HomeMy WebLinkAbout101104167 - PermitCity of santa Ana 20 civic center Plaza (tVl-19), santa Ana, cA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853
Permit #: { O{ 1o,4167
Pin #: 52489
Proiect Address: 1880 E St Andrews Pla
-
Assessor's Parcel:403-071-23 Lot: NA
Unit Bldg
.{
Block: NA Tract.7474
Address Range: 1800, 1850,
1 880
Historic: No
{)
Suite Range:
Zoning: SD69
Building Use: lndustrial Occupancy: N/A 1st FL Area: Patio:
Job Type: Signs Constr Type: N/A 2nd FL Area: T.l.Area:
Nature of work. signs code: cBG 2019 other Areas yards Req'd
Existing Bldg. & Use: lndustrial Flood Zone: x-06o2320277J Garage Area: Valuation:
Proposed Use: # of Stories:
Total.
Description of Work: lnstall (2) non-illuminated foam letter signs with aluminum faces for "FujiFilm". "lrvineScientific", bond included.
Planning Conditions
$6,400.00
Owner:
Address:
Phone:
Tenant
Unire Real Estate Group lnc
675 Placentia Ave, Suite 200
Brea, CA 92821
(714) 990-2100
Fuji Film
Contractor: Caliber Signs & lmaging lnc
Address: 17981 Skypark Circle, Suite
lrvine, CA 92614
Phone: (949) 748-1070
State Lic #: 972755
Lic Type: C45
Bus. Lic #: 349569
Workers' Compensation lnsurance:
Carrier: Ohio Security lns Co
Policy #: SWS59259767
Expires: 1013112020
Engineer.
Address:
Phone:
License #:
Architect /
Desiqner.
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Arabe, Jill
Amsden, Julie
en, Julie
No
-No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Dale: 0712712020 Misc. Receipt:
Dale: 0713012020 lVlisc. ReceiPt:
Date: 08/04/2020 Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 51600
01'116002 51601
01 1 16002 51612
01 1 16002 53600
01116002 57770
05316002 53636
Total
07776002
077760 02
07LL60 02
07716002
07776002
07L16002
05376002
57607
53600
57770
5L672
s7600
57601
53636
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Bond
Fee Total:
Paid to Date:
Balance Due
$172.64
$1 19.67
$32.40
$1.00
$23.79
$s9.30
$200.00
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance.or if the work authorized
on the site by such permitis suspended or abandoned for a period of360 days after
the time the work is cammenced.
$608.80
$0.00
$608.80
lnspector tVlD#: 2020-160302
$23.79
$231.94
$1.00
$1 19.67
$32.40
$200.00
BUILDING. INSPECTOR RECORD
S!TE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[Vlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL la l-(r Dl[,7 2/
Certificate of Occupancy I
I
Notes, Remarks, Etc.
I
olvNl.R BrJil,t)l,ll{t{,\ | t( )\
I hereby affirnr under penally of pcrjury that I m ercmpt from the Contrilcb6 Lic.nse Law for thc following reason (Sec.703 1.5
llusincss ^nd Prolbssion Codc): Any Cily or Counly which requires a fDnnit h conslrucl, dller, irnprovc, dcrnolish or rcpair any
stnlcture. pri()r to its issuarrcc. also requires the applicaDt ti)r such permii b tile a sigrEd statcmenl that he or she is liccnsed pursuanl
to the'prrvisions of lhc Conlractor's l,icenscd ljw (Chaplcr 9, Cornmcncing wilh Scclion 7{Xn of Division 3 ol lhe Business and
Prolcs\r)trsCode)orthatheor\heiseremptlherefionrandthebasistbrtlEallc8ederenptiotr. Anyviolario[ofSectbnT03l.5byany
npplicinl for a pcrnit subjecls rhc npplicant to a civil penrlty of nor mre lhnil five hundrcd doltrrs ($5(x)).
