HomeMy WebLinkAbout101104408 - PermitProject Address: 801 3/4 W Givic Center Dr unit WCC01 Brds: Address Range:
Assessor's Parcel: 005-14240 Lot: 1-8,14-30/10-16 Block: NA Tract WAKEHAMTKEESE'S ADD Historic: No
Suite Range:
Zoning: P
qsl- 9s3- laas-
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O44O8
Pin #: 752{6
Building Use: Commercial
Job Type. Tenant lmprovement
Nature of Work: Cell Site
Existing Bldg. & Use: Commercial
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
U
ilr A
cBc 2019
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio.
T.l.Area:
Yards Req'd
Valuation: $50,000.00
0
Description of Work: Replace (6) antennas & (6) RRU's behind screening/auth on file
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Cushman and Wakefield
22O Main St, Suite 360
lrvine, CA 92614
(e4e) 252-14s3
T-Mobile
Contractor: Tricom Networks lnc.
Address: 24335 Prielipp Dr. #109
Temecula, CA 92592
Phone: (951) 6984900
State Lic #: 924735
Lic Type. B, C-10
Bus. Lic #: 353137
Workers' Compensation I nsurance:
Carrier: Traveler's Property Casualty ComS
Policy #: UB5K0479802026G
Expires: 0210112021
Engineer: Leaf Communication Consulti
Address:1000 Calle Cordillera
San Clemente, CA 92673
(e4s) 388-01e2
c 88844
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Guevara, Jerry
Lee, Wayne
Hernan dez, Kathy
Date: 09/03/2020
Date: 0910212020
Date: 1211512020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
\1il.
Account#
74677
Total
07776002
0 7776002
0 77760 0 2
08907007
0 77760 02
0 7776002
0 7776002
57607
53600
57770
24000
57672
57600
s7607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
I ssuance
$172.64
$478.68
$60.7s
$14 00
$2.00
$23 79
$59 30
No
PWA lnsp. Req'd: No Fire lnsp. Req'd: No
Planning lnsp. Req'd: No Police lnsp. Req'd: No
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 within 360 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.
lnspector MID#: 2020-160207
01 1 16002 51600
01 1 16002 s1601
01116002 51612
01 1 16002 57770
08901001 24000
$23.7e
$231 .94
$2.00
$60.75
$14 00
Fee Totat
Paid to Date:
Balance Due:
$8t 1 16
$478.68
$332.48
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I lrcrcby alnrm undcr pcnalty of Jrcrjury that I am cxcmpt from thc Grntrackrs' Liccos tjw lirr thc followin8 rcasrn (Ss.703 1.5
Busincss aul Prolcssion Crxlc): Any City or County which rcquircs a lErmit kr construcl. altcr, improvc. dcmrlish or rcpair any
slructurc. lrhr to its issuaNc, also rcquircs thc opllicant for such lEnnit to filc a signcd slatcrenl lhal he or she is liccnsd pwant
to lhc pr)visi()ns of thc Contractor's Liccnsd Law (Chaptcr 9. Commcncilg with Scction 7(X)0 of Division J of thc Busircss and
PR)fcssionsC'(xlc)([thalhcorshciscxcmFtthcrcfiommdth€basisforthcallcgcdcxcmption. A[yviohtionofsetirnT0Sl,5byrny
applicant for a Jrrmit subjccts the applicant kr a civil pcnalty of not fr)rc than fivc hundrcd dollds (SsU)).
_1, as owncr of thc propcrly, or nly cmployccs with wagcs as thcir solc comfrcnsalion. will do thc work arxl lhc str ',,r*ture is not
irrtcndctl or oUbrcd tbr salc (Sc'c.7(X4, Busincss and Pnrt'cssions Crxlc: 'fhe Contractor's Liccnsc Law docs not apply to an owner of
thc pnrpcrty wlxr huilds or improvcs thcrcon. aml who docs such work himself or hcrscll'or thnrugh his or hcr own cnlployccs,
prcvidctl thal such impnlvernctrts arc rrot irrtcndcd or oltbrcd firr salc. Il. howcvcr, tlrc building or improvcrncnt is sold within onc ycar
o[comphtkln. thc Owncr Buiklcr will havc thc burdcn of pnlving that hc or shc did mrt build or improvc thc pnlpcrty tirr thc purp.rsc of
sale).
