HomeMy WebLinkAbout10195200 - Permit,
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City 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: (7'14)647-5853
Permit #: {O1952OO
Pin #: 145{66tt
Project Address: 640 E Dyer Rd Unit.Bldg:Address Range: 640-690 E Dyer Suite Range:
Historic: No Zoning:Assessor's Parcel: 411-141-12 Lot:Block: NA Tract. NA
Building Use: lndustria! Occupancy: B, S-1 1st FL Area: 31515
Job Type: New Constr Type: lll B, SPK 2nd FL Area: 2360
Nature of Work: New lndustrial-Building #1 Code: CBC 2015 Other Areas:
Existing Bldg. & Use: Demo Clear Lot Flood Zone: X-0602320278J
Garage Area:
Proposed Use: # of Stories: , ,o,"* 33g7S
Description of Work: Construct new 2-story tilt-up building with mezzanine and interior offices. SAUD #3771.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $1,652,480.00
Owner:
Address:
Phone:
Tenant:
Shea Properties
130 Vantis Dr #200
Aliso Viejo, CA 92656
(949) 389-7295
Contrac;tor: Pacific Construction Group
Address: 17895 Skypark Carcle #K
lruine, CA 92614
Phone: (949) 748-1500
State Lic #: 742676
Lic Type: B
Bus. [-ic #: 347876
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Compa
Policy #: 760001 4602
Expires: 03/01 12019
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
u
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B
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B
U
P
RGA Architects
Chris Savage
15231 Alton Parkway
lrvine, CA 92618
(s49) 341-0920
c31391
frlrf ll t 5
Suite 100
fi(rt-t7't
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Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: Yes
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd.
Poiice lnsp. Req'd
Pezeshkpour, Ali
So, Anson
Chavez, Dave€c.
Date: 0810612018
Date. 08/01 12018
Date. 11119/2018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
Genera! Plan Update
lssuance/New Structu
$7,720.00
$16,087.50
$752.00
$462.69
$67 00
$22.08
$146.80Account#
70497
Total
07776002
07776002
07776002
08907007
07776002
07776002
07776002
s7607
s3600
57770
24000
57672
57600
s7607
Yes
No
Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days afterits issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 180 daysafter
the time the work is commenced.
lnspector MID#: 2017-1 40399
01 1 16002 s1601
01116002 51612
01 1 16002 53600
01 1 16002 57770
08901001 24000
$22.08
$7,866.80
$67.00
$738.7s
$752.00
$462.69
Fee Total:
Paid to Date:
Balance Due:
$25,258.07
$1 5,348.75
$9,909.32
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SITE.WORK DATE rD/srQ\COMMENTS OWNER BUILDDR DEL(]ARATION
I hqeby alfirm undd penahy of tEjury that I an cx.mpl from the ('onl.aclors' Liccnse ltw for the follorving reen (Sc.70-l1.5
Busin6s ild Profssion Code): Any City or County rvhich rcquirs a pemit to coNlmct. alto. improve. dqnolish or q*ir uy
struclurc. prior to its issuece. al$ requirs the applicant for such pemit to lile a signcd statmmt thal hc or shc b licemed pmuol
to lhc prcvisioG of the Contractor's Li@nsd liw (Chspter 9. Comencing rvith Setion 7000 of Division 3 of the Busincs md
PrcfesionsCode)orthatheorsheisercmpttheeftomedthcb6isfortheallegedcxonplion. AnyviolalionofSerionT03l.5byany .
applicant for a pcrmit subjects the applicant to a civil penalty of not more than live hundred dollars ($500).
_1. as owner of the property, or my employees with wages as their sole compensation. rvill do the work and the structure is not
intentled or offered for sale (Sec.7M4. Business and hofessions Code: The Contractor's License taw does not apply to an owner of
the properly who builds or irnproves thereon. and rvho does such work himself or herself or through his or her own employees.
pro;ided that such ilnprovanents are not intended or offered for sale. If. horvwcr. the building or improvement is sold within onc year
of cornpletiorL the Orvner Builder will have the burden of proving tha hc or she did not build or improve the propoty for the purpose of
sale).
_1, as owner of rhe proper'ty. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7044. Business
and profiession Code: The Contractor's License Lar+. does not apply to an owner of property who builds or improves thercon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
_l arn exempt under Section-. B. & P.C. for this reason.
l)ittc:Owner:_
I hereby affinn under penalty of perjury one of the follorving
_t have and rvill rnaintain a Certificate of Consent to Self-lnsure for rvorkers' conlpensation, as provided for by Section 3700 of the
Labor Codc, for the perfonnance of the work for rvhich the permit is issued.
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have and rvill tnaintain workers' compensation insurance. as by Section 3700 of the Labor Code, for the performance of
,carrier and policy numbcr are:the work for which pennit is
(l)I /lagPolicy
o
Numbcr'6 .ov /ot
_l ccrtify that in the perfonnance of the work for rvhich this pennil is issued. I shall not
so as to become subject to the rvorkers' compensation larvs of California. and agree that if I
ernploy any person in any manner
should become subject to the
rvorkers' cornpensation provisions of Section 3700 of the Labor Code. I shall.fcrrthwith cornply with those provisions.
and shall subject an onployer to criminal poralties andWARNTNG: Failure lo secure rvorkers'
civil fines up to one hundre<l thousand darnagcs as providcd for the
Section -3076 [abor('ode. interest
1{Lol<
and attorney's fees.
-
I hereby aflirttr under penalty of perjury that I arn license<l unclcr of Chapter 9 (cotnrnencing rvith Section 7000) of Division 3
of the Business and Professions Code. and nry license is in full force and effect.
License Class: :
,",",-t [ 7 t
B License
t
11]f1tg_(lontrrcto., f,
I hereby affrrm under penalty of Srerjury that there is a construction
issued (Sec. .1097. Civ. C.).
agency for the po'fonnance of the rvork for rvhich this perrnit is
Lender's Name:
Lender's Address:
APPLICAN'T DECI ARATION
I htreby alfurn under penalty of pcrjury one of the follorving dcclarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. PaI16)
-Required
Letter of Notification
_l csriS that thc federal regulations regarding asbestos retnoval are not applicable to this project.
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cerrify that I have read this application and state that the rvith all City and County
and County to enter u1xtn theordinances and State Larvs relating to building
above rnentioned property for inspeoion
,\pplicant or,\gettl Sigltatrrrc: )(.
Pcrrttilcc nirrre (print): )(- C w,1@
Set Backs I :- )- lol ^/
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Forms/Steel/Holdowns
Erection Pads tg
UFER Ground /-t
SLAB Floor -,A,Subfloor ftD,J l c r- l7-lo
Roof Sheathing a | -y-lol Y
Shear Wall
Framinq (E
lnsulation/Energy 'u7y-17
Drywall 0 I )-o*TC,
Ext./lnt. Lath 7 \J
Brown Coat
Masonry ,
Pool Fence I
T-Bar I 14 VTlt
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
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FINAL lt
Certificate of Occupancy \,v
Notes, Remarks, Etc.\
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BUILDING. INSPECTOR RECORD
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