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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). -l 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. -l 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. -l 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.