HomeMy WebLinkAbout10196660 - PermitPermit #: tOl96660
Pin #: 82{65
q
Project Address: 1971 E Seventeenth St
Assessor's Parcel: 396"321-21 Lot:Block: A Historic. No
Suite Range
Zoning
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
TI
Commercial/Retail
M
III B, SPK
cBc 2016
x-0602320164J
Patio:
T.l.Area:
Yards Req'd
Valuation:
1070
$38,413.00
i
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total 0
Description of Work: First time Tl-lnstall partition wall, counters
Planning Conditions:
Address
rf![t 05
bcnerq
LJ'- t i on
i,lpdote I e€
iu[l:lu -
Owner:
Address
Phone:
Tenant:
Hoblob '17 LLc
1234 E rTrh St
Santa Ana, CA 92705
(7',t41245-74O0
Batteries +
Contractor; BotrosConstruction
Address: 31831 Paseo Tarazona
San Juan Capistrano, CA 9i
Phone: (949) 632-7715
State Lic #: 716566
Lic Type: B, C-33
Bus. Lic #r 370071
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9029788
Expiresr 11lO1l2O1A
Jetf S. Coftman, Architect
Jeff S. Coffman
2OOO E Chapman Avenue, #202
Fullerton, CA 92831
1714l.738-7O45
c-25115
,1t I l6r.[.r ,
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Ul l 15ut-l:/
rr I d! :il, rir
irl l16r_[]:j
l16u luur-r-
.:i Vot v irrg
r:,I61:21:lIU-
Phone:
License #
Phone:
License #
Architect /
Desiqner:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd; No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Orozco, lvan
Chehade, Nabil
Chavez Dave sz?'
Dale: 0712312018
Date: OGl22l2O'18
Dale: 0712312018
Subject to Field:
Fire lnsp. Req'dr No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
0771600 2
0777600 2
0777600 2
017760 0 2
017760 0 2
01116002
$267.50
$374.50
$3.76
$2.00
$22.08
$55.04
Misc. Receipt
Misc. Receipt
Misc. Receipt
71074
Total
51601
5i600
57770
576 72
51600
51607
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Account#
Every pemit issued shall become invalid unless tho work on the site authorized by
such pemit is commenced within 180 days aflet its issuance,or if the work authotizod
on the site by such pemil is suspended ot abandoned for a peiod of 180 daysaftet
the tine the wotk is commenced.
$22.08
$322.54
$2.00
$10.70
$3.76
$724.88
$363.80
$361 .08
lnspector MID#: 2018-143818
01116002
01 1 16002
01116002
01 '1 16002
01 1 16002
s1600
s1601
51612
53600
57770
Fee Total
Pard to Date:
Balance Due:
City of Santa Ana 20 Civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unit: B Bldg: Address Range:
Tract: A.B. CHAPMAN
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Engineer:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNI]R BUILDER i}ELCA RATION
I hcEby .iftrn undcr l.n0lry ('a p.rlury rhar I !m cicmtr arom rh. conti.rotr Liens ljw for rhc iolloqin8 r.a$n lsc..70ll.5
gusinc$ ard Prcfession Codc) Atry Ciry or (tuxNy *hi.h icquncs 0 Ismir lo orntud. ahcr. inlrov., &mlth or EPair !n,
slrucrurc. r,riorlo ns hsuaice. aho r.quncq rhc applicanr lor such lcnnil to lilc a signcd (aicB.r rharh.orsh.nlicenscd Prtolll
h rh. [ovisionr.rttr Conkrrors Liccnscd tis (Chrflcr 9. C.mhcncing *irh s..rirn 7u)o ol Divkion ] olrhc Bu\inc* rnd
Profcssions Codc)orthri hcorshc iscrcq)r rhercfromand rhc hnsi\ f.rih.aucBcdcrcmplion Any!i,,LrnrnofSccriotrT0:ll5hyan,
lpplic! fuapcnnn subj&ls rh. rpplicrm lo r.ivilp.Drlryolnor nr.rcrhan fivc hxhdrcd dollnis($500)
-1.
$ owncr of rhc prcrEnt. (tr ny c'nplo)r.c wirh w0!.\ ds rhcn snc coinFnsar ion- Bill do rhc woA $kl Ih. sfldN is nol
i'ncfrktl .r .fl.6d for slc ( Se 7(}4,4. Busitrc$ lnd Profc$ions Cdc 'Ihe Co rrcktr\ Liccn{ tjs docs nol 0pPly ro r. own.r of
rhc nofany sho builds a. inprts rhcd.. ari who d(s such w.ti himsclfor hcr*llor ihn)ugh his or h.r oqn cmPloyccs.
pR,vid.d rh.! such in|m)rnEnB nrc nor irlcnH or olTcrcd nn eb lt ho*cvcr, rlr bu ildii8 or irlll'n,rcrnl is sld sirhin ofr ttr
.I conphrion. rhc Owner auiher *ill h,E rhr hoil.n or pbving rhxr h. or rhc dt mt buiH ., nq'ow rhc In,rrny ror thc ,,u4nt of
I. .s owNr or rhc pmlcny. mr gcllsively conlracr ins wil h liccnscd conkacbr b ..n{ru.r rhc ,mj( (Sm 1044, Bu ,incs
md Pt,acsi,nCode'th.Co.rrciofsLicenscLawd*snot.pllyloanowncroip(,pcnywhohuildsorimprovs\lhcrcon.
{Dd sho co mcls ior such r(icch Birh a Conr,acron, liccosd puru tiorhcCo mciols l,iccnE Law)
I. rcxcnrfl uDdcr Sc.r
]YOf,SEXI.CAIIIDNIAIION
DECI,ISAIP!
I h.rcby ofirmundcr pcnally o, p.rrury orc otrhc rollosin8 d(lsarion\l
-l
hlvc and*ill minrain r Ccnificsrc 6f C6ne.r b sclf lnsuB for eorkcr' .on{rnsdion- a\ ptuvidcd ror byserion3?00oflhc
t lxtr Codc. ior lhc pcrlolmrrcc of lhc work tor which rh. Fmir i\ i\ cd.
I hrv. rnJ $illn,xi' ri'r rork.r! .o rt,etr\rrid, trNurrn.r. r!
Nlr
.Z
i
l..nifyrhrr inrhe Friofln{nce ol thc uo l'or *hich rhi\ pcrnir k i$xcd,I shrll nor cnrloyanrpcrson in rnytn.nmr
b s lo bc!!m sut isl lo lhc *orkcr' cohl.nq 6n hw\ ol Calinnir. a o8rcc rhalirI {tx ld b.r.m subrccl ro thc
worlcn compcnsarion porisioi\ ofs.di.n l70o.frh. hbr Cdlc.I shall.lonn*irh comply wirh rtFt Pn,vtions.
W RNIN(;] Ftrilur. t) {.ur. trlxkcri conr.n\rrion covcm8c i\ unhwtul.ll \rbjd cn,fkDrr h dnnrrl Nnilrics rll4
.Nil hrcs uf r. otrc hu drci ihou\and dollars (Sl(x).(lx)). ir diri,nr iinr. d, figcs a( pnvidcd lbr rhc
PTI-Iz;':;-4I ,..r)(
I ncrebyatlirmundcr FnahyorFrjury rh.r I am liccnsl uRlcr Fmvision olChartcr 9l.onnEncirg wnh Sccrion 70d)) orDivirnrn l
of lhc Busi,rcss tr.d Pmfc$ion\ Codc. !d myliccn$ n inroll rdrcc 0nd cllccl.
^,- ]|l4h1cm,ndml
CONiIBIJSUONIDXDINC.ACENCI
I hcrhy lfllrm und$ Fmllyorpciurylhal rhcrc is acon(rucri.,n lcodinE aSdn y toi rht p.rfornrncc.frhc work r.r wh,.h thi lEirnn n
nrucd (s(.1097_cir. c )
AIILICANLDIiIIABAIION
I tmt, al-rnn undcr pcmhy ot pcrjurt om olrhc loln,wirg d.cl.ritrnnrs:
ocnnirion Pcrmih Ashcstos Norifi.dri.n F.d.ral RCGUlnri.r( (Tirl. 10. Pan6)
-Rcquned
Lrrtcr oi Norifi .din'
I ccnifyrhar lhc fcdcml ,cNhrnrns rcsardinE ash.skx rfr,val arc nor sptlicanb lo rhn pmJccr
-l
ccdiiyrhar I hrvc rcad rhi\spplic,tion,nlsar.rh,r rhc,hrvc inr'ormlion hcorar I rsre k,.onply qnh flll Cny and O,rnly
ordinrnccsard Slllc Laws rchrnEb building horchy&thorizc rcprc{nurir.s of rhh cirynnd Counl
nh)vc
'mnr
i{,ncd fl.ltrty lor iNI'c.lionIrUr
,\pplimnl or ,\!.nl SixMln
""-n""
nu-" ,rnn,, {Fo/
€
Set Backs
Forms/Steel/Holdowns
UFEB Ground
SLAB Floor
Sublloor/VenVl nsulation
Rool Sheathing
Shear Wall t
Framing J/lt/r{.-**u'.
lnsulation/Eneroy ('tt-,/
Drywall
Ext./lnt. Lath
Brown Coat
Ivlasonry
Pool Fence I
T-Bar &/z"h{.r9\yl
Handicap Req.
Deputy Final Beport
Engineer Final Report
Flood Zone Certif
lt
FINAL q/r/?-/t1 r ."*1 7)
Certilicate of Occupancy /L./
Notes, Remarks, Etc
Erection Pads
Sccrid .r?rn ol rhc l-aborCodc. forlhc p.rfonnnm.or
Lrndcrr Nam:-
Lcndcir Addrs
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