The URL can be used to link to this page

Home My WebLink About101105453 - PermitCity of Santa Ana 20 civic center ptaza (M-19), santa Ana, cA927o2 i lll Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: {01105453 Pin #: 7581O Project Address: 1241 E Dyer Rd Assessor's Parcel: 411-131-36 Lot: NA Block. NA Unit: 200 Blds: Tract: NA Address Range: 1231-1241 Historic: No Suite Range: Zoning: SD63 Building Usei Commsrcial Occupancy: B 'lst FL Area Patio: JobType Ten.nt lmprcvemont Constr Type VB,SPK 2nd FLArea T.l.Area: 60000 Nature ot Work TlrRt t td Equip Code: CBC 2019 Other Areas yards Reqd Eristing Bldg. & Use Commorcl.lrotfic. Flood Zone: X.O4O2320278J carage Area Vatu.tion: S3,9OO,OOO.OO Proposed Use: # of Stories: Total O O$cription of Work Tl - to rcmoys domi.ing wellr to comblno sults.200,2O1,21O,25O,2A0 & 270 (ontiro 2nd flr) into ons unlt, Add p.rtition w.lb to c6ela otflco3, courtroom3, brcak rcom, Bupply room3, retad cofiidor, colllng work and loof mountod squlpmant Planning Conditions: lnterior ti/Screening required. Owner: Address: Phone: Tenant Greenlaw Partners, LLC 1231 E Dyer Rd, Suite #240 Santa Ana, CA 92705 (949) 331-1 316 Contractor: KPRS Construction Servicet Address: 2850 Saturn St Brea, CA 92821 Phone: (7141 672-0800 State Lic #: 751130 Lic Type: B, A Bus. Lic #: 188704 Workers' Compensation I nsurance: Carrier: Everest Premier lnsurance Policy #: CA10004028201 Expires'. 10/01 12021 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: KPFF Consulting Engineers Christopher Dominas 48400 Von Karman Ave. Suite 600 lrvine, CA 92612 (94s) 2s2-1022 s5913 SAA Dickson Oi 18600 MacArthur Blvd, Suite 100 lrvine, CA 92612 (e4e) 724-8958 c-32277 a Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd: Pezeshkpour, Ali Scott Fazekas & Assoc. \ F^sden, Julie WP Date: 0612312021 Date: 05/1 812021 Date: 0612412021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 0 77760 0 2 07776002 07776002 08907007 07775002 07776002 077760 02 Permit Fee Plan Check Fee Microfilm Records SMIP - Category 2 Bldg. Stds. Revolving General Plan Update lssuance $7,532.64 $1+,918.68 $2s9.20 $1,092.00 $1 s6 00 $23 79 $5e 30Account# 75047 Tota! 57607 s3500 57770 24000 57672 57600 57607No No No Fire lnsp. Req'd: Police !nsp. Req'd: Flood Zone Cert. Req'd:01 1 16002 51600 01 116002 51601 01 1 16002 51612 01 1 16002 57770 08901 00 1 24000 Yes Yes No Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within360 days afterifs issuance,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. $23 7e $7,591 .94 $156.00 $259 20 $1,092.00 Fee Totat Paid to Date. Balance Due: $24,041.61 $1+,918.68 $9,122.93 lnspector MID#: 2020-163257 t t a I BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby aflirm undcr Jrcnalty of fErjury that I dn cxcmpt fmm thc Conlr&to6' Liccns tjw for thc folloving rcasn (Ss.7031.5 Busincss ard Profcssion Codc): Any City or County which rcquircs a Jsmit lo conslrucl, alter, improvc, dcrclish or repair cny $truclurc, prior to ils issusncc, als rcquircs thc applicmt for such lErmil Io lile a signcd strtcrcnl that he or shc is licenscd pursuanl lo lhc provisions of lhc Cotrlractor's Licenrcd law (Chaptcr 9, Commcncing with Scction 7000 of Division 3 of the Busircss od Prrfcssions Codc) or that hc or shc is cxcmpt Ihcrcfrom ud thc bdsis for the allcgcd cxcmption. Any violation of Sction 703 1.5 by any applicant for a pemit subjsts the applicunt to a civil pcmlty of not rmrc than fivc hundrcd dollus (5500). -1. as owncr of thc propcrty. or my cnrployccs with wagcs as thcir solc cotnFrcnsation, will do thc work and thc stnrcturc is not intcndcd or offered tbr salc (Scc.7044. Busincss and Profcssions Codc: The Contractor's Liccnsc Law does not apply to an owncr of thc proJrcrty who builds or improves thcrcon. and who docs such wrlrk himsclf or hcrsclf or through his or hcr own cnrployccs. providcd that such irnprovcnrcnts arc not inlcndcd or of}'crcd for salc. lf. howcvcr, the building or irnprovcrncnt is sold within onc ycar of conrplction. thc Owncr lluilder will havc thc burdcn of proving that hc or she did not build or inprovc the propcrty for thc pur;nsc of salc). -1. as owncr <lf thc proprty. amcxclusivcly contracting with liccnscd contraclors to construct thc project (Sec. 7(}1'4, Busincss and Profbssion Codc: Thc Contractor's Liccnsc Law docs not apply lo an owner of propcrty who builds or improves thereon. and who contracts lbr such projccts with a Contractor(s) liccnscd pursuant to the Contraclor's Liccnsc Law). -lantcxemptundcrScction-.B.&P'C.lilrthisreason. I)itle :Owner:_ ]TOEtrEBLCOMPIN$AIION DECI.ASAIION I hcrcby afnrmundcr pcmltyof perjuryonc of thc following deluations: -l havc autd will nuintoin I Ccrtifrcate of Con$cnt to Sclf-lnsurc for workc$' compcnslion, as prcvidcd for by Scction 3700 of thc I:hor Culc. for thc pcrfornuncc of $e work for which thc permit is issucd. 2l havc and will mainlain workcre' compcnsation insurarcc. as rcquircd by SEtion 3?U) of thc tibor Codc. for thc lErfotmrcc of Ihc work for which lhls pcrmit is issued. My workcrs' @mJEnsation insurancc cmicr and grlicy number uc: All.'.*,f lallrr^.l.c $1eoiu1- fr.Carricr: Poricy *r,rro"r. caoootlo?t^o I Expircs:lO. o) - ?otl -l ccrlify thal i[ lhc lrcrlirrDurcc of thc work for which this pcrmit is issucd. I shall not cmploy any pcrson in any mnncr s us to bccom subFcl to lhc workds' con{rcnsation laws of Califomia. and agN lhal if I shouH becom subjet to the workcs'compcnutkrnpmvisionsofSetion3T0OofthctiborCodc. Ishall.fonhwithcomplysiththosprcvisions. WARNING: Failurc to scurc workc6'compcnsotion covcmgc is unlawful, and shall subjcct an cmplolcr to qiminal Fmltics and civil lincs up to otrc hundrcd thousand dollus ($100,000), in addilion lo thc cost of conrpcnsation, darogcs us providcd for thc d Scction 3076 of lhc tntnr Codc. intercst and attorrcy's fes. -\ , Date. b-?.t-to, I noorr-^, fu lVrfr '7"*u Vl.l,^,r' LICENSED CONTRACToR DECIAMIION t I hcrcby aflirm undcr penalty of Frjury that I am liccnrcd undcr prcvision ofChapts 9 (commncing with Scclion 7000) of Division 3 o[ thc Busincss and Prcfcssions Codc. and my liccnrc is in full f<)re Md cffcct. License Cla"*' Ei Liccnsc Nunrbcr:73 tt 'O-zrl - ?o? t conrracro r, Ta^4: ?r4cko- u . kPRl Co^tl. W I hcrcby affirm undcr trcn{lty ofperjury that thcrc is s construclion lcnding agcncy for thc pcrforruncc oflhe work for which lhis lf,rmil is issucd (Se. 3097, Civ. C.). Lrndcr's Addrcss: I APPLICANT DI.-CI .TRATION I hcrcby aflirm undcr pcnalty of pcrjury onc of thc following declarat ions: Dcnrolition Permits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Parr6) -Rcquired lrttcr of Notification -l ccrtify that thc l'cderalregulations rcgarding asbcstos rcmrvalarc not applicablc to this projcct. q[rccrtify that I havc rcad this application and statc that thc atnvc inf<rrmalion is corrcct. I agrec to comply with all City ancl Counry ordinanccs and Stalc [:ws rclaling to building construction. and hcrcby rcprcscnlativcs of this City and County to cnlcr uJxrn thc alxrvc rrrcntioned propcrly for inspcction Applicant or Agenl pernritee n,.me (print):- fugp:- --2, lrb:rl- - orr", C'?4 '?O? I Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf Ioor/VenVl nsu Iation Roof Sheathinq Shear Wall Framinq ol bfr.*?7 Insulatio nlEnerqy Drywall ,t l( ol ,-7r\bt&7 .7 Ext./lnt. Lath I J Brown Coat [Masonry Pool Fence I T-Bar c -7i Handicap Req.,v'r Deputy Final Report Enqineer Final Report Flood Zone Certif I I tl t-, FINAL I E 'l/l hkYt ;-/ Certificate of Occupancy v Notes,lRemarks, Etc. Id1 - -7 J-I -.1 I 2 1 - -lrl -l-.-&H '>14 a tt l)atc: l,ender's Name: a