_1. As owncr o I thc propcnv. or my t'rnployecs wilh wagcs as thcir solc compcn\!ti()n, will do (hc work and thc stnEturc is mt
itrtended or offered for snle (Se.7044, Business and Professions Code: The Conlractrr's Licensc I-ow does nol dpply b fln owncr of
the p()Itfly who buildi or imnrovcs llEr$iL urd who does such work himselfor lNrselior through his or her owil employees,
providcd that such improvcrrcnts trc mt intcnded or ollcrcd li)r salc. II. howevcr. th! truilding or improvcrrcnt is $ld within one year
ofconulcrirm. the Owner Buildcr will have the burden of p()ving thilt lE or she did nol build or imprcve the pmlEny for rlrc purlbse of
sxlc).
_1. as owner of the propeny. am cxclusively conlrncting wilh liccnsd conlraclors to con\trucl lhe prcjat (Scc. 7(x.1. Business
afil Pn,ll\sinrCode:TheContractor'sLicenseLawdrrrnotapplyrcanowneroflt()penywhobuildsorimprovesthereon.
and who conlracts for such projccts with a Contraclor(s) liccnsd pursumt lo lhc (\)ntrxctor's Liccnsc [aw).
I r[r c\.,rrln uDdcr B. & l'.C. Ii)r this rea\rrr.
"*ffi*I h('rcby rUirm under pcnall),of pcrjury onc of lhe lbllowing dcclaralions:
_lhaveandwill nraintainaCenificateofCoNenttoSelt:ln$raeforworkers'conrpcnsation,as providcdforbyScctionJT00ofthe
Gd*,*;ffi ffiffi***r**,**,iJffi:.,:*** ::le'
r'r'|he pcrr'"**e'r
t,
!7 lo \l''/i1r)
_lccililyrhrtinthcl^-rii)rn[nccolrheworkforwhichthispcrn]ilisissucd, lshrllnorcnrployrnyNrsoninrnynrrnncr
so is k) hcconrc subjcct o thc workcrs'conlpensalior lrw\ ol ('nlilornia. nnd rgrcc thnl il l should bccorrc suhjcct to thc
workers'conrPensarionpevi\r(,DsofScctionl?00ofthcl-ahtr(l(xle,lshrll,lbnhwithconrplywithtlDscprovisions.
WARNING: Failurc nr sccurc workcrs' c()nrpcnsiltion is unlawirl. rnri subjcct rn cnrpl()yer k) fininal pcmkics nnd
conrpensntiotr. damnges rs providcd for lhecivil lircs up to one hundred lhousand dollilrs (S in addir lhc
Secti()n 1076 ofthe Latxrr Crxlc. irlcrcst and
s i cr.:Sl)nl(:{qbzb - C"bL
I hdcby al lirm und!:r pcnalty ot pcrjury that I am Iic('nscd ol Chnpl(r 9 (corntncncing with Scction 70fi)) ol Division 3
i)l thc llusincs\ and Prrrlcrsions Codc. aml n)y liccnrc is in lull fi)rcc rftl clllcl.
Ll*Nurnlrr:1 LlSS
,,'" { 't+'1cLc \I l,,t
(t
( ()NS',ilI'.( ilON LI,]Nt)t\(;.\(;t.:N( \
I hcrchy allirnl under lttrahyofpcrjury that there is a conrtntction lcndiug agency lor lhe perfirrnrance ofthe
isrucrl (Scc. .1097, Civ. C.).
lf,ildcr's Nxnt.
li)r which this ts-flnil is
l.cn(lcr's Ad(lrcs\:
APPI,ICANT DECLARATIoN
I hcrchy rllim) undcr fEoalty of perjury one of the [olbwiDg (lrclirrti(tr]s:
Dcnbli(ir)n Pernrits-Asbestos Ndification Federal Regulations (Title.l0, Pan6)
-Requircd
lrller of Notifi calior
cef,ify that the federal reguhltnls rcguding asbesbs acn$vol are not applicable to this
I have rqd thi\ applicnlion ild stale lhat lhc nboye with nll Ciry and County
State Laws rclariilg k) buildiilg constructidl, uf,l herehy Cily ard County to enler uFrn tl!
trrnt()nd propef,y li)r' irlsnccli()n puqhscs.
or AgcDt (-
-fl'rnnil+c nanre
/kl A,\
Rev. 08-07-201 5
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