HomeMy WebLinkAbout10198021 - PermitEProject Address: 1212 W Seventeenth St
Assessor's Parcel: 405-251-02 Lot: NA
Unrt Bldg: Address Range.Suite Range.
Zoning: CiBlock NA Tract: NA Hrstoric: No
@ city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA'27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Use: Commercial Occupancy: N/A 1 st FL Area Patio:
Job Type; Reroof Constr Type: N/A 2nd FL Area T.l.Area:
Nature of Work: Reroof code: cBc 2016 Other Areas: yards Req,d o@o
Existing Bldg & Use: Commercial bldg Flood Zone: X-06023201.14J
Garage Area Valuation: $18,000.00
Proposed Use: Medical offices # of Stories: Total
Doscription of Wotk: Reroof ovor exiating roof with a new layer of single ply, cold fluid coating yo existing commsrcial buildin$ (Layer on top of exiting
roof) Hand out given.
Planning Conditions:
Phone:
Tenant Memorial Care Medical Group
Conlractor: Evans Roofing Co lnc
Address: 2020 S Yale Street
Santa Ana, CA 92704
Phone (7r4) 285-1 180
State Lic #: 610549
Lic Type: c-39
Bus. Lic #: 134596
Workers' Compensation lnsurance:
Carrier: Calilornia lnsurance
Policy #: 46823460
Expires: O1lO1l2O19
Address:
ElTzlatrrgrons+l'j
Rel'+- ltt/12/2\
Architect /
Designer:
Address:
Pnone
License #
Phone:
License #
tut,qI
I rr.
updote le€
'r]0000-
Planning Approval By: Arabe, Jill
Plan Checked By:
Permit lssued Byr Zuniga, Allissa
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Oale 1011212018 Misc. Receipt
Date: Misc. Receipt
Date: 1O/1Z2O18 Misc. ReceiPt
Subject to Field:
No
No Account#
07776002 51501 Permit Fee
07776002 57672 Bldg Stds. Revolving
01776002 57600 Genercl Plan Update
07776002 51501 lssuance
$801.25
$1.00
$22.08
$55 04
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Landsc€ping lnsp. Req'd: No Flood Zone Cert. Req'd; No
Every pennil issuod shall become invalid unless the wolk on the sile authoized by
such petmil is commenced wtthinl80 days aftet its issuance ot il the wotk authonzed
on the site by such pemit is suspended ot abandohed for a peiod of180 days after
the ttfie the wotk is cgmilonced
lnspector MID#: 20'18-146866
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
$22.08
$856.29
$1 00
Fee Total
Paid to Date
Balance Due
$879.37
$0 00
s879.37
Permit #: {Ol9802{
Pin #: 13617
Owner.
Address
Memorial Medical Group
1212 W. tTth St
Santa Ana, CA 92706
Sotch i
UffrcEi
h[pla: t
Tron Eor
Engineer:
tot
uenetol I'
01116002
Burldrne
u1l l60t'!
[.Ide Sli;!
uI11600?liL i hecl
: i.5u l r"J00-
i€volvins
51612000-
ir32578
BUILDING- INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OWNER BUILDER DELCARATrcN
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Set Backs
Forms/Steel/Holdowns
Erection Pads
UFEB Ground
SLAB Floor
Subf loor/VenVl nsulation
Rool Sheathino t//t?/].[^,7rcr*4n ,/
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lVlasonry
Pool Fence
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL lo lzr I &-/,///46\47Certilicate of Occupancy
Notes, Remarks, Etc.
DATE
-bL 3\bo-o\ - o \
T-Bar
Flood Zone Certif .