HomeMy WebLinkAbout10195204 - PermitProject Address: 652 E Dyer Rd
Assessor's Parcel: 411-141-12 Lot:
Unit:Bldg:Address Range: 640-690 E DYer
Historic: No
Suite Range:
Zoning:Block: NA Tract: NA
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: (714) 647-5853
Permit #: {O1952O4
Pin#: EgW
Building Use:
Job Type:
Nature of Work:
Existing BIdg. & Use:
Proposed Use:
Industrial
New
New lndustrial-Building #5
Demo Clear Lot
Occupancy:
Constr Type
Code:
Flood Zone.
# of Stories:
B, S.2
I!! B, SPK
cBc 2016
x-0602320278J
2
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
22235
1 930
24165
Patio:
T.l.Area:
Yards Req'd:
Valuatlon: $1 ,190,758.00
Description of Work: Construct new 2-story tilt-up building with mezzanine and interior offices
Planning Conditions:
ifl (rP 0t lt
Owner:
Address:
Phone:
Tenant:
Shea Properties
130 Vantis Dr #200
Aliso Viejo, CA 92656
(94e) 38e-7295
Contractor: Pacific Construction Group
Address: 17895 Skypark Circle #K
lrvine, CA 92614
Phone: (949) 748-1500
State Lic #. 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Compa
Policy #: 760001 4602
Expires: 03/01 12019
RGA Architects
Chris Savage
15231 Alton Parkway Suite 100
lrvine, CA 92618
(s4s) 341-0s20
c31391
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd.
Landscaping Insp. Req'd:
Fire !nsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01116002 53600
01 1 16002 57770
08901001 24000
Pezeshkpour, Ali
So, Anson
Chavez, Dave ,<23n
Date: 08/06/2018
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
General Plan Update
lssuance/New Structu
$6,166.40
$15,116.50
$3.76
$333.41
$48.00
$22 08
$146.80Account#
70497
Tota!
07776002
07776002
07776002
08907007
07776002
07776002
07775002
57607
s3600
57770
24000
57672
s7600
57607
No
No
Yes
No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days afterifs rssua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 180 days after
the time the work is commenced.
lnspector MID#: 2017-140407
$22.08
$6,313.20
$48.00
$6+1.65
$3.76
$333.41
Fee Total:
Paid to Date:
Balance Due:
$z t ,836.95
$1+ ,474.95
$7,362.10
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUl n su latio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./!nt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
t/,-_
FINAL SfLLltt>.\E{ 7L )
Certificate of Occupancy tl
Notes, Remarks, Etc.
i,-
owN t,lR Iltr I LI)Ell l) ol.('A lt^'rloN
I h6eby affim unde pmalty of pcrjury thal I m cxmpl fiom the Contraclor' Liccnse law for thc following rcmn (Se.7031.5
Busins ad Prof*ion Code): Any City or County which requira a pornit to construct. 8ltq, improve, danolish or rqxir.uy
structurq prior lo its issuoce. also requirc thc applicmt for such pmnit to filc a signcd stalmmt that hc or shc b liccn*d pm'uut
to thc provisioN of the Contractor's Licensed Law (Chapl6 9, Commcncing with Sation 7000 of Division 3 of the Busins md
Professions Code) or that he or she is exempt thqcfrom ud thc b6sis for thc allcgcd exmption. Any violation ofSetion 70-3 I .5 by any
applicantforapflnilsubjststhc applicantloacivilpemltyofnotmorethufivchundreddollus($500).
_1. as owner of the property. or my employees with wages as their sole cornpensation. rvill do the work and the structure is not
intended or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's License Larv does not apply to an orvner of
the propoty rvho builds or improvcs thermn. and rvho does such rvork himself or herself or through his or her orvn ernployees.
provided that such improvanents are not intended oroffered for sale. lf. however, the building or improvement is sold within one year
of conrplaion. the Orrner Builder will have the burden of proving tha he or she did not build or improve the propoly for the purpose of
sale).
_1. as owner of the property. an exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business
and hofcssion Code: 'l'he Contractor's License Larv does not apply to an o\r'ner of property rvho builds or improvcs thereon.
and rvho contracts for such projects with a Contractor{s) licensed pursuant to the Contractor's License Larv).
-l
arn exempt under Section-. B. & P.C. for this reason.
Dale: Owner:-
WO RK IiILS' CONT PENSA'I'ION
DECLARA'TION
I hereby affrrrn under penalty of pojury one of the follorving declarations:
_l have and u,ill maintain a Certilicate of Consent to Self-lnsure for rvorkers' conrpensation, as provided for by Section 3700 of the
Labor Code, for the perlonnance of the rvork for which the pennit is issued.
-l
hal'e and rvill rnaintain workers'lnsurance. as by Section 3700 of the Labor C-ode. for thc perfonnance of
the work fior this pennit is iryUed.rj and p.rlicy number are:
w C A
Policy
-l
cerrify that in the performance of the rvork for which this permit is issued. I shall not einploy any person in any manner
so as to become subject to the workers'cornpensation larvs of ('alifumia. and agree that if I should become subject to the
rvorkers' compensation provisions of Section 3700 of the lahr Code. I shall. forrhrvith cornply with those provisions.
pelralties andWARNING: Failure to secure rvorkers' cornpensation coverage is unlau'fu1. and shall subject an onployer to crirninal
civil fines up to one hundred thousand dollars ($100.000). in addition to compensation. darnages as provided for the
attorney's fees.
DFCLARATION
I hercby affinn under penalty of perjury that I arn licensed under provision of Chapto 9 (cornmencing with Section 7000) of Division 3
of the Business and I'rofessions Code. and rny license is in full force and effect.
License b
Dale:oA-- contrnc,or4
CONSTRUC'ITON LFNDING ACENCY
I hercby aflirm under penalty otpcrjury that thtr is a comtruction lmding agocy for the pqfonnuce of thc wrk for which lhis Pqnit i3
issucd (Sc. 3097, Civ. C.).
Lender's Name:
ooortaon, pgclaru{"rloN
I hereb), affinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Titlc 40. Part6)
-Required
Lrtter of Notification
_l certify that the federal regulations regarding asbestos retnoval arc not applicable to this project.
-l
certify that I have read this application and statc that
ordinances and State Larvs relating to building
above rnertioned property for inspection
Applicnrrt or Agent Signalrrre:
Perrnitee nanre
BUILDING. INSPECTOR RECORD
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