HomeMy WebLinkAbout10194215 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 Inspector Section: (714) 647-5853
Permit #: 1(J194215
Pin #: 3O{4O
Project Address: 3801 S Harbor Blvd
Assessor's Parcel 4',t4-261-12 Lot POR 3 Block NA
Unit: C Bldg:
Tract: WILLIAMS
Address Range: 3751-3801
Hisloric: No
Suite Range:
Zoning: Ml
Building Use: Commercial Occupancy: B 1st FL Area:
Job Type: Tenant lmprovement Constr Type: V B, SPK 2nd FL Area:
Nature of Work: Tl Code: CBC 2016 Other Areas:
Existing Bldg. & Use: Commercial Flood Zone: X-0602320258J
Garage Area:
Proposed Use: Optometry Office # of Stories: Total: O
Description of Work: Tl includes new intorior partitions to create new lab, offices, & waiting aroa. Add (2) new sinks.
Planning Conditions:
Patio:
T.l.Area: 250
Yards Req'd:
Valuation: S9,000.00
Owner:
Address
P hone
Tenant
D&SlnvestmentLlc
3751 S Harbor Blvd., fD
Santa Ana, CA 927047902
1714) 435-1210
Crystal Vision
Contractor: WinNguyenConstruction
Addressi 13172 Sandra Place
Garden Grove, CA 92843
Phone: 1714t 326-3121
State Lic #: 955157
Lic Type: B
Bus. Lic #: 363678
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer
Address
Phone.
License #:
Architect /
Desiqner:
Address:
Phone:
License #
win Nguyen Derign Group
Ha Nguyen
13172 Sandra Place
Garden Grove, CA 92843
17141326-3124
Plannlng Approval By
Plan Checked Byl.\
Permit lssued ,ti
-NPDES lnsp. Rds'd:\._
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Dale. 1011012017
Oate. 0912712017
Date: 10/10/2017
Subject to Field:
lvlisc. Receipt
Misc. Receipt
NIisc. Receipt
0 77 7600 2
0 77 7600 2
0 77 7600 2
o7775002
0777600 2
o7775002
57607
53600
57770
5 7672
5 7600
57607
Permit Fee
Plan Check Fee
Microfllm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$149.2s
$200.54
$10.86
$1.00
$21.25
$52.98
No
No
No
No
bl
eri
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No Account#
70074
Total
Every pennil issued shall becorno invalid unless lhe work on the sito authonzed by
such pemit is comfienced wilhin180 days aftot its issuance,ot if the woi< authoized
on the sile by such permtt is suspended ot sbandoned for a pedod ot180 days ahet
the time the wo* is comrnenced .
s435 88
$100 27
$335.61
lnspector MtD# 2017-138762
011 '16002
01'1 16002
01 '1 16002
01 1 16002
01 1 16002
51600
51601
516'1 2
53600
57770
$21.25
$202.23
$1.00
$100 27
$r 0.86
Fee Tolal:
Paid to Datel
Balance Due:
Orozco, lvan
BUILDING. INSPECTOR RECORD
SITE-WORK DATE tD/stG.COMMENTS O\t NT:R BTJII-DER DDI.('ARATION
I ha.t, .rm !i& F. yof Fjury rhd I b.roF ton rh. (-o.rd(m LK@kn lorlltdhri.!r6n(sdr01l5
Bnsinds dnd Profsn,n (od.) Any Cily or Couiny shi.h ..qun6 d p6nn to co nruc1, !hs. iFtrova &tnolish rr lF€n M,
slrucluc FiJ.lo irs rsuftq arro .cqun6 ln. {pl.ul L. su.h Fmn ro nh r s(dd srr@r thd lE or slE i licdE d Flru'l t
h rh. IrotkioN of rlE Cortdtr ! Lra*d ljr (ChE ( 9, (infrtrinr s(h SdhI 7fir) of D'rilno 1 .ifi. t}!nd.nd
Pmt *rn'B Cod.) or lh{r h. or 3tE i! dmfl rhd.fr.ft dth.hsieforlfiGdll.rcd.rdplon Anyvioldio.o{Sdion70!l5hy.ny
rmlt,flaorrFnnlutdsrh.tpli.mrb!o!ilFMh!ofmru'Ethali\.hu.dtd&llrr(t500)
L N o{F ollh. FolEny. or my mploy6 sirh *rs6 tri rh.it $lc comtElsdion. qilld) ll! troL ,'d lh. sul@ is Nl
"rd'dd tr ofl6.d tu $k lsd 7ol,t. 86dB Md Pr.asFB Cod. 1n Codrlcr.rr I rce lr$ dG mr Tt t ro d 016 oI
rh. pNrEN sh turl& or rsol6lhsoq ad *ln &E sh r.* h'm.lr or h*ll or lholsh hB or hE o$n mplo)6,
provid.n rhd ! ch inFortl1dr E mr hrad.d M ofsd nr st lt tF*Bo,
'h.
