HomeMy WebLinkAbout101103200 - Permit (2)City of Santa Ana 20 Crvic Center Plaza (M-19), Santa Ana, CA 927A2 Building
Permit Counter: (714) 647-5800 inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O11O32OO
Pin #: 98688
Project Address: 1403 S Main St
Assessor's Parcel: 0'14-032-39 Lot: 1
Unit:Bldg: Address Range:Suite Range:
Zoning: CSMBlock: NA fracl:245 Historic: No
Building Use: Commercial Occupancy: N/A 1st FL Area:
Job Type: Signs Constr Type. N/A 2nd FL Area:
Nature of Work: Signs Code: CBC 2019 Other Areas:
Existing Bldg. & Use. Commercial Flood Zone: X-0602320276J Garage Area:
Proposed Use: # of Stories:
Total.
Description of Work: lnstall (2) foam letter wall signs for "Moses Luna, A Law Corp", bond paid on M-74172.
Planning Conditions:
Patio
T.l.Area:
Yards Req'd:
Valuation: $2,000.00
\Owner:
Address:
GRASMERE
18OOO STUDEBAKER RD 205
Cerritos, CA 907032680
Contracror: Sign Max
Address: 3'l 17 S Main Street
Santa Ana, CA92707
Phone: (714) 957-8438
State Lic #: 758271
Lic Type: C45
Bus. Lic #: 186195
Workers' Compensation lnsurance:
Carrier: State Comp lns Fund
Policy #: 1643736
Expires: 0911312020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone.
Tenant: Moses Luna, A Law Corp
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
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 permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
?;
07776002
07L760O2
07775002
07775002
07776002
07776002
5760L
53600
57770
51672
57500
57607
$166.53
$1 15.44
$7.82
$1.00
$22.95
$57.20
Graham, Jeffery
Amsden, Julie
Amsden, Julie
Date: 0211812020
Date. 0211912020
Dale: 0212012020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Plan Check Fee
Microfilm Records
Bldg Stds Revolving
General Plan Update
lssuanceFire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#TotalNo
No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 s3600
01116002 57770
$22.95
$223.73
$1.00
$1 15.44
$7.82
Fee Total:
Paid to Date:
Balance Due:
$370.94
$0.00
$370.94
lnspector MID#: 2C2A-157832
Phone:
License #:
owNI,lR Btilt,l)t]R t)Et,cARA'tloN
I hereby affirnr undcr penahy of pcrjury thal I am exempt from the ContracloB l-icense liw for th. followin8 rcason (Se.70J1.5
llusincss and Proltssion Codc): Any City or County which rcqutcs a pcflnit to conslruct, !hcr. improve, dcrmlish or rcpair any
stnrcturc. prior k) its issuance. aLso requircs the applicant tbr such p€rnrit rc file a signed stxtercnl that lE or sh. is licensed put$ant
to lhc provisionr of thc Contractor's l,icensed lrw (Chapter 9. Commcncing with Seclion 7(XXl ol Division J ol lhe Business and
ProtcssionsCode)orrhatheorsheBcxempttherefiomaDdthehlsislbrtlpalle8edexemptiul. AnyviolalioilofSectionT03l.5byaily
rpplicinr for a fEnnit subjecrs the npplicant lo n civil penAlty of not rmre lhor five hundrcd dollars ($500).
_1, as owncr ol thc prolEny, or rny crnployccs wilh wagcs as lhcir $lc cornpcnsatiru. will do lhc work and thc strcturc is mt
irilended or offered for sAle (S{.7(X4, Business lnd PmfessioDs Code: TID CoDlraclor's Liccnse l-tw does nol apply lo an owner of
the ptr)pc!1y wh) builds or inrprows thersD, drd wln dNs such wrrk hinrselfor krsel[or through his or her own employees,
prr)\ idcd rhat such improvemils trc ml inlcnded or ollcre-'d lor sl('. II. however. rhc huildinS or irnprovcmnt is sld wirhin onc )far
ofcon{rlerbn. thc Owrrr Builddr will h{ve lhe hurdcn of pmvirS t[u{ lE or she did B{ buikl or irpmve the pmpcny for rhe purps. of
_1. ns owner ofthe properly, am exclusivcly contracting with licensed conlrnck)rs to conslrucl llr projecl (Scc. 7(X4, Busincss
arxt PrrllssknCode:ThcContrrctor'sLiceuscLuwdoesnotapplytoanowDerol'propef,ywhobuildsorinrproleslhercon.
and who contrncts for such proiccts with a Conrraclor(s) liccn$d pursumt to thc Contractofs Licc[ie ljw).
-IJnrexemPlutrdersccti()n-,B,&P.C,li)rthisreasoll,
itiur lo lhc (osl of
tv()RKt:Rs' ( r)l\tPENsA'il()N
l)ECI.ARi\TtON
hy Scc(ion 3700 oflhe
for thc pedornurrec of
(\zo
_l ccllify llHt in thc trcrtbrnfincc ol'lhe work Ii)r which (his l)cril)il is issuc(|, I slull not cnrt)l(,y {ny person in any nranner
so rs to hccoDrc subjcct to lhe workcrs'cotrlpctrsariotr law\ ol'Cnlilbnlia. and ilgrec lhnt il l should bccorrc suhjccl to thc
trorLcrs conrpcnsarionprovisionsofSection3TU)oftheLrbor(-(xle,lshill,fo(hwithcon)plywithllD*provisions.
IVARNING: Failurc o scure workcrs' compcnsati()n is unlawful. uml shall subject an k) oimindl FEuh s ud
civil llnes up h one hundred lhousilnd dollnrs ($l0l),{Xx)).
Secti()n 1076 of the l-atxrr Cotle, inerest and atl()rney s fees.
damtrgcs xs providcd foa lhe
I
-/no,u,? /LO|ZO l.l( llNsl:l) ( ()N'rR.\("f()R
I)t.t( t,,\R,\t toN
I hcrchy alliflnund.r pcnakyol pcrjury that I drn liccnsc'd under p(]vision ol Chnplcr 9 (conrmcncing with Scction 70(x)) ol l)ivisir)n l
ol thc Busincss ud Protlssions Co(lc. of,d nrv liccnsc is in full 1i)rco and cll'!'ct.
L Numlt r:"- 7\
2--ztzo
CONSTRTICTION I,I]NI)IN(J AGENCY
I hcrehy nlilrnr undcr Fnahy of Frirrry thal lherc is r constmcttrn lc[diDg agcncy titr the perf()rnunce ot the work li)r which lhis pernlit Ls
issuc(l (Scc. 3097, Civ. C.).
l.trdcr's Niln1c:
hn(lcr's Addrcss:
APPLICANT DECLARATIoN
I hercby affm)uDder penalty of pcrjury one oflhc following declarations:
Denrlition Permirs-Asbcslos Ndification Federal ReSulalion5 (Tillc 40, Pan6)
-Rcquired
[ttter of Notification
i()ns regdding ashcstos rcnf,)val are not applicahlc to this proi*t.
and stitc thal the rbovc irfornMlion
1
ulx)vc nrcnli()ne(l p()pcdy li)r
or Agctrt
naDl(
coNlrucli(n! ard herehy
i\ corecl. I aSree to comply
represeilalives of this Cily
with all Cily and County
and Counly to entcr uF)n lhc
z- -?-o ^z.o
SITE.WORK DATE ID/S!G.COMMENTS
Set Backs
Forms/Steel/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
[t/asonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Engineer Final Report
Flood Zone Certif
I
9l<l7o DkflCc L*nFINAL
Certificate of Occupancy ItI
Notes, Remarks, Etc.
Rev.0B-07-2015
BUILDING. !NSPECTOR RECORD