HomeMy WebLinkAbout104103229 - Permit (2)Proiect Address: 1000 N Harbor Blvda
Assessor's Parcel:198-01 1-08 Lot: NA Block: NA
Unit: E B!dg
Tract: NA
Address Range: 980-1000*
Historic: No
Suite Range:
Zoning: SP2
City of Santa Ana 20 Civic Center Plaza (lv1-19), Santa Ana, CA92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
tsuilding Permit #: 104103229
Pin #: 42474ffr
Building Use:
Job Type
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Commercial
Miscellaneous
Auto Lift
Commerical
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
H4
V B, SPK
cBc 2019
A-0602320143J
1st FL Area
2nd FL Area
Other Areas:
Garage Area.
TOtat r:,rii '. Ir::j ,' I :'ii ..' . i.
Patio:
T.l.Area:
Yards Req'd
Valuation:$3,500.00
Jl .tr I
irorrg.,Description of Work: Legalize installation of auto lift. Auth on file.
Utt lLei L: IIH
l...-.-LlrHLL{.'r r
Rcpt*: {tT?[roo?+
f'r.lri 5(tr- t t crl I cI Ll
Planning Conditions:
Owner:
Address:
Joe Zeigler
1155 Meridian Ave 111
San Jose, CA 951 254331
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect i
Desiqner:
Address:
Phone:
License #:
6er,eI'Bl i:'ir.rri Llponte Iee
i i Or-t[t[t[tr\
Phone:
Tenant Claasic Auto RePair
LlI t I6LlLlr- Ir I oLllLlLlLl-
Elds, 5[cis Revcii v i rrs
ttI 1 lotitrJ- iiol lr-n-rri*
11 i ,:r 'ui i I ffi .\ [toc ufi€rr t e
Ul 1 1o[t[t2- ii7 7t-tt-ttrr,-
ttI2 so i
i 4+t-t
./-i
1
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd:
Planning lnsp. Req'd.
Landscaping lnsp. Req'd
Khang, Kathy
Zuniga,Allissa
Date: 0212012020
Date:
Date: 0310212020
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
J. deSotoNo
No
No
No
Fire lnsp. Req'd. No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#
74175
Total
07776002
0 77760 0 2
07776002
07776002
07776002
07776002
0 77760 0 2
07776002
57607
s3600
57770
57607
57607
57672
5760 0
57607
Permit Fee
Plan Check Fee
Microfilm Records
Investigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$333.06
$461 .74
$3.91
$100.57
$2s2.69
$1 .00
$22.95
$57.20
$1 ,233.12
$461 .74
$771 .38
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector M ID#' 2020- 157948
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$22.es
$743.52
$1 00
$3 e1
Ji L.L.
^t
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BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER II I.'ILDI:R DIiI,CA RATION
I hcreby afFrnr under penalty of perjury that I anr exenrpt from the Contractors' License l-aw for the following rcason (Sec.7031.5
liusiness and Prolbssion Code): Any City or County which requires a permit lo construct, aller, irnprove, dernolish or repair any
structure, prior to its issuance. also requires thc applicant tbr such permit to file a signed slatemenl that hc or she is licenscd pursuanl
lo lhc provisions o[ the Contractor's l-icensed taw (Chapter 9. Commencing with .Section 70fi) of Division 3 ol'the Business and
Prot'essions Code) or that he or she ls exempt therefrom and the ba.sis fbr tlrc alleged exemption. Any violation of Section 703 1.5 by any
applicant for a permit subjects thc applicanl to a civil pcnalty of not morc than fivc hundred dollars ($5tXt1.
_1. as owncr ol'the propcrty. or my employees with wagcs as their sole compcnsation, will do thc work and the stnrcture is rnt
interxlctl or offered for sale (Scc.70+a, Business and Pmfcssions Culc: Thc Contraclor's Liccnse Law tloes not apply lo an owner of
the property who builds or improves thereon and who does such work himself or herself or through ltis or her own employees,
provided that such improvenrnts are rnl intended orollered for salc. Il. howcver. ttrc buiHing or inprovenrcnt Ls soH within orc )€ar
of conphtiol, the Owner Buildcr will luve thc burden of proving that he or shc did not build or impnove the propcrty for the purpose of
ta:tc\i,/
."-[ as owncr of the properly, am exclusively contructing with licensed conlraclors to conslruct the project (Scc. 7044. Business
arxl Prrotbsskn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thercon.
and who conlracrs for such projccts with a Contractor(s) licenscd pursuant lo the Contractor's License kw).
_l am exempt P.C, tbr
I hcrcby atlirm undcr penalty of pcrjury onc of the lbllowing
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as pruvided for by Section 3700 of the
Labor Codc. for the Jrcrformance of the work lbr which thc Jrcrmit is Lssued.
_l have and will maintain workers' compen-sation insurance, as recluired by Section 3700 of the l-abor Code, for the performance of
thc work tbr which this pcrmit is issued. My workers' compcnsation insurancc carricr and Snlicy number are:
Policy
_l ccrtify that in thc pcrformancc of thc work for which this Jrcrmit is issuetl, I shall not employ any person in any manner
so as lo bccome subjcct to thc workers' conrpensation laws of California, and agrcc that if I should become subject to thc
workers' c<lmlrcnsation provisions of Section 3700 of the Labor Cotle, I shal!, forthwith comply with thosc provisions.
t
WARNING: Failurc to sccure workers'compensation covcrdge is unlawful, antl shall subject an employer to criminal Jrcnaltics antl
compensation, damages ls provided for thecivil fines up to one thousand dollars ion to the
Section 3076 of the interest and
?)
I,ICENSED CONTRA(IT0R
I)T]CLARATION
r liccnscd undcr provision ol Chaptl:r
liccnsc' is in hrll ftrrcc anrl clll'ct.
I hcreby al'lirm undcr penalty of pcrjury that I arn
of thc Business and Profcssions Code, and my
9 (cornrnencing with Scctkrn 7fin) ol'l)ivision 3
Liccnse Class: Licensc Nutnber:
-
CONSTRI.'C.TION I,[.:NDI NG AG T:NCY
I hercby atlirm under penalty of 5rcrjury that lhere is a constnrction lending agency ftrr the performance of the work lbr which this permit is
issucd (.Sec. 1097, Civ. C.).
Lender's Nanre:
I-ender's Address:
APPLICANT DECLARATION
I hercby affrnt under penalty of perjury one of the following declarations:
Dcm<llition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
lrtter of Notification
this project.
with all City and County
of this
Applicant or Agcnt
Permitee nanle
and lo enler uPon the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVl n su !ation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqv
Drvwall
Ext./lnt. Lath
Brown Coat
[Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL 'Ut'/'z)lZc 7<N {t4> Zq
Certificate of
Notes, Remarks, Etc.
Rev. 08-07-2015
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