HomeMy WebLinkAbout10196544 - Permit?'.
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 #: {O196544
Pin #: 78506
E
Project Address: 3771 S Plaza Dr
Assessor's Parcel: 412-'131-12 Lot: NA
Bldg Suite Range:
Zoning: CRTract: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
Upgrade Restrooms
Commercial
spec suite
Occupancy:
Constr Type:
Code:
Flood Zonel
# of Stories:
M
VB
cBc 2016
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:
120
0@0
$4,400.00
Description of Work: Tl includes interior demo & replacement of (2) restrooms to comply with accessibility
Planning Conditions:
$o gr:n;
[lf{' rce
Traflsq
/ /12/?'nluirfirrsi: l
Ret'- i /t2/i
Owner:
Address:
Mero Town Square LLC
3504 S Bristol St
Santa Ana, CA 92704
(714) 546-2856
Contractor: GoldlineConstruction
Address; 3004 Gainsborough Dr
Pasadena, CA 91107
Phone; 16261222-6174
State Lic #: 994034
Lic Type: B
Bus. Lic #: 370002
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9'134311
Expires: 06/03/2019
Central Pacific Design/Build
Vincent Tran
13242 Hazel Street
Garden Grove, CA 92A44
(7'14) 7194558
Engineer
Address
i,:1dl r
lrenel.G
r'rl1 160(
Euildil
11r6[li
Blde 5i
r:rl l l iil:r(
uct. ion
up do L.
6u(fl:r(ru-
rttrtru
llvin
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
Flores, lvan
Ahangian, Kathy
6t! Hernanoez, KatrY
\No
0 77 76002
0 77 750 02
07776002
0 77 7600 2
07776002
0 7776002
Oale:0512412018
Dale.0612712018
Dale 0711212018
Subject to Field:
71021
Total
57507
si600
57770
5 7672
57600
57607Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd; No
Every pemit issued shdll become invalid unlessthe wo* on the site authorized by
such pemit ia conrnenced wilhin 180 days after its issuance,ot if the wo* authorized
on the site by such pemit is suspended or abandonad fot a period of180 days aftor
the tirne the work is commenced.
lnspector MID#: 2018-143563
01 1 16002 51600
01 116002 51601
01 1 16002 51612
01116002 57770
$22.08
$204.29
$1.00
$30.08 $357.72
$100.27
$257.45
Unit:Address Range: 3701-3795
Historic: NoBlock: NA
Phonel
Tenant
l,4isc. Receipt:
N4isc. Receipt:
lvlisc. Receipt:
Permit Fee
Pian Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$149.2s
$100.27
$30.08
$1.00
$22.08
$55.04
BUILDING- INSPECTOR RECORD
SITE.WOHK DATE ID/SIG.COMMENTS OWNER BUILDEN DELCARATION
I h.r.b, ,fl1.n hdcr F.nahy {,f pcrjury rhrr I am cxcn{'l lionr lhc Controcxtrr Li.cnsc Lrw hr lhe follo*in8 tca{,n (S( TOll 5-
Busincss !M Pturcssion ci c)r Any Ciry or G,onr, which rcquiEs a rcnnir (, con(rud, ulrcr, iNpn,v.. dcnxni\h or rcpan ,ny ,
srrudu,c. p.io. ro ils irsunrcc. aho rcgun.s lhc,pdrn.r rdlu.hlfrnln r. fiL i siSmd {ar.nrtrr rhat hcor shc h liccnsd putrur.ti
ro rhc pmvisions ofrh. Co.kacrofs Li.ened Lnr (Chaprcr 9. Conmcmnr! wirh Sccrio. ?0O0 of Divisn,n I ofrh. Busincss rnd
Pdc$ions Code) o! thd lE or shc is excnn lhcElrcfr and rhc ha\ii ror mlhscdcx.mphotr. A.y violationofscclhn?o3l5 by 8try
aPplicu artr, pcmir subjcchlhc ryplicanr l.' rcivilpcnlrryoinor nFrclhln fivc hundreddolllrslSSllO).
-1.
!s owrcr of thc pmtEny. or my cnlploy.cs with wag.\ d r lrn \ob .onrFns.li(!r. will do rhc work and lhc stulurc is nol
inrend.rr oroffcrcdforsle(Se70{,1.BusincssandPmlcsionsCo!c:lhcCo.trocroisLiccnscLrwdoesoorqrplybanosncrot
rhc pmJrdy *ho bu ds or nlll'ms rhcrlin. lxl wh. dds n,.h *rI* hnn*lf ur h.rslf ot rhmu8h hi\ o. hc. own cmDloycc\,
,rov cd rh su.h inlptuErEns m mr iN.ftldl .r orlcrcd lr slc li lkN.vs, rtr btrilnE or irpmv. En( t sU wirhin ',m ]ru
of comphrbo. rhe Owm, Auiucr will havc rhe hurdcn ol tmvinS lh.l h. or shc dt nor huild o, nq'mrc lic pDpcny for dc t!.Fr ot
l.rsowncrofrhclln)trdy.r'ncxclusnrly.onkrciin8sirhliccnsedcofta.r{,\k,conntudrhcpn+ct(Sc.7O1-{,Ru\urcss
rnd thnilsi[ Cadc: rhe Contadoi s Liccn\c Lou, dncs .or ,pt'ly ro i. owtrcr or nori. ysho iuildsoi irnprcve\ rhcrcon.
