HomeMy WebLinkAbout101102527 - Permit (2)--a tff|- Cig of Santa Ana 20 Civic Center Plaza (M-19), Sarrta Ana, CA s2702 Bu itdiryfl Permit #:1lJ11o.2527
Pin #: 6t236
Project Address: 1995 S Standard Ave
Assessor's Parcel: 016-120-59 Lot: NA
Urrit
Block: D, POR C Tract: 696
Bldg Address Range: 1801-1995
Historic: No
Suite Range:
Zoning: Ml
Building Use: lndustrial Occupancy: B, S-1 1st FL Area: Patio.
Job Type: Tenant lmprovement Constr Type: lll B 2nd FL Area: T.l.Area:
Nature of Work: H-3 Oil/Paint Room & Roof Mtd Equ Code: CBC 2016 Other Areas: yards Req,d:
Existing Bldg. & Use: lndustrial Flood Zone: x-o6o2320276J
Garage Area: valuation:
Proposed Use: # of Stories: , ,o,",, O
Description of Work: New interior partitions to create a H-3 Oil/Paint Storage Room. lnstall (2) roof mounted units (90 lb each)
Planning Conditions: Roof Mtd Equip screened by existing parapet.
12706
$95,000.00
Owner:
Address:
Phone
Tenant:
Engineer:
Address:
Phone:
License #:
LTOLPJR
1240 E GLENWOOD PL
santa Ana, cA 927073000
(714) 279-8091
Behr Paint
Langston & Associates
Jim L Langston
603 N Parkcenter Drive, Suite 108
Santa Ana, CA 92705
(714) 835-8655
c29373
Contractor: Kinney Construction
Address: 830 W Pletcher
Orange, CA 92865
Phone: (714) 279-8091
State Lic #: 401237
Lic Type: B
Bus. Lic #: 374598
Workers' Compensation lnsurance:
Carrier: Barrett Business Services lnc
Policy #: 2246
Expires: 0110112020
Kinney Construction
James H. Kinney, A.l.A.
830 W Pletcher
Orange, CA 92865
(714) 279-8091
c-8482
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By Dale. 1211212019
Date. 0212912020
Date: 03/04/2020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Account#Total
07776002
07776002
07776002
08907007
07776002
01776002
07776002
57601
53600
57770
24000
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$2,077.66
$3,908.26
$78.20
$26.60
$4.00
522.95
$57.20
Plan Checked By Consultants
Permit lssued rodowski, Teri
NPDES lnsp
PWA lnsp. Req'd: No Fire lnsp. Req'd: Yes
Planning lnsp. Req'd: No Police lnsp. Req'd: Yes
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 commenced.
01 1 16002 51600
0't116002 51601
0't116002 5'i612
c11160Q2 57770
08901001 24000
Fee Total:
Paid to Date:
Balance Due:
$6,174.87
$3,908.26
$2,266.61
lnspector MID#: 2019-156485
$22.95
$2,134.86
$4.00
$78.20
$26.60
-a
73891
BUILDING. INSPECTOR RECORD
Rev.08-0/-2015
SITE.WORK DATE ID/SIG.COMMENTS owNER lrt,il,t)uR t)t:t,cARATtoN ,t
I hecby affirn undcr pcnahy of perjury that I mr excnrpt from the CbntracloB' LiceDse Iiw for the followint rcasn (Scc.?031.5
Busrncss ind Professir)n Codc): Any City or Counly which rcquircs a l--rmit h con{ruct, nlter. irnprove. dcrmlish or runair any
strucrure,priortoits issuance.alsorequircslheapplicilnttorsuchp€rmilk,tileasigiledslatamnl lhatltorsheislicensd pilrsuanl
lo thc pmvisions of lhc Contractor's l-iccnscd l-aw (Chrptcr 9. Cornrncncing wilh Scction 7(x[ ol'Division 3 of lhc Busincss and
Prolcs\ionsCode)orthathcorsheiserempltherefiomandlltbasisti)rlltullegedexemption. AnyviolaltrlofSeclion?03l.5hyany
npplicnnt for r pennit sub.iects the rpplicanl Io a civil pcruhy of nol rmrc lhiltr live hundrcd dollars ($5{x)).
_1. as owncr ol thc proFny. or my crnployccs with waSes
^s
thcir $lc compcnsation, willdo thc wtrk and lhc slMture is not
iuemled orofferedlirrsule(S*.7(N4,BusinessnndPnrfcsstrtsCodeiThe(i)ntrdclor'sl-icenscLawdoesnolrpplyloanownerof
thepfl)pcay whotNildsorimplovcstherdnLandwk)docssuchworkhinrsellorherselfortlroughhisorherowncmployees.
providcd lhat such impn)vcmnts ee ml inlcrdcd or oll'crcd ,'or slc. ll. howcvcr, tlr tuikling or irrprovcDnl is soL wilhin onc yctr
ofconplcli)n. the OwrEr Buil&)r will luve lh. bunlen ofpruvin8 lhxt lE or she rlid mt boild or impnrve tlrc pnr;rny for the purF)* of
Mle).
_1. {s owner of lhe roperly. am exclusively conlracting wilh licensed conlrAclors to conslrucl lhe prejecl (Sec. 7(}44. Business
and Pnrli'ssirnCode:TheCr)trtractor's[-iceDseLawdoesnotapplytoanownerofpropeflywhobuildsorinrprovesthercotr.
and who coilracls[rtr\trchprojcctswithnContrrctor(\)liccnscdpur\uinllolhcComrrctor'sLiccnse[jw).
_l im exempt under Secti<xr-, B. & P.C. tor lhir rea\on.
woRKt:Rs' col\fl,t)NsA'iloN
t)!:ct-ARA'l't()N
I hcrchy allirm p!nahy ofpcr.jury onc ol thc tbllowing dcclarations:
-I
willnriintriunCe(iticaleof(lnrsent()Selflnsureftrr*orkcrs'conrpetrsati()n,as prcvidedforhySectionlT00ofthe
li,r pcrlormancc ol'thc work Ior which lh! pcrmit i\ i\sucd.
required by Scction 3?00 oflhe tibot for the lErfomENc ofhave !trd
rhc worl li)r inl F)[cy numhlr
Policy
_l ccnily for which this pcrmit is issucd, I shrll not cnrploy any pcrson in aoy manncr
so as to hccorrc suhjrcl h lhc workcrs' coillpclsation laws ol Cnli fonria. and agrcc thal if I should hccorrc subjcct lo the
workers' eonrPensation provisions of Section 3700 of rhe Lahr Code, I shrll. fonhwith conrply wil h lhoF provisions.
WARNINGT Failure rr sccurr. workers'c()mpcnsation covcrugc is unlawful. and shall suhjcct nn emphyer to dminll Fmltics and
civil fincs up to one hundred thousand dollars (51fi).(Xn), in additio[ to damSes as providcd for lhe
Secti(D J076 ofrhe (,ixle, fuilerest
I)t.t( t_,\R,\t t()N
I herchy allirm undcr pcnalty of pcrjury lh4 I am liccn$'d undcr provision ol Chaptcr 9 (cornrmncing wilh Scction 7fi)O) oI l)ivision 3
of thc Busincss ild Pmfcssio$ Code. 8l mv liccns is in full ti)rcc atul clt'cct.
Liccnsc Nurnlrr:
I heBhy atlirft under lEnaltyof perjury tlut theE is a constructiol lendirg a8errcy fbr the lErfomrce of thc work tbr which llis FEmit is
issucd (scc. 3097, Civ. C.).
Lxndcr's Narnc'
kndcr's Ad,lress:
APPLICANT DECI,ARATIoN
I lEreby nffiml under lxnrllv uf perjur) onc of lhe followi,l8 declaritions:
DcnrclitioD Permits-Asbr\tos Notification Iederal Regulillions (Title.l0, Prf,6)
Rcquircd IJtler of
_l cetr fcderal rcSulations rc8udin8 asbest)s ren$val are not applicable to this proicct.
lhrl I hrvc rcn(l applicdlion Ind stale lhat lhc above infomuliur i\ corccl. I agr.c to comply
represcntnlives r)t lhis City
with all City and County
rnd Co!illy to cilter uF)il therild State l-aws
utx)vc nNori()ncd
Applicont or Agcnt
Pctmitc( trunrc
to buildiilg coilstructi()n, rtrd hercby auth(!rize
,^,.7/'.%
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulationiEnergy
Drywall I iltAlru WLv-tR-"?/n/
Ext./lnt. Lath rr I I I
Brown Coat
ltllasonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
,,.-
FINAL A/qho (,Lra\i,r '/{C/
Certificate of Occupancy U
Notes, Remarks, Etc..4---}.
I
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