HomeMy WebLinkAbout101101122 - PermitCity of Santa Ana 20 Crvic Center Plaza (M-19), Santa Ana, CA927o2 d Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-58$ J i
Permit #:101101122
Pin #: 46583
Proiect Addressi 2912 S Daimler Sta
-
Assessor's Parcel: 430-'173-14 Lot:POR't16
Unit Bldg:
Tract: IRVINE SUB
Address Range:Suite Range:
Zoning: PBlock 9 Historic: No
Building Use: Commercial Occupancy: B 1st FL Area
Job Type: Signs Constr Type: V B 2nd FL Area
Nature of Work: Sign Code: CBC 2016 Other Areas.
Existing Bldg. & Use: Comm/Office Flood Zone: X-0602320278J
Garage Area.
Proposed Use: # of Stories , ,orr,
Description of Work: lnstall(1) foam letterwallsign for "American Capital Realty Group", bond posted on M-73360
Patio:
T.l.Area:
Yards Req'd
Valuation:$2,500.00
Planning Conditions: ,,,,, , ,
fngineer
Owner: 2912 Daimler LLC Conlraclor caliber Sign3 & lmeging lnc
Address: 2912 S Daiml€r Strcct Address 17751 Slypark Ea3t 2F Address
santa ana, cA 92705 lrYlne, cA 92614
Phone: 19491788-1717 Phone: (949)748"1070 Phone',
Aus trc#' 3/19569 Desiqner:
Workers' Compensalion lnsurance: AddresslCarrier: ForemGt lnsurance Company Gra
Policy * WC008330021 Phone:
Expnesr 11/2312019 License #:
07776002 57607 PetmitFee 9166.53Planning ApprovalBy Gomez, Pedro Dale: 06n5/2019 trlisc Receipl ot776oo2 53600 ptan check Fee $tts.zl4
Plan Checked By. . Amsden Julie Dale: 06116/2019 lvlisc. Receipt 07776002 s7672 Btdg. Stds Revotving 91.00
Permir lssued By: \lK Hernandez, Kathy Oale: Oal22l2,1g trlisc Receipt. 07776002 57600 GeneralPlan Updale 922.95
NPDES hsp Req'd t"No Subjectlo Field: 07776002 57607 lssuance $57.20
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit Bsued 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
on the site by such permtt ls suspended or abandoned for a period of360 days after
the time the work is commenced.
011't6002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
$22 9s
$223 73
$1.00
$1 15.44 Fee Totat
Paid to Date:
Balance Due
$363.1 2
$0.00
$363.12
lnspector MID#: 2019-153653
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUIl,Di:R DEI,CARA'TION
Iherchyaflirmunderpenalty..ofperjurylhatIdnexenrplfromthe('onlraclo6 l.icensel-arvforthefollowingremn(Sc.703L5
Businss and Profssion Code): Any City or County rvhich requires a pemit lo construct. alttr, improve. dernolish or rcpair any
stmclure. prior to its issuance. also requirs the applicant for such penril lo file a signed statemml thal he or she is licmsed Pursuanl
to lhe provisions oflhc Contracrcr's l.icenscd tarv (('hapler g. ('onlnencing Nilh Sl{lion 700{) ofl)ivision I ofthe Busiiles and
I'rofessionsCode)orthatheorsheisexemptthdefrornandthcbasisforthe.llegedexemplion. AnyviolationofSstionT0ll.5byany
applicantforalnrnitsub-ielsthc applicanltoacivilpcnaltlofnotmorelhMfi\'ehundreddollars($500).
I.trs oNnsoftheftro[Erl].orrnyemploycssith\\'agsNtheirwleconlrcnsalion.rtilldothervorkmdthestrudueisnol
intsdd orofferedf<rsle(Sa.T044.lJusinssandProfcssi<rnsCode:'lhe('onlractor'sl,icensel,awdo6notapplyloanownerof
lheprct4fly rvhobuil<lsorimprorsthomn.iltd$'lmdo6srchsod<hintsclfrrrhoselforthroughhisorhoo*'nentploles.
prcvidcdthatsuch i,nprovonfllsuenotintmdsloroffqedforsale.lf.horvetr.lhebuiklingorimprovonentismldrvithinoneyw
ofcotnpletion. the Orvno Buildtr will have thc burdm ofproving that he or she did nol hrild or inprove the prcpsty for lhe pilrfF$ of
sle).
