HomeMy WebLinkAbout10198076 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853
Permit #: { O{ 98076
Pin #: 13617
q
Project Address: 2274 E Seventeenth St
Assessor's Parcel: 400-121-01 Lot: 1
Unit Bldg:
Tract: MAYBURY
Address Range: 2000-2278
Historic: No
Suite Range: 2262-2278
Zoning: ClBlock: NA
Building Use: Commercial Occupancy: A-Z 1st FL Area:
Job Type: Signs Constr Type: V B, SPK 2nd FL Area.
Nature of Work. Signs-illuminated Code: CBC 2016 Other Areas:
Existing Bldg. & Use. Commercial Flood Zone: X-0602320164J
Garage Area.
Proposed Use: # of Stories: , ,o,r,, O
Description of Work: Install (2) led-illuminated channel letter wall signs for "Mediterranean Guys", bond posted on M-71690.
Planning Gonditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
0@0
$5,500.00
Owner:
Address:
Phone:
Tenant
Mick Meldrum
2222 E Seventeenth Street,
Santa Ana, CA 92705
(7'.t41541-1200
Mediterranean Guy lnc
Contractor: ln a Bind Signs, lnc.
Address: 5531 Glenstone Drive
Huntington Beach, CA 9264
Phone: (714) 657-6403
State Lic #: 932820
Lic Type: C45
Bus. Lic #: 327878
Workers' Compensation I nsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd:
Carvajal, Verny
Amsden, Julie
07776002
07776002
o7775002
07776002
07776002
Permit Fee
Plan Check Fee
Bldg. Stds. Revolving
General Plan Update
lssuance
Date: 10/18/2018 Misc. Receipt:
Dale 1012212018 Misc. ReceiPt:
Dale. ,tOt22t2O1B Misc. Receipt:
Subject to Field:
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
57607
s3600
51672
57600
57607
$160.25
$1 11.08
$1.00
$22.08
$5s.04
Amsden, Julie
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Fire lnsp. Req'd: No
Police lnsp. Req'd: No Account#
Flood Zone Ce(. Req'd: No 01116002 51600
Every permit issued shall become invalid unless fhe work on the site authorized by
such permit is commenced within 180 days after its issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of1 80 days after
the time the work is commenced.
No
No
No
Total
$22 08
$215.29
$1.00
$111.08 Fee Total:
Paid to Date:
Balance Due:
$349.45
$0.00
$349.45
lnspector MID#: 2018-147033
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DE1,('ARA'IION
I hoeby affrrn undm poalty of perjury thal I or erempt fiom thc Conlraclors [-icense La$ for the follou'ing reen (Se.7031.5
Bminas md Profession Code): Any City or County rvhich requira a Jurnit to comlruct, alt6. improve. donolish or repair my
slructue. prior lo its isumce. also rcquirG thc applicanl for such pennil Io lile a signed statmmt lhat he or she b licmed pmuat
to lhe provisions of lhe Contraclor's Licensed krv (Chapts 9. Comnrencing u'ith Sation 7000 of Division I of the Busines md
Profe$ions Code) or that he or she is exempt thsefrorn ild the basis for thc alleged cxonption. Any violalion ofSeclion 703 1.5 by any
applicantforapennitsubjetsthe applicanttoacivilpenaltyofnotmorelhilfivehundrcddollos($500).
_1. o owner of lhe propeny. or my employ$ wilh \r'ag6 as lheir $le compensalion, silldo the \olk md lhe strudue is not
intoded or offsed for sle (5(.70,14. Businss md ProfssioN Codei lhe ('onlrack)r's Licose larv do6 not apply to m owns of
theprcpeny rvhobuildsorirnprovethq@n.edwhodo€suchuorkhimselforhrselforthroughhisorhsownemployeE,
providcd that such impro\'6nmts de not intoded or offqcd for mle. ll hos'o,s. the trrilding or improvonent is mld $ ithin one yw
ofcompletion. the Orvns Buildd will have the burdo ofproving that he or shc did not build or improve the prcpsty for the purpos of
ele).
_1. o orvncr ofthe propqly. en crclusively contracting tr'ith liccnscd conlractors lo construct the froj(l (Sec. 7044. Busines
md Prcfesion Code: The (i)nlractor's License [,arv dos nol apply to m owner ofproperty who builds or improves thermn.
and who contrads for such projects rvilh a Contracto(s) liccnsed pursuanl h the ( onlrack)r's l.icensc l-aw).
I an exeNpt unds Sstion-, l]. & P.C. for this re6on.
I)alo: Owilcr:
w()RKrrRs' coNrPliNsA il()N
r)lr( L,rRA l loN
I herebv afilrrn lndcr pcnalty ofpcr jury onc ol lhc lirlirrvinq (lcclarations:
_lhavemdrvillrnaintainaCqtificalcofConsenlloSelf-lnsureforworkers'conlpensalion,as providedforbySection3T00ofthe
Labor Code. for the pofomraf,ce ofthe work for which the pmnit is issucd.
_l have and rvil I mainlain workers' conrpcnsation insurance. 6 requir ed by Ssl ion -l 700 of the t-abor Codc, for the ptrfonnmce of
the work for which this pcnnit is issued. My workers compeNation insurance caFier ad policy nurnbcr ue:
any pcrson in any rnