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Home My WebLink About10175882 - Permit (2)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 #: 1lD175442 Pin #: 85303 Project Address: 305 E Fourth St Assessor's Parcel:398-326-10 Lot: 1, 2, 3, POR 4 Block: 1 Bldg: Address Range: 305-315 Tract: FRUIT ADD TO SA Historic: No Unit:Suite Range: Zoning:C3 Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Other Miscellaneous Stage Special Event Occupancy: Constr Type Code: Flood Zone: # of Stories: N/A N/A cBc 2010 x-0602320276J 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l.Area: Yards Req'd: Valuation: $5,000.00 Description of Work: Temporary stage Wcover Sept 15-16 Planning Conditions Owner: Address: Phone: Tenant: Stage Plus lnc 2330 S Susan St Santa Ana, CA 92704 Contractor: Address: Owner-Bu Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Hopper Engineering Associatr Brown Wesley 300 Vista Del Mar Redondo Beach, CA90277 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: 28979 l-ll-L L T . ncqIteEB&fiiE: I3 $t nse F lus l,n': lrefiel t-tl 1 1r P,Ids'--trrlll6[LI 21./2rJII I0r FiUI nnE*: 117 '- Li, -! \,1rjl.r. ir-rr, -'ug,/:1,/?1112$3r4grI Fee Total: Paid to Date: Balance Due: $134.59 $134.59 $1.00 $18.54 $46.23 $334.95 $0.00 $334.95 Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd: Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No tl{ Soboleske, Hally ' Kwak, Jason ,,./ Hernandez, Kathy Dale:. 0812'll2O12 Date: 0812112012 Date: 0812112012 Misc. Receipt: Misc. Receipt: Misc. Receipt: No No No Account#Total Every permitissued shall become invalid unless the wo* on the site authoized by such permit is commenced within 180 days after its lssuance, or if the work authorized on the site by such permit is suspended or abandoned for a peiod of 1 80 days after the time the work is commenced. lnspector MID#: 2012-104408 0'1116002 5'1600 01 1 16002 51601 01116002 51612 01 1 16002 53600 $18.54 $180.82 $1.00 $134.59 EE 07776002 s76Al Permit Fee 07776002 s3600 Plan Check Fee 07776002 57612 Bldg. Stds. Revolving 07776002 57600 General Plan Update 07776002 57607 lssuance BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Ow"BuildqDclantion . I hcrcby affum undcr pculty of pajury thet I m qcmpt fom thc Conrcdon' Liccmo Lrw for thc following roon (scc7031.5.Burinss and Proferion Codo): Ary City or County which rcquirB r psmit lo @Ntruct,8hcr, improw, dcmolirh or rcprt uy 3tFrctuc, prior to rt i$une, abo rcquirc tho applient for och pqmit to filo ! rignrd rt tmotrt thal hc or shc B liccrocd purtuot to lhc ,rovisior of thc Conrador'5 Li@nrcd Lrw (Chf,ptq 9, Commlncing with Scction 7000 ofDivision 3 ofthc Burinss and Profcsioro Codc) or that hc or shc is qcmpt ahâ‚¬rcfrom and thc barir for rlr allcgcd ucmption .Any viohtioo of Scaion 7031.5 by my appliont for s pmt subjet! the rpplient to e civil pculty ofnot morc than fivc hundrcd dollarr ($500). _1, as oma of thc propaty, or my cmployq with Ega ss thcir rolo compcnutio4 will do thc uork rnd thc rtruduo L not htmdcd or offcrcd for rdc ( SGc.7044, BuriEs rnd Profcrsions Codc: The Contrrctor'! LiccNc L.w do6 rct rpply ro rn omd of lho propcny who buildt or inprov6 thaoq md who doc ruch work himrclf or hssolf or through hit or hq om cmployd, providcd thlt ruch improvcm@ts Erc not intsndcd or offqcd for nlo. If, howv*, $c building or improvcncnt is sold withi[ onc yar of empletion, thc Omcr.Buildq will havc thc burdcn ofproving that hc or rhc not build or improvc for thc purpore ofule). _I, 6 oMd of thc l Profdion Codc: Tho propcrty, !m cxclurivcly cont rcling with li@B.d @DtrBctors to @Ntrucl thc projcâ‚¬t ( Scc. 7044, Buinss lnd Contntur'r Li@roc Irw dq mt rpply to m oM6 of propqty who builds or ths@n . rnd who conulcts for such projd with I Contractor(s) Iiccns.d pursunt to thc k*). _I m exempt &.for thir Datc:2 I hacby affrm undc pomhy ofpajury onc ofthc _I havc and will mEhtrio a Ccnfieto of CoMctrt !o Sclf-IEurc for workqr' @mpcMtior\ u providcd for by Setion 3700 of thc Lrbor Codc for thc pqforrone of thc wort for which thc pamit it isucd _I hrve and will mrintain workdr' @mpcruation iilunm, r rcquicd by Scction 3700 of thc hbor Codq for thc pclformnm of thc work for which thic pcrmit i! issucd. My workm' ompensation i$utane Bricr md policy numba rrc: Policy Numbs: Expir6: Ghi"roaion n ot t*1 I stiry oBt in thc pcrformane of the work for which this pamit is isucd, I bsmc subjcrt io tho workâ‚¬[ ' @mpenlation lews of Crlifornia, and rgrco thst shall not 8ny in any ma so r to workss' @mpensltion 3?00 of thc hbor Codq I rhlll, forthwith those Frilurc to t4urc worl6r' compcEation covqaSc md shall subjcct fin6 up ro ono hun&ed thourud dollur ($100,000),in rddition to rhc llbor Codc, intqdt rnd.ttom.y't fq. ort of ompcnsatiorl at LICENSED CONTRACTORS DECLARATION I hucby rffirm und< pcElty of pcrjury thEt I m lieucd undcr provisbo of Chapto 9 (ommcncing with Srction 7000) of Divirion 3 of iha Businsr .nd Profqriou Codc, rnd my liccuc ir ir full fore and offot Lieroc Chs:_ Li@nto Numb6 _ Drtc: Contrrqlor; CONSTRUCTION LENDING AGENCY I hacby rfiirm undcr pcnalty ofpcrjury that th{c is i coutruction lcnding rgcncy for thc pcrformrnrc ofthc work for which rhis pcrmir is Lcndq'r Addrc$: APPLICANT'S DECLARATION Dcmlition Pqmitr.Albgtor Notifietion Fcdcrel RcguLtioro (Titlc,O, Put 6) _ R.4uircd l.tr6 of Notifiqtion I ctrtiry thst thc fcdcrrl rcgulationr rcguding ubetor rcmoval rro not cppliclblo b thir project. _ I Eniry dut I hvc rad thir rppliotion strd informrtion is conect I rgre to 6mply with all City and Couty ordimnccs rnd Strtc [.w râ‚¬lrtiry to building to mtd upon tho rbovs mationrd propcrty for Appliont or agat sig. Pcrmitt@ Dma (print): and rcpr6cntltivcr of this City Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SI-AB Floor SubfloorA/enulnsul. Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL Certificate of Occupancy Notes, Remarks, Etc. isrucd (Scc. 3097, Civ. C.).