HomeMy WebLinkAbout101104352 - PermitProiect Address: 20 Civic Center Plza
Assessor's Parcel: 008-036-35 Lot. 1-10, POR 3 Block: A, B
Unit:Bldg:
Tract: ROSS ADD
Address Range:Suite Range:
Zoning: GCHistoric: No
bity 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
Permit #: {011o,4352
Pin #: 29241
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use.
City
Miscellaneous
Roof Mtd Equipment
City
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2019
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area.
Total:
Patio
T.l.Area:
Yards Req'd.
Valuation: $249,590.00
Description of Work: Replace (1) roof mounted AC unit. FEE EXEMPT - CITY JOB
Planning Conditions:
I
Owner:
Address:
Phone:
Tenant:
clTY OF SANTA ANA (Phi! Neff)
PO BOX 1988
Santa Ana, CA 927021988
Contractor: Trane US, lnc.
Address: 3253 E lmperial Highway
Brea, CA 92821
Phone: (888) 973-9005
State Lic #: 1066318
Lic Type. C-36, B, C4, A, C-10, C-20, C-38, C
Bus. Lic #: 311415
Workers' Compensation I nsurance:
Carrier: Traveler's Property Casualty ComS
Policy #: UB8M3 5413A2051K
Expires: 0 411712021
Najjarine Structures
Ed Najjarine
9070 lrvine Center Dr #1 15
lrvine, CA 92618
(949) 387-9440
4674
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:Soto, Ricardo
Kwak, Jason
Julie
Date: 08/1 912020 Misc. Recerpt:
Date: 08/1 912020 Misc. ReceiPt:
Date: Og/1 gtZOZO Misc. Receipt:
Subject to Field:
Noyes Account#
N/A - No Balance
N/A - No Balance
N/A - No Balance
N/A - No Balance
Total
07775002
07776002
07775002
07776002
08907007
07776002
07776002
07776002
57607
s3600
57770
57607
24000
57672
s7600
57607
$172.64
$239.34
$4.05
$-579 01
$6e.8e
$10.00
$23.79
$59 30
Permit Fee
Plan Check Fee
Microfilm Records
Fee Exempt
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
I ssuance
Fee Total:
Paid to Date:
Balance Due:
Plan Checked By:
Permit lssued By:
NPDES lnsp.
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No N/A _ No Balance
Every permit rssued shall become invalid unless the workon the site authorized by
such permit is commenced within 360 days afterits issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2O2O-1 60904
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd.
$0 00
$0 00
$0.00
SITE.WORK DATE ID/SIG COMMENTS OWNI.IR B UIl,I)tlR Dtil,CARATION
I hereby aflirnr under penalty of perjury that I am exempt from the Contraclors' License law for the following reason (Sec.7031.5
llusincss and Protbssion Code): Any City or County which requires a grcrmit to conslruct, alter, improve, demolish or repair any
strucmre, prior ro its issuancc. also rcquires the applicant fbr such perntt to file a signed staternent that lrc or she is licensed pursuanl
to the pmvisions of the Contractor's l.icensed law (Chapter 9. Comrncncing with .Section 700O of Division 3 of the Business and
Professions Code) or that he or she is exenpt therefrom and the ba.sis tbr the alleged exemplion. Any violation of Section 703 I .5 by any
applicant for a pennit subjects the applicant to a civil penalty o[ not more than five hundred dollars ($5001.
_1. as owncr ol'thc property. or tny employees with wages as their solc compcnsation, will do the work and the stnrcture is not
intemlcd or offered for sale (Scc.7U4, Busincss and hofessions Co<Ie: Thc Contraclor's License ltw docs nol apply to an owner of
the property wlro builds or irprorrs theruon, anrl who rloes such work himself or herself or through his or her own employees.
providcd that such improvcments are nol intended or olTercd for sale. Il. however, the building or furprovenrcnt Ls sold within one year
of conrpletion, the Owncr Buildcr will have the burden of pmving that lre or she did ntrt buikl or inrprovc thc propcrry for thc purposc of
sale).
_1, as owner of thc propcfly, am exclusivcly contracting with liccnscd conlractoni to construcl thc project (Sec. 7044, Busincss
arxl Prrolbssbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracrs for such projects with a Contractor(s) licenrcd pursuanl lo lhe Contractor's Licen"se kw).
-l
am exempt under B. & P.C. for this reason.
WORKI,:RS' C( )M PFINSATION
DECLARATTON
I hcreby aflirm undcr pcnalty of pcrjury onc of thc following declarations:
_l have and wilt nraintain a Certilicate of Consent to Self-lnsure frrr workers' compen.sation, as prcvided for by Section 3700 of the
Labor Code, for thc pcrformancc of thc work for which the pcrmit is issued.
and will Section 3700 of thc [:bor Code, for the trrcrformance of_l have
thc work carricr arxt plicy numbcr are:
Policy
_l ccrtify that in thc pcrtbrmance of thc work tbr which this pcrmit is issued, I shall not cntploy any pcrson in any manncr
so as to bccornc subjcct lo thc workcrs' conrpensation laws of Califomia. and agrce that if I should bccotnc subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with tlxlsc provisions.
WARNING: Fuilure to sccure workcrs' compcnsation is unlawful. and shall subjcct an employcr to criminal penalties and
civil fines up to one hundred thousand dollars ($addition to the cost o[ compensation. damages as provided for the
allorncy's
DECLARATION
I hercby allirm under penalty of perjury that I am licensed under provision of Chapter 9 (cornmencing with Section 7m0) of Division 3
of the Busincss and Professions Code, and my liccnse is in full forcc and elTect.
#*o t2n36e37 t {r 3
I'
CONSTRI.'CTION I,I.]NDING AGI.:NCY
I hercby atlirm under Jrenalty of grerjury that thcre is a construction lendfurg agency fbr the prformarrce of the work for which this prmit is
issued (.Sec. 3097, Civ. C.).
lrnder's Name:
hntlcr's Addrcss:
APPLICANT DECLARATION
I hereby affrnr under pnalty of perjury one of the following doclarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
lrtter of Notification
_l certify that the federal rcgulations asbestos renrcvalare not applicable to this project.
-l
certify that I lurve read this
ordirunces and State Laws relating to tlre
atxlvc me nti()ncd propcrty li)r
Applicant or Agent
I'ennitee nanre
thal the I
-b
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf I oor/VenUl nsu latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqv
Drvwall
Ext./lnt. Lath
Brown Coat
Jvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enoineer Final Report
Flood Zone Certif
FINAL // -/2-u LL tgu h?rugqn
Certificate of Occupancy
Notes, Remarks, Etc.
BUILDING- INSPECTOR RECORD
I
Rev. 0B-07-2015
-