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HomeMy WebLinkAbout101102707 - Permit.-t a City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #: {O11O27OT Pin #: 70128 Proiect Address: 307 E First Sta Assessor's Parcel. 398-516-16 Lot: PORS 1,2,3,4,10 Block 1 Unit: 1 -A Bldg: Tract: BLEE'S ADD Address Range: 301-307 Historic: No Suite Range: Zoning: SD84 Building Use: Commercial Occupancy: A-2 1st FL Area Job Type: Revision Constr Type: V B 2nd FL Area Natureof work: Revision code: cBc 2019 otherAreas Existing Bldg. & Use. Commerciat Flood Zone: X-0602320276J Garage Area Proposed Use: # of Stories: Total Description of Work: Revision to 1019891O-change from wooden to metal studs, Equipment plan is revised. Planning Conditions: Patio: T.l.Area: Yards Req'd Valuation: $10,000.00 0 Owner: Address: ilrone. Tenant Santa Ana Downtown Plaza 315 E First St Santa Ana, CA 92701 Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: EHErrera Civil Engineering Edgar Herrera 1929 Greenleaf Dr, West Covina West Covina, CA 91792 (2131 572-8327 67603 .F . r L (, :P -d..-tl _tt-rtl 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 :r;:1; ffM 07776002 57770 Microfilm Records 07776002 53600 Revision 07776002 57672 Bldg. Stds. Revolving 07776002 57600 General Plan Update Fee Totat Paid to Date: Balance Due: Date: Date: 0512612020 Date: OG12412020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 73968 Total $3.e1 $461 .7 4 $1.00 $22.es Fire lnsp. Req'd: Police lnsp. Req'd No No Account# Flood Zone Cert. Req'd: No Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs issuance,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. 01116002 51600 01116002 51612 01 1 16002 53600 01 1 16002 57770 $22.e5 $1.00 $48114 trta81 $3.91 $489.60 $230.87 $258.73 Inspector IVil D# . 201 B- 148042 BUILDING- INSPECTOR RECORD a SITE.WORK DATE ID/SIG.COMMENTS OWNIiR II UII,I)T.]R DIiI,CA RATION I hereby affrm under penalty of perjury that I anr exempt from the Clontractors' License l.aw for the followinS reason (Sec.7031.5 Business and Profcssion Codc): Any City or County which requires a permit to construct, alter. irnprove, dcmolish or repair any structure. prior to its issuancc. also requires the applicant for such permit to file a sigrrd statemenl that hc or shc is licenscd pursuant to tfre provisions of the Contractor's l,icensed Iaw (Chapter 9, Commencing with .Section 7fiX) ol' Division 3 of the Busines.s and Prof'essions Code) or thal he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Seclion 7031.5 by any applicant for a pennit subjects thc applicant lo a civil pcnalty of not more than five hundred dollars ($5tXl1. _I. as owner of thc property. or my employees with wagcs as thcir solc compcnsation, will do the work and thc structure ls rnt interxletl or offered for salc (Sec.7(X4. Business and Professions Code: Thc Contractor's Licensc l-aw does not apply to an owner of the pmperty who builds or inproves thermru and wlro does such work himself or lrerself or through his or her own employees. provided that such improvements are not intended or oll'ered for sale. Il, howevcr, thc building or improvenrcnt is snld within one year of completion, the Owncr Buildcr will havc the burden of proving that he or she did not build or improvc thc propary for thc purpose of sale). _1, as owner of the property, anr exclusively contracting with licensed conlraclors to construcl tlw project (Sec. 7044, Business arrd hofbssionCode: TheColrtractor'sLicenseLawdoesnotapplytoanowncrofpropertywhobuildsorintproveslhereott. and who contracts for such pro.jccts with a Contractor(s) licenscd pursuant to thc Contractor's Lir:cnsc Law). -IamexemptunderSection-,B.&P.C.forlhisreason.I 1.. r... W()RKI.IRS' CONI PFINSA'I lON DECLARATION I hcrcby aflirm undcr pcnalty of pcrjury onc of thc ttrllowing dcclaration.s: _l have and will nrainlain a Certificate of Consent to Self-lnsure for workers' compensation, as prcvided for by Section 3700 of the [:hor Code, for the performance of the work for which the permit is issued. _I have and will maintain workers' conrpcnsation insurance, as required by Section 3700 of thc labor Code, for lhe performance of the work tbr which this Jrcrmit is issurxl. My workers' compensation insurancc caricr and Jnlicy numbcr arc: Policy Nurnber: lixpires: _l certily that in thc pcrfornrancc of the work for which this permit is issued, I shall not cmploy any pcrson in any manner so as to bccomc subjcct to thc workcrs' conrpcnsation laws of California, and agree that if I should bccomc subjcct to thc workers' compensation provisions of Section 3700 of the Labor C'ode, I shall, f<rrthwith c<lnply with tlrose provisions. WARNING: Failurc to sccurc workcrs'compcnsation covcftrgc is unlawful, antl shal! subjccr an entployer to criminal pJlnies anA civil fines up to one hundred thousand dollars ($100,ffin). in addition to the cost o[ compensation, damages as providcd for the Section 3076 of the Lahrr C'<xle, interest and atlorney's fees. Datc: Applicant: LICENSED CONTRACTOR DECLARATION I hereby aflirm undcr Jrcnalty of Jrerjury that I arn licensed under provision of Chapter 9 (cornrnencing with Scctkrn 7ffn) of Division 3 of the Busincss and Professions Codc, and my liccnse is in full force and effect. License Class: Licensc Number: CONSTRT.'CTION I,ENDING AGI.:NCY I hereby aflirm under Jrenalty of perjury that there is a construction lending agency for the performame of the work for which this prmit is issucd (.Sec. 3097, Civ. C.). Lender's Narrre: [-cn<lcr's Atldrcss: APPLICANT DECLARATION I hereby affirm under lrcnalty of pcrjury one of the following tleclarations: Demolition Permits-Asbestos Notification Federal Regulations (Tille 40, Part6) _Required lrtter of Notification _l certify that thc federal regulations rcgarding asbestos rcmoval are not applicable to this projoct. - _l certify that I havc rcad this application arxl statc that thc abovc information i..orr.--hr"gr€c to comply with all City and County ordinances and State laws relating to authorize rcprcsentalives of this City and County to cnter uPon the ahove rnentioned property tbr Applicant or Agcnt Pernritee nanre ZO Set Backs Forms/Stee!/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/Ve nVl nsu Iatio n Roof Sheathinq Shear Wall Framinq lnsulation/Enerqv Drvwal! Ext./lnt. Lath Brown Coat [Vasonrv Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Fina! Report Flood Zone Certif. /\ FINAL K-75-Z r U^\lrlrl Certificate of Notes, Remarks, Etc. a Rev. 08-07-201 5