HomeMy WebLinkAbout10196221 - Permitrt-
City 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 #: 10196221
Pin #: 526,42
E
Project Address: 2601 S Garnsey St Unit Bldg: Address Range:Suile Rangel
Zoning: M1Assessor's Parcel 410-022-28 Lot: NA Block NA Tract. NA Hisloric. No
Building Use: lndustrial Occupancy: B, F-1 1st FL Area Patio:
Job Type: Tenant lmprovement Constr Type: lll B, SPK 2nd FL Area T.l.Arear 360
Nature of Work: Clean Room/Roof Mtd Equip Code: CBC 2016 Other Areas yards Req,d
Existing Bldg. & user Industrial/storage/warehouse Flood zone: x-0602320259J
Garage Area Valuation: $60,000.00
Proposed Use: # of Stories: Totat 0
Description of Work: lnstallation ot l1l +12' x 30' clean room. lnstallation of free standing an air handler, roof mounted equipment, Roof Screening.
lir
lli
Planning Conditions
Owner:
Address
Phone:
Tenant
Jim McDonald
2601 S. Ga.nsey Street #A
Santa Ana, CA 92707
Performance Testing Labs
Contractor: PacificSouthernDevelopm(
Address: 5482 WILSHIRE BLVD #243
Los Angeles, CA 90036
Phone: (323) 359-1995
State Lic #: 884094
Lic Type: B, C-10
Bus. Lic #: 3703'l l
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9219016
Expires 0710412019
Fox Engineering
James G. Fox
851 Panorama Road
Fullerton, CA 92831
(7141423-5047
2',t543
RPO Desiqns
Randy Orozco
1 1662 West Street
Garden Grove, CA 92840
(714) 504-6470
Engineer:
Architect /
Desiqner;
Address:
Phone:
License #
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Soto, Racardo
Ahangian, Kathy
Zuniga, Allissa
No
Dale: 0412312018 Misc. Receipt
Date 0712312018 Misc. Receipt
Date: 08/16/2018 Misc. Receipt
Subject to Field:
No
No Account#
07776002
0 77 7600 2
0 77 7600 2
07776002
0 77760 02
0 77760 0 2
5760 7
5 i600
57770
5 7672
57600
57601
$309.50
$348.16
$33.84
$3.00
$22.08
$5s.04
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceFire lnsp. Req'd:
Police lnsp. Req'd Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the work on the sile aulhoizecl by
such pemit is comfienced wilhin 180 days after its issuance,or if the wo* aulhorized
on the site by such permil is suspencled or abandoned for a penod of 180 days after
the time lhe work is commenced
lnspector MtD#. 2018-142887
$22.08
$364.54
$3.00
$348.16
$33.84
Fee Totat
Paid to Date:
Balance Due
0'1 '1 16002
01'116002
01 1 16002
01 1 16002
01 1 16002
51600
51601
5't612
53600
57770
$77 1 .62
$0 00
$77',l .62
Address
BUILDING- INSPECTOA RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNDII DU ILDER DELCA I{A'T'!oN
lhcrchytrltunundcri)cnrllyofrrjwyrharlanrcxcnDlfroflrrhcContr,.ktrrLiccnrcliwforthciollosinsrcdrn(Scc70lll5.
Bu\inr$ Jnd Protc$i.n Code) AnyCiryorCi trry whi.h rcqrnct r pcnnil ro.otrdnd,.lrcr. irProvc. dcnDl$h rtr Elt'n rn)
ntucruc, priJr ro ir\ nsuamc, aho (_quncs rh. llpltMr l'o. !u(h ttln,ir ki filD n sigrcd slnlcm.r rhrr h. or shc i\ lic.n{,| fr{ n ' I
ro rhc pn,vi\n,ns ol rhc Co kaci{tr \ I-i$trscd lrw (Chalrcr 9. CotrmrncinA uirh Sccrion lfiX) oI Division :1 ofrhr tlhrn+s xn,l ,i
ProlassiotrsCodc)orihnrlLorshcircrcnUrhcrcii.m0MthchAi\lorrhc!lLc8cdckf,prnni.Aryviolrri,)nolSe.riotr1l)l15hyrn,
amlicrnlhrarEnnilsuhj(lslhcrpt'liclnlrorcivilI'enrhyofnoru,mrhril,v.hurdrcddolh^(S50$)
I.a\owftrofrhrpmpcny,ornryr'npk,rtrswirhsrA.\a\Ihrnuncconrpcn\irion.willdorh.sorknftlhc(er!fti.n
inie ql or.itrcd n srlc (SE.?UU, ausincss dnd Pmfcssions Cqb 'rhc C{rnkttt s LiaNc I i* doc\ nor +fly r. 0n owNr ot
rlrpn'Fny who tnrildsor inuowsrhctun[nM who rlocs su.h w.rt himscll or hcr{lforrhn)uth his or hcr owtrcnlhyccs.
pi(,!iJd rhrr such i'npn,rotu s d tor imcnd.d or ofis.d f(tr srh ll h.qso. rh: huildina or i'r{FrcnEnr is sld rirhin oi. ,tr
ol<trryhlion. rhc (rNr Buius $illhrrcrh.h cnolpn'vins rhxrh.otshc dil R! huiHari.Drovc tlr ptuFiy tulhcPurrM.r
I.Nowncrofrh.!rencny.otrrcxclu\ivclyconrrtrcritrg*irhlicctr\cd.onk.i)^bcoNruclllEpojNr(scc7{111.Burncs
and hDlbsbn Codc Th.Conta.roi s Licensc L0u docs nor qrplyro rtroaicr ofnropcny*ho huilds.r nnpovcs rhclc.tr.
dtrd who .o.tr ll f(tr ruch pn*rkwirhq Conrracron\r licctr*d pununnt kilhcConr,lct, s Lic.n{ Liw).
