HomeMy WebLinkAbout50101230 - PermitProject Address: 1570 E Seventeenth St
Assessor's Parcel: 400-251-07 Lot: NA
Unit:Bldg: Address Range:
Pin #:
Suite Range:
Zoning: C5Block: NA Tract NA Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Grading
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 50{O123O
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercia!
Miscellaneous
Grading
Commercial/offices
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2019
x-0602320163J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio
T.l.Area:
Yards Req'd
Valuation:
Description of Work: Grading for site improvements Bobch+:58llgrJ
Off i ce: CTYHA--LlrIILLL? r
Rcpti:Lts1g43g:iPlanning Conditions:
Owner:
Address:
Phone
Easter Seals of Southern Calif
1063 McGaw
lruine, CA 92614
(7141 724-9157
Contractor: JLC Associates lnc.
Address. 3198-A Airport Loop Drive
Costa Mesa, CA 92626
Phone: (7141 2414430
State Lic #: 645576
Lic Type: B
Bus. Lic #: 177048
Workers' Compensation I nsurance:
Carrier: INSURANCE COMPANY OF THE W
Policy #: WVE504521602
Expires: 0110112022
BRANDON & JOHNSTON
RYAN BISHOFF
:
(e4e) 862-8s06 '
6250
H Hendy Associates
Susan D. Dwyer
4770 Campus Drive, #100
Newport Beach, CA 92560
(s49) 8s1-3080
c33724
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
s
Tenant
$;dJ . lv
$64?,59
$9.?6. 94
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Zuniga, Allissa V
Date:
Date:
Date: 0A1U2021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07776002
07776002
07776002
5760 6
5760 6
57600
5760 6
57770
Permit Fee
lmprovements
General Plan Update
!ssuance
Microfilm Records
$345.28
$245.00
$23.7e
$5e.30
$0.00
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51606
Account#Total
$23 79
$649.58Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 201 9-149352
Fee Totat
Paid to Date:
Balance Due:
$673.37
$0.00
$673.37
GRADING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMIVIENTS
Prelimina Soil
Excavation
Fills
Sub Drains
Buttresses
Soi
Statement of Com
nRe
Flood Elevation Cert.
Sub Grade
Base a
W ater Test & Seal Coat
halt Concrete
Soils Cert.
h Grad Release
Final Civil Cert
FINAL
Notes, Rerna rks, Etc
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corrrracttr's l.icctrsl l.nw (clsJrrcr g, colrrncrcing Birh secrho 70(x) of Di.isi.n ! ofrlE llusin.sr n,d p.ofsii()nr ('odcl or tl$ hc or
shc ls crctrrF llE GfroDl n(l llrc lNir lit. llt illcgcrl cxctrrnti('n .Any riolrtiflr ofsrtidr 7t)l I 5 hy nny npllisti frlr n ndltil suhjr.cts tlf
lpplicnilt to I ciyil pcmhy offt{ nxrrc tllu livc huillrql (kiln6 (S5(I)}.
. --. "1. ni o\tlEr o f llE propny. or my cutplo) (s lvilh $'n8cr ir ltrcir srlc conDcnsr trn. will (lo thc $ork ir(l thr (tnKtfic F ilil tril(Blcrlor olltrql for rnlc ( Sr:c.7044. Ilusim$ nxl ll ofcssiotn ('odc: llts Cotrrmlor jr t.ic.n((. l_nw do.r mt inlly to in oslpr of tl4 pmlrd r
s,lxr huilds or irDlrors thdqrn. o&l rvlxr tlos sch *ork himscllo, hcrrclfr,r lh(Nfh his or lrcr nsn r.rnpirrtcr. n dykl(rl tlfl ntchinnrorrnrsilr orc u{ intcildl o. orfcB{ ,irr iilc, l[, lx\rcr!., th hriltling or irnFrorrmnt ir srkl rvithirionc yoiof gurpkliu. rhe(httr(r-lluiklcr will hn$e tlr hurdctr of,'nrvin8 tlHl hr (!r rlE fiil buikl or irnprorc for tlE nu,tnrs ofsk )
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I hercby nlTirrrr unclcr pcnalty of pcrjury rvillt Seclron TlXt(l) oil)ivisinn .l ol'
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l.rccrrse Clnss:
Datc:L
C-QllS'[R L,(;l tO N l. li N lrl N(; iUiLl!.CI
issucrl (Scc. 3l)97. Civ. C.).
l-crxlcr's Nnrrre:
l .orrlt'r 's Atkh'css
dPl'!.(:ANt',sl)I.:(:I,UlA'l,l(lN
l)cnxrlitiou I'crrnits-Ashcslos Notifrcaluxr l:etlcrnt Rcguletion3l ;irlc 40. tr:rrt (r)
.__. . ltcrprilcrl l.elt:r of Notilicalirrn
.-...1 ccrlify th"rt tlrc hdcral relulnlirns relrartlirrg ostrsto.q rcmovolnre tmt opplicahlu. lu tlris prrrlect.
___. I ccrtify tlrnt I lmve rcad erxl ilnle thrl tlre nhove infonrrntion is correct. t ngrce to comply with nll ('ity aml Counry
orrlirrnrrccs nlrtl Stnte l-ows arxl hcrchy nutlxrrizc rcprcsentntires o[this City nrrd lo c.tlter upllr lhc
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