_1, as owncr of thc property. amcxclusivcly contracting with liccnscd contractors to construct thc project (Sec. 7044, Busincss
and Prul'essitm Codc: Thc Contractor's Liccnsc Law does not apply to an owncr ol'proJrcrty who builds or improvcs thcrcon,
and who contracts lilr such projccts with a Contractrlr(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
-IamcxcmptundcrScctitln-'B.&P'C.filrthisrcasrln.f t.,r^.
IIABTEBSSAIIPINS]SIAN
DECLARATION
I hcrcby atl-trm undcr Jrcnalty of Jrcrjury onc of thc lirbwing delaralirns:
_l havc atf,l sill rointah a Ccnificatc of CoNcnt to Sclf-lnsurc lbr workcrs' r$mlEn$ation. .s Fovidcd for hy Selion .1700 of lhc
l2lxrr Code, for thc Jrcrlbrmree of thc work tbr which thc psmit is issucd.
@havc anr! will msintsin workcrs' comlrcnsation insurancc, as rcquired by Scction .!?U) of thc khor Codc, lbr thc perlilrmncc of
thc sork for which this Jrmit is issuq.l. My workqs' smJrnsation insurancc cmicr arxl F)licy numbcr ec:
Policy
ffi.",1i1'uF-that in lhc pcrlirrrnancc of thc work tirr which this Jrcrrnit is issucd, I shall not cmploy any lrcrson in any manncr r
so as to bcconrc suh.icct to thc workcrs' compensat ion laws of California, and agrec that if I strtuld bccomc subjcct to thc
workcrs' coml^-nsation pnlvisions of Scction 37(X) of thc Lahrr Crdc, I shall. trlrthwith comply with thosc provisions.
WARNING: Failurc to liccurc workcrs' comJrcnsation covcragc is unlawlirl, and shall subjcct an cmpkrycr to criminal Jrcnaltics and
civil l-urcs up to onc hundrcd thousand dollars (SlU),UX)),to thc damagcs as providcd for thc
JScction 3076 of thc l:txrr CrxJc, inlcrest and attorrrcy's t'ccs.
Date:
I hcreby atlirm undcr penalty of pcr.iury that I am liccnscd undcr provision ot'Chaptcr 9 (commcncing with Scction 7m0) ol'Division .l
ol' thc Busincss antl Prcl'cssions Codc, and my liccnsc is in lull lirrcc aml cl'l'cct.
Liccnsc
W
I hcrcby afnrm undcr lEnalty of Frjury that thsc is r crnstructi)n lending agcrcy lirr thc Isli[mncc of lhc work for which lhis lrcmit is
issucd (Se. .lG)7. Civ. C.).
kndcr's Namc:
kndcr's Addrcss:
APPLICANT DECLARATION
I lrcrcby atlinn undcr pcnalty ol'pcrjury onc of thc folkrwing dcclarations:
Dcnrolition Pcrmits-Asbcstos Notificalion Fedcral Rcgulations (Title 40, Part6)
lXG"euit"d lrrtcr of Notification
,Lll ccrtify that thc fcdcral rcgulations rcgarding asbcstos rcmoval are not applicable to this proicct.
with all City and County
and Courrty lo entcr uJxrn tlrc
atxlvc nrcntioncd proprty li)r
Applicant or Agcnt
Penrritee nanle
and statc lhat
*", 12[6D
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf lo orlY enulnsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
,l s^
FINAL n l,?-l lrll)Dfiqd7
Certificate of Occupancy
Notes, Remarks, Etc.
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