Loading...
HomeMy WebLinkAbout10197038 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853 permit *:fotgzosa Pin #: 60490 Assessor's Parcel 414-262-OA Lotr POR 3 U nit Bldg: Tract: WILLIAMS Address Range Suite Range: Zoning: PBlockr NA Historic: No Building Use: Commercial Occupancy: N/A 1st FL Area Patio: Job Type: Tenant lmprovement Constr Type: N/A 2nd FL Area T.l.Area. IZOO Nature of Work: TURoof mtd equipt Code: CBC 2016 Other Areas: yards Req,d Existing Bldg. & Use: Commercial Flood Zone: X-0602320258J Garage Area Valuation: $80,000.00 Proposed Use: # of Stories: Totat O Description of Work: Tl-Partition walls, t-bar ceiling to replace (e) MRI machine, ground mounted equipt behind (e) GMU wall, replace (e) roof mounted equipt /21./?t1!.\ IDr N( r'ons+3 ?9 I E,6aa ! t ir14'rila_Planning Conditiona: Engineer Address 31 l.otq I &/21/2119, 11.112 $.2'4llOwner: Address Phone Tenant KAISER FOUNDATION HEALTH 393 E WALNUT ST Pasadena, CA 911880001 Contractor. Kaiser Foundation Health Pl Address: 1707 Barcelona Circle Placentia, CA 92870 Phone: (9091427-4700 State Lic #: 370871 Lic Type: B Bus. Lic #: 2108 Workers' Compensation lnsurance: Carrier: Dept of lndustrial Relations Policy #r 1053 Expires: 0110112019 .rrrrrdrrt ir,fi He(Ith t l(n Phone: License # Phone: License # llPddte Fec ; r:rtx:r lrtr - Architect / Desiqner: Address: '.I nr:t 1r:rlx:r- lir'rv'll,/ine 161?r10u-I Do,:unen ts -,,177fir:rir:r- 01176002 51601 Permit Fee $460 25 Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Soto, Ricardo So, Anson Zuniga, Allissa Dale:0711812018 Date: 07/30/2018 Date: 08/21l2018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt No No No No Account# 71253 53500 57770 24000 5 7612 57600 57601 017760 02 077760 0 2 08907007 017760 0 2 017760 0 2 017160 0 2 $642 16 $90.24 $22.40 $4.00 $22 08 $55 04 Plan Check Fee Microfilm Records SlVllP - Category 2 Bldg. Stds. Revolving General Plan Update lssuance Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No 51600 51 60'l 51612 57770 24000 lnspector MID#. 2018-144710 01116002 01116002 01'116002 01 1 't6002 08901001 $22.08 $515.29 $4.00 $90.24 $22.40 Fee Total Paid to Date: Balance Due Proiect Address: 3401 S Harbor Blvd ri , Genr:rnL F Lll1 1601"1?- Bu , Id ird irl l l 6r:[:rL- Bl d.': 1lt d. u1l ldtr:r:r" 11i,:rdl iiI nl i l6rrrr?- SN IF $1,296.17 $642.16 $654.01 Total Every pemit issued shall become invalid unless tho wo* on the site authotized by such pemit is commenced within 180 days aftet ils issuance,ot if the wo* authoized on lhe sile by such permit is suspended or abandoned fot a period ofl80 days afiet the time the wotk iscommenced. BUILDING. INSPECTOR RECORD SITE.WORK DATE OWNEIT IJUILDER DI'LCARATION I hcrcny aflnr undcr pcnully (,f Fcrjur! rhol I am cic'npt lir lhc Contrt,^ Li.cns. Ltrw ror lhc iollowin8 rclsn (S.c 70315 Busnrs and Prnis\n,n Cod.): Any Ci'y or Cou.ry whkh rcqunc$ trnit ro conslrucl. ohcl inomlc. dceli\h,.r tolan any . slflcrrrq prhr lo irs issunncc. fto rcquncs rhcaptlicanr ror suchFrmir ro filc asisned n,rctunt rhd hi or shc n lian\cJ t'ltsund b rhc pmvisn,ns of rhc Contlcnn s Licc scd bw (Chrflfi 9. ConnrErcir8 rilh Sedion 7(il) of Divisio. -l of thc Busirr$ aM Pronsio"s Cod.)or lhal tr or snc h cxcarpr lhcrcfmmond lhc hr\i\ tur rhc rlldscd crcnDrion AnyviohliotrolSecrion 70.115 brahy appli.. tu!Fn,irsnbje.hrh.,ptlicamt,,.ivillcn.lryornor,m..rhontuchuDdreddollm(S5(x)) l, rs owftr orrhc propcny. or myemnloy.cs wirh wrecs m rhct solc $au,cn\ari{,n- uilldo rh. wolk trrl thc ntulw is nn nncndc oroltcrcd forslc(Se 704.1- Busincs ond Prorcs\ionsCoJc rhc Conk&ttr s Liccn* tjw dms nor oplly ro M o*rcr .r il'itr lrbtrdy *ho builds or inlm^rs rhcNn. urd who des sRh wurr hnnscli or hcrrlf or rh()u8n hi\ or hf .wtr c doyccs- pn,vidcd rhor srch it.prommik m ior inr. ldl oltird f(n sL. Il h)$rvs, rtE ttrildmg or inpnrcmnr ii bld *irhin ok jtr ofcom0Lrion.llEOwncrBuild.rwillhaErhchrdcnoiprevin-!ihlrhrorsbcdid't huikl.r nnprew rhc !$pcny r'or rhc purtiHor Lr\owncrolih.lxllcny.u,dclusirclyroikrcri,rlsirhli.cn\cdroitrcrlsr,.otrrlnl!1rltnmrc.r(S..7(r1,l.B!\n.{! rhl Pio,i\\htr Codc l-hc Conrrlois l-i..trr l-as,l,Bs n.r amly b xro*tr.'.fproPnyqh. htrild\or irnP(xt! rh.r..n. n d sho co r rr\fdnrht)n'lc.tssirhrCotrtr(ro,r!rl'.cr\clllursur blhcG)nrr oi\ l-iccnsc Lrtr) I rn'.lcn,t{ trndc' Scdntr, Dale: O*mr: WORI(ERS' C'(IIIPENS1T()N IIECI.AIAII9N I hcrcby,rfifln und.r Dcnalryo, periury orc oilhc folLai.r dNhrllions: -l hNc lwillnEintaitrrCcnilic!'col'Cotr\enrloSclflnsurct,workcrs.o rpctrsdior. rs trovidcd lbr$ySecrnn,.]TIDorrhc hbor cudc, ior rhc p.rionnaNc of lhc work hr q hich lhc lcmir h i$ucd -:r'ha'r aod will nEintain work.h conD..sniion insunn.c. Li rcquncd by SNt ion l7lx, of rhc Lihor Cod.. tor rh. pcrroniumc ol mc.Micr md policy numbcr 6e,rh. s.'Ilnrs[i.hrhnJ[nn '\ $urtl Nlr\orl$ .otrr|cn\rrnn' { t4 a9t 1 Iccnilirhdr iirh.|x ontuiccorrhcworkrorwhichrhkpcirnilishsued.Ishrllnorcn,rloy,ntlcrn iD.nymrnncr $ mu hcmm uhjcd ro rhc wo.Icrs ompcnsdn,n L*\ oacllirurnir. md nBm rhd ill sh.uld taom sut'jd io rh. wolkoa mnDcnslrion pmvilbn\ of Sccrion ]7m of rhc lihtr C.xlc, I shill. ftnhsirh conlly wil h rhos lr)lisn r. IT,\RNIN(;: fJihru k, $curc wurkc^ .otrNnsnrion ir trtrhstul. rxl n lL {,l,i.r rtr r rd,'ytr t,.riNimlJrfuLric\ Jtr,l .nil li r\ 0p ro om hu icd rl'or!r0(l dolfur\ ($lol).lx liri('n r, dr. ro{ of.o rtr. sdriotr. drtrr8cs rs pn)vnlcd lnr rhc S(rirr 1076 orrlt l-J!tr CG].. i1 crcn r J T/"J3-)t ^/ I DECI,ABAITO! I h.Eb, amnrlndcr l.mxy oa p.rjnry rhar I "m liansed undd l,mvhiotr ofChaprcr I (of,mnci.g wnn s.ctun 7000) ofDivhion l or rhc Bu,ircn and Pna.\nn. c"d.. rd mv tkers * fl rurr roR .l1jlFl 2o x7/ I hcrby xftrn undc' lr.ulry or p.rjury rtur thcrc n a corslru.tiofl bndins asdncy rd rh. rsfffroncc of rhc aorl ror whi.h rhis p.rnn is isslcdlsa 3097- Civ. C ) A.PILICANLDICIABAI,I!}X lhnty,fmundcr p.nrhy or Fcrjury onc oirhc lollo'itrs dccl.rlrn,ns: llcmlirion Pcrmih Ashcdo\ Norifi.&on Fcd.hl R.Sulrrnrn\ (Tirl.'10. Pd6) -Rcqutcd L.(cr of Norif{ i.n I ccni,yrhd lhc ltdcrrlr.Bulalion\Egrdilr8 a\lf,{o\'.n$rl fu trord|)|]licfilc lo rhn Pn,rccr lr.niryrhflhr\crc&lr[irrDp]i.r!i(trirn{rrrrl[rh.]tx)v(inli,rrxri(t\eo,'.crl13'{n)rotrln!wirh dllCiry(trd Counry iM Counly ki cnrcr ulx)orh. frl^ 1F oirtirr..cr rd Sldc Llss rcluriq 1,, huilrti (nr. {lhc'chtntrrh.ri7cr.J,n'\.fhrnt\ol rhi\CIv rlxN. nrnr(nr !'rt)c'ryr(tr ,\puli. nl.r ,tgenl SiAnoltr Oon., I dLo 1", /< Set Backs Fo rm s/Stee l/ H o ldown s Erection Pads UFER Ground SLAB Floor Sublloor/VenVl nsu lation Roof Sheathinq A Shear Wall / &PrdJ) ,^l'E \ u ar!l0-l *.tukNFramino p/qLf V"V;Ad f}sht-r Lrbtl ftr2-l lnsulation/Energy \,{ Drywall kJU\A Brown Coat lrrlasonry Pool Fence /A T-Bar Y.Vr)q Handicap Req Deputy Final Report Enoineer Final Report Flood Zone Certif. /a FINAL 1^,-l)).U+x)\ Certilicate of Occupancy \\-/ Notes, Remark-s, Etc.\-2.Ll er,Atwb ?tl JItt ID/SIG.COMMENTS 1 Ext./lnt. Lath 1 n,," 7.2 [r.1 5 TT-HqT t-+-