HomeMy WebLinkAbout50100997 - Permit(City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 Grading
lnspection Requests: (7 1 41 667 -2738 lnspector Section: (714) 647-5853
cla
Permit #: 50{OO997
Pin #: 556.27
Project Address: 628 E Washinoton Ave
Assesso/s Parcel: 39819'l{2 Lot: NA
Bldg: Address Range: 628.635
Tract SANfA ANA EAST Hisloric: No
Suite Range:
Zoning: SD84Block: 55
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Description of Work:
Planning Conditions:
Commerclal
New
Grading
Commercial
Occupancy:
constr Type
Code:
Flood Zone:
# of Stories:
B, S-1
V B, SPK
cBc 2013
x{602320163J
2
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Tolal:
Patio:
T.l.Area:
Yards Req'd:
Valuatlon:
0
Botchi:{l3{2 ' 12/ l3/20l? ID: CCUELLARoffice: CTYH Tronsi: 123 2 of 13Acct+: Refi: 50100997
Rcpti:(f2106673 - l2/t3/2017 2.$ Pfl
Tnonqnrt ioo Total t15r 188.53
GG&GPropLlc
IO38 N CUSTER ST
Santa Ana, CA 927013915
Conlraclor: KZ Mlller Con3tructlon
Address: 3180 Unlver3lty Avenuo Sto.
San Dlego, CA 9210/t
Phone: (619) 58/r-2858
State Lic *: 1011565
Lic Type: B
Bus. Lic #: 367851
Workers' Compensation lnsurance:Canier: Everost Nrtionel lnsurance Co
Policy #; 7600018043
Expires: 0910112018
Engineer:
Address
KZ lt il lel" ConstPUctionOwner;
Address;
Phone:
Tenant:
John Potocki
121 .25
i2 r858. F{
irs, tst. s,
Architect /
Oesigner:
Address:
Phone:
License #
8636 Frazier Dr.
San Diego, CA 921l9
(6'r9) 933-349r
c16801
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Carvajal, Vemy
Robles, Sylvia
Link, Palricia
Yes
Oale. 12,11112017
Dale: 12J1212O17
Oale. 1211312017
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
07776002 51606 Permit Fee
01776002 51605 lmprovements
07776002 51500 General Plan Update
07776002 516'05 lssuance
$925.s6
$1,880.00
921.25
$s2.98
$2.879.79
s0.00
i2,879.79
PWA Insp. Req'd: Yes Fire lnsp. Req'd: No
Planning lnsp. Req'd: No Police lnsp. Req'd: No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Evary pemit issued shall ba@mo invalid unless the work on lhg s,ils duthoi2ed by
such pe mit is c,,mmencad within ,80 days sner lls issua nct,ot il ho wo autllodaed
on iE sita by such pemit is suspsnded ot abandonod lot a Ndd of 1N days afrct
ths lme tl1p wok is cafimoncod .
lnspector MID#: 2016-133593
Account#Total
01116002 51600
01116002 51606
$21.25
$2,8s8.54
Fee Total:
Paid to Oale:
Balance Dug:
Unil
Phone:
License *:
I
GRADING-INSPECTOR RECORD I
APPROVALS DATE ID/SIG.COMMENTS
Preliminary Soil Report
Excavation
Fills
Sub Drains
Buttresses
Soils/Geology Report
Statement of Compaction
Compaction Report
Flood Elevation Cert.
Paving
Sub Grade
Aggregate Base
Water Test & Seal Coat
Asphalt Concrete
Soils Eng. Cert.
Rough Grading Release
Final Civil Cert.
FINAL -29\
Notes, Remarks, Etc
olG-hil& Dcb.tbn I
I lErty.rm cl.t'FnryorFiEydrr I EdttEr 6.0 th.Co,r.dd Litc t ,lttrlE 6lt',iB ton(E mJ1.5 BuiE I
id ,mi ion Cod.): Any Chy .. C@niy rtich Equc . Fnil to odrud. .la, irt nE. ildrDlid! d tqt rt, rrcft. trr to dt- |Blc..1o EFi6 rh.+li,,r 6. idtFbn 0o nL.drd r.drr d. bori. a lioGEd Flrll bd! FlviDrof rhc lColrrddt Li.rlt d Lrx (OrCt6 C. CffiilB rilh Setbn 7000 ot Dition i 6lllE BBilE !i Ptoi.sr Cod.) G tls lt d ItE ir s.!Er rHon .,n dr t- 5r tu .lkrd m!dt6 .Ary virlrm of Scro 'r0! 1., hy ry elilr ft. . Fo{ rbrdr rlE
.Fli.n lo . .Ml Frl, ol6r d! 0r. tE hutld &lLn (ltool.
_1. d rffi olrlr Fqdry. or tiy Gnpbr6 ?at qtd d rha. .l otrFiErhc rill rh llE rdt !n llt irudft n fl fi@HolH 6r clc I Se 7044, But,p !d Pm&..i.d Co<t : IE Conu*rd r tiffi Ln .lE 'nr idy l. e orE oiilE FlFny
rtn hqru. .. intmE 1116[ .n rh .tE rEi ro.l llrlf or hd-lrd .hsdr h! or tE lfi .r?t rtd. FnqA.{ rtd Gh
in?.nBEdt E rr ifldiLd d ofi6.d 8r .L. l[ lb*c. t& b{ildru or i!'C.nw,r i. bld rrtin oE yw of6ipl6.lr llE
orc'Buildi w l llw rlE hlrLn of Foars Ur.l h d ft tFl h{{.t o n to!! tr rlr F!F-ol.L,
-1.
u owE otrlE preFny. u qchlr.ly 6dttr r,ra ,ah lrcrEd otctd io cxrtud d* F.iil ( sc 7rxa, Bllm rd
,D&!i,n CodG: ft Corr.!r.r'r l&a t r.LE d +'ly lo D ffi ol PrrrEl, rtD hllr. q iif6E t.iu,.drrF
@.r.Gt 61 1dr ,roi.r' ,trh r Co'*aio(, lEd''.<l Fllwd io rlE c.d.dor'r Lt.* Ln.l
I M.r.mr utuLr tkdrh .ll & t
F fz.tA' '? *
ulflt&c0utlllArl0l.DlclJEArt0!
I hdrb, .fitD Erk ,.o.ly ofFjlry d ofu. blo?inr ddLflir:
_l hE d n[ rid.n . cdrifE of CoGr n) s.tilc h. wta!' @Adrri,n. r FviLd ft. by sdih ]r(n of ih
L.t .Co<L,6rd. DdtlrnNofdE8.t brrhth tt Frln ir irld
d "- .t au --- * @l!drlo. m.!E r d r!flird !, s.dir tru olllr llLd co& tJr 6c D.rt dr oirlr
6oft lb. -hth 6! F6r n drd, My rortq. 6o96:ihlrrceEdFlly dE:
6181269l d,FI)Dr-,AL-11& tu€t'tl I rntr.\Q'r'B
(IhRk1(tr,,Kdrt }f, conlnl.r.rt 'lrh.n rnlr 'rntr(rFhu,rlrd,n,llnr i\lrrr orl.()
I en'ry tlll r tlE Ftrlll@ of *r eort for enEn lhr Fmn ir rd.( I ihll dr .n?by .tt, F$ in my llIE $ ! k'
b.qmrbFblltrortd orp.Eri{hiolc.t5. ..rn{Elhd itt lDlUloGoiFrlollr*atd
/sEd:in D.lvDr otSdsk a'B'tT 'Hi*wflj-
IYAAITITG: r1hr lo Ell ht i' .n l!.nrE ffi.a. ! olrrlU d i.ll -bi.a - dpr,F b oEEl Ftri.. .id .Ml
toq uc !, c hrH U.o-i &U-t (t loo.lD).ir .ddlin lo llE c.i of @q.drioa .h!It!. ! FoviLd 6r rlE s<rhn 10?6 ot
rlE t bo. C.dc. l'16rr ..d .rbiEy'r fd,
lcl!$DgltrIxacrqls.[tclilaDoa
t Hy .?rm utdd Frl, o,Fj!, tr I u lia.d u& F{ib. of Cl'+r- 9 t@ftDt aln sariE 1000) of Divii!. ! o,
lh. Brd|E ..d PDli{b Cod.. rn E, lBtE ir i! tlll 6r &d .fht.
J* B 1...- Numk ,lE-(ot
rZ'tq, l*
I h...ty.mm un kr Frly of Fnlry rh.I rlrc i.olrrxrbr ldrd'.,.ttry fn tE F 6ru..f rll wdl ilr *h'ch lhtr n rmn ir
'(edlsd:1097,C'! C)
AIIIJGAIEII.OICIJEAIIOtr
D.ml.boP.n ;Alltl.16tro.if.rihF.dd.l R.irlrinOnk,O. Pri6,
R.q!i!d t rd ofNdafierM
I dify 'li rlE tn nl qlLrm qrdDr ldlrlor l!fisrl e mr {rlic.hl. rn thir pmlc<r
I cfirfy rhr I h.v. ,..r1 rhr .p,lado rd nlc lhd rt .DoE antrolirn
'r
6E r I .rc lo otrply wrh .ll Ciry .nl Cnunr,
odilwd .r'd Srd. hwr Elllrns ro hl tinr mnnMno( !!d h.E , .urlmr6 E?Gnl.tic orfi! cry .i<l Coury lo d- uF. rh
.lbw rE bEd tmFny
ffiffi;
r2,13. I t
VREN
fi 5io.
I
I