HomeMy WebLinkAbout101102312 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 M
Permit #: 1O{ 102312
Pin #: 96666
Proiect Address: 1243 W Santa Ana BIvd Unit
Assessor's Parcel: 008-082-14 Lot: 4 Block NA
Bldg Address Range:'1243-1245
Historic: No
Suite Range:
Zoning: SP1Tract 75
Building Use: Commercial Occupancy: N/A 1st FL Area
Job Type: Signs Constr Type. N/A 2nd FL Area:
Nature of Work: Sign Code. cBc 2016 Other Areas:
Existing Bldg. & Use: Commerciat Flood Zone: X-0602320257J
Garage Area:
Proposed Use: # of Stories:
Total:
Description of Work: lnstall (1)non-illuminated sign for "Memo #lBeauty Salon", bond paid on M-73941.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $1,000.00
Owner:
Address
SaraGLucio&Trust
1245W Santa Ana Blvd
Santa Ana, CA 92703
Phone:
Tenant: Memo #1 Beauty Salon
Contractor: Speed Quality Sign
Address: 2417 S Poplar Street
Santa Ana, CA 92704
Phone: (7141 751-5778
State Lic #: 87301 1
Lic Type: C45
Bus. Lic #: 187082
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By
Permit lssued By:
NPDES lnsp.
PWA lnsp. Req'd
riquez, Gissel
Julie
ki, Teri
Dale: 1112112019 Misc. Receipt:
Dale: 1'1122120'19 Misc. Receipt:
Date. 12t1gl211g Misc. Receipt:
Subject to Field
No
No Account#
01 1 16002 51601
0't116002 5'16'12
0'l 1 16002 53600
o1116002 57770
07776002
07776002
07776002
07776002
07776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
57507
s3600
57770
57672
s7600
57607
$166.53
$11544
$3.91
$1.00
$22.95
$57.20No
No
No
Fire lnsp. Req'd:
Police lnsp Req'd:TotalPlanning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No 01116002 51600
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.
$22.95
$223.73
$1.00
$115.44
$3.91
Fee Total:
Paid to Date.
Balance Due:
$367.03
$0 00
$367.03
lnspector MID#: 2019-156055
BUILDING. INSPECTOR RECORD
I hcrehy altirnr undcr lEnalty ol pcrjury thrt I anr cxcnrpt lroDr thc Contraclors Liecnsc [rw li)r lhc followirut rcason (Scc.?o]1.5
llusiDcss and l,roltssion Codc): Any Cily or County which rcquircs a lErnril lo conslruct. allcr. improvc. dcmolish or rcpair dny
slnrcturc.prk)rk)its issuancc.al$orcquucslhcapplicantfi)rsuch[rrmillolilcasiSncdslatcmnl lhnlhcorshcisliccn*d lursudnl
lo lhc provisions of tlr Conlraek)r's l-iccnscd l-aw (Chapter 9, Comnrcncing wilh Scel()n 7(XXJ ol Divisirrn .1 of lhc Busin.ss an(l
Ptr)ltssionsCodc)orthnthcorshciscxcDrptthcrcfiomrndthchrsisli)rlhcallcgcdcxcmption. AnyviohtionofScctionT0-ll.5hyany
applicantli,rapcrnritsubjcctsthc applicanlk)acivilpcndltyolnotoxrrcthanfivchundrcddollars(5500).
_1. as owncr ol'the pn)fErty, or my cnrpl()yccs with wagcs as llEir solc comfcnsili(rl. willdo tlE work dd thc strutrrc is not
iilcnded orollcrcdli)rsrlc(Se.7044.BurincssandProltssionsC(xlc: IhcC(nilhck)r'sl-iccnscllwdr)csnotapplyk)tnowncrof
thcpR)fEt1y whohuildsorinlFovcsthcrc)n,dklwhod(rcsruchworkhimsclforhcrscllorthff)ushhisorhcrowncmJ,loyccs.
providcd that such imp()vcn*nts rc fil itilcndcd orolltrcd iirr salc. Il. lxrwcvcr, thc huiklirrg or improvcnrnt is s)kl wilhn onc ycil
ol c()mplcti()n, Ihc Owncr Buildcr will havc thc burdcn of J,roving tlut Irc or shc did not huild or itnprove tlrc pmFrny fi)r the purJx)sc ()f
sn[r.
