HomeMy WebLinkAbout10117288 - Permit (2)City of Santa Ana PROJECT
ADORESS: 4 E. HUTTON CENTER DR
SUITE #:iXilS= ro rH FL JoBTYPE: Cotll,t /FS
NAADORESS
RANGE:BUILOING #:FIRE SPKNATURE
OF WORK:
NA Btck NALEGAL
DESCRIPTIO}{: Lot OFFICE TOI{ERNO. OF EXISTING
BUILDINGS E USE:
rnct NA ITYPE OF
CONSTRUCION:BOCCUPANCY
GROUP:
I harcby .ffirm undcr pcn.lty ol pcrjury th.t I am mmd lm thr co.lf.cbE'
liccn$ law tor thc iollming rcasn:
_ S6ction 7044A, l, as mcr ot thc pEp€rty, o, my mployoGs with MC6 G
thsir sl. ompGnstion, will do thc rcrk. .nd thr struArr! is ncl inbnd.d d
offcrcd for elc.
_ Scction 70448. l, as omcr of thc prcpcfty, am ffiinly cont-ecling with
lrcGnsGd @ntectoE to construcl thc prcicct
Oatc:_4LL-092-30ASSESSOR'S
PARCEL T
TENANT IMPROVEMENT
ANO / OR REMODEL AREA:i:ffi' x-o
OT,'iINER:tr f, !F DADITINTDq}ITD
NEW / ADDL
1st FLR. SQ. FT.:
NEW / AOOL,
OTHER SQ, FT
RNN S E'T(?IItrPr)A STAODRESS:NEW
'
AODL,
2nd FLR. SQ. FT.:
NEW / ADDL,
GARAGE SQ, FT,:
ZONING: ?._)sTE 11AO 450 -AOVALUATION:
I.OS ANGEI.F:S . (]A PHONE PLANNING
APPROVAL BY:DATE:
coNTRAcroR: HARRTs FrRE pRorEcrroN rNC
BLDG- SAFEW
PLAN CHECK 9r1 DATE:
AD'RESS: g2o n FLETCHER Av "ftY.rp
PERMIT
ISSUED 05 /o.7 /98DATE:
rupnova{rEftTs (neourc€d, NORANGE,cA 92865 NLANOSCAPING
REOUIREO:
PHoNE: 7 Lo / 6Bs-oL7 6
7 4006LSTATE
LICENSE f:c- 15TYPE:
o148036 D \L.SA!{TA ANA
BUSINESS LICENSE #:
I hsrcby affirm undsr ponalty of pcrjury onc of thc foll*ing OcclaEtims:
ate
or l.ss)
WARNING: Failure to
prqided for in Scction of the Labor ENGINEER/ARCHITECT:
ADDRESS:
PHONE:
I hGrcby altirm undcr pGnalty of pcrjury that I .m liccnr.d undcr pmisions o,
Chapt.r 9 (commcncing with Scclron 70OO) ot Dinsioo 3 oa th. Busiffi and
Profcssions Codc. .nd my liccnse is in tull torcG and cllcct
Liens Class:-- Lic.n$ l,lo.:
Oat.: Co^rr.^*@ LICENSE fr
Ftr< 9/.r,tt( lcr E
JOB
Santa Ca.92701
206 W. 4th. Street
2nd Floor
(714) 647-5E00
City of Santa Ana
Building Safety Div. M-I9
P.O. Box 1988
FEES:AI{OUNT20.oo oo
o@
oo
FEE TOTALPAID TO DATE
BALANCE DUE
o@
oo
oo
FEEPERIIIT FEE
P lC 65r
ISSUANCE
20.13.20.
53
o
53
9TY
1
20
1
0.5s20.oo
I hcrcby aftirm undGr pcnalty ot pcrjury that thcrc is a @nstuclim lcnding agcnca
lor thc pGrfomancc of thr rcrk for which this prmit is issuGd Sc. 3@7, Civ. C.)
Demolition P.rmits-Asb€sios Notification Fcdcral Rcgulatios (titc 4O, Part 6)
that thc fcd6ral rcAulations regarding asbcstos rcmml .ra not
to this prcjcct.
ccrtify that I ha€
Lcndc/s
_Roquircd ol Notification.
Applicant o. a9.nt
Pcmitt6 nama
OWNER.BUILDER DECLARATlON
WORKERS COMPENSATION DECLARATION
LICENSED CONTPACTORS DECLARATION
GONSTRUCT!ON LENDING AGENCY
APPLICANT'S DECLARATION
Mailing Address Public Counter
This permil shall expire by limilation and become null and void if the work authorized
by lhis permil is nol commenced within 160 dat6 from the date of lhis permit, or if lhe
wotk aulhorized by lhis permit is suspended or abandoned for 180 days, al any lime
afler work was commenced, ln such case a new permit shall lirst be obtained before
such work can be ,ecommenced.
,a
BUILDING PERMIT pERMIT NO. 1o117288 q
Account No. 011-01-5911 - Pemit Validation Cs-6os
2:13Fr,r cHE!fuPEc |1frffi, _ck|rfz -br*
I
7 t
Address: UniUSuite
BUILDING ... INSPECTION RECORD
Notes, Remarks, etc.
OWNER.BUILDER DECLARATlON
I hereby afiirm under p€natty of p€rjury lhal I am exempl from the Conlractors' License Law for lhe folloring reason
(Sec. 7031 .5 Eusiness and Professions Cod6): Any City or County which requires a pormil to conslrucl, aller,
improve, demolish, or repair any slrucluro, prio.lo its issuance, also requires lhe applicanl for such permil lo file a
signed statomenl lhat he or she is licensed pursuant to tho provisions of the Contraclors' License Law (Chapter 9,
commencing with Section 70fi) of Division 3 of the Buslness and Professions Cod6) or thal he or she is exempl
therefrom and the basis for lhe allegod exemption. Any violation of Section 7031.5 by any applicant for a p€rmil
subjecls lhe applk anl lo e civil penally of not mor6 lhan live hundred dollars (S50).
_1, as ot mer of the proporty, or my employees with wages as their sole compensation, will do the work, and lhe
slructur€ is nol inlended or ofiered for sale (Sec. 7tXl, Businees and Professions Code: The Conlraclorr' License
Law does nol apply lo an owner of thc property wtro builds o, improves thereon, and who does such uork himself or
herself or through his or her ovrrn employees, provided lhal such improvemonls are nol intended or ofierod for sale. lf,
hoaaver, the building or imprwement is sold wflhin one year of complelion, the ot,yner-Builder will have the burden
of proving thal he or she did nol build or improv€ fo. lho purpose of sale).
_1, as o$rnor of tho prop€rty, am exclusively conlracting with licensed contraclora lo conslrucl lhe projecl (Sec.
7(X4, Business and Professions Code: The Contraclors' License Law does nol apply to an owner of property who
builds or improwe lhereon, and wtro contracls for such projects with a Conlraclor(s) liconsod pursuant lo th6
Contraclors'.License Law.).
_l em oxompt under Sdion: , B. & P.C. for this raaaon
Site Work Remarks Date Signature l.D
Setbacks
Forms/Steel/Holdowns
UFER Ground
Slab Floor
Steel
Pool Fence
Masonry
Building Remarks Date Signature
Under Pinninq (floor ioistl
Foundation Ventilation
Roof Sheath
lnsulation / Enerqy
Dry Wal!
Exterior Lath
Brown Coat
TSar
Handicap Requirements
FRAMING
FINAL (Shell only),dt 4
FINAL lTenant lmorovementl 6" tifr]D r.,^lyll ,(,o
Orvner:
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