HomeMy WebLinkAbout10117288 - PermitI a
PROJECT
ADORESS:{ E. HUTTON CENTER DR
SUIE l]10 TH ELSUITE
RANGE JOA TYPE:coMl,l /Fs
NARANGE:BUILDING
'EIRE SPKNATURE
LEGAL
OESCRIPTIONT Ld Br6k NA OEEICE TOWER
rrct NA ITYPE OF
CONSTRL,CTION B@CUPANCY
GROUP:
Ih6Eby.ftm u.dd P.n ny ot p.d!ry h.t I.m .r.rhPatqn fi. drb.cb.!.
lic.n$ Evror th. ioll ingl..$n:
_ S.clb. 70444, l, .5 dnd ollnc pop..ty, d my mploF6 with €q6 sth.n sb @hp.neton, will do th. 'l'lot, .nd ttE rhrctlE B iot ini.n Ld o.
_S.cton 70rkB, I 6 frndott'. pop.,V,.m @ri!.ly@r-.6.9sth
lE.n3.d cntr.clor. !o @n.tucl thc proj.ct
4LL-092-30ASSESSORS IENANT IMPROVEMENT
ANO /OR REMOOEL AREA x-oFtooo
ZONE
OVVNER:A l, [T DtrD'FTTFDCIITD
NEW / AOOI
S FTGTIEROA ST
ADDRESS
NRR
NEW I ADOL
2.d FLR. SQ FI
NEW/AOOL
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I S ANGE',ES r:A PHONE
HARRIS TIRE PROTECTION INCCONTRACTORi ALDG SAFETY
PLAN CHECK Er1 DATE
peararr /1 ( Irssueoe!fl )f5pADDRESS: 820 l{ FLETCHER Av D^rEr os / 01 / 9a
Hi,?xr" N/IANOSCAPINC
REOUIREOORANGE
7 4006L
cA 92865
TYPE
585-0175
c-16STATE
LICENSE}:
PHoNE 7 14
SAN'A ANA
BUSINESS LrcENSE
':0148035 D \L
I h...5y .riim und.l p.n.ny or p.dury o.. ol th. iollfting D.d.r.tion.:
I h.',..nd will m.i.hin . C.,ti,icat6 Or con!.rt b S.{-lnar..lo. Wdt E
will mainl.in Work.6' Compcn*rion l.&rn@, .3
Co6p6.s.non lnsuEna cadi.r and policy.qmb.r
(this6€ctid n@d .ol b. @mpl.r6d lr$. ps n E6r-6at6tEa,cd ddaE6]@
_l c.d'ry lh.t in th6 p.dorm.nc. ol th. rclt l& ihEt th6 p.m E Esu.d, I
sh.ll nol.mploy.ry peMn ir .r, marn.r s.B to b..@ subl*t ro th. Wdi.B'
Comp.nsatbn L.6 ol C.lforn€, .nd a9.6. th.t il I shdtd b@om. subiEt b nE
ol th. L.bq Cod., inr.Gs( .nd.tom/3 f.6
e.dony'd-omFnsaton.
a. pdid.d lo,S..tion 37CD ., th. L.td Cod., io.lh.
Cod6 tor tn6 p6rtom.nc. of tn6 Ek td
12 r&
sron3 or S.clon 37@ ol
(sl
O.lc:_Appnc!
a.d civil fi6 up io o@ hundr.d
lh. @t oa cflF.*tion, damag6 6
WARNING. F.rlur. to su
ENGINEER/ARCHITECT:
AOORESS
PI]ONE
I h.r.by.lnm und.r p...lty ot pclury th l .m la.n .d undb. p@ffi otCh.pt r 0 (@mm.ncinq wrh S.cton 7000) oi DMffi 3 ol th. BuEiE .nd
Pror6sio.. Cod., .nd my lic.n$ B in tullio@.nd .iLct
Li6n.. Cl.s! tkh$ ilc:
LICENSE']
Fi< 9/.rnl br 1{
JOB
City of Santa Ana
Building Safety Div. M-l9
P.O. Box l9EE
Santa Ana, Ca.927Ol
206 W. 4th. Street
2nd Floor
(714) 647-5E00
FEESi AIIOUNT OTY
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20.ooo.65?o.oo
120
1
FEE TOTALPAID TO DATE
BALANCE DUE
FEE2013
20
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I h.Gby .lfnm uhd.r p.nrlty ol p.4u'y tEt thc.c is . dsllct oi LndinC .s.rEy
,or th. p.,loman@ ol th6 6.t lor which lhis F.hn i6 isu.d S.c 3(,97, Cfu C )
L."d.,/. n.4._
D.morilion P.mit .tub.!b6 Notil5c.ri F.d.r.l R.9ul.tin (ritl. aO. P.d6)
Rddod Lrnar oi Notliatton
-l
arltt thtt th. i.d.Er rduhoont B!.dh! ..b..b. r.ryro,.l .r. nol
.pplrrdL to thii prop.t
l4l c.ltay th.i I h.6 E.d thE rpdidtM ..d .!ri! tirt tn rbo. nr!.m.td Eordin..6.rd SLt l.s
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APPLICANT'S OECLARATION
Public Counter