,ml trh..oikacrslu\u.hr FCr\ wirh r coirrrt,( \ r liccnscd lursunr t' rh. on Bctn \ l -i.cnsc lrw )
Itr rcxr rfl und(r Srcri(tr1 .ll &l!C forlhi\rr{n,
lhlt: Os rr
1!ORt(Ut{,i', aONt PltNS,1',r( )N
I2II(IA.8{II]T
I ho.cl,!rlltrn,und.rl{nrlrvollxrturron.ollhclnlbsr! ..lJrrri{,n\:
l luvc,nd sillmninrain r Ccninclrc olConsc loSclllnsurclorworkcrconrpcosllion.aspn,vidcdrorbySc.rio.l?ff)orrh.
Llnor Codc, rbr lhc pcrrbrntrncc 01thc $ork in lhicl thc pcnnir is nsucd
I h.vc ,M will 'Dn 8nr sor*.n comJrinsdion insunn.c, a\ ftqrncd by S..r i.n 1700 of th. Ilbor Codc. fo. thc lcrformrc ot
tltr work rbr which
'hk
pcmjr is i$ucd. My wortcu .oq,.6sario. insurano cmicr . policy numbcr rcl
C.. Icr:
I ccnifi rhrr io lhc rcr,onnrncc olrhc work li)r \hi.h rhr\ lcr.rir n n{icn. I shall ml cmploy rny pcron in rtry
'nrnncry) d\hhLconr subJ.crh rh. sork$\' conl,cn\ ri(,n hs\ of CJlilnrnir. r lsrc rhnr if l r&,!kl hc.oN subl..r orlr
qoikcr{conlpcisri(rIr'vi\n,n\ofS(rn,n.l7tX)otrhcI]htrCodr.lshrll.n)nh*irhconrtlyairhrho{tn)visi($\
WAINING lr.ilurc b surc Norlcrs .onfctr\it1.tr .ovcngc i\ unlnsln]. rtrd \hnll subiccl rtr rnrDhrycr b di iMl |{nllli.s !n,l
civil lircs ut lo otrc hundrcd rhousrnd dollln ($l0O.U]0). in ro Ihc cn$ ofcom0.nsrion. drmaFcs rs providcd li,r lhe
Sccrion :11)?6 olthc tjhor C{tc. irlcrcsl akl nrioaEyt
IIECLAEAIION
I hcr.hy afln undc.lcorlrJ,oipcrjlryrh,rIuliccnsdumlcrnovnn,nol'Chilrcr9lcomri.ingwirhSc.rion7m0)ofDivsrnl
or rhc Busircs rnd Pmlcs\n,ns Coth. Brtd nry licensc t in rull lirre lrd cffccr
I hcEhy ailirnr u.dcr Fnrkyoipcrjuryrhor rhoc is o snnrdion hnd,ng agcncy lor rhc nffloilrBnce ollhe wori ror *hich rhis lermir is
hsucd (Sec 3Yr7.Civ. C )
AIELTSNLDEQAAAUAN
I ltr$rrlllnnundcr,,.nulry ol pcrjur y onc ollnc lollowinB dccl!turi{nr:
Dcnnlirion Pcrnrils-Ashcsros Nolifi.arion I.cdeml Rc[Uhri(trN alirlc 40. P!n6r
-Rcquncd
Idlcr of Norifi carion
I Ndily rhd rh. fcdmal rcguldi,rns rgrdnrg a\h.no\ rcm,val m ior rmli.$lc ro rht p$jc.r.
-lccnili
rhar I tuvc.cod rht ryrlicdion Nrd srardMr thc $ovc informorion h conccr.I lsre lo complysirh ill Ciryand C.umy
r'iinrmc\ rn'l Sr,rc bw\rcldins ro buildins! nlrrucr ion. ffil hcrchy autholtc rcI]'cpnrlrivcs ol rhir Cir y and Counry ro cnl.r uFn rh.
rh.\c mnrnncd noncny rn nsrcc,ionn Jrc/'i^)^),),"^rii "-..#'@*, 7// y', I
pemrire Mnc,prrn,,: 3/?a-ar" ///u rc,'o
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathinq
Shear Wall
framing t/z6lt*J)'J/W
lnsulation/Energy
Drywall
Ext./lnt. Lath
lllasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
En ine er Final Report
Flood Zone Certif.
/r\
FINAL I -ls -tg pil-\u
Certilicate ol Occu pancy sv
N otes, Remarks, Etc.
2,-n ,7"", {
4t1i r {"
Lcndcr'. AddE$:
-
Forms/Steel/Holdowns
Sublloor/VenVl nsulation
Brown Coat