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HomeMy WebLinkAbout101103275 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building Permit #:1O11o3275' Pin #: 98087Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Proiect Addressi 2114 N Tustin Ave Unit Assessor's Parcel: 396-341 -07 Lot: POR 9 Block: A 2110-2190 Historic: No Suite Range: Zoning: C5 Bldg: Address Range Tract: A.B. CHAPMAN Building Use: Commercial Occupancy: N/A 1st FL Area: Job Type: Signs Constr Type. N/A 2nd FL Area: Nature of Work: Sign-illuminated Code: CBC 2019 OtherAreas: Existing Bldg. & Use: Commercial Flood Zone: X-0602320164J Garage Area: Proposed Use: # of Stories: Total: Description of Work: lnstalt (1) led-illuminated channelletterwallsign for"30 Minute Hit", bond paid on M-74205. i. li.. ii.:1.:l,Itr't Planning Conditions: ' , ,, l, ' Patio. T l.Area: Yards Req'd. Valuation: $5,400.00 Owner: Address Phone: Tenant: PCB Tustin LLC 5 Park, Suite 1700 lrvine, CA 92614 (949) 557-5000 30 Minute Hit Contractor: Absolute Sign lnc Address: 10655 Humbolt Street Los Alamitos, CA 90720 Phone: (562) 592-5838 State Lic #: 782551 Lic Type: C-45 Bus. Lic #: 323'197 Workers' Compensation lnsurance: Carrier: State Fund Policy #: 9049610 Expires: 0410112020 Engineer: Address: Phone: License #: Architect / Desioner: Address: Phone: License #: I i,(1 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 Graham, Jeffery Amsden, Julie Amsden, Julie Dale: 0212412020 Date O2l25l2O2O Dale: 0212712020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07775002 5L607 Permit Fee 07776002 53600 Plan Check Fee 07776002 57770 Microfilm Records 07776002 57672 Bldg. Stds. Revolving 01,71,6002 51600 General Plan Update 07776002 57607 lssuance Fee Total: Paid to Date: Balance Due: $166.53 $1 '15.44 $19.s5 $1.00 $22.95 $57.20 No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Every permit issued shall become invalid unless lhe 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 permit,s suspended or abandoned for a period of360 days after the time the work is commenced. Flood Zone Cert. Req'd: No 0,1116002 51600 01 I 16002 51601 01 1 16002 51612 01 1 16002 53600 01116002 57770 $22 95 $223.73 $1.00 $1'15.44 $19.55 $382.67 $0 00 $382.67 lnspector MID#: 2020-157954 a BUILDING. !NSPECTOR RECORD Rev.08-07-2015 SITE.WORK DATE ID/SIG COMMENTS owNuR Irt Jll,t)l.Ir t)El,cARA't'toN I hereby affirnl under pcnalty of prjury that I anl etenpt from the Contraclos License Law for the followiilg rea\on (Sec.703 1 .5 llusincss and Prolession Codc): Any Cit), or County which rcquircs a Jrcrmit to construcl, nltcr, irnprovc. dcmolish or r(-piir any stnrcnrre. pritr k) its issuance. also rerluires the applicrnt lbr such pernil lo lile ! signed slnremnl ihat lE or shc is licenrcd pursuant to th(, nmvisions of lh* Contractor's I-iccnscd l,aw (Chaptcr 9. Cornrncncing with Seclion 7Un ol Division 3 ol lhc Busincss and ProtessioilsCode)orthatfuorsheisexcmpltherefion)andthebasislbrtlrcclle8edexenlpti(trr. AilyviolatiotrofSectionT03l.5byany ilpplicrnt lbr r pernil subjects the npplic0nt lo i civil perHhy of not Dnre thiln five hundred dolldrs ($5{)0). _1. as owncr o, lhc profLf,y. or my cmployccs wilh wages as thcir solc comJEnsation. will do the work and llE rtNlurc is not ifleilcd