HomeMy WebLinkAbout101105045 - PermitCity of Santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714],647-5853
Permit#: {OllO5O45
Pin #: 72969
Proiect Address: 1715 N Bristol St
Assessor's Parcel: 399.085-12
Unit Bldg: Address Range Suite Range
Zoningr SPIf.ad 1572 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Patio:
T I Area:
Yards Req'd
Valuation: $6,000.00
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Description of Work: lnstall (2) illuminated channel letter wall signs for"Skechers", bond included. (ok to issue per Toni C in Code Enf- not a
violation-ja)
Owner:
Address
Phone:
Tenant
SRS Real Estate Partners
233 Wilshire Blvd
Santa Monica, cA 90401
(949) 698-1107
Skechers
Contractor: Visible Graphics lnc
Address: 9736 Eton Ave
Chatsworth, CA 91311
Phone: (8181787-0477
State Lic #: 745555
Lic Type: C45
Bus. Lic #: 321A21
Workers' Compensation lnsurance:
Carrier: Compwest lnsur Co
Policy #: WCV590002207
Expires: 0511212021
Engineer:
Address
Phone:
License #
Architect /
Desiqner:
Address:
Planning Approval By;
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Dale:1012112020
Date: 1012412020
Dale: 021181202'l
Subject to Field:
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
o17760 02
0177600 2
0777600 2
0777600 2
017760 0 2
o17760 0 2
05375002
$'t72.64
$119.67
$20.25
$1.00
$23.79
$59.30
$200.00
,d
No
Misc. Receipt
Misc. Receipt
Misc. Receipt
57607
5i 600
57770
516 72
5760 0
57601
53 636
Permit Fee
Plan Check Fee
lvlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Bond
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the work on lhe site authonzed by
such permit is conmenced within360 days aftet its issuance or if the work authoized
on the site by such petmit is suspended ot abandoned fot a peiod of360 days after
the time the work is commenced
$596.65
$0.00
$596.65
MID#: 2020-161935
01 1 16002
01 1 16002
0'1 1 16002
01 'l 16002
01 1 16002
05316002
51600
51601
51612
53600
57770
53636
Fee Total
Paid to Date:
Balance Oue:
Lot: POR LOT 2 Block: NA
Commercial
Signs
S ig ns-illum inated
CommercialRetail
N/A
N/A
cBc 2019
x-o602320144J
2
Planning Conditions:
r,/isible 6roph i':s lnr
Gen€rCll F10n Updotr
['1 I 1 6r.rr-r2- 51 6rJa-r]UU.
tsu r 1d iie
u11161['J2- 516t-ttr:lr["
&1ds Stds Reuolv in:
B1116rlu?- 51612r,r0r:r-
Plt: Build ine
U1 1 I 6r:rLl2- 5S6r:r:rtrur:l11icroliI & Ds':umer
u11 l6LrLr2- 57 /'7r:fltiu:r-
fl15(:
Phone:
License #:
Arabe, Jill
Amsden. Julie
Hernandez, Kathy
$23.79
$231.94
$1.00
$119.67
$20.25
$200.00
lnspector
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Sel Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subf loor/Vent/l nsulation
Roof Sheathino
Shear Wall
Framing
lnsu lation/Enerqy
Drywall
Ext.i lnt. Lath
Brown Coat
lVlasonry
Pool Fence
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certil.
\t rOr
FINAL v\'tr1\'L\DAS{,rs1
Certifacate of Occupancy
Notes, Remarks, Etc.
OWNER BUILDER DELCAR-ATION
I lEr.hy allno !' d Fmlry r)r Friury rh I am cxcmnr nom rh. Onrlra.hr Liccnsc ljw ntr rhc fdlowhs rcr$n (Scc.70.11 5
Busi'i.\! dnl PtuLsRnr CGlcl: Any City or Connly which lcauncs r Fmir i{' co!{ocr. ,xci. inlrov.. drmlish or t.lr tny
srruururc. !.kr ro irs issurmc, also rcqniEsrhe applicanr li,r such Frnnr ro 6lc. s8.cd stltcmnt lh.l hcor shc i5li.cnr.d p!^uanr
k, rhc Jroltn'n! or rhc conkncttr'r Lt.nscd tr* (Ch,ptcr 9. cdmmtrcr8 rilh Selur ?0(& ol Diviri{,n .l orrh. a$,n$s and
Poi.ssions Cdc).rrhrl lforshc s cicn:rllhcrclioma lhe h.sn lor thc allcr.d cr.nqr'o.. A.yvidrtionofsetkn?031.5bylny
,0tl'e,nr Id, p.in subjeklltr,ml,carirroi.rvilp.nahyolnolmorcrhanlivchuoir,ldollm(.i500)
l. is owner of rhc Fopcdr, or dy cnployes virh sascs as rbcn sdb comr.ns.'ion. w l do Ih. vork $d lh. nBlur n nor
idcdel or oflircd for vlc (S( 7044, Busincs and Prof.s{n,Lr CdLr Th. conkrltr: Lkcns L.w d€. nol amly lo an owrcr ot
rh. llnlrny who hondr o qmrcs ilrDn. snd wtu ,lcs ssh u,rl hinscll or hcrrlt or rhough hn or hc. own.mJioy.$.
p(,vi!cd rhar \uLh imllrokmnk m fln inr.RlcJ or dltbdl tur elc. li lxrwq, rh. tulljnE or nqmwmnt is sol] *iinh one yc{
ol.om*lbn. rh. Owncr Builcr will h.rc rhc l&{cn oi pmving lhar lE or shc did d hrilr or hl'ft)vc [E I,mFn, tu tlE pu{ns ol
_1, a!.wncrolrhc!io!.ny, rm.xclurvclyco mclr8 wxh lr.cn\cd co 1.n'n n) constru.llhc pr'hcr (SN.7X4, Bu\i',cs
xl hulcs\ nC c: Th. Crntrrl'tr's Li.cnsc Law docs not apply b owncrotp!,pcnyoh()hxius.rimflolcsthcrc.o,
rnJ who r.ntrucrs n)r surh p!)rcuh *irh a Co Bcrtrl, liccnscJ Nrsur n) ll[ cotrtr.lrtr s Licctr* Law).
I amcrcnrpr utrdcr Scct!,tJ & I'( litrrl,isrcrnr,
Dire:- Ow
WORKEfS' COIIPENSATION
IECIIISAIIO!
I hc,cby 0r'lrm undc, p.nalryol pc4ury onc oaU. n,fiNirr deldarn,nr]
_l hlvc !n will tuinrain a C.diltarc.rconrd ro Scl nsu( lor mrkdr .omFnsalion. as ,,ruvilc, lor by Sern,n -uU) oa rh.
tilx)r Colc. to. rh. Fraolm.. ot rh. srk ror whih rhc p.mi is nsucd
/havc {i will @,flaii work.rs .omFns.lion insuraNc, .s r.tutr d by sdl!,n J?00 ol thc rlbor Lodc, ior rh. l,crrolmBc or
tne vork ror vhdh fiis lxmil Ll irN.d. My workdi cohFns.lion insuEncc cmi6 .,n Fky nunhq ml
?- .r.t,,)'?- 1 ,
pori.yNlnrbs:.,r1\rd?aao zz o? Er!trcs b',L- L I
_l cn,li rhrl ir! llrc |t,liJ ninrcorrhcworklirwhichlhisFrnririsNricn.Ishrlltr.r.nnk,y.nyr.rnn',r'anymnnncr
$ .sto b.cooE s$ic.r k,lhc*orkcrluompcnsali{nrl,wsot Caulnrnir,, ,!r.c rlrril I sriNlJ hcom lrhjccr lolh.
wo*cn.omlEn\lri,rF,vi\ion\olSc.ri,,n.lT0OolrhdlrtirC,)tlc,lshdl.,i)rlhuirlcomnlywilhrh{xepn,vi\bn\
WARNING: !i 'c b \c.dr w( (n (,mp.trsarnr cov.rdB. ,s tr l.wlnl. .trJ slrlll suhj(t ,', .'.ploy.r nr diminal !.nahisl'ft]
rn'l lnr\ Ii'.trdl, JrJ rhotr\xiJ Joll.n ($llxl,txr0l, r,{l!ln!r r) rh. (.n]n.n\rrnrn, 'imrgcs r\ fnr'JcJ n, rh.
L-ta-L(
!2E!rz!-8!L!.()!
I hcrchy 0li,n u n,ls rcorlrr ol rcritry rhd I 3n li(n$d und.r l,t)vino. ol ch,t'lc! e (..nrmnuinB * h Suii,n 7(xlo) of DivN.n .l
ol rh. lnsix\s an t Pof.$n)ns C( c. dil ny liccnsc is ir full Ltrcc .nd cller
-t ?rr SS-s-5-
CONSTRTICTION t ENDING AGENCY
I h.rcby rinnukl.r lEnuhyo, Frjury rhar lhcrc is a.oldtuction hnilins ascncy tut rhc Idroinun c ollhc qolk lnr *hiuh rhis rrnit it
ilsxcd (S.c lLq?, Civ. C.)
APPLICANT DECLAXATION
I lErl'y alrm rndcr Fnahy or Frjury onc or rhc lollowib! JelaRt ions
Dcmririon PcrnnB-Asbcslo\ Nolrllculn r l;edclal RcE! kl Nrs lTnL .r0, Pd6)
Rcquncd L.rr.r ol Nori,Eari,n
l..n'lirhri rhc l.!l. lrrSu[rtr,n\ r.!rdng r\bc{os rcm,vr I d. n!( inn]rrhlc r) rh'\ pr,tc.r
_I .cnili rld I hnvc rc l thn {dicattun uxl srarc ih.r rhc lbvc intumn tr r cor.cr Llrd Io comtly wilh all Cny rDd Counly
ordinrN.s anl Stur.l-uwsftl&n8 b hulldxr! .onslru.non, .nJ hcrcby rhis Cxy,'d Cou,ty lo.nt6 upo, tlr
o.t,2-19-L\
rhx. nrtrri(,ul pn,pany li,r dsJf,.tro
Aldi.lnr or axot six .h,.r.o,t P t.J 7-t
UFER Ground
T-Bar
Sccton 11116 o, rh. tllrtrGxl., idc'rn nnd iuorncy\
o,r., Z-r 3-z I .."n*^,,\lr 7 t0t-z- (,* ocrttr it ,,'c .