HomeMy WebLinkAbout10116033 - PermitBUILDING PERMIT
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PROJECT
ADDRESS:2655 S. ORANGE AV
SUITE'SUITE
RANGE JOA TYPE
NAAOORESS
RANGE
REROOF
LEGAT
DESCRIPTIoN: Lot
NANA COMMERCIAL BLDGNO OF EXISTING
BUILDINGS & USE
Tnct 4 3 VNTYPE OF
CONSTRL'CTION]
B@CUPANCY
cROUPI
4rt -o52-O2ASSESSOR'S
I h.i!o, .f,rinn t nd.r p.n ny oa p.rjury th.t I .m d6mpr torn lh. conlr.cbrs'lkrn . ln^/ io. t'. iolbiin! Eaio.r:
_ S&to. 70&lA, l, - ftl.r ol tnc preFlty, d my mproy... uln Eg6 .ift n.ob como.nEeton. will d,o tn. r,voft. .nd lh. EtudJlt i. nol ot n<Ld o.
_ 56. 7oaag, I, a ffi o{ th. PlEp..ry, .h Gt,.Nry cdri.clin! *in
lic.n .<l dt.cbr b d3tuct tn. pojqrt
IENAMI IMPROVEMENT
AND / oR REMODEL AREAI
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OWNER:OTHER SQ FT
GARAGE SQ FT^ooREss:
2655 S ORANGE AV NEW / AOOI
2nd FLR 5a FI
M
ZONING
SANTA AXA; CA
tr4/1.tt-tJ<t5
PHONE PLANNING OATE
DATE
LANDSAPING
REOUIRED
NTS
8Y:
REOU REO
Bl+ii\SaFFrY
PERMIT
ISSUED
'tr4/75
CONTRACTOR:
AOORESS
6'7 7 6't 4S'TATE
LICENSE*TYPE C39 B
o77452s &-,
I h.6by .ffim undd p.n.ny a, p.dury q. ol 0!. lollfri.! O.cl.dtioo!:
I hs .rd will m.inhin . C.difiai. Ol Cs$d lo S.iJ.eE i.. W..I6BGpasdbG r poidcd tor by S.clion 37m.{ thc L.bq Cod.. ioi 0tG
Frtor!56 ol h. €rt td wnEh lhE P.mn is BU.d
jzll h&.nd hll m'.t in wo.k.B comP.Gnid h3uEn@, .! Equr.d by
S.ctoo 37@ olth. Labor Cod., ior lh. p.nom.@ oa th. wt id whEh thr.Worlc6 Cdp.netion InsuBnc! c.ris.nd policy nqmb.r
(u'iss.crio..6d@
_l @ndy th.t rtr th. Fdom.nc. o( th6 rc.i ior whrch th6 p.mit rc r.su.d, I
ih.ll nol .mpby .ny p.ls rn .ny h.n..r e .s to beoru subjet lo th. Worl(66CFFnstjo. !.E ol C.liroma, .nd agre rh.t ir I sl@ld bdom..ubj.cl to th.
WARNIIIG: F.aluc lo sur. Woi<.6 Cgm!.nelioh .@896 is unla*tul ahd
shall su6j.cl .n .mploy6r to cn in.r p.n.lt6 .nd dil t6 up b lN hund,.d
thous.d doll.6 6im.0@), '..dd'tontoth. c6t ol cmp.lMti6, d.m.on as
p@id.d b. i. S.clion 376., th6 tabor Cod.. int r6t .nd .hdn./s las
l'L
1
Ytl
th. I.bor Cod., l ihall
e 6r oJ /^i S.
ENGINEER,/ARCHITECT:
AOORESS
PHONE1
?_i.--LICENSE *
JOB OESCRIPTION:
ROO
PLY ;
OEE
4 -PLY
CAP
GAF
REROOF W/ TEAR(to@ soi oE
HANDOUT GIVEN
City of Santa Ana
Building SaIety Div. M-I9
P.O. Box 1988
Santa Ana, Ca.92701
206 W. 4th. Street
2nd Flmr
(714) 647-5E00
FEES:r)YT
1
1
'1
PERMIT TEEPRE.INSP FEEI S SUANCE
FEE TOTAL
PATD TO DATE
BALANCE DUE
AMOUNT
L55 . O@52.30
2@.@@
FEE
155
52
20
227
o
221
I hGcby .ftm u.dd pGnalty ol pc.iury tnal tn.rc is a cdilrvclion l.nding .g.ncy
io{ lh. p.,iom.M ol th. rcrk ior which this p6mt is is3u.d S.c 3(!97, Civ C )
OGrElilb. P.miEklclo6 Nonncdbn F..Lr.l R.guhionr (rl!. aO, P.n 0)
R/unld L.rhr 6a ildifierid
-f a,ot, * * *' -uLl,orB Eg.rdiltc .3b6tE, r.no'al .l! nol
.pdr.t5L L hir Fq.d
--f 6.t'ly tr.l I h.,/! 6.d th'. .pplic.to.r .nd d!. ih.i ttE .te mtum.ton '3coa!.t I.gG.b co.nplywih.ll CiV..d C@iry ddan.iE6.nd st t r.s
ELlin! b boilding diludr . .nd h@by.udEt 6D.ant ts. ol hb Cny
1_'r
C oo\ e- A-
..d county to .ni.r upon lh.