orolTeredforsrle(5€.?044,BusirrcssandPrclessionsCtxle:'I'lreContrrctor'sLicenscLiwdesnotapplytoanownerof thc frE)peny wlf,) huild\ o, improws llErdnl dd who docs such work himself or herrelf or tttrough his or her own cmployacs. ['ro\ ide d that such impnrvemnts re mt inlcrdcd or olTercd lor salc. ll, howcvcr. thc building or ifiprovemnt is mld within onc ycu ofconq)leti()n, tlE OwrEr BuildJ will luve the burdcn of pmvinB thd he or shc did frn build or impmve the pmpcny for the puryhs of sale)- _1, ar owner ofthe propciy. am exclusively contracting with licenscd conlmchrs n) conslrucl lhe project (Sec. 7044, Busineqs and Pn)tssiotrCode:TheContractor'sLicenseLawdesnotapplytoanownerofpropenywhohuildsorimproveslhercon. and who contracls for such proiccls wilh x C()ntmcb(s) liccn$d purruaot lo lhc Conlraclor's Licensc [nw). -laneIemptutrderSeclion-'B,&P,C,tbrthisreason, woRKI.tRS' COt\il'8NSA1 tON DI]CI,ARATIoN l hLrchy allirmundcr l)cnrllyol pcriuryonc otlhc lirlklwing (lcchrati('Ds: _l have and will nrainlaiD a Cenilicate of Consenl k) Selt'-lnsure for workers' compensatir)n, as pmvided for hy Scction ]700 of the l-at$r Codc, for thc pcrformncc oflhc work li)r which lhc permit is i\sucd. 4 havc and will nraintain workers' c()mp€nsation insurance, ar required by Scctiotr 3700 of thc hbor Code, tbr the perfornutrce of work tbr My workcrs'iuxl Jnlicy nurnesr uc: /l'olicy _l ccaify thdt in the Jrrfornrancc of thc work for which pcrnil is issucd, I slull not cnrploy rny lrcrson in any mrnncr $ as to hccorrc suhjcct lo I hc workcrs' conrpcnsatioD laws of Calil-onria. and aSrcc thlt if I should bccom suhjcct lo lhc worlers' conrpensntion provisiotrs of Section J700 of the Lak)r Code, I slull, fonhwith conrply with thos prcvisioDs. WARNING: Fnilurc o sccurc workcrs'c\)mpcnsrtion covcrrgc is unlawful. nnd shrll suhjcct nn cmploycr k) criminul lrcnahics civil lincs un to onc hundred thousand dollars ($ion lo lhe cost of damgcs as providcd for Scclir)n ofthe I LI('ENSIit) (t )N'tRA('t'OR t)ti('t,ARA'il()N I hcrcby all'irm under pcnah), of perjury that I arn licensd undcr provision ol'Chapter , (cornmncing wirh Section 7000) of I)ivision 3 of the Business and Professions Code. ml my liccnsc is in tull force iukl cffcct. CONSTRTJCTION I,I.:NI)ING AG]:NCY I heRhy allirnr undcr Fnalty of perjury that lhere is ! con\tructt,n lc[diilg atercy ti)r t he pcrforrorce of the work tbr which this pemrir is issucd (Scc. 3l)97, Civ. C.). I-cndcr's Namc: [*'n,lcr's A,i.lrcs., APPLICANT DECI,ARAT]ON I }r.eby affirm under p€nalty of perjury one of the followi[g declxrations: DenDlition Permits-Asbestos Notificrtion Federal ReBulntions (Title.l0, Pan6) _Rcquired Letter of Ndification _l ccnily thill rhe tldcral regulilli(nls regarding [sbesk)s renx)val ilre not applicable t) lhis projel. and slrlc lh.t the abole inlomution is conect. I n8r@ to conlply wilh all City and County construdion, oxl hereby rulklrize represenlatives ofthis City and Colx[y to cnter uF)n \Prrmilce naD)c lir Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathinq Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat lt/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Floqd Zone Certif,--.I7/ #z*fzra I dq*il*/* (btltV,Tf, It ,Z-\ FINAL 4/r/fti W Certificate of Occupancy Notes, Remarks, Etc. -U5F/