HomeMy WebLinkAbout101103216 - PermitProject Address: 1004 S Hathaway St
Assessor's Parcel:01 1 -26244 Lot: POR 3/PORS I &Block: NA
Unit:Btdg:
Tract: 379114475
Address Range: 1000-1010"
Historic: No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (7141667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O32{6
Pin #: 63{06
Building Usq lndust,ial Occupancy: U 1st FL Area: Patio:
JobType: BlocuRot lning WallrFencing ConstrType: NrA 2nd FLArea: T.l.Area:
Nature of Work Foncorgate Code: cBc 2ol9 Other Areas: yards Reqd
Existing Bldg. & use: lndu3t.ial Flood zone: x.o8o2320276J
Garage Area: vatuaflon: g4o,ooo.oo
Proposed Use: # of Stories: Total: O
Descrlption of Work Roplace chaln llnk fencE & manual swing gate with n.w 9' st€ol pickot lenco E gat. along wast, no h & .est property lin.3.
Planning Conditions:
Owner:
Address:
Pllone:
Tenant:
ta
Eastside Development
2612 Commerce Way
Los Angeles, CA 90040
(323) 723-634e
Contractor: Jay's Welding
Address: 877 S. Rose Place
Anaheim, CA 92805
Phone: (7141 758-0637
State Lic #: 952026
Lic Type: C-23
Bus. Lic #: 374654
Workers' Compensation I nsurance:
Carrier: Falls Lake Fire and Casualty ComS
Policy #: FLA01073501
Expires: 0111912021
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address:
Phone:
License #:
Cayetano G Vega PE
Cayetano G Vega
9234 Stamps Avenue
Downey, CA 90240
(s62) 861-s333
c43117
Planning Approval By:
Plan Checked By.
Permit lssued By:
NPDES Insp. Req'd: No
PWA lnsp. Req'd: No
Planning !nsp. Req'd: No
Landscaping lnsp. Req'd: No
Kelaher, Selena
Le, Tung
Chavez, Dave g?'
Date: 0612912020
Date: 0610812020
Date: 0612912020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
01776002
07776002
077760 02
08907007
0777600 2
07775002
0 7776002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
BIdg. Stds. Revolving
General Plan Update
lssuance
Fee Total.
Paid to Date:
Balance Due:
Yesyes Account#
7 4167
Total
57607
53600
57770
24000
57672
5760 0
57607
$282.90
$386.63
$3.e1
$1 1 .20
$2.00
$22.95
$57.20
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the workon the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-1 57922
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
08901 001 24000
$22.95
$340.1 0
$2.00
$3.91
$1 1 .20
$766.79
$386.63
$380.16
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs -a
Forms/Steel/Holdowns
"12?l7J
D#-Y7 A',,+67
Erection Pads lt -ta
UFER Ground
SLAB Floor
Su bf loor/VenUl ns u latio n
Roof Sheathino
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
ltlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL l?( r lzo p4-{t&-/
Certificate of Occupancy
Notes, Remarks, Etc.
*
OWNER BUILDER DELCA RATION
I hcrcby afl-trm undcr pcnalty of pcrjury that I am cxcmpt frorn thc Contractors' Liccnse law for thc following reason (Scc.7031.5
Busincss aml Profcssion Code): Any City or County which rcquircs a pcrmit to construct, altcr. improve, dcmolish or rcpair any
structure. prior to its issuance, also requircs thc applicunt for such pcrrnit to filc a signcd slalernent that hc or shc is liccnscd pursuant
to thc plovisions of thc Contractor's Licenscd Law (Chaptcr 9, Commcncing with Section 7000 of Division 3 of the Busirrcss and
Profcssions Codc) or that hc or she is cxcmpt therefrom arxl thc basls for thc alleged cxcmption. Any violation of Scction 703 I .5 by any
applicant for a pcrmit subjccts thc applicant to a civil pcnalty of not morc than five hundrcd dollars ($500).
-1.
as owncr of thc propcrty. or my cmployecs with wagcs as their solc compcnsation, will do thc work altd thc structure ls rnt
intendcd or offcrcd for sale (Sec.7044, Busincss and Professions Code: The Contraclor's Liccnsc [:w does not apply to an owncr of
the propcrty who builds or improvcs thcreort and who does such work hirnself or hcrself or through his or her own employees,
providctl that such improvcnrcnts arc not intcndod or oft'crccl for sah. lf. howcver. thc buikling or inqrrovcnrcnt is sold within onc )aar
of comphtion. thc Owner Buildcr will havc thc burden of proving that hc or shc did not build or improve thc propcrty for thc purynsc of
salc).
-1.
as owncr of thc profrcrty. am cxclusively contracting with liccnsed contraclors to construct thc projcrt (Sec. JQ#, f,usinc55
and ProtLssion Codc: The Contraclor's License Law does not apply to an owncr of propcrty who builds or intproves thcrcon.
and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's Liccnsc [.aw).
-l
anr excnrpt undcr Section-, B. & P.C. for this rcason.
l):rlt': ( )*'ncr.
\YORKI'RS' CONI PF]NSATION
DECLARA'I]ON
I hcrcby aff irm undcr pcnalty of perjury onc of thc following declarations:
-_l have and will maintain a Ccrtificate of C<lnscnt to Sell'-lnsurc for workcrs' corryrcnsation, as providcd for by Section 3700 of the
L:bor C-odc, for thc perfornrance of the work for which thc pcrmit Ls issued.
_l havc and will nnintain workcrs'as by .Scction 3700 of thc Labor Codc. for thc pcrfornuncc of
thc work for which this 'rn''t'rrurnhcr arc:
L
i t /?-z (Policy
_l certily that in thc ;rcrfornnnce of thc work for which this permit is issucd, I shall not cmploy any pcrson in any rnnncr
so as to bccornc subjcct to thc workers' compcnsation laws of Califomia, and agrcc that if I should beconrc subject to thc
workers' conpcnsation provisions of Scction 3700 of thc Labor Code. I shall. forthwith comply with thosc provisions.
WARNING: Failure to rccure workcrs' cornpcnsation coverage is unlawful. and shall subjcct an employer to criminal grcnaltics and
in addition cost of conrlrcnsation. danurgcs as g5ovidcd for lhc
)
(comrrcncing with Scction 7Un) of Division 3I hcrcby aft'irrn undcr pnalty of pcrjury that I ant liccnscd
ol' lhe Business and Profcssions Code. and rny liccnse is in t'ull forcc arxl cfTect.
r bLicensc Nunrbcr:a
a
W
I hercby affirm urdcr Fnalty of Frjury that thcrc Ls I conEruclk n lcnding agcmy for the perforlMcc of the work for which lhis Frmit is
isscd (S€. 3097, Civ. C.).
lrndcr's Narrrc:
Lrndcr's Address:
APPLICANT DECI ARATION
I hcrctry affinn under pcnalty of pcrjury one of thc following declarations:
Dcnmlition Permits-Asbcstos Notification Fcdcral Regulations (Titlc 40. Part6)
-Rcquircd
Lcttcr of Notification
with all City and County
and County to cnter upon thc
above nrntioned property for
Applicant or Agent
Itermilee nanle
,^r" r(?Z?'k
ev. 08-07 -2015
I
civil fincs up lo onc hundrcd thousand
Scction 3076 o[ ttrc Latrqr Code. intercst
,,,",'bz-?-7()
and attorney's fccs.
A;rplicrurl: t'
Contracto.,(
regarding asbcstos rertrovalarc not applicablc to this projcct.