HomeMy WebLinkAbout10195550 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Sectionr (714) 647-5853
Permit#: {O{95550
Pin #: 98985
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ectAddress: 1351 E Dver Rd
Assessor's Parcel 411-131-15 Lot NA
Unit Bldg: Address Range
Block NA Tract: NA Hrsloric: No
Proj
Euilding Use:
Job Type
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
M
VB
cBc 2016
x-0602320278J
1st FL Area: 0
2nd FL Area: 0
Other Areas: 0
Garage Area:
Total: 0
Patio:
T.l.Area:
Yards Req'd:
Valuation: S0.00
Commercial Occupancy:
Revision Constr Type
Revision Code:
Service Station w/Convience Store Flood Zonel
Retail # of Stories:
Description of Work: Revision lo 10192221. Truncated domes
Planning Conditions::t'i I i
a'1y u
Owner:
Address:
Phone.
Tenant
Oyer Grand Development
1351 E Dyer Rd
Santa Ana, CA 927055515
(9491 2444436
Mobil Gas Station
Contraclor. Strong,lnc
Address: 10373 Los Alamltos Blvd.
Los Alamitos, CA 90720
Phone; (562) 936-1/15/r
State Lic #: 746901
Lic Type: B, A, HAZ
Bus. Lic #: 365195
Workers' Compensalion lnsurance:
Carrier: State Fund
Policy #: 909,f145
Expires: 0110112018
Engrneer
Address
Architect /
Desrgner
Address
Phone:
License #
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd.
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Kelaher, Selena
Mazarji. Zac
Brodowski, Teri
Date: 03/01/2018
Dale: O211312018
Date: 03/01/2018
Subject to Field
Misc. Receipt
Misc Receipt
Misc. Receipt
$106.93
$0.00
$0.00
07776002 53500 Revision
07776002 57672 Bldg. Stds. Revolving
07776002 51600 General Plan Update
No
No
No
No
Fire lnsp. Req'd:
Police lnsp Req'd
No
No Account#Total
Flood Zone Cert. Req'd; No Ol.1t60O2 53600
Every pennit issued shall becone nvalid unless the wotk on the sile authoized by
such pemil is commenced wtthin 180 days atlet its issuance ot if th6 work aulhon2ec!
on the sile by such ponnit is suspended ot abandoned fot a petiod of180 days aftet
the time the work is comfienced.
$106.93
$0.00
$106.93
lnspector
$106 93
Fee Total:
Paid to Date.
Balance Due:
Suite Range:
Zoning: Ml
MID#: 20'16-133368
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNDRBUILDIIR DELCARATION
I hschy oii unds polhy of Frjury l hat I m c\.!npl to'n lhc Conlradou l,icw li* ror lh. tollowhE raym (Sr 70l l 5
tlNindr trd Pmidsio. ('od.): n, ( ity or (iru y shth r.qun6 ! p6mn ro co6rtu.l, ahd, inprov.. n inolish or Ep.n dy
slructurc, FiLtr lo trs ilsuncc, 8ls r.qun6 lh. at{,lic..l for such p.nnil lo fit s siSn.rl sldmfll lhol h. or s& i! lico*d puBuml
b rhc F,r isi,)N or $. cd.kr(rtr 3 t.ic..ed h* l( ha d s, (irB'n.('ds wirh sdrion 7000 of Division I of Ihc sosin ,a and
P()ics\6ns ( od.) or rhar lE o. sh. rs .r.m rhd.lio sd rh. barB lor rh. all.*cd.rmplion Anrv'oLtionois.(ion70ll tb,-any
dDpl'.er tu itdrh rubJdllrh. iplrl'cur ro !cN,lpcnalryot.or nor.tho fivc hunddd doll&s I l50O)
l, $ owna ofrh. pro!.nr, or my mFlor6 wirh $ds6 6 rh.ir $L.omFnsrion, "ill do th.*o adtErrulEbmt
mrdrlal or o rsal aor sl. (Sa 7tB.l. Il$iflB3 &d trro tBiore ( ode 'llE Codracror's Ltrlg k* &Jd nor a!?ly ro d .snd ol
rh. F.rdy tr lD bil& Dr nnrova trEq'q s,rl sk) dE sch *.rI hi.r.lf.r h.mll or rhrou8h ht or ha om.nplor-.d.
Fovd.n rh.l ru.h impro@rt G frtr hrErl<j n ofiadl fu sL rL k)s'ds. th. tlruus or iryrcvmr ir sld *nh'n onc ra
of compldr)n. fi. (h n6 lto,rLr $ ill hr* rlr hd, of Fovin$ rhd rx or slE dn d hild or inFor. fi. FDFiy aor th. F!.!os of
l. sosn6oflh. I,ordr, m€tclusrElyconr&1ru $irh ltrds.d contra.loE ro cotr(rud rh. Fo]<l (Se 7041. rIErc
,nj t\trbrnn (id.: I hc (irmr(ttr t Lic.nsc l rw d(B nor appl) ro e o\ nq of propd) \ h. brilds or inpror6 thdm..
lnJ who co.r&1r aor luch Foj.r1s *trh . (-.dtu1o(, li.c.{ puB@r lo rh€ Conhcrors Lkru taw)
I m.\mrr unii6 scron ,B &P( forrhnr6n
laa5Eaa:lautfdsarla!
DES.AAAI]A!
I hd.by .m.n u..k Felr, of Frjury oft oa!h. folL$qr .t cltrati.N:
I hrv. ni s,ll mmrri. r ( diakri. of coMr ro s.la l.U. for *nk6' comFMi... a F.yiLd aor by S.clion !700 of !h.
lltrr cod.. ftr rh. Ffolr1@. of rh. s6lr for trnth $. Fon u i$dj
I hav. !.d wrll n.i.ui. r orld comFMrion iBurmq c ratun.d br Sd ion 1700 of rh. t bor Cod.. for lh. psfo.lMc ol
rh. rvt lor *hth 'hi Fmn n irord My $0116 comFMion iNrm. cdis .d polty numbs rc
I .ct'ry lhlt o
'hc
F lolrjac of rh. $o,r for *hah lhn Fhn n &.d I !h.ll mr qtpb, m, F$. i. sy .lm
$ 6tobdomubFroth.ro 6'omFsbr L*s ofcdifo@ di +r 'hl itl nrub t com $ti.rl to llE
rsrtd' $mFsioD FnvirhB otsdirn l7m of th. trEE Cdte I ltElL tdhsnh of,pD wnh Br pmtiiioB
WARNINC lalur. ro s@ mrt6' omFsion or6.s. is uLs{ut in 3t!I $tin e @plo}E ro oioinn !d.iE td
.^n fin6 u, lo oE nu!&.d rlr'6nd doll6 (tloo,ooo). i. rhion ro rlt on of codFaaion, drMs6 6 Flra.d 6r th.
s.nn. 1076 olrh. Ltor ('.d.. idai, nrd rri4- ! fc
4p9!o.l:_
It(EllfIIlo&rSA(IqA
DECIIa^IIAT
I hd.b.r rmm uD:!d Futt of FjuD rh, I m lrdei urld Forision of CIEF6 e Goffiing rnfi Sdior 7000) oa DdsFn !
of lh. BdI6 od ProlBr6 Co&. d ny l.6E 6 in fuu toc &r, .lTdr
(allrf,I(rtotr-LIlpttclcEr(1
Ihd*D frm untd Frr, olFjury rhd tlE. i! ! 6dMi,. ladi.e +d) for tlE Ffollrle. of lh. sst 6. r'hth tha F$a s
's.d (sd l(,)7. cir c )
ar8u(Arl.ttEg4aalla!
I hdrbt lfm un& Funt ol Fju.,' om of 0E folr,q ins rL.llrriiorc
lloml't$n PoT s'Arhdror Noriliclrion Fd6!l Rqubrir6 (Inl. {0. Pu16}
Rcru(d ltlrE of Ndi6.d6n
I (d
'fy
rhd rh. tddrl r.*uldioB EBEJmB abGros rmo\ al e nor edtlbk ro rhis Fol€1
, .qt,it
'h!r
I lu\. rdd rhB rgrli.rnon erl rr. rhd rfic !tr\. rnromahi i3 cotu I .sc io .omply tr nh rl1 Ch) ed Counrr
oidf!ftB ed srrr.lr*r Eldins r. ihiiB.oNtudiotr nd hd.hylurtbrizr.FMdn6 of rhn Cilyed Cou ylomraupontlE
a&,\c 'MlNo.d prupsrt fr Np<10o puIB
,\rpri$nl or ,\Bdrt stn.ltrn
Set Backs
Erection Pads
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framing
ln su latio n/E ne rgy
Drywall
Brown Coat
Masonry
Pool Fence
T-Bar
Handica p Req
D uty Final Report
Engineer Final Report
Flood Zone Certif
FINAL )-L-t 3 ')/atVa 7v-)
Certificate of 0ccu pancy
Notes Remarks, Etc
Forms/Steel/Holdowns
UFER Ground
I
Ext./lnt. Lath