_1, as owncr ol'thc p()pcrty. rm cxclusivcly contractirtr with liccnsed eonlractors k) c(,nslruc( lhc p()jcct (Scc. 7044, Ilusincs\
ul Pn)lcssDnCodc:'I-hcConlfuelor'sl,iccnsc[,awdocsnotapplytoanowncrofpropcrtywhobnildsorinrprovcslhcrcon.
and who c(,nlrtcts ti,r such projccts wilh a Corilrack,r(s) liccilscd pursuant k) thc Contrack)r's l-iccnsc Law).
lVORKERS' CONIPENSATION
DECLARATION
I hcrchy all irm undcr pcnalty ol I--rjury (nrc of thc li)ll()wir)e dcelxratiotrsi
_lhavcmdwill mahtrinaCcrlilicatcofConscntk)SclLlnsnrctorworkcrs compcnsnlion.as providcdtbrbySccliur.lT00ofthc
Irtx)r C(xlc. ti)r lhc Frli)rtrlanec ol' I hc work fbr which thc pcmril Lc issucil.
_lhavcandwillmainlai,lworkcrs'conrpcnsalioninsurancc.as rcquircdhyScclfi)n.l7U)oflhcLaborCodc,li)rthcpcrtilrnuDccof
thc work li)r whieh this pcrmit is rrsued. My workcrs' cofirpcnsaliur irrsurancc cafiicr uxl ftlicy rrrmlrcr uc:
any in any oranncr
\i, rs to hc(('nr \uhjcut to thc workcrs'contpcn\xltr)n hw\ (,1 C)lt'rnra,
wd*cr\' !rrnp('n\atknt nr)vlsx,n\ ol Scclion .17(Xl rrl lhc Irhl (iilc. I ,
IVARNIN(;: Frilurc k) sccurc w(nkcrs'rompcn\nlion (ovartgc ts
civil lincs up to rnrc hundrcd lhrxrsand dollars 100.(XX)). in r.].liti({r
Scction .1076 ol Codc,
I hcrcby allirm undcr pcnally ol pcrjury
alrcc thal il I should 6uhjcct lo I
ti)dhwith comply with
rnd shall subjccl in lcnah,cs ild
ol thc llusincss and Prolcssiurs Codc. and nry liecnsc is in lirll li)rcc dtl cltcct.
as providcd for the
DECI,ARATION
undcr provisi(n of Chrptcr 9 (comnrncilrg with Scct()n 7Ux)) of Drvistr)n J
ol thc work tbr which lhis Frmil i$
lhc cosl of
I anl
I-iccnsc Class:-Liccnsc Numbcr:
l)ate:- Contrsctor:
Ang.*r.rnrn rrnr,n" n,rrn.,
IhcrcbyallirmundcrFnaltyofpcrJurylhallt;7q-..*m.,,,l.'.l',t"8*ytbrlhcpcrli,mancc
ilxilliii";lill" ''' P--l 4/cr F
I-cndcr's Addrcsl
DCnl x,Icd
ApplicsDt
s-
lo lhis Uojcct.
S,nfi ltnarcta
421o2APPLICAN't DECLARATION
I lrcrcby {llinn un.lcr lrcnally o[ I^-rury onc of thc li)llowin8 i.lcclarati(]ns:
[)cfr)Il(rn Pernl(s-Ashcslos Notificdlion Fe'lcral Rcgulalions ('l itlc 40, Pan6)
-Rcquucd
lJllcr ol Nolificali)n
tlut regulations rcgudinS
1
with all City nnd C(trrnty
uF)n thc
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsu lation
Roof Sheathino
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[Vlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
,iI/,.?
FINAL b'll'4)/4)u.{111 T4Alffi
Certificate of Occupancy
Notes, Remarks, Etc
II'rrtrrilcc nantc
lhc
lirr x)n fuqx)\cs.
ashcstrs rcilx)vnl
is coftcct. I
and (i)unly lr)
c-\
-l
am c\cmpt unrjer Sccton-. B. & P.C. for lhis reason.
Dslc
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Oener
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