HomeMy WebLinkAbout101102175 - PermitProject Address: 501 E Memory Ln
Assessor's Parcel:041-213-04
Brdg Address Range: 501-555
Historic: No
Suite Range
ZoningBlock NA Tracl NA
City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
PermitCounter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1ll11o2175
Pin #: 41126
Occupancy:
Consk Type
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2016
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas
Garage Area
Total:
Patio:
T I Area:
Yards Req'd
Valuation:$80,187.00
Description of Work: Replaces #'10'197637. Light Standards for new assisted living facility.
Phone
Tenant:
Town & Country Manor
555 E MEMORY LN
Santa Ana, CA 927061705
Contractor: CW Oriver LLC
Address: 468 N. Rosemead Blvd.
Pasadena, CA 91'107
Phone: (625) 351-8800
Slate Lic #. 1009002
Lic Typer B
Bus. Lic #: 373580
Workers' Compensation lnsurance:
Carrier: Old Republic General lnsurance C,
Policy #: AlCW98931
Expires: 1012112020
Ashley & Vance Enganeering, I
Truitt Vance
'14'13 Monterey Street
San Luis ObBpo, CA 93101
(805) 545-0010
Hochhauser Blatter
Jay Blatter
122 E. Arrellaga
Santa Barbara, CA 93101
(805) 962.2746
c-22984
Engineer
Address
Architect /
Desiqner:
Address:
Phone:
License #
Planning Approval By
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Evary perm tssued shall become nvalid unless the wotl< on the site authonzed by
such permil is commenced wlhin 360 days aftet ils issuance,or if the wotu authorized
on the sile by such perml,5 suspended ot abandoned lor a penod of 3@ daysafler
the lme tho wo* ts commenced.
lnspector l\AlD# 2017-134648
Fregoso, Vince Date. 07/1812019
CSG Consultants Dale: 12/1912019
Chavez. Dave Date: 12119/2019
No Subjecl to Field:
No Fire lnsp. Req'd: No
Yes Police lnsp. Req'd: No Ac
0 717500 2
011160 0 2
017760 0 2
0 77760 0 2
0177600 2
57607
53600
57770
5 7672
s7600
$166.53
$230.87
$3.91
$4.00
$22.95
Misc. Receipt
Misc. Receipt
Misc. Receipt
cou nt#
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
01116002
01 1 16002
01116002
01 1 16002
01116002
51600
51601
51612
53600
57770
Total
$22.95
$166 53
$4.00
$230 87
$3.91
$428.26
$0 00
942A.26
Lol
Unil
Building Use: Commercial
Job Type New
Nature of Work: Light Standards
Existing Bldg & Use: 'l - Bldg/Assisted Living Facility
Proposed Use: Aseisted Living Facility
Planning Conditions:
Owner:
Address:
Phone:
License #:
Fee Total:
Pard to Date:
Balance Due:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
SublloorivenVl nsulation
Rool Sheathino
Shear Wall
Framinq
lnsulation/Energy
Drywall
Exl./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
tt
FINAL wNiliN DTZh fuN
Certif icate ol Occu nc
Notes, Remarks, Etc
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COMMENTS
Flood Zone Certil.
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