hrrlinx d ihFovmar t $kl silhin M. \s
of.or?krbtr llE O$M B{iEa trnl h5\r rtE hrr,.n of Fo\inS th,lE,tr slk dil d tr l m aFtrt tlE tmFt} fin lt: FrFeof
L d otrc of rlE FnFr!, m d.lu!tr.|y o rrllB u'lh lic€&d codrdod ro Fffi.l rlE rojcl ISE 7ou. BUtrB
rri ftot ir ( od.: IIE Conlr&1or t Lic@ br &E .or lr'plt ro & own. of proFny q h{, bliltLr o. imPrel6 lb66n.
.nd who.. d3lor locfi pr.j.ris*irfi ! Conrrrd.(r) lic.nsql pu6@l h rh. c.nt doir !,ic.M lrw)
I m.1mrn !nJ6 Sdnrn
]la&$f,r-gDltENsaro!
ltEcL6SAIp!
I h(cbl. lmm und6 F!h) ol prjury ot of rlE folld$in8 .L.Lt rr.B
I hiu. and will mai.hin a Cdnfic c oa ( .n$r ro S.lfi.surc f.r ( orkds comp<trral rcn, a F$vtd.rl lit bl S(hon l7(ro of lh.
tr&tr (iic ln th. Fl(ruc oa llE f,orl for tr hih lh. Fnn i! sudl
lharconds'ill marri,n *0116 .omn ffarion rNUh.... s tcq{r.d bys(lFn 17(nof'h.l-tboi(i'd.. forlhcpqromflnc.or
thc rrrl tuufi{hrhnFn 6 Ls.d Mr" trortB' omFrcion 'nrurmc c!ri6 trt Flt} numlEr m
l6irylhd o rh. Ffolrlle. oflh. rorl for shth rhi Fhi B &k{ I3h.ll not oploy uy Frn in..r" nME
ar 6kr tEmft rubj.rr ro rh. yrld ftmFr6rrsn tNsofc.Lrom( ad +r$n,ll lrhutd t .oft sttd ro tlE
worl6' smrosl rotr pmvaiN of Sdion I700 .f rh. Lh.r ( odc, I !h!ll. fontNilh .o$i'lt sirh rhos lmvisn'N
\TARNINC l.i'ltrr. r. <ure (or16 rn sL@s. b unLuful. $d shlll $bj.{ e 6pL,E i6 oinin.l Fuhic sJ
.nil find up h oE huftlr.d co, of comp.Exo.- dnm+6 B Fo\ ld.d for rh(
sNritrr liij6., rhr I xrn' (.Je. dc'.:(
0 (0 1
DECrilAIlQ!
I hd.by .rm unLr Futy of Frr' r- rhr I o l&,E d undd Fbr irfn of (n{{6 9 (coffi,ns { nh sdion 7000) of D^ Bbn l
of rhc aBina od Pr{fBioB ( orL. ud hy lic€R n in finl forc. nd .fd
,'/z-
q 7iliTn
I H,y dtm undd Fnlhy o f Fjury $r rh6 b . codi!.ibn LndilB .sdy ror lh. F{die. ot ti. Mrt 6r qtkh lh! Fna .
isu.d (Se. 1097. Cir C ).
AfIIIqNLDECI.ASAIA!
I hd*^' .fd unl6 Fdty of Fjuy or .l lh. f.ll.lin8 d(lii hnt
rrimliion Pdnn!tutdG Norrlicrion ljcb.l R.suhrbtu (Tirl. {0. Pd6)
R.!!nrd Lnrd oaNdifEdir
l.d1'lvrl'xrrhel.,l.'rr.rrtrLirk,s'rrnr(ltrrri\lrs.s'cfr\ilr,.roirl't,'.rhlcn,rh,st)r,Nr
E(oftd lisrc r, m!,nl\ nihill{ J.nd(d'nrlrire irtr6 flhtC r_snd(iuir!roorc trB)nrlt
,,t.,t,^hb trllul | )
I .d 'i! rhd I lE .r(d rhE qplk.rFn rd r.i. r hd tlE 'rnr. 'rlotu h.
dtr ca qd sbr.r.u Eld rns r. buldmr.wtrud nn. dd hE.br .u'hor /.
rt!,c ".rK\f pdr ro. "6+ap!@r<--l
rppncrnr or a/ailtsnrrum"-'--"5( k N7''7e"
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framing tl"517 ks24 t(,.
lnsulation/Energy
Drywall tz-7-t7 I
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar lz-7-l-7 !r4l
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL l-t6-t(
Certificate of Occupancy
Notes, Remarks, Etc
I
l" t-/
I
//\\')ry