HomeMy WebLinkAbout101102905 - Permit (2)Project Address: 5015 W Edinger Ave
Assessor's Parcel: 108-381-25 Lot: NA
Unit K Bldg:Address Range: 5015-5127
Historic: No
Suite Range:
Zoning: C1Block: NA Tract NA
City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA92702
Permit Counter. (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #:1O11O29O5
Pin #: 266.25
Building Use:
Job Type
Nature of Work
Existing Bldg & Use
Proposed Use:
Description of Work
Commercial Occupancy. N/A 1st FL Area
Signs Constr Type N/A 2nd FL Area
Sign-illuminated Code: CBC 2019 Other AreasCommercial Flood Zone. x-0602320256J Garage Area
# of Stories
Totat
lnstall (1) led-illuminated channel letter wallsign for "Kumon", bond paid on M-74076
Patio.
T lArea:
Yards Req'd
Valuation:$3,700.00
0
Planning Conditions:P,ntch* :54151 - l/3t1,/2r:r2r.1
fl0f irr,: f:TYH Trnn..*: li3
ID: HGAI1CI,l1of4
Owner:
Address:
Phone:
Tenant
Manny Bukiet
520 W Willow
Long Beach, CA 90806
(310) 639-7130
Kumon
Conlractor: T Signs
Address: 15151 Moran St
Westminster, CA 92683
Phone: (714) 890-0932
State Lic #: 735992
Lic Type: C-45
Bus. Lic #: 174801
Workers' Compensation lnsurance:
Carrier: Security Nat'l lns Co
Policy #: SWC1221874
Expires: 1210112020
Engineer:
Address.
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #:
Acct*: Ref *: ll]l lr:r29[Ii
Iicpt,*:rr2SS5315 - l/\t-t/?lt2lr I1:22 A11
Trnnsar:tiort Totul $lrt.t36.tl{l
T Sisns
Generol Plflrr Updqte Fee
Lrl I l6rlLr?- Il60LrrrLil:r-
tiu i Id ing
r_r1 1 16r-1[2- :i16Lrl r:rurj-
Blds StdE Revolving
Lrt I 16L1Lr2- 5l 6l 2r-rlr0-
['/(: Bu i ]d ing
Lrl I 16002- 536Lr0LrLru-
I'l icrof ilrrr & Documents
$??. ?5
$?23. 73
$1 .0Lr
$1li.44
$7. S?
Planning Approval By
Plan Checked By
Permit lssued By:
NPDES lnsp Req'd
PWA lnsp. Req'd:
Planning lnsp Req'd:
Landscaping lnsp. Req'd:
Fire lnsp. Req'd:
Police lnsp Req'd No Account#
\ttr
No
No
No
No
Graham, Jeffery
Amsden, Julie
Hernandez, Kathy
Date. 0111312020
Dale 0112212020
Date: 01/30/2020
Subject to Field:
No
Misc Receipt
Misc. Receipt
Misc. Receipt
LII I l6l-ltu-
0777609L .{ltr*
07776002 53600
07776002 57770
07776002 57672
07716002 57600
07776002 57607
:-r ,/ / /l.ll-ll-lLl -
Perm(16bE?
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$tr 66,b8. rli:i
$1 15.44
$7.82
$1.00
$22 9s
$57.20
$370.94
$0 00
$370.94
Total
Flood Zone Cert. Req'd: No 011.l6002 51600
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afrer lls lssuance.or if the work authorized
on the site by such permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector lVlD#: 2020-157040
01 1 16002 51601
01 't 16002 51612
01 1 16002 53600
01116002 57770
$22.95
$223.73
$1 00
$11544
$7.82
Fee Total
Paid to Date:
Balance Due:
G]
BUILDING. !NSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS ()WNER I}UII,DI:R DI]LCARA'IION
I hcrchy affirnr un(lcr pcnahy of pcrjury thut I anr cxcrrlx liom thc Conlrnck)rs' Liccnsc Ltw for thc lirlkrwing rcrson (Scc.70Jl.5
Businc\s and Profcssion Codc): Any City or CouDly which rftluircs r Frnril Io conslrucl. rllcr. improvc. dcmolish or rcpuir any
sttltcturc. prior Io ils issunncc. also rcquircs lhc applicuill for such pcrnlit lo filc 0 siglcd sl{tcnrcnt lhrl hc or shc is liccnscd purtuanl
ro lhc p(rvisions of lhc Contraclor's Liccnsed [:w (Chrplcr 9. Comnlcncing wilh Scclion 7{D0 ot Divisio0 -1 of thc Busincrs antl
I,rolcssionsCodc)orlhalh(orshciscxcnrptthcreftrnnrndlhcbasi\li)rthcrllcgcdcxcrnption. AnvviolationofScclionT0.ll.5hyany
applic0nllbrapctrnitsuhjectsthc applicflnlhilcivilpcilaltyolnoltrx)rcthrnlivchundrcddollurs(S5(X)).
