HomeMy WebLinkAbout101103668 - PermitProiect Address: 400 N Tustin Avea
Assessor's Parcel: 400-043-09 Lot: POR 6 Block: NA
Unit: 240 Blds
Tract: 678
Address Range:Suite Range.
Zoning: PHistoric: No
a City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01103668
Pin #: 39257
Euilding Use: Commarciel Occupancy: B 1st FL Area: Patio:
Job Type: Ten.nt lmprovoment ConstrTyper llA, SPK 2nd FL Area: T.l.Area: 7OE5
Nature ofwork Tt code: cBc 2019 other Areas: yards Reqd:
Existing Bldg. & Usq Comm.rcirlroffices Flood Zoner X46O232O277J
proposed us€: # ot stories: Garage Area: vtlu'lion: 1253'274'00
Total 0
Oeacrlptlon of Work: Tl{.move .nd inlt ll paiitlon w.llr .nd t-b.r ceiling including new dembing w.ll betwg.n unlt240 and 225. lncroeso sulle 2{{, by
975 SF and d.acrearo Euito225 by 972 SF.
Pl.nnlng Condition!:
t Owner:
Address:
Phone:
Tenant:
Park Center 400
400 N Tusitn #260
Santa Ana, CA 92705
(7141 ss04s0s
NUMA Network
Contractor. Service First Contractors Ne
Address: 2510 N Grand , #110
Santa Ana, CA 92705
Phone. (7141 573-2200
State Lic #: 556812
Lic Type: C-36, B, ASBS, C-61 , C-2, C-10, C-:
Bus. Lic #: 141280
Workers' Compensation lnsurance:
Carrier: State National lns Co
Policy #: AMX0820021001
Expires: 0211212021
Elliott Associates
Bert Michael Elliott
16421 Wimbledon Lane
Huntington Beach, CA 92649
17141 840-5488
c8623
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA !nsp. Req'd:
Planning Insp. Req'd
Soto, Ricardo
Le, Tung
Amsden, Julie
Date: 08/1 312020 Misc. Receipt. t4S1O
Date: 08/1 912020 Misc. ReceiPt:
Date: Og/Og/2020 Misc. Receipt:
Subject to Field:
No
yes Account#
07776002
07776002
07776002
07776002
07776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$1 ,568.80
$2,427.05
$4.05
$1 1.00
$23 7e
$5e 30
$4,093.99
$2,356 50
$1 ,737.49
57607
s3600
57770
57672
57600
57607
No
No
No
Fire lnsp. Req'd.
Police lnsp. Req'd Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the work on 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 58796
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
$23 79
$1 ,628.10
$11 00
$70.55
$4.05
Fee Total:
Paid to Date:
Balance Due:
a
BUILDING- INSPECTOR RECORD a
SITE-WORK DATE ID/S!G.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nUI ns u Iatio n
Roof Sheathing
Shear Wall
Framing 1 c1'2o2P
Insulation/Energy
Drywall
Ext./!nt. Lath
Brown Coat
Jt/asonrV
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
-,J JrSdFINALI l-rf t/0
Certificate of Occupancv
INoJes, Bemarks, Etc. ?-^l I a..
YMUilCt 4r@)|4 to1
OW N I.:R Il U I LDI.,R D I.:LCA RA'f ION
I hereby affirm under penalty of perjury that I am exempt from the Contracton' License Law for the following reason (Sec.7031.5
Ilusiness and Prot'cssion Code): Any City or County which requires a pcrmit to construct, alter. irnprove. demolish or repair any
structure, prior to its issuance. also rcquires the applicant tbr such grcrmit to file a signed staternenl that hc or she is licenrcd pursuant
to thc provisions o[ the Contractor's Licensed t:w (Chapter 9, Commencing with Section 7000 ol'Division 3 of the Business and
Professions Code) or that he or she is exempt therefrom and tlrc basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a pennit subjects the applicanl to a civil penalty of not more than five hundred dollars ($stltt).
_1. as owner ol'thc propcrty. or rny ernployces with wages as their solc compen.sation, will do the work and the slruclure is not
interrlcd or ofTered for sale (Sec.70{a, Business and Professions Ccxlc: Thc Contractor's Licensc l:w docs not apply to an owner of
the prupefly who builds or improves thereorL and who docs such work himself or herself or through his or her own employees,
provided that such improvenrcnts are rnt intended orollcrcd for salc. Il, however, thc building or improvenrcnt is soH within one )tar
of conphtion, the Owner BuikJ,er will have the burden of pmving that lre or she tlitl not build or improve thc property for the purgtse of
sab).
_1. as owncr of thc propcrly, am exclusively contracting with licenrcd conlraclors to construcl tlrc project (Sec. 7044, Busincss
and h,ofesskm Code: The Contractor's License Law dcrcs not apply to an owncr of pr<lprty who builds or improves lhereon.
and who conlracts for such projects with a Contractor(s) liccnscd pursuant to the Contractor's Licensc Law).
-IantexcmptunderSection-,B.&P.C.tbrthisreason.I1...,. '
W( )RK l',:RS' ('( )t\I IIENSA'l'l( )N
I)}:CI.ARATI0N
I hcreby allirm undcr pcnalty of pcrjury one of the tbllowing dcclarations:
_l have ard will maintain a Ccrtificate of Conscnt to Selt'-lnsurc firr workers'conrpensation, as provided for hySection 3700 of the
Labor Code. for the Jrcrformance of the work lbr which the prmil is lssued.
_l have and
thc work t<lr
will AS by Section 3700 of the Lahor Code, for the performance of
sarricr and plicy numbcr are:
Policy
_l ccrrify that in thc pertbrnrance of thc work for which this pernrit is is.sucd, I shall not employ any person in any manner
so as to bcconre subjcct to the workers' compensation laws of Califonria. and agrcc that if I should becom; subject to the
workers' conrpensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with those provisions.
WARNING: Failure to sccure workers' comlrcnsation covcnge is unlawful. antl shall subject an employer to criminal pcnalties and
civil lines up to onc hundred thousand dollars ($l(n,UX)). in addition to the cost of compensation. damages as provided for thc
Seclion of Labor Code, interest and attorney's fees.
I,I('ENSI.:D ('()NTRA ('T0R
I hcreby allirrn undcr pcnalty of pcrjury that I arn licenx'd
of thc Bu.sincss and Profcssions Code, and my license is
DECLARATION
undcr provision ol'Chapter 9 (cornrnencing with Sectkrn 7ffn) of Division 3
in full forcc and clfect.b ?rCRIL
[.icc'nsc Numbcr:
a
CONSTRUCTION I,F]NDING AGENCY
I hereby aflirm under penalty of perjury that there is a construction hnding agency for the Srerformance of the work for which this pcrmit ls
issucd (Sec. 3097, Civ. C.).
Lcndcr's Nanrc:
APPLICANT DECLARATION
I trreby affrm under pnalty of pcrjury one of thc following doclarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Required lrtter of Notiflrcation
-l
certify that the federal regulations regarding asbestos removal &rc not applicatrle to this pro.iect.
-l
ccrtify rhat I havc rcad rhis application and state rhat lhe above information is correcl. I agrcc to comply with all City and Counry
onlfutances anrl State Laws relating to building construction, and hereby authorize representatives of this City and County to enler uSron the
above mentioncd propcrty for
Applicrnt or Agcnt
I'ennitee nanlr
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knder's Address: