HomeMy WebLinkAbout10198810 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: 1714) 647-5853
Permit #: {O{9881O
Pin #: 9O9{2
Project Address: 1202 W Edinqer Ave
Assessor's Parcel 0'13-040-29 Lot: NA
Unit Bldg Address Range: 1501-1533 S
BristoU'1202
Historic: No
Suite Range:
Zoning: OBlock: NA Tracti NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Other
Supplemental
Supplemental-Stairs
Private High School
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
s-2
I B, SPK
cBc 2016
x-0602320257 J
3
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:
0
Description of Work: Supplemental-stairs (parking structure)
Planning Conditions:
Owner:
Address
Phone:
Tenant
Roman Catholic Bishop Of Orange Conlractor: Bomel Construction Co. lnc
2811 E Villa Real Dr Address: 8195 E. Kaiser Blvd.
Orange, CA 92867 Anaheim, CA 92808
Phone; (714) 921-1660
State Lic #: 265409
Lic Type: B, A, C-8
Bus. Lic #: 366252
Workers' Compensation lnsurance:
Carrier: FederallnsuranceCompany
Policy #: 54303157
Expires: O7l01l2O'19
Engineer:
Address
Gouvis Engineering
Dissakorn Eosakul
4400 Campus Drive
Newport Beach, CA 92650
ss226
Architect /
Desioner:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By
Permit lssued B
NPDES lnsp. R
PWA lnsp. Req'd
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fregoso, Vince
Chehade, Nabil
Amsden, Julie
Date: 03/06/2019
Date: 03/04/2019
Date: 03/06/2019
Subject to Field:
l\.4isc. Receipt:
l\,4isc. Receipt:
l\,4isc. Receipt:
'12015
Total
07176002 53600 Revision
07116002 57600 Geneel Plan Update
$222.16
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd: No N/A _ No tsatance
Every pefinit issued sha become invalid unless the wo* on the site authotized by
such permit is commenced within 180 days after its issuance,or if the work authoized
on the site by such pemit is suspended or abandoned fot a peiod of180 days after
the time the wo is commenced.
$222.16
$222.16
$o.oo
lnspector MtD#. 2018-142922
Fee Total:
Paid to Date:
Balance Due:
Phone:
License #:
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNNR BI JII,DI:R DllI,CARATION
I h.rhy alltm unlcr Fnrky or pcrjury th.r I im c\cm ri rh. O,nlratloG Ltcn:. kw ror rhc rokwin3 rea$n (Scc 70.11 5
Bun.css a Por.ssNn Grjc): Any Cily or Cohry,hiuh ,equirs i lxmir ro onnru.r. alra. im!ro!c, J.nnsh or rPatr My
(rudurc. rwh irs 6ru,nc. also r.q ifts rh.aptlicdr for suchlxm l. lilc a srsncd sl.rcBd rnd rtor shc $ li.!n$al pumor
to thc ptuv(ions of rlE O'nlrrcktr s LEcns.J Lrw (Chaflc. 0, Cb6mn ine wdh Sc.non 7(rO oI Divnnu .l or'h. ausm$ ed
Pnra$i,'ns CGlc) oriharh.orrlr. tr cx.frpr rhmrtum ed rh. h.ss ri,rlhc illqc! excn rion. Ary r'ol,rion ot Sctio.?01L5 hy any
l,)plidnr ,r s lcrhn .uhj*h thc appnclnt to.crvrlpcnallyol trol Btrc rhan lilc hrodtdJoll,r (!50o).
l, rs .wrcr ol I lrc pnrpcrry. or m, cmployc.\ w h wa8.s rs rlttr !n $mPcns.ron, *ill do rtf, wotk arrl rhL nnttuF $ Rn
inrcnd..l or olltrcd lnr sJ. (Scc 7014, Bus es rfll ftrlis(nr! Cdtc: I hc O'at&kr's Li..n* tf,w J.c\ nor lplly b an owncr ol
rhcp(,|rny wh) hu'lJ\ or inrp(*rs rlrd,r.nd wls n,rr nr'h woL hrnr$ll dr hcrrlf or rhn,ugh ht.r h( own cmpl'yccs.
povrdc(l lhrr n'ch mlmvc'r.ts m nd dc ctl or olltRl lnr {lt ll, howcvcr. rhc htr,thg or in\Tovcmnr N *,}J w{hm onc }cd
ofo'n Lii,n. rlr Own$ BniU.r will h.ve rhc brrdcn ol |n oin! rhll lu or \1r ']ii Rn hu J .r nDbvc rhc Im)no1y li)r rhc lt{b\c of
I..(own(ofrhcpn)a.ny.amcr.lusivclyconkr.ri,,gw[hlic..sclconkdcronroconsrntc(rlEPmr.cr(Sc.7t}l4,Busoc$
rnd Pn,li$im ct'd.: l h. O)nra.(x\ Liccnsc Law d.cs n r lpply b o own.r df propeny who hu,lds or inpnrvcs rh.rcon.
lnd who uonlr$k n)r su.h lroFcr\ wirh d G)ntado(s) h..i.d pursudr k, thc Ctnirr.roi\ I-ic.nic trw)
I inr.rcnr onncr Sccr B & PC lffrln(nasnr
WORI(ERS' CON!PENSATION
DECIABAIIO!
I hcrcby allt'nunJcr ncnahyor pcrjury oft o, ih. nnkr*tr,s Jthrarklns
Ihrvcitrdwrllnrn rn ! Ccn ii.lrc oi Con{d n}Sclr:nrurc lor workcn'co rttns ion.$ nfuv e(llnrhyscdnn1700ofrlrc
l-rlxtr(i c. ntrrl( B rlonrtuc ot thc work li)r whi.hlhc t'crrir r i$ucJ.
I hrvcind trnlnrflir w.rkcra oomp..\irii). 'n\u!rn...3\ 'cqun'lhySccrDnl70Oolth.tihorCo,tc,lffrhcltcrLnMN.oin rucr| Mtworkc'r.onrpctr\ir(r huBncc crmcr nt F)lrcy numhtr r.:
(U (--t
54afi151 1 cl ZL\t q
-l
un,fy rhar
'n
rh. FrrfornBtu! oI lhc *ork tar wiK[ rhrs llcrm is ksocJ,I sh.ll nor cmtlo]lnyPcr$n in rny franncr
$ as!)hculm{tjcd n,rhc workds umr.ns.rd, hws orciLtumi{.nd a8rc haliII stutl(l hc(m {brcct ltrl,.
woi(en $m!.ns!rionpolt n\ of Scdion .lT00 of tlr ttrhx C,ilc. l shrll. Iotrhwirh .-nPly wirh (h)e Pnrvsion\.
IVARNIN(;: F.rlurc b sceurc w(trkcr .omp.nsarion .olor8c i\ trnlrwrul, ind shrll suhi$r rn cnPbycr n)
(1vil iircs trt l,' otrc htrndr.J ilnL\an'l 'ioLlrr\ l{10O.(X)0) JtlJ !
(ii.. nn.r!( rnd rrnfl.y \
3 G I 1,t
I tFrhy rllrm und.r Fmliy.i!.rjury dd I rm lientd undct nn'vr ot Ch{r.r 9 (cdmmnc$8 w h S..ti,n ?O&)) ofDiv6ion l
.f rhc Au!n.$ dl Prnc!\i,,n\ Co'lc. ,nl mylic.nt r r tu|1,,trcc vxl cllcet.
D ,\L d44'
OG Lbtl ra DU I
CA.NSIBIJCIIOIILENDIXEIGENCI
I hcftby alurnondcr fEtr.lry ol p.ljuryrhat rnere t a d,ndrurrion hnJhr 4ctr.y lor tlr lcnolmNc o! rhc k 6r whi.hlhnFmir t
isskd (Scr .1097, Civ. C ).
AIILTCANI.I]EIIAIIIIO!
I h.re6y onim unJcr !.nrlry ol n rjory oft ot rh. fdlowin* 'lcclda( trN
Dcmloon Pcrmts^shc(os Norilicirin Fcdcral Rceulariinr (Tnl. 40, PN6)
ashc(o\r.nxn3latun.r rntlicrhlclorhirpn,J..(
. rl rh..Lrin. tr,r,rDr.{rtr"\ 10nc.
C y dnl Countyn) cnrcr uto (h(
rbovc nrnrinNl PrrNny tar a Db 2lt1
Set Backs
Formsi Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/lnsulation
Roof Sheathinq
Shear Wall
Framino
lnsulation/Energy
Drywall
Ext.i lnt. Lath
Brown Coal
lVasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL 4lNtq',4rur6.,&b)trrCertiticate ol Occupancy
Notes, Remarks, Etc
Lcnici\ Nim:
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