HomeMy WebLinkAbout101102172 - PermitProject Address:501E Me morv Ln
Assessor's Parcel 041.213-04 Lot
Unit Bldg Address Range: 501-555
Historic: No
Suite Range
ZoningBlock NA Tract: NA
city of Santa Ana 20 Crvic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests 1714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 1lJ11o2172
Pin #: E5383
Building User Commercial Occupancy A-2, A-3, B, R-2.1, S-2 1st FL Area 27471 Patio: 1927
Job Type New Constr Type I A, V A, SPK 2nd FL Area 23093 T.l.Area
Nature of Work: New Assist€d Living Facility Code: CBC 2016 Other Areas: yards Req,d:
Existing Bldg. & Use 1 - Bldg/Assisted Living Facility Flood Zone X-0602320163J Garage Area: Valuation: $18,852,786.00
Proposed user Assisted Living Facility # of stories Totat: 50564
Oescription of Work: Replacos # 10197634. New (2) story, basement w/ parking and storage, residential care facility with full commerciat-typo kitchsn,
m6dical clinic, otfices (medical and marketing) activities lounge, laundry facilities, porte cochers Wcovered walkway, and living
quarlers 48 units (8 single, 40 studio). OUSD f EXEMPT
Planning Conditions:
Owner:
Address:
Phone.
Tenant
Conlraclor: CW Driver LLC
Address: 458 N. Rosemead Blvd.
Pasadena, CA 91107
Phone: (626) 351-8800
State Lic #: 1009002
Lic Type: B
Bus Lic # 373580
Workers' Compensation lnsurance:
Carrier: Old Republic General lneurance C,
Policy #. AlCW9893l
Expires: 1Ol21l2O2O
Ashley & Vance Engineering, I
Truitt Vance
1413 Monterey Street
San Luis Obispo, CA 93401
(80s) s4s-0010
Hochhauser Blatter
Jay Blatter
122 E. Arrellaga
Santa Barbara, CA 9310'l
(805) 962-27/6
c-22984
E ngineer
Address
Phone.
License #
Architect i
Desiqner:
Address:
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
07776002
07776002
0 7 7 76002
08901007
o 7 7 76002
0 7 7 76002
0 7 7 76002
57607
53600
57770
2 4000
57672
5 7600
57607
Permit Fee
Plan Check Fee
l\,licrofilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance/New Struclu
$16.73s.33
$230 87
$625.60
$5,278.78
$7s5.00
$22.95
$1s2.s5
$23,801.08
$0.00
$23,801.08
Fregoso, Vince Date: 07t18/20'19
CSG Consultants Oale: 12119120'19
Chavez. Dave Date: i2./19/2019
No Subject to Fieldl
Yes Fire lnsp. Req'd: Yes
Yes Polace lnsp. Req'd: Yes Acc
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
ount# Total
Landscaping lnsp Req'd. No Flood Zone Cert Req'd: No
Every pemil issued shall bacomo invaltd unloss the wolk o, the sile authoized by
such perml 6 comfienced wilhin 3@ days ahet ils issuance.or il lha wo euthonzed
on lhe site by such permft is suspondod ot abandoned fot a penod of 3 days atler
the time the worl< ts comfionced
lnspector MID#: 2017-134648
01 1 16002
01 1 16002
01 1 16002
01 1 16002
0't 1 16002
08901001
51600
51601
51612
53600
57770
24000
$22.9s
$16,887.88
$755.00
s230.87
5625.60
$s,278.78
Fee Total.
Paid to Date
Balance Due:
Town & Country Manor
555 E MEMORY LN
Santa Ana, CA 927051705
Phonel
License #
BUILDING. INSPECTOR RECORD
SITE-WORK DATE COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Rool Sheathing
Shear Wall
Framino
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
t ^l t/-_fi
FINAL ultrtD{tbila uqru
Certificate of Occu nc
Notes, Remarks, Etc.
-7.o-2rz?'O t.,tr'c tPoY4z
OWNEI BUILDET Df, LCAT IION
I hcrby rafm und.r F xy ( FrF.y rhd I m .r.ht{ rn,n rh. Codr*nn Ltss 1,, tu lh. fouo,os E,$h (sft r()rl t
ausirc$ rnl Pofcson CoL): Any C y or Counly *hEh Eq!rer : Fm'r I' on rurr. 'lr.r, n$n'v., &mLsh or EI'r Dy
sturE. Frtrlo s n$s...l!o cqurct rhc {,rl(er fd !E,r Fmr (' riL. sSBl {{.ffir ttur Eir {E n urn.J ntr ur
kr rtE F,vrnni ol rtr ao.rr-tr.! l,r.nEn L.* (Clq q 9. CotrGnog * h Sdt*$ nfr, of Drvrnn I or0r Bur83r &l
Ptuf.sirnr CnL) d ln:r lt or rlE 8.r.ry, rlE.fsm r l rh ll.s for rlr .llq.n .!.n{rrr Aryvi,LrMolSer..70ll t hy.ny
Ttrl,.rnlf(tr.Fm luhFrr rlE qrr[c.ni n] r urrl Fult, of n dt rhrn lrr. httolEJ ddlLrt (sJm)
_1, !\ owEr or rlE ,h,tny, rr mt .mll'F. with v.t.r .r trEtr c)l $mFnqri4 * &, rl!*dlallrlr{llfua B
id.dal dottdr, rd * ISd.70.14. Blrclr .fi1 Pr$l6t&n! Gr! Ttr Contd6'r tt.r rr* dB kl.pply ro ow.ol
rlE FIEi, *'ls IniU\ .x lqmB l,Ea( .hl *b nr dll q*t hm*U or lF<lr d. rtDulh hn q h.r oh cnt)krr6,
Ftrvl].J rhrr rEh rqmE F !EBnohld!soiftGltursl liiMft,rlEb rll * lBrft|d !5Urntom Fr
orlonltllln 0E Owftr Bu Lr*rllh.Eth.tMi..oflr,!u{rh.rltornt.!rtdnttrfiornlpnrtrh.JnIEIyturlEIuFeol
-1,
( o*Er dI tlE |m4.n y. m .r.lunEl, ..draros wdh lrm-n ldBtF ro Lr"rtur iE Foj(r (Se. 11x4, BBIB
.!n Pr*tri.Co&: TlrCodftl{ ! L.c.< lr*.1*t n, lmlyk, oo*E orFDFny*lx' bu'li,! npoE!r,E.@
r.d wh, dnhB n, rui FDj.{! wrh. Conralo(o lrrnql lxaur rorh. O,.r,*nr'r lrtu tir}.
I rnr.\cn'frunJcr S.rlrr ,E &l'.C rarrhArur(,n
D.t :- OiE
raaf,!8tll9lrfltsarlaB
DECLARATI(,,N
I h.r.hy sllrn onJ.r FnrlryofFjury.M ofrhc tall,,wrt d.(lnnltrntr:
-l
hrv. rni *ill Bnrlo r Cdfr.tc of CDnhr kr S.lt-lnor fd srk6 lr'nlEnrur !., .r F)vilGl f( b, Sarion J71D of rlF
L.rxr Crl.. Iir rlE Fi'fu 6r tll hrt ft, *hid rlE Fmd 6 ir.BJ
_l hrK inl wrtl mlor.r wnrl.R .omp.nrrti,n rrur. .. .r rcquud hy Sdr pn .l7(I) of rlE lrtxtr Ci .. lm rlF |En mBr ol
rlf,wurknrw[rhlhNpdnnisssucdMy*.rk.r'..nrF,r\Jrk)nrNtrrrtrrc.rrrrrnJli)l(ynufrhc.u.
1 f're*.rre{rr.|cts fu!#s LLC
.LOLO
"r", n*r*, A I <r^J18??tg6'1 _..,,". (o. 3l
_1..n'lirh2t in rh. lxdormrcol rh. w.rk n, whi.h rln! ltrm t sn'c!,I rhdl.or.,r'rk,, sn, F6on in rnyn6mr
sr .r 1,, lEsic shitt r.' lh. x',t6 .r,qrndbn Lsr or (..luotu. nl :rF ru ir I tmu! hcom luhFl b rtr
ult6 !i ilrnslDnt,ovE$nt ofSdrnn lTlDofrh. LftrCuk,I dEll. fdhwnhdrr{ y s h llDE FDvEi'n!
wAlNlNG: FlloE b ce wt R' .!.qnslon srw8. E unL*lul. .,n rhill fl6Fr u 6rl oF '. tmnl FrlF.rn
cMl 6n.t ul o om huDlr.J rhous.il d,U.n (Sloo.ffi'}. m rld $ h rtr .o( ol.on{Eid(,n, .bm8.r ar Fvn.n ntr rh.
eqs' -<- tlr . dlzld{at- Lt(
-n, t2, 11 .11 A1
UCEIIELCANIXA(fAB
TECIAEAIIO!
I h.Eh, .llim undd IEElry of pcrjury lh, I .n LLus! utrls F)lniri ol Cl'.trs 9 lcon1m^..6s qilh Sal Dn 1i0) ol D'vtrr'n .l
of rh. BriN* &d Pn{.*$nrCoill, lil my l..nE it h tull tur.. url.llftl
,.".* a"* B
D.t: lz. 19.fi
lool ooz
M--(4s-a.uJ.t)t-L
!0l5rBllfplil.euul$-acrNg
I h.!.r'y.nim lild F lyorFjitrrrh.rrtmBr.r!.{ur.nl in! .3ft, for rlE Fdo.lM o,rlE qrt rM $rnrhs Ftu 6
tarl..! Ad.lr.$ _
AIELTCANLIIECIdEAIII.E
I hotrryxfirm unJcr Fnllr, ofFriury m ot rh. lolb*int J& brarx'ns:
D.turl ru Pcrnik Att*{(\ Noonc k,h l:.d.rrl R.3uhltr'n\ (l lc 41,, P.n6)
R.t{oFd t u.r ol N<{!artr{
-l
..n'l y rt r tli r.J.ri Fsrlillh! rs.sln! ..tEno! m,v.l e ftr .p!h.t'k ro rhu pn,j.tr
Mja rd'ry rhrr I h,kE rh(.pph.rFn.,n nrt. rhirrrE rErvc inforr.k)n !.olE.l I r8G tu r$,ply qnh .ll ciry.nl c.unry
;JM!nShr.t s Ehrh! ro b{'!'r! (onle1ntr t n lFEt,.urh,o. EI,.d.rB or rhi! City. Counly ro.nrs uFh rl!
2li*t Nnrx'ral FUFdr rd .(Frr$n
\pt,li.i lo.,\xr lSi! al n lz'(1:11
ID/SIG.
'ssFi rsd 1097. crv ( )
bnd.i! N.m:
-
--------r------