HomeMy WebLinkAbout101102801 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building Permit #:1O11O28Oi
Pin #: 57649PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Project Address: 1395 S Lyon St Unit:Bldg: Address Range:
Block NA Tract: NA Historic No
Suite Range:
Zoning: MlAssessor's Parcel:402-081-16 Lot: NA
Building Use: lndustrlal Occupancy: B, F-1, S-1 1st FL Area
Job Type: Tenant lmprovement Constr Type: V B, SPK 2nd FL Area
Nature of Work: T.l. - Foundation for equip Code: CBC 2019 Other Areas:
Existing Bldg. & Use: lndustrial Flood Zone: X-0602320276J
Garage Area:
Proposed Use: # of Stories:Totat
Description of Work: T.1. - lnstallation of a newfoundation forequipment. 58'x 23'ftsized foundation. r,_!.,..rrc,ir.r.if,(t t i,lI r ...1'l j:,:.,1
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Planning Conditions: f,;,1 s; r ! i r,r?lrlj ,.r ij ,
Patio:
T.l.Area.
Yards Req'd
Valuation:$80,000.00
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Trnns*:53
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Owner:
Address:
Phone:
Tenant
Coast Composites
1395 S. Lyon Street
Santa Ana, CA 92705
(949) 45s-066s
Coast Composites
Contractor: KindnessGeneralContract<
Address: 12891 Nelson Street
Huntington Beach, CA 9284
Phone. (7141 636-4542
State Lic #: 780044
Lic Type: B, A, C-8, C-33, C-51
Bus. Lic #: 4677
Workers' Compensation lnsurance:
Carrier: TRAVELERS PROPERTY CASUAL
Policy #: UB4K4096602026G
Expires: 0110112021
Plump Engineering
Dante FlgrFF*iUft ,.*n*r'nI i:cirrt:r'rir:t rrr i, .i.
914 E. Katella Avenue
Anaheimll0AiSlS(E
(714) 3851.{dl3l65trtt? I,I c,t-t 1 t.tr.lt r
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1 2891
Huntir
(7',t4t
I Nelson Street
ngton B'eaih, CA 92840
635.4,542 ,
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #Visq $,jt.ttL. rr
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
0't 1 'l 6002 5't6 1 2
01116002 57770
08901001 24000
No
No
No
No
Soto, Ricardo
So, Anson
Zuniga, Allissa
Date: 01/09/2020
Dale 0210312020
Dale: 0210412020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07776002
08907007
o7176002
07776002
07775002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuanceAccount#
73997
Total
57607
53600
5777 0
24000
57672
57600
57607
$166.53
$230.87
$27.37
$22.40
$4.00
$22.95
$57.20
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance.or if the work authorized
o,3 fhe slte by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
Fee Totat
Paid to Date
Balance Due:
$531.32
$230.87
$300.45
lnspector MID#: 2020-156992
$22.95
$223.73
$4.00
$27.37
$22.40
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hereby affrrm under poxlty of ptrJury that I m crempt from lhe Contracto6' LiceEe law for thc following remn (Ss.70.11,5
Busines dd Profession Code): Any City or County which rcquirc a lmit to construct, alro, improvq dsnolish or repair mf
structuc. prior to its issumce. also rrluire lhc applicet for such pemit to file a signed slatonmt that hc or she is licdsed pmumt
to lhe provisioB of the Contactor's Licensed Law (Chapts 9, Conrmencing *ith Setion 7000 of Division 3 of the Business md
PmfessionsCode)orthatheorsheisexemptthgcfromildlheb6isfortheallegedexernption. Anyviolationofs(lion70ll.5byany
applicantforapsmitsubjectsthe applicanttoacivilpenaltyofnotmorethmfivehundreddolles($500).
_ I. as orvno ofthc prop€ny. or tny employs with wags 6 thci[ $le coilrpensatien. will do thc work ud thc struclw is n([
inloded or offercd for sle (Se.7044, Businas md kofssiom Code: Thc Conlractor's Licme law do6 not apply to m own6 of
thcprcFny whobuildsorirnprovethq@n.mdwhodo6suchworihimsclforhosclforlhroughhisorhoorvnernployee.
provided that such improvments de not intmdcd oroflqed for ele. lf, howflr, the building or improronent is sld within one )@
ofcornpldion. the Ownq Buildq will have the budq ofFroving that he or she did not build or inrprove the prcpay for the pur;oe of
sale).