Appli:.^t d .g.nl 6ia
OWNER-BUILDER DECLARATION
VIORXERS COMPENSATIOT'I DECLARATION
ll)
LICENSED CONTRACTORS OECLARATION
Public Counter
r.0r.r.6033PERMIT NO.
Account No. 011-01-5911 - Pemil Valdatio, cs-ms
i/ 11/?7 t, 1i'-Ati,-, itfi,vspedffid}v_
o< /417262-_
autLorNG r:NATURE
DATE
NEW / AOOL
FLOOD
Ehlc _
BUSINESS LICENSE T
\(
CONSTRUCTION LENDING AGENCY
Mailing Address
APPLICANT'S DECLARATION
P.mio6 Mm G.i.ql
This pcrmit shall epire by limilalion and b€come nrrll and void it lhe work aolhodzed
by this permil is nol commenc€d wilhin 180 days lrom lhe dale of lhis permil, o. if lhe
work authorized by lhls p€rmil is suspendsd or abandoned tor 180 daF, al any time
afrer worl was commenced,ln such cas6 a newpermil shalltir6t b€ oblain€d before
such wor* can be recommenced.x
hrt'.
Address UniUSuite
BUILDING..-INSPECTION RECORD
Site Work Remarks Signature t.D.
Setbacks
Foms,/ Steel / Holdowns
Slab Flool
Steel
Pool Fence
Masonry
N etc,:
ru OTVNER.BUILDER DECLARATION
I hersby affirm uoder p€nalty of prjury thal I am 6x6mpl from th6 Conlraclors LicoBa Law for lho follol /ing r€ason
(Sec. 703'1.5 Businoss and P.ofessions Cod6)iAny cily or county whlch roquirG. p€rmit lo coislruc{, all.r,
improv6, d6molish, or repair any druclu.s, prior lo il6 ir,surnc., elso requircs lh6 epplica. for 6uch pormit lo til. e
sionsd statgmsnl lhat ho or 3h6 is licons€d puBuant lo lh6 provisions of th6 Conlraclors' Llcenso Law (Chapler 9,
commsncing with Seciion ruO of Division 3 of th6 &rsin63s and Prof63sion8 Code) or lhat ho or Bh€ is .xempl
lhorefrom end th6 basL for th€ all€96d 6x.mpllon, Ary vlolatlon of S*llon 7031.5 by any epplicanl for e pomit
subjocls lha applicent to a civil p€nafiy o{ nol moro lhan filr hundisd dollars (35OO).
_1. a6 ov'nor of lh€ prop€rty, or my omploy€€s wilh u/ages es thak sol6 comp€nsalioh, will do lho wo*. end th5
slructuro is nol inlood€d o. ofor€d for salo (Soc. 7(N.1, Bu6in66s and Profossions Cod€: Tho Conkaclors' Lbonss
Law doos nol apply to an o$mor ol lhe prop€.ly who builds or lmprovG lh6r6on, .nd wllo dooa auch woIf himsolf or
horsolf or through his or hor olivll omploryess, provid€d lhal &rch improwmenls ar3 nol inl€nd€d or ofi6r€d for 6a16. lf,
hov'rsvor. th€ building or improvomonl b sold within one y6ar ot complolion, the Oanor-Buildor will hevo lho burdcn
of proving that h6 or 3h6 did nol build or lmprovB for th6 porposs of sal6).
_1, .a ownor of lh6 prop€rty, am orcluaively conlracling wilh licomod conlaaclors to coalslaucl lh6 projocl (Sac.
7(X4, &l3ifioss .nd Profsssions Codo: Th. Conllac,lol! Llc.nsc L.w do€s no{ appv lo an ovyr|sr o, prop€iy wlD
builda or lmprovoa th€r€on. and who conlEcls lor 3uch proiocts rvilh . Conlraclor(s) licon6€d pursuaol lo llls
ContBclors' Lic6m€ Lew.).
_l em ox6mpl und€r S€ctlon: . B. a P.C. for thla .€ason.
Building Remarks Date Signature
Unde, Pinninq (lloor ioistl
Foundation Ventilation ,/ t',,
Rool Sheath 0_ ./v n -D
lnsulation / Ene,gy
Dry Wall
Exterior Lath
Brown Coat
Handicap Requirements
FRAMING
FINAL (Shell only)
FINAL {Tenant lmD,ovement}/-f-rf -b
Date
UFER Ground
t.D.
' tr/- &-r
T€ar