This pemil shallerprre by limilation and becomo nullend void if the wDrk authodzed
by lhis permil is nol comm€nced wilhin'180 days f.oh the dateofthis penn{. or ifthe
vrork aulhorized by lhis permil is susp€ndod oi ebandon€d tor 180 daF, ai anylime
aller worl was commonced, ln such case a Da/v permil shalllirst b€ obtarn€d before
such wo* can be r€commencod,
City of Santa Ana BUILDING PERMIT pERMIT NO. L0LLT?aa
Accoun No.011-01-5911 - Ponrit Vatdatb, cs-6os
03/ot/w 2.13qil CHLChr""."lJi#S"_
ckLrrz -b".-
NA NO. OF EXTSTTNC
BUITOINGS A USE
OWNER€UILDER OECLARATION
WORKERS COIIIPEI,ISATION DECLARATION NEW / AOOL
OIHER SO FT,:
sTF: 11aO
OATE
LICENSED CONTRACTORS DECLARATION
CONSTRUCTION LENOING AGENCY
Mailing Address
PERI{IT TEEP/C 65\I SSUANCE
53.o.53.
7
Site Work Remarks Date Signature t.D.
Selback6
Fo.ms/SteellHoldowns
UFER Ground
Slab Floor
Stecl
Pool Fenc€
Masonry
Notes, Remarks, etc,:
OWNER.BUILDER DECLARATION
I heroby afirm und€r p€nalty of poriury lhal I em oxompt lrom lho Contrec,tors' Licans. Law for lho foll(,l/eing reason
(S€c- 7031.5 Businoss and Profsssions Cod6): Any City or County which roquitss a r'€rmit lo cooslruc,l, allar,
improve, demolkh, or r6peir any slruclure, prior lo ila lssu.nc!, also rsquhes lh6 applicanl for 6uch p€rmil lo fils a
sign6d slal€monl that hs or sh3 is lic6os.d pu.sueflt lo lh6 p.o{bions of lh6 Conllactols Lic6ns6 Law (Chapler 9,
commencing wilh S€clion 7(m of Division 3 of th6 Buslnoss snd Prof€3sions Code) or thal h€ o. sho is ersmpl
lhorefrom and lh6 basis for lho all€god ox6mptlon. Ary violation of Seclilo 7031.5 by.ny applicant for a p€rmil
subjocts lh€ applioant to a civil ponally of nol lnor6 lhen fn€ hundr€d dollara Os(x)).
_1, as ovvn€r of lhe proporty, or rrry 6mploy6€s with v'lag6s as thoir 60l€ comp€nsalaoh, will do th€ $rork. and lho
sl.uclurs is flot inlsndod or ofiered for sals (Sec. 7044, Bu6lnoss and Prof6sions fu€: Ths Conlrac,tora Lic€ns€
Law doos nol apply lo an ownor of lh6 proporly who builds o. improv€s lh€roon. and who dca such u/ork himsolf or
h€rEolf or lhrough his or her qvm smploy€€., provid€d lhal 3uch lmprovomonls sre nol inlsnd.d or oi6r6d for 6sls. lr,
hor/vovor, tho building or improvoment is sold wilhir ono ysar ol complslion, lho Own.FBuildor will havo lh6 burd.n
of proving that h6 or sho did not build or improvo for tho purpo6o o{ Balo).
_1, as olvner of lhe prop€rty, am erclusivoly coolracling wlh lic€ns€d contraclors lo con3lrucl tho proi€cl (S€c
7(xrl, Businoas alld proraGaions Codor Th6 Conlrectors Lic6m6 Lrw doss nol appty lo an olyior of proporly who
bulldE or impiovEs lh6r6on, end wllo conFacls for such prol6ct6 with a Conlraclo(s) lican66d pursuanl lo lh6
Contreclors'.Llc.n5o Larr.).
_l am cxompl und6a
Building Remarks Date Signature t.D.
Under Pinninq (floor ioisl)
Foundation Venlilation
Roof Sheath
lnsulation / Energy
Ory Wall
Erterior Lath
Brcwn Coat
T-Bal
Handicap Require,nents
FRAMING
-'/FINAL (Shell only)oFINAL fienant lmorovement)6.-LW s[,,r,d, (
Dals
Address: Uniusuite:_
BUILDlNG ... INSPECTION RECORD
B. A P.C. for lhis rason.