_1. re orvner of the property. mr exclusively conlracting wilh licffed conlraclo6 lo conslruct the prdect (Ss. ?M4. Bsine$
md PrcfesionCodc:'fheConlraclor'sl-iccnsel,awdo6notapplytoanownqofpropqtyrvhobuildsorimprovesthqeon.
and who contracls for such prcjcts with a Conlractor(s) liccnsed pursuanl to the Contractor's License [aw)
I m exernpt under S(tion-. u. & P.C. for this recon.
()$ ncr:
\i'dr{KiiRs' ( orr r'INs,\'r'loN
plr( 1,,\lr^ lloN
ol thc !rtllorvinu dcclarrtions:I heeby allirm unde peflahy ofpqjury onc
I have md r,rill maintain a Certificate ofCoBent to Self-lnsure for u'orkm'cornpensation, o provided for by Setion 3700 ofthe
Labor Code, for the pefonnmce of lhe trork for rvhich thc pmit is issued.
ffilgc and rvill nraintain worktrs' compensation insurance. 6 required by Sation 3700 of the tnbot Code. for the pofommce of
lhe $ork for uhich this pmnit is issucd. My worktrs' cornpensalion rnslrancc caris md policy numba ue:
cil,*:i-cq{c]:. , ?1ee{hl -Co
l" I I \
ror,c1 .r,,nrxi ll ou
-16
\ S"G a o2o2-Lk--)*0n". - tJ-t IZ t
_l cenily thar in the psfonnancc of the work for which this pornit is issued, I shall nu anploy any person in any hamq'
so a to becorre subjal to lhc works' compmsation laws of Califomia. ild agree thal if I should bccome subjel lo the
workss' compcnsltion provisions ofSetion -1700 oflhe tabor Codc. I slmll. forthwith colnply with lhos provisions.
WARNING: F'ailure to sue workers'conpensation covsage is unlarvful. and shall subjet m onployo to oiminal poaltia md
civil fines up lo one hundred thousmd dollas ($100.000). in lo lhc aosl ol'ion.o provided for the
Section 1076 of intcrGt and altomey's
Zo
t)t.-( t.,\R.\ I Io\
I haeby al1irm undo penahy ofpc{ury that I an licm*d under provision ofChapto 9 (cornmocing with Selion 7000) ofDivision 3
of the Busins md Profasions Codc. ad rny licme is in full forcc ad effcct
)
L?),c{t c C)Z 1 6 ooctYcLicc[se
( ONS'l RL'(-tlON t.lrNt)lN(; A(;EN( \
I hmby affrm unde pmahy of psjury that thqe is a construclion lmding agmcy for the gnfonnmce of thc work for uhich this pmit is
issued (S(. 3097. Civ. C.).
l-mder's Addr6s:
-
APPLICANT DECLARATION
I h:tby allinn under penalty of poiury onc ofthe following drcloations:
Demolition Pqmits-Asbestos Notification fedqal Rcgulations (Title 40. Paa6)
-
Rcquircd l-elts ofNotificalion
_ I colify that lhe fedoal regulations regrding astHk)s removal trc nol applicable to this projccl
V*ify rnnl have read lhis application md slale that the atnve infonnation I a8re k) conrpl)
fthis ( itv
rvith all City and County
ald County to cn'fr ulren the
z-/ i />o
odinancs ild Slate Laus relating to
I above mmtioncd propeny for
Applicntrl or Agcnt
Pcrmilce nailrc
ud
'..5\
Date:
Set Backs
Forms/Steel/Holdowns ?n >/ttr)67rY/
Erection Pads I
UFER Ground
SLAB Floor
Subfloor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Engineer Final Report
Flood Zone Certif
I
FINAL talla 'lp Dfrnnu -+81
Gertificate of Occupancy lt
Notes, Remarks, Etc
Dsle:
Lender's Namc: