HomeMy WebLinkAbout101101880 - Permit (2)I City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714]'647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O1{ O{ 88O
\S Pin #: 12052
Project Address: 2781 W MacArthur Blvd Unit: H Bldg Address Range: 2701 -2881
Historic: No
Suite Range:
Zoning: C5Assessor's Parcel: 414-181-01 Lot: NA Block: NA Tract NA
Building Use: Commercial Occupancy: B 1st FL Area
Job Type: Signs Constr Type: V B, SPK 2nd FL Area
Natureof Work: Signs-illuminated Code: CBC 2016 OtherAreas:
Existing Bldg. & Use: Commercia; Flood Zone: X-0602320258J Garage Area:
Proposed Use: Bank ATM facility # of Stories: Totat O
Description of Work: lnstall (2) led-illuminated channel letter wall signs for "Bank of america", bond posted on M -73658
Patio:
T.l.Area:
Yards Req'd
Valuation:
0@0
$5,000.00
Planning Conditions:
Owner:
Address
Jones Lang La Salle
275 S Valencia Avenue
Brea, CA 92823
Contractor: Stellarlnstallationslnc
Address: 400 Commercial Way
La Habra, CA 90631
Phone: (951) 310-2896
State Lic #: 810013
Lic Type: C45
Bus. Lic #: 4389
Workers' Compensation lnsurance:
Carrier: ACE AMERICAN INSURANCE COM
Policy #: C66359840
Expires: 0810112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Phone:
Tenant Bank of America
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery
Amsden, Julie
LaRocca, Evelyn
Date:10/15/2019
Dale. 1011712019
Date: 1012212019
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07776002
07776002
07776002
07776002
s7607
53600
57770
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$166.53
$115.44
$31.28
$1.00
$22.95
$57.20Fire lnsp. Req'd:
Police lnsp. Req'd Account#
No
No
Total
Flood Zone Cert. Req'd: No Ol 1 16002 5 j 600
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 rs suspended or abandoned for a period of360 days after
the time the work is commenced.
01 I 16002 51601
01't't6002 5'1612
01 1 16002 53600
01116002 57770
$22.95
$223.73
$1.00
$1 15.44
$31.28
Fee Total
Paid to Date:
Balance Due:
$394.40
$0.00
$394.40
lnspector MID#: 2019-155158
I
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDI'R DELCARA'IION II herehy affrm under penalt) ofperjury thal I an ercnrpt from lhc ContracloB' License liw for the following reen (Sec.70-31.5
Businss md P:otbssion Code): Aily City or Counly which requirs a pmnit to consltuct. alt6, improvc. dmolish or repair ey
stnrcture. pdor lo its issumce. also requircs the applicmt for such pennit to file a signed stalmcnt that he or she is licmsed pusuut
to the provisioN of lhe Contractor's Licenscd Law (Chapts 9, Cornrnencing rvith Srtion 7000 of Division 3 of the Busins ud,
ProfessionsCode)orthatheorsheiscxemptthdefromildtheb6isfortheallegcdexenplion- AnyviolationofsalionT0ll.5hyany
applicantlbrapmnitsubjslsthe applicanttoacivilpenaltyofnolmorcthdfivehundreddollus($500).
__1, :s owncr of ihe prope(y. or my employes wrth wages as their sole cornpensation, will do the work md the structw is not
intmdql orollsedforsale(56.T044.BusinssandProfesionsCode:TheContractor'sl,icsselnwdo6nolapplyloanownsof
thcprop€rly rvhobuil<lsorimprovethq6n,ddwhodo6suchrvo*himsclforhoselforthroughhisorhoorvnernployco.
provided lhat such improvmmls rc not intmdql or offsed for sle. l[ howevff, the building or improvmmt is sld within one yw
ofcomplaion. thc Orvns Builds will have the budm ofproving that he or she did not build or improv€ the popsty for the purpos of
sle).
._ _1. o os'ner ofthe propcrty. on exclusivcly contracting wilh licensed contractors to construct the projed (Scc. 7044. Buins
and hofssonCode:TheConlractor'sl,icense[,awdosnotapplytomownqofpropmywhobuildsorirnprovesthqeon.
ard who conrracts for such prejets with a Contracto(s) licosed pursuel to the Contractor's Licmse Law).
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m crempt undq Setion-. B. & P.C. for this r6on
Date: 0wner:
I hereby aflirrn under penalty ofpsjury one ofthe following
I have md $ ill mainlain a Cmificate of Consmt to Self-lnsure for work6s' compmstion. o provided lor by Scction 3700 o f the
l.abor Code. for lhe pqfommce of the work for rvhich thc pmit is issued.
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havc and will maintain workqs' compeuation insurance, 6 required by Setion 3700 of the Labor C'ode. for the lvfommce of
the uorl for which this pmnit is isuql My workos' compcnsation insurmce cmier md policy numbr ue:
( anicr:
Policy Nurnbs:
-
--Expires:
-
I ceniry that in the psforilnnce of thc work for which lhis pqf,il is issued. I shall not anploy any pmon in any mmnq
so m to bocomc subjct to the sork6s' compmsation laws of Califomia. md agre that if I should become subj@t lo the
worktrs' compostion provisions ofSe-tion 3700 ofthc t bor Code. I shall, forthwith comply with lhos provisions.
WARNINC: Failurc lo recure workers'compensalion coverage is unlawful. and shall subject m mployu to qtninal pcnali6 ild
civil fines up to onc hundrcd thousod dollds ($100.000). in addition lo thc cost of compcmalion. danagc m provided for the
Section -]075 of the Labor Code. intqet md attomcy s fm.
l)rte: __ Appllmntr_
LICENSED CONTRACTOR
DECI.ARATION
I hoeby aflirm undo poally ofpsjury that I m licensed undo provision ofChaplu 9 (conunencing with Sction 7000) ofDivision 3
of lhe Busines md Profsioro Code. md rny liceme is in full force md e flflt.
Liccroc Clu:-Licme Numbcr:
Dste. Contractor:
CONSTRUCTION LENDINC ACENCY
I hseby a(firm undd penahy of perjury lhat lh6e is a comlruction lmding agmcy for the psfonnmce of the work for which this pqrnit is
issued (Sa. 3097, Civ. C.).
Lender's Namet
-
Lerdo's Addr*s:
APPLICANT DECLARATION
I horbyaffnn undo penalty ofperjury one ofthe following drlaations:
Demolilion Psmils-Asbstos Notification Fedoal Regulations (Thle 40. Pd16)
-Rcquired
tdlo of Notificalion
-l
certify that the federal .cgulatio$ rcgoding Gbestos rernoval ile nol applicable lo this prcj(t.
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certiry that I have red this application md stale that the abovc infomation is corm. I agre to comply with all City and County
ordinancG ud State Laws relaling to building coNttuclio[ ed hqeby authorizc reprGotativs of lhis City md County to otq upon the
abovc mcnlioncd property for inspetion pupose.
Applicf,nt or Agent Sigtrature:
l'ernritee nrme (pri[a)i _ -
I)ale:
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl ns u lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL f"-10-7)k-ll)'-Jl,
Certificate of Occu
Rema Etc.