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/