_1. as owncr ol't hc pro;*rt y. or nry cnrph)yccs wilh wn8cs trs thcir solc conrpcilsilti()rl. will do llrc work aftl tlE stro1urc is nol
i!ilclxlcd or olltrc(l for salc {Sec.704.1. Busirrcss and ltnrltssions Corlc: l hc Conlracbr's [,iccrsc Law docs nol rpply b nn owncr ol'
lhcfRrltny whobuildsorin{nol'cslhcNn.altlwhodh-ssuchworkhiorsell'orhcrscllorlhrou8hhisorhcrouncnlployccs.
providc(l lhat such inlprovcnrcols ilc nol iilcndcd (n ofcrcd li)r salc. lf. howcvcr. lhc huilding or inprovcrrEil is sold wilhin onc ycnr
ofconlplctiol. thc ()wncr Buildcr will hnve lhc burdcn of provirg thal hc or she did trol build or inumvc lhc prcFEny for lhc purtb* ol
salt').
_1. as o$'ncr of thc l)rofcfly. rilr cxclusivcly conlrilctinS wilh Iiccnscd conlrrclors to conslruct lh. pr()jcct (Scc. 7(ll4. Burincrs
and P[rltssiu Codc: 'l hc Conlrrclor's Liccnsc Law docs nol xpl)ly kr an owncr ()[pr{)pcrly wh() huilds or iilrprovcs lhcrcon.
rnd who contracts for such fojccls wilh a ('()nlrnck)(s) liccnsc(l pursunnl to lhc Contaaalor's Liccnsc Lxw).
I nilr cxcn)Dt uildcr Scclion-. u. & P.('. li)I lhis rcnso,t.
I)illr OHncrl
lY0 R K ERS' COlII PENSA TION
DECLARA'TION
I hcrcby ilffirtrr urdcr pcnally ol pc{ury onc ol thc li)lk)wing dcclnrnliols:
_l havc arxl will maintain d Ccrtillcntc ol Conscnl lo Scl[-lnsurc lirr workcrs' conrpcnsation. trs prl)vidcd lor hy Scction -j7(X) of lhc
t-akrr Cotlc. lor thc pcrlbrtruncc ol thc work for which lhc pcnnil is issucd.
{'/ thc tork thi$ pcrnril is issuc(l. My workcr\'and Jxrlicy nunrbcr arc:
L--
t\,licy N
_l ccrtily that in thc lNrlbrnililce of the work for which lhis pcrnrit is issuc(|. I \hirll nol onploy dnt pcrson in any mrnncr
so {stoh€conlcsuhicctlothcworkcrs'coillpensatio[lawsol'Calilbrnia.andagrccthillifl\houldbcconrcsubjcctlolhc
workcrs'conlpcnutiouprovisionsofScctionlT(nollhclihrrCodc.lshall.forlhqilhconrplyu'ithllhscprovisiols.
WARNING: Failurc k) sccurc workcrs'compcnsali()n covcrrgc is unhwlul. aD(l shiill suhjecl an cnrpkrycr lo criminrl pcnrltics ilnd
civil llncs up to onc hundrcd lhousand dollnrs ($100.(xn), in ilddilion h lhc cosl of iort.'8"*'""'"lcc\.
I hcrcby affirn undcr pcnully ol Frjury that I am liccnrd undcr provision ol Chaptcr 9 (coilxrcncing wilh Sccli([ 7(X]0) of Division l
of thc Business nnd Prolcssions Co(le. and nry liccnsc is in lull lbrcc and cl-lcct.
l.i.cnsc (.iecnsc Nu
o,,",0{44 Contraclor(-
I hcrcby alllrtn undcr frcnalty ol pcrjury lhill lhcrc is ! conslruclior lcndiig a8cncy lbr lhc pcrtbnnance of thc work li)r which lhis Frmil is
issucd (Scc. .1097. Civ. C.).
hn(lcr's NanE:
I-cntlcr's Atklrcss:
AfILICANLDECLABAIIQN
I tmbyilfllnrundcr penally ofpcrjury onc ofthc lbllowing dcclarltions:
Dcnnlition Pcrnrits-Asbcstos Nolificalion Fcdcral Rcgulations (Tille 40. Pan6)
-Rcquircd
Lcllcr oI Nolificnli(]n
-l
ccrl ily lhal thc t'cdcrill rcgulalions rcgarling ashcstos n:rrx)vill xrc nol aPPli( nhlc l(r lhi\ Pr(riccl
{ ccnily rhar I hrlc rcrd thi\ xllticrl
/rrrlirranccs rntl Stutc Laws rclilinE to hui
nhovc ilErrlioncJ Firr'pcny lirr rnsg;ctionY
Appli(ant 0r Agent Signolurc - /-\
ion flnd stale lhal lhc ah)vc infbrnnli(ilr is co,rccl. I a8rcc k) conrply s'ilh illl Cily rnd (i)unly
I'rnililee ilanrc (prinl):
ilding conslructi(nr. nn(l hcrchy aulhorizc ""i,,'.,rffi'$u
Set Backs
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lMasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
L
F!NAL 7/rrh tl ,,yMLi 1)
Certificate of Occu
Notes, Remarks, Etc
a \uO- I L6'ti A c
Applicanl: