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Home My WebLink About101102513 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #: {O11O25{3 Pin #: 52787 Proiect Address: 3605 S Bristol St- -a- Assessor's Parcel: 410-30141 Lot: NA Unit: D Bldg:Address Range: 3603-361 1 Historic: No Suite Range: Zoning'. C2Block: NA Tract: NA Building Use. Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Commercial Signs Sign-illuminated Gommercial Restaurant Occupancy: Constr Type: Code: Flood Zone'. # of Storres: A-2 VB cBc 2016 x-0602320259J 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Patio: T.l.Area: Yards Req'd Valuation: $S,500.00 0 Description of Work lnstall (1) led-illuminated channel letter wall sign for "Chicken Maison" Planning Conditions: Owner: Athena Property Management Address. 730 El Camino Way, #2OO Tustin, CA 92780 Phone: (g4g) 398-8750 Tenant Chicken Maison Contractor: lcon Pacific Address: 21143 Hawthorne Blvd #408 Torrance, CA 90503 Phone: (310) 538-5538 State Lic #: 866714 Lic Type: C45 Bus. Lic #: 321423 Workers' Compensation lnsurance: Carrier: Exempt Policy #: Expires: Engineer Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: JF,d Planning Approval By: Plan Checked By: Permit lssued By: Guevara, Jerry Amsden, Julie Hernan dez, Kathy Date: 1210512019 Date: 1211112019 Date: 1012112020 Subject to Field: Misc. Receipt Misc Receipt Misc. Receipt 07776002 01776002 07776002 07776002 07776002 07776002 05376002 Permit Fee Plan Check Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance Bond (s 57607 53600 57770 57672 57600 57607 53636 Fee Total Paid to Date: Balance Due: $172.64 $11967 $24 30 $1 00 $23.79 $se.30 $200 00 $600.70 $0.00 $600.70 NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Fire lnsp. Req'd: Police Insp. Req'd No No Account#Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within360 days afterits 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. 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 53600 01 1 16002 57770 0s31 6002 53636 $23 79 $231 .94 $1 00 $11967 $24 30 $200.00 lnspector MID#: 201 9-156344 o BUILD!NG. !NSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcreby affirm undcr pcnalty of ficrjury that I am excnrpt from the Contractors' License [:w for the following rcason (Scc.7031.5 Business arxl Profession Code): Any City or County which rcquircs a pennit to construct, altcr. improve. dcmolish or rcJrair any structurc, prior to its issuancc. also rcquircs thc applicant for such permit to filc a signcd statenrcnt that hc or shc is liccnsed pursuant to the provisions of the Contractor's Licenscd [:w (Chaptcr 9. Comnrcncing with Sc.ction 7000 of Division 3 of thc Business and Profcssions Codc) or that hc or shc is cxcmpt thcrefrom and the basis for the allegcd exemption. Any violation of Scction 703 I .5 by any applicant for a pcrmit subjects thc applicant to a civil pcnalty of not morc than five hundred dollars ($5001. __1. as owncr of thc prof,cny, or my employees with wages as thcir solc comJrcnsation. willdcr thc work ard thc structurc is rnt intcndcd or ofl'cred lbr salc (Scr.7044. Business and Profcssions Codc: Thc Contractor's Liccnse law does not apply to an owner of thc profrcrty who builds or improvcs thcreon, and who docs such work himsclf or herself or through his or her own employees. providcd that such imlnovenrnls are not intendcd oroffcrod for salc. lf. howcrcr. thc buiUing or inprovcnrnt is rcld within onc )rcar of cornphtion, thc Owrcr Builder will havc thc burdcn of proving that hc or shc did not build or impmvc the propcrty for thc purJnsc of salc). -1. as owncr of thc proprty, am cxclusivcly contracting with licenscd contractors lo construct thc projcct (Sec. '1U4. Business and hofcssion Code: Thc Contractor's Liccnsc Law does not apply lo an owner of propcrty who builds or improvcs thercon, and who contracts for such projccts with a Contractor(s) liccnscd pursuant to the Contractor's Licensc kw). -lamcxelnptunderScction-.B.&P.C.forthisrcason.I)ale:( )rvltr.r' WOR KERS' COIVI PENSATION DECLARATION I hcrcby affirrn under pcnalty of pcrjury onc of thc following dcclarations: _l havc and will maintain a Certificate of Conscnt to Self-lnsurc for workcrs' compensalion, as povidcd for by Sectkln 3700 of the Labor Codc. for the pcrformancc of the work for which the pcrmit is issucd. _l have and will maintain workers' compcnsation insurancc. as required by Scction 3700 of thc [abor Code. for the grcrformance of the work for which this pcrmit is issued. My workers' compensation insurance carricr and policy numbcr are: Canicr: Policy _l ccrtify that in thc pcrforrnancc of the work for which this pcrrnit is issued. I shall not enrploy any person in any manncr so as lo bccorrc subjcct to thc workers'corrpcnsation laws of California. and agrce that if I should bcconrc subject to the workers' compcnsation provisions of Scction 3700 of thc [-atxlr Codc. I slrall. forthwith comply with thosc provisions. WARNING: Failurc to sccurc workcrs' compensation covcragc is unlawful, and shall subject an employer to criminal ;rcnaltics and civil fines up to one hundred thousand dollars ($100.000). in addition to lhc cost of conpcnsation. damnges as providcd for the o Scction Date:_ 3076 of thc l-:bor Code. interest I hcrcby aflirm undcr penalty of pcrjury that I am licenscd under provision of Chaptcr 9 (contnrencing with Scrtion 7m0) of Division -3 of thc Business and Professions Code. arxl my liccnse is in full lbrce and cffc'ct. Liccnse Nunrhcr: Dale:Corrlr:rctor.fn W I hcrcby affirm undcr Jrcnalty of Frjury lhat thcrc is a construction lcnding agcrcy for thc JErfornmcc of thc work for which this Frmit is issued (Sec. 3097. Civ. C.). lrndcr's Namc: [-ender's Address: APPLICANT DECI ARATION I trcrcby affirnr undcr pcnalty of perjury onc of thc following dcclarations: Delnolition Pcrmits-Asbcstos Notificalion Fedcral Rcgulations (Titlc 40, Part6) _Rcquircd [*ttcr of Notification -l ccrtify that thc fcdcral rcgulations regarding asbestos rcnroval arc fi)t applicable to this projcct. _l ceflify that I havc rcad this application and statc that thc atnvc information is corrcct. I agrcc to conply with all City and County ordinanccs and Statc [,rrws rclating to construction. and hercby authorizc rcprcsentativcs of this City and County to enlcr upn lhe abovc nrcntiorrcd propcrty for Applicant or Agent pr1". l(9 -?'.1 - 7020 Pernritee nanle l"l +D Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bf loor/VenVI nsu I atio n Roof Sheathino Shear Wall Framing Insulatio nlEnerqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. FINAL /Z-?-D {c-Cts JUeS Zr) Certificate of Occupancv Notes, Remarks, Etc. Rev. 08-07-2015 t ')L I----t ,i 1Tbnhr Tl -rn w-l rwPooo-t.oboi !I(,t=\J?8 =0o\ Y(o r) -.itsB{oa86' P C _t-, =.(-) E]o, r.+ !q tro()o 3Bo\ N No]-r\o ct+ =o =.N o)rf.o =o--+! o(r c+ o) 5' ='Uq VI -a[a =f'o (D -ll=lJl-rlr+lutl-'tlol- lolol=It'+l"rlo, lcrlr-+lol- -E-olo=r3=q-r-t =. (D; d.g E3P-rO-= -,.LJ-. 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