HomeMy WebLinkAbout10199736 - Permit\
Project Address: 51 27 W Edinger Ave
Assessor's Parcell 108-381-25 Lot: NA
Address Range: 5015-5127
Historic: No
Suite Range:
Zoning: ClBlock. NA
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit#: {0199736
Pin #: l{603
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Revision
TI
Commercial
Tea cafe
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
V B, SPK
cBc 2016
x-0602320256J
'I st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
0
Description of Work: Revision to 10196671 . Correct location of toilet in restroom.
Planning Conditions: lnterior work only
luL
Owner:
Address
Contractor
Address:
Owner-Builder
Eng ineer
Address:!leetlond ['ropert
P hone:
License #
Architect /
Desiqner:
Address:
P hone:
License #:
ldeal Desgn Group lnc
Ke Chung Chou
21671 Gateway Center Drive, #201
Diamond Bar, CA 91765
(909) 569-2069
27103
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Kelaher, Selena
So. Anson
msden, Julie
Account#Total
011 16002 53600 $222.16
07776002 53500 Revision
07776002 51600 General Plan Update
$222.16
$0.00
&:o
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the work on the site authotized by
such permit is commenced within 180 days after its issuance,or if the wotk aulhoized
on the site by such peftnit is suspended or abandoned for a peiod of180 days aftet
lhe lime the wo* is commenced
lnspector
Fee Total:
Paid to Date:
Balance Due
$222.16
$0.00
$222.16
Unit: A Bldg:
Tract: NA
Bslch+:49?6i -
Uf{ i{e: CTYII
[lcpt*:02588i79 4 / 1t /21119
Westland Properties
'1520 W Willow
Long Beach, CA 90806
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Phone:
Tenant: gTea 9 Cafe AuLh+!r
Date: 04/09/20'19 Misc. Receipt:
Date: 04/10/2019 Misc. Receiptl
Date: 04/10/2019 MiSC. Receipl:
Subject to Field:
MID#: 20'18-143706
SITE-WORK DATE COMMENTS
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVlnsulation
Roof Sheathinq
Shear Wall
Framing
lnsu lation/Energy
Drywall
Brown Coat
It/ason {y
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Ceftif .
sruta1-zFINALqhlttt 1U >)
Certilicate ol Occupancy t arI
Notes, Remarks, Etc.
OWNER BUILDEN DELCARATION
I hcEhy imrnr undcr !.nahy oi |{ jry rhir I !m e\cnlllr tiom thc Ci,nrmcl{m t,icensc ljw lhr rhc lnll'wils ra$n (S.c,70.}l5
Busin.s Md Polcsnrn c(dcl: Any C y o' Coonry wh(h rcqutcs r lxmir b co nd.r, drd. inllov., dcmlnh or rcrair.oy
nrucrur.. ptur b \ nruancc. dlnr cqut.\ lh. arplicrnr fd nrch trmir rr lilc { siSmd st|tcmnt lhll hc or shc ir liccns,l I)UNanr
ro lhc pnvtn rs ol rhc Conlr..ntr s LiccnscJ L.w (Cha/cr 9, Conmcnuins *irh S.crion r(x) or oivi$on I ot rhc Busincss Md
Prncsn,nsG c)orrh.r he or\h. ist{cnur ihcrclrom and rhc hasis,,trrh. allcscd.rcnIxDn Anyvir.rionofScclbn70115hyany
|tl'c,d t)ru p.mnr su hjeG rh. rrplic,nr b a crvrl rcnrlr y.l nor nr)rc (hM hvc hu ed dollrr (Ss(x,).
_1. * own.r.f rhc IF,Irdy. ,, n, dntloyc.s *[h wrgcs ns rhcn w,h Lofrtttndon. w'I d) itr wo, k r] lhc nmr@ n ftn
i crkJ or oflrr.J ldr srlc ( SN.10,14. Bus,us atui PbLsio.s codcr Thc Cin ra.r,tr s Lrcnsc trw does nor llplt b .n own r .t
rhcl!,Fny {ln' huilds or impn,rcs rh.G,n, lrl *ho&Es\'(hu)* him\cll orh.Eclrorrhn,ush hG or h.r own cnl'tlo]ccs.
I,rovd.'l rhar ruch monNrmft e mr hrc,r,cd .r ollarcd lir s.L ll. how.si rhc iuiLlire or m{'mrcnE.r is $l'l wirhin nnc }cr
ol corphl Dn. tlr Owncr Auluci w l hrvc (h. burJcn ot rtuvin! rhd hc or rhc dil Dl hlill or hrl'mvc rh. poFny lor rlE ITTFJT ol
l. N .wncr .l rhc pn)p.n y. iB c(lNiFly .onrrn nn8 w( h lL!trsc,l .on@.i)r n' .on(d.r rhc FoJ.cr (s.c ?u14, Burms
.ul }\!L\M'hCoJ.r Tl[Cotrk.c(r-\ I-r.trr LaE d(r! tur nftlyl,, rtrrwncr.l tlr.nc y*h,, buills orimpovcs rh.rcon.
rod *h. conlEuts li,r uch nroFrh wirh ! Coorricn)(,l!.ns.J plrur nr rhc Conkrk,'i Lrn* Ijw).
I an cxcapr un,lcr Scrli,n & PC. ntrr[r r.rn]n
!]llaxEBstloutlls InN!rE!!t3dM!
I hcrhy rlltrnrundcryrnrlryol leiJurr_rn..l rlr tull,'*nr! n..Ln rk,n\
_lhavcr will roinrain r Ccnilicdic .f con$nr r, S.ll ln\urc ktr w.rk.( onl0.nsr (D, rs $)vkicd {d hy Se..r on l7(x) ol rhc
trhtr O'dc.li)!Ihc p. i)runcc of{hc w.rl l{truhf,hrhcFmn ( i\\u.J
_l l,rv. in.l willh nra'n work.B'conDr sarnr nur.f.., A rcqutrcd h!S.{ron lr(X)olrhe l-atxtrCo c.larrhcpc.rnminicor
(hr work tffwh(h rhi\Fmi i\ rsmd Myworkcra ohFnld,oi,n{trnn c .Mrcr ,nl }rry n!.nh.r rc:
D{t.:_ Appll@
LICENSED CONTRACTOR
DECI.Af,AIlaT
t hcEhyaiirmunncr pcnallyolpcrju,y rhir I am lnusd !tulcr prcvisn)n orCha/.r9 (.onmtuing wirh scdn'n ?llo) oiDivisnrn l
ol thc Busincsr ed Pmf.sio,r Co'lc, antl my li.cnsc $ n tull r,tr ! {r.l cllccr.
(-.ONSTRIICTION I,ENDIN(i AGENCY
I hcrchy illtm unJcr lcnilty ol pcrjury rhat lhcrc n ! .on(rudion Endin3 a8cNy lor rhc pdrotrMc. or rhc work lor wnah thl\ Prnil is
isrucd 1Sc.. 1097.C,v. C ).
a.EPftgSNl.peclaaaMl!
I LE-hy lnim u nd.r lcdllry ol tcrjury onc ot rlrc followi.E dc.L.at ions:
Dctunin,n Pcrnirs-Arhc{o\ Nlrificrio. Fcd.rdl Rc8uhri('ns(T lc 40, Pd6l
-Rcquncd
Ix(crolMi icdirn
I rnilyrhi rM lt'lcnlr.BuLronsr.-!rning rsh.no\ r.DovJlrrc mr xppli(rhk !, rh^ pn)jc.(
onl rn..!rtrJ Sir.l-r*s\-L
'ng
(,rn'n. dr*l h.Nby rurhorrc rcprc*nlitircs ol ihn Cily and
(rn,,**
tnnrcl po!.ny tu in\lrcd
0
I
BUILDING. INSPECTOR HECORD
ID/SIG.
Policy Nomhcr:-ExpiE*
-
_Ic.rlilyrhar inlh. p.ibrmrn..olrhc work turwhklr rhr pftmn r isucd.l shall nol cmtloyanyt'cl$n inanytuMncr
$ $ r) ne'k- sut'Frr lo I)E w,,te^ d,mpctrrlnon ldws ol Crliltmi.. !ni 4E rhar rt! sh,rLt h..om \ub]i{' ro lhc
*o*cr' conlpcnration povisins oi Sccrion lrl)0 ol rhc Lihr Ct Jc. I dull bnhwnh con,tl, w h th.$ ln,vnrns.
WARNING: Fdhrc b sccuft wo cn comp.nrartr,n covcragc ,r rnhwtul, ,nd \hdl subicd an c.Ilbyc, ro (nmi,al pcnaLi.s rnd
c,v'l lincs up b otu hrft]r.d rhouend dollar\ ($l{x).(lx]), i. rddnoi ro rhc co{ of.onllf,trsrlion. dama8es as pn,viJed j{tr thc
Sc.ron.1(l?6ofrhc trhr Crod.. dcr.\t rnd.tromy s t ci
kBlcai AJrlre$
_I ccdrfy rhd I hrv. r.al rhis.ft'lilion arl {arc Ihd rhr.bv. rfornl1tx'n ir.otr6-.r.I a8re nr coryrly wnh aU Cirya lCornry
Forms/Steel/Holdowns
Ext./lnt. Lath