I. as ortner ofthe propqly. on exclusirely contr aclinB $'ilh licensed conlraclors lo consttucl lhe prejecl (Sec. 70.14. Businas
an<l [,[rfesion(irde: -IheContrack)r'sl-icenseLawdosnotapplytoano\\'nsofproperlyNhobuildsorirnprovestho'con.
and Nho contracts for such preiets *ilh a Corilracbr(s) licensed pursuant lo the Conlrack)r's l-icense Iaw).
-l
m exempt undo S(tion
Dale: _
lJ.&P(.lbrthisrcason
()n ner:
\\'oRKt,iRs' ( ()l\l l'1,:Ns,\'il( )N
l)I'( 1.,\l{,\'l lo:i
I hereby aflirm under pcnalry ofpojury one ofthe ftrllorving declualions:
I have md will malntain a Cstificate ofConsflt to Self-lnsure fo workos' compos.tion. as provided for by Section 3700 ofthe
l-abor Codc. for the pafonnance ofthe rvork for which lhe pmnil is issucd.
I har.e and rvill maintain s-orkos' compensalion insurance. 6 required hy Srction 1700 ofthe l,abor Code. for lhe psftrmance of
the work for which lhis pernrit is issued. My rvot*as' comp€nsalion insurance cmio od policy numbo ue:
Cario:
Policr. Nunber:Hrpilcs'
I ccfify that in thc pcrfonnance ofthe rvork for $hich lhis perntit is issucd. I shall nol pcrson in aill. rnanner
so as to lxcome subiccl to llrc Norks's'coil]pcnsali{)il las's ol (ancl agree that iI I subjcct to lhe
provisionsrvorkcrs' compcnsalion pror isions ofSrclit'il 1700 oflhe Latxn (I shall- fonh\! ith
WAllNlN(; lraillle lo sc(ure \\orkcrs' co,rlpeilsali()n lasful. anrl lo crinrinal Brrahies drrd
ciril fines up k) one hilndred lhousand dollar in i(nr k)as proridecl for the
Secli(rn -1076 ofthe t-ahlr ('odc. irilersl and flltlnrcy s [ces.
[)r1(:
Dl,.( 1.,\ll,\ I IoN
I hcrcby allir m rrnder l)cnalt\ of pq illr! lhal I a,n licensc(l iln(lcr pr or ision ((ommcncing \r ith 7(X)0) ()l Di\ rsion I
of lhe Busin6s and I'rofssions ('odc. ad my licensc is in ful
[-iceilse ('lass:
Drtel
N
I hercby- aflirm under lrcnaltv of perjury that lhq'c is a conslruction lcn<ling agcncy ol thcurrrk lirr uhichlhislnnrit is
issucd (Scc. l0()7. ('i\. C.).
lm(lcr's Nanre:
l.cnrlcr's Arldress:
APPI,ICANT DECI,ARA'IION
I luehy allirrn uncler pcnalty of pet iury one r)f lhe lbllo$ ing d$lataliotlsl
I)ernolition PenDits-Astrstos Notification l'eleral Regulations ( I illc '10. Parl6)
- Required [.ctlerof Notification
I cqtil! lhrt lhc lcdcral aslreslos to lhis projecl.
I cdlil'y lhal I hare rca(l lhis lhat lhe I atlrN lo cornply lvilh all ('ily and ( ounty
ordinailcs ilod Slate [.as's relaling lo
almve rnenlirned propcf,y for inspecl
i\ 6 ofthis City and Counl! to cnts upon lhe
Applictrnt or Agctrt Sigtrature:
l'crnrilrc ilsilrc (priil,,, Lll ft<r1
irrn. and
lriltc:8 ZZ,\1
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I /1
FINAL h o 0 !lnn
Certificate of
Notes, Remarks, Etc.
( otrlrlclor
I