I amcr.mpr undcr Scclion-
D.r. ()*mr:
}lAf,KEESlg}ltSEN$.rlaN
DICLAAAIION
I hcr.by rflnm undcr pcnllry oipciry onc ofrhc n,lkr$ing dcrl&rri(ntr:
-l
harc ud will roinrli! a Cenillc{c of Con\enr rd s.lf.lnsurc for workcr' cotnpcnqrion, rr Fovid.d Inrbysccrion lTOJofrhc
tihor C.dc. lor Ihe Dcrformncc ofrhc {qt n, *hich rhi p.mir n issucd.
Ihctrorknl'rlrichrlrirfrnnrisrsrdMyw.rk.(..nrDcDrrronnNtrrrnccrx cr rDd frli.y ntrnhd rc
J..-
lttlolL- )ot)
-e*pr'*,'
6 2 -
l.crtilr rhat in rh. E-nnrinrnce.frl[ $orL lnr whi.h rhi\ fcnnir it inEd. I shrll nor.nlPl,,, ant l.Bon in iny nunNr
{, ^ r, tiotu {hird t, rhc *orkcn compcn\lrn,n hss oiCrlili,rnir. and 4rc rh ifl sMulJ bccom lubJ.cr rrih-
w.rkcr\.oDcn\nrnil)fovtsionsolScdion-]7lX)olrhcl,rtr,r(i,Jc,lshrll.frrlhsirhconrlly*irhrho*n(,vnidns
W,IRNINC Eilurclo sccuE sorlc^.ofrpcn\ n)n..vcfulc is trtrI.$iul. rn,lshtrll lubjccr dI cnrflolcr lo criminrl|.mhic\ ind
civil inN un ro oDc hundrcd lhorsrid dolli^ lSlfi).UD). nr,klditi(r lo lhc con.f.onllrnsariotr. d.nugcs !s pnrviildd lnr rhc
Sccrion J076ofrhc lnhn C.xlc. inrcrcnnnd oirf,y\{
/' 8-tL-"ll
I h.nby fftrm undcr rcnrhyoipcrjury rh,r I a,n lidn$d und.r 8)visionoi(hrprcr 9 (ontuting eirh sccrion 70drr oiDivili.n.l
or rhr Bu\in s nnd Pofissions Codc. and ny li.cn* n in anll tffd gljff..r
Licctr{c (-lN\ '9?f olf
r'ga (r aOL c.,--
CONSIBUCIIONTENDI!!.{AINS
I icrcby rflllnr undcr pcmhyur|ljt]ury rh3t rhcrc i\ { co.srrucli('n lcndins as.ncy ntr rhc Pcdotnuncc otrhc *ork tut lhich
'hn |Enni n
nsucd (Scc. 30r)7. Civ C )t l1dcfs Ntrmc
-
AITLICANLDICI.AEAIIAN
I hcrebyrfinnudcr l.hnlr, orpdjury onc ofrhc followinB dshr ionrl
Dcmhiotr Pcrnrik Asbcsros Norinclrn,n Fcdchl Rlluhtio.s I ritt.10, Ptrn6)
-RL.qut(l
l!lcr of Mni[Eari,n
Set Backs /z'-t
g-21'11,,V,WJC)t prsr)a2\i(*3
Ereclion Pads otrztJ-n9lwl{b
UFER Ground
SLAB Floor
Subf loor/VenVlnsu lation
Roof Shealhing
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[/lasonry
T-Bar {-2r4Y Y,W'6)
Handicap Req u
Deputy Final Report
Engineer Final Report
/^
FINAL IL-LI-lt:Y x-WJil
Certif icate of Occupancy
Notes, Remarks, Etc
Forms/Steel/Holdowns
Pool Fence
Flood Zone Certif .
Lcnd.a.
^J,lc$
I .dili rhar lhc ltdcrrl rcsullrioos rts:rdi'rs !sb.slos 6m.vrl orc nol flmlicuhlc ro rhis pi(,j.cr'
-l
ccnify rhar I hale rcld
'his
rrpli.,rion sJt slalc thar thc atDvc inarmurion is.otrml. I tr8te locomdy snh,U cny and 6unlv
odin,n.sdtrdSrarcLarsEhrinsIohlilding.o.{rucrion.orldhcfthyNlhorizercItrccniariv.r.rlhisCilynndG,lnryrocnr.ruponlh.
hh+r nrflr trrl r",p.rl f.r rnr.nnn ryfrlh{s
n"",,,",",n*",o,-'"*/ (- 4 **'l:1(:1t.r
Pemil* nom. { prinl ): z
rt
I