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Home My WebLink About101100309 - PermitProiect Address: 2611 S Harbor Blvda Assessor's Parcel: 414-231-10 Lot: POR I/POR 1 Block: N Unit:Bldg: Tract: 509/1013 Address Range:Suite Range: Zoning: MlHistoric: No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspecior Secfion: (714)647-5853 Permit #: 1O11OO3O9 Pin #: 78129 Building Use: Job Type: Nature of Work: Existing Bldg & Use: Proposed Use: lndustrial Alteration Walk-ln Cooler & Freezer INDUSTRIAL BLDG Occupancy: Constr Type Code: Flood Zone'. # of Stories: B V B, SPK cBc 2016 x-0602320258J 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: Patio: T.l.Area: Yards Req'd: Valuation: 0@0 $10,000.00 Description of Work: Legalize walk-in cooler & freezer per Occupancy Notice to Correct. Planning Conditions:F(ef t : Engineer Address: Phone: License #: Architect / Desiqner: Address: Phone. License #: ronsocfron lou $1 rl-l Owner: Address: Phone: Tenant: LGHAlliance, lnc 30275 Tomas Rancho Santa Margarita, CA ?319t 380-1 31e Krayden, lnc. Contractor: Foxx Building Services Address: POBox5747 Fullerton, CA 92838 Phone: (7141 630-5555 State Lic #: 701251 Lic Type: B Bus. Lic #: 374149 Workers' Compensation I nsurance: Carrier: State Fund Policy #: 9079433 Expires: 1 111612019 Peters/Jepson Partnership, lnc. Randall Jepson 419 S. Glassell Orange, CA 92866 (7141 288-8700 c25597 [t0[r- $ Planning Approval By Graham, Jeffery Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Amsden, Julie Planning Insp. Req'd: Landscaping lnsp. Req'd: Fire lnsp. Req'd: No Police lnsp. Req'd. No Flood Zone Cert. Req'd: No Date: 0212812019 Date: Date. 1012112019 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt. J. DeSoto 0771,6002 s 07776002 07776002 07776002 07776002 07776002 L607 Permit Fee s3600 57770 57672 57600 57607 Subject to Field Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance Fee Total: Paid to Date: Balance Due: $166 s3 $166 53 $19 5s $1 00 $22 95 $57 20 No No No No Account#Total Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs 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. lnspector MID#: 2019-149765 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 53600 01 1 16002 57770 $22.95 $223.73 $1.00 $166.53 $19.ss $433.76 $0.00 $433.76 BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/S!G.COMMENTS - OWNER BUILDER DELCARATION I hqeby affimr unds penalty of perjury that I m exempt 6om the Contractos' Licre law for the following r@n (Ss.7031.5 Businqs and Prcfsion Code): Any City or County which rcquirs a pemit to mnstrucl. alta. improrq &rnolish or rcpair any structue. [rk)r to its isumce. also rcquirs the applicant for such pcrinit to filc a signed statmmt lhat he of shc is licfficd pumuanl to the Eovisions of tlE Contractor's Licored larv (Chapter 9. Commencing with Sction 7000 of Division -1 of the Business and PrefessionsCode)orthatheorshcisexemptthcefromildthebasisforlhcallegedexmp(ion. AnyviolationofSethnTB3l.5byany applicant for a pemit subjsts the applicanl to a civil penalty ofnot rrcre thil five hundred dollus ($500). _ -1, as owner of the property. or my ernployees \\,ith wages as their sole compensation. will do the rvork and the structure is not intended or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an ou'ner of the propoly rvho builds or inrproves thereon. and rvho does such wod( himself or herself or through his or her own employees. provided that such improvanents are not intcnded or offered for sale. lf. hou'ever. the building or irnprovement is sold within one )rzr of conrpletion. the Orvner Builder will have the burden of proving that he or she did not build or improve the propoty for the purpose of sale). __ I. as owner of the propeay. am exclusively contracting rvith licensed contraclors to construct the project (Sec. 7044. Business and ltoftssion Code: The Contractor's License Larv does not apply to an owner of property who builds or improves thereon. and rvho contracts for such projects with a Contracto(s) licensed pursuant lo the Contractor's Liccnse Larv). -l arn exenrpt under Section- . B. & P.C. for this reason. l)ate:( )rv lrcr': \YORKERS' COI\IPENSATION DECLARATION I hereby affinn under penalty of perjury one of the follorving declarations: __l har,c and u'ill maintain a Certificate of Consent to Self-lnsure for rvorkers' compensation. as provided for by Section -1700 of the labor Code. ftrr the p€rfonnance of the rvork for which the pcrrnit is issued. _ _l have and rvill maintain rvorkers' compensation insurance. as required by Section -3700 of the Labor Code. for the performance of the work for which this permit is issued. My rvorkers' compensation insurance carrier and policy numbcr are: ,'*rrr, r _Policy Number: - -l cerrify that in the perfornrance of the work for rvhich this permit is issued. I shall not ernploy any person in any manner so as to becorne subject to the rvorkers' compensation larvs of California. and agree that if I should become subject to thc work€rs' cornpensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply rvith thosc provisions. WARNING: Failure to s€cure rvorkers' cornpensation coverage is unlarvful. and shall subject an onployer to ctiminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. datnages as provided for the Section -1076 of the Labor ('ode, interest and attorncy's ^ DECI.ARATTON I hereby alTirm under penalty of perjury that I am licensed under provision of Chapter 9 (comrnencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class:_ o"t.' f 0 -- Nurrrbcr: _ _ (lontractor:_ W I heby allirm undo pcnahy of perjury that thqe is a @nstruclion lording agocy for thc pafomoce of thc wrk for which this p6mit is issued (Se. 3097. Civ. C.). Lender's Adch'ess: APPLICANT DECLARATTON I hotby afiimundq penalty of pcrjury onc of lhc following d6l4ations: Demolition Patnits-Asbetos Notification Fcdsal Rcgulations (Titlc 40. Pan6) -Rcquired l*tto of Notification -l cfiiry that lhc tedqal rcgulatiom rcgilding Gb6tos rmoval sc rot applicable to this pmjet. -l cqrify that I hsvc rad this application ed statcthat the above infomstion is coEet. I agre to comply with all Cityand County ordimcc and Statc Laws rclaing to building consructioo ad haeby authoria rcprMtativ6 of this Cily md County to ots upon thc above mentioned property for I Applicnnl or Agenl Pernritee name (print): ,rr", (6-7/ -/? Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/VenU! n su Iation Roof Sheathing Shear Wall Framing lnsu lation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL /2704 lo (2;d7;q2 ry-tl Certificate of Occupancy Notes, Remarks, Etc. ,^1-fl/-\ I Lender's Name: a