lrrorrcy\ Lcs2e4 DECIdE6IION I hcrcbynilnmuBlcr pcnrlry.rFrjury rtut I rN licctrton undcr pmvtbn orchlprn 9lconmEncins *ilh S.crhn 7{xx)) oiDirni.n:l .r rh. Bn\nrs rnn Pmh\{ions Cinlc. aid nvliccne il i'r full forcc alld cit{t ,,,,," f-4-to ca!$IBlJqrMNL[NIllNGSliEXq I hcmhylafir under Fnrxyofp.tury lhal rhcrc is d condocri,n hndinB rgcrcy for lhc Pcrfornrancc orrh. work for which rhn Fnnir ir irsucd(Scc 1097-Civ C.) APPI ICANT T)ECI AR TION I [nhyantmhdcr pcndlry.rp.rrury onc olrhc lollo*in8 dccloErn,ns: lxmolnion PcirnnsAslE(.s Norifi .arn,n F.dfinl R.Sxldrions (Tirlc 40. l'an6r Rcquncd Lcttc! of NolifEdi,n I ccniltihd rhc ltd(rl rcetrl11i,'ns r.EadirA i\h.ro\ ronn,vrllr or nftll.rhlc r)rhis nnlrcr I .Lnify rhlr I hlve lcod rhn 4Dkd riimndd {rrcrhrr rh.rhir. lnn i,!, n..r..i lrer.cn).onrPlyuirhlllCiryrtrd Coufrr_ ordi'rrtrcc\ rnd SfurcLr$\rcl ing bhui n,!ofrh$ Ciry Ml Counryi) r ror uJi ilt $orr nrnri{nod rn,jrc'ry lnr ffNdi([ o,, 1= 9-rI Set Backs tX,/ Formsi Steel/Holdowns \{,1/.v7 Ereclion Pads tg\"/7 UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathing E-7.6-tb BZfl7 \a4 tto 6^h Shear Wall t0-ll..Lb GTar Framinq .,4,.2 -.= lnsulation/Eneroy lv1 "- lo I l7<-- Drywall lolbht'&ncrt>/n- Ext./lnt. Lath ro/ii/,*Gzntz+ Brown Coat aZala 42s,-<t "3DMasonry Pool Fence T-Bar Handicap Req. Deputy Final Reporl Engineer Final Report FINAL ./24-/R ,/)72-21 n-, loJ Certif icate ol Occu anc 6-/c Notes, Remarks, Etc.K-Zr-r Dtf 2 SITE.WOHK Flood Zone Certil. ApDlic.,l "r Asent SlS.{luErt( P€milee nsnE (pnnl)l