HomeMy WebLinkAbout10196899 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714\ 647-5800 lnspection Requestsr (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{96899
Pin #: 27973
EProject Address: 1202 W Edinqer Ave
Assessor's Parcel:013-040-29 Lot: NA
Unit.Bldg Address Range: 1501-1533 S
Bristou1202
Historic: No
Suite Range:
Zoning: OBlock: NA Tract NA
Planning Conditions:g,ot.h i; r '!1/ | / ttilta
Owner:
Address:
Roman Catholic Bishop Of Orange
2811 E Villa Real Dr
Orange, CA 92867
(714) 8s0-9522
Contractor: C G Systems lnc dba Califor
Address: 1470 North Hundley St
Anaheim, CA 92806
Phone: 1714].632-8842
State Lic #: 520990
Lic Type: B, C-61, C-7, C-10
Bus. Lic #: 328237
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Compa
Policy #: 7600014142
Expires: 0t/01/2019
Engineer:
Address rqoSg ltol
Phone:
License #
Architect /
Desiqner:
Addressl
Planning Approval By:
Plan Checked By:
Permit lssued Byi
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fregoso, Vince
So. Anson
Hernandez, Kathy
Dale:0712512018
Date.0712312018
Date: 08/01/2018
Subject to Field:
01776002 57507
07716002 53600
01116002 57770
08907007 24000
07715002 57672
07116002 51600
07776002 57607
Permit Fee
Plan Check Fee
lvlicrofilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
,N\ r,ro
No
No
No
71190
Total
$229.00
$150.00
$1 1.28
$42.00
$6 00
$22 08
$55.04
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No $22.08
$284.04
$6.00
$1 1.28
$42.00
$515.40
$150.00
$365.40
Every permit issued shall become invalid unless the wo* on the site aulhoized by
such permit is confienced within 180 days atler its issuance or if the wo* aulhorlzed
on the site by such permit 1s suspended ot abandoned for a peiod ofl80 days aftet
the time the wotk is commenced
lnspector MID#: 2018-144333
01 1 16002 51600
01 116002 51601
01 1 16002 516'12
o1116002 57770
08901001 24000
Fee Total
Paid to Date:
Balance Due:
Building Use: Other Occupancy: E 1st FL Area Patio:
Job Type: BlocuRetaining Wall/Fencing Constr Type: N/A 2nd FL Area T.l.Area:
Nature ofwork: Electric Fence/gate Code: CBC 2016 Other Areas: yards Req,d
Existing Bldg. & Use: Private High schoor Flood Zone: x-0602320257J
Garage Area: varuation: $r5o,ooo.oo
Proposed Use: # of Stories: Total O
Description of Work: New 8 foot high wrought iron electric gate to replace existing chain link gate on Bristol Street frontage. Will also include 25 foot
wrought iron fence extensions on both sides of gate.
Ref+:
B/1/2r!9
6 Ssstenis inc dbR tolrior'r
Phone:
Tenant
Phone:
License #:
CG Systems
1470 hUNDLEY STREET
Anaheim, CA 92806
l7't4l632-8882
Account#
lvlisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
BUILDING- INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OWNER BUILI'ER DELCARATION
I h.r.by afllr'n xnd.rt).nrlry ol p.llury rh l m cxcnfl rm'n rhc Cirnr&hrs' l-tcnsc tiw for rhc lbllowing rcasn (S(?0:ll5
Bun.c$ . Pnicshn Codc) Ant Ciry or Counry ehich rcqutc{ a F,rnir ro con(rucr- llrer. impnNr. d.nrrkh ur mtEt any
(rudurc. I'n.r ro ils issulncc. alh rcquncs rhc atpliclnl for su.h pcrmi lo nk ! sirkd sarcftm rhd h.or shc i( li.cntd pusuan(
ro lhc ln,visi(,ns orrtE conkrcror's Licen*d tjw lchaprcr 9. Co,nmcncnrs wirh Scclion 70OO ol Divhion I ol rhc susn'c\s,nd r
P.ot$tunsCodc)orth.lheorshciscx.nDrlhcrcnomondlhch{sisturhcallcscdcxcflrprbn.Aiyvid i.nofsdri,trT0ll5hyany
ryplicr nnipcn r subj(ls rhc lrplicanr ro ucivilpcnalryoinot nDrcrhai filc hundrcd d.llrs {S5{x)).
I. r\ uwtrcr or rhr pmtEny. or nry cn{lo)rcs wlh wrEcs i\ rhcir $lc conDcnslion. w]l do lhe w.rlr ud rh. ntu1urc h tur
i c8L\l oroltlrcdl'or\alc(SN.7&4,Br\itussandPn,iessioosCode:IhcCofin.ttrrLi.cnsuLrwdocsnol.!plytorno*Nrol
rhcmrFny whr huilds or n{oEs rh.Bnr. aM who des $Eh so* hnn$llor hcrsclior rhrou8h hn o' hd owncnll)lovccs.
pdvidcd rhar srch nnprorcrEnh an mr i cfrJdl or oficrcd ftr ek ll. h.w$cr. rhc huildin8 o. imnmvcm G skl *irhin onc )u
ofcotrg)lclion. rh.Owncr Auilds willh3lc rhc burdcn ofpn,lins rhsr bc or +c did mr n{iu or itrpt,E rrr pmFnr lo lhc PurB)rof
I. nwftr of rhc !hp.nt, an cr.tusivcly .ont rirB wnh Ii.cn{d ..nk((,^ h con(rud llE pmjccl (Sc 70$, Btr\i"cs
xftl t\Drialir Codc ThcConrrkr's l,iccn\c Lnw docs nor,prlyk, xtrow cr.rpropc(!who huilds or i provcs rhcrcon.
rtrd who .onr.r.ri ror suchpniccBwith,Conr.do(s) li.ctr*d FuNnnr ro thc ConrNrols t,iccne t,w)
I rDcrcn, !id.r S..r 8 & PC.ldrhl{ rcrinr.
lll8trE&l:C0MtEdSArA!
DECIAXAIIQN
I hccb, affirm ondd ,.oahy 6f Frjury oN or rhe following dNbnri.ns
_l huve {ld s ill minhi. a Crnif*arc ot ct,n*nr b se lfinsud ror eork. conp.nsalion. $ tmvtcnforbySdio.l7mol'he
L,bor Codc. for lhc ncrfornume oa rhc work lor sfiich lhc rcmii is nsed.
I hN.,nd willnainrain work.rs comlEns0rio. insur,fte. $ r.qut d hySccriotr l?0Oollhc Llbor Codc. ror rhc pdf.rmn.c ol
lhc wo,k for whi.h tbis pcrmil is irsucn. M,worlcK onEnsolion insuorcccurier sdFlicynun'6.i m:
-l
ccn iry rhor in lhc llcrlormncc oi rhc work tu qiich rhh n nnil i\ i\sucJ. I \hrll nor cn1pkJ! lny P.uon h !y nmnrcr
$ b tf,co'm \!l,Fr k rh. *ork$( .omFn\rr ion ln*s of(]Jlif(riir !trd r8N rh.r ill \hoDld lEco,E rhJ.d ro rlr
*orlcB confcnsrrion pn,virionsofSNri.tr:17(X)ofrhc hbr Crdc.I nnll. Ldhwilh conrply sirh Ihov In,vni(n(
IVARNINC: loilurc to s!,c sorlcn co'npcnsdion corcB8. i\ unlaqlol. md \hrll suhjcct dr cnrployc! b d'niml Firkie\ md
rivil lnrcs trI t)on. hun{lrrJ rhous nJ Jolh^ (Sllx).tx)t)), rdJiri(nr ro rlt..{ o
H"**"'-**,-''"s(,n .rrrh, ,q r:4rc,kr.. ,rN{r
"",", aL f tb LA C.
IIIIIABAIIIJN
I hcrcbyafilrnullccr FnalryofFrjuryrh l om liansd undcr lrcvhion .a Chlprcr 9 (commring wilh s(lk n Tuxr ) ol Divhion 3
uf rhc arsims and Ptufcssionsdnic. and myliccns. is i,r full furcc.M cffccl
@
(!')NsrnucltoNliNDllc-aclill.l
nnrcd lsc. .1097. Ci! C )
AfIUqNLDESAAAIIAN
I hctr$y.lirn undcr pcnalty ol!.rjuryonc orlhc n'lhwin8 dcch6r!'ns:
Dc n irn)n Pcrnirs Asbenos Nor i6cdr im I'cdcralRc8ul ions (fnlc 40. Pun6)
RcqunL{ tJ cr of Nolilicnlion
_l ccniiyrhrr rhc tcdcrul rcsuhlnnr radn,! a\b.{o\r'tu,rrlm ior atflidblc r, rhi\ prol.cr
-l..nifyrhsr
I hrvc '.ad thh r,,Ilicrrionond{alcthd lhc 0trrc inlbrnnlion is cotrsr I asr lo odply wirh rll Ciry and Couniy
onli'rJN\ rtr(lSr.r1.l r\s nlaritr! n) huild,nS ron('!rr aixl he[by rurrknrzc rc|ncsntalivcs oirhk Cilyrtrd Counrl I' cricr upotr rlr
ltx,vc nrtrrio,rcd por.ny lor inspc.iion
""-,,,"",n.",rnn,,, f AbA r;L U <* lf S
8ilY
Set Backs
Forms/Steel/Holdowns r?,-rl, / t o / ,,. . ,i )
Erection Pads ?l llt "/\/<l rU
UFER Ground
SLAB Floor
Subf loor/Vent/lnsulation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coal
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certil.
FINAL 6(r.r\r.s
Certiticate of Occupancy
Notes, Remarks, Etc.
DATE
knd.lrAd&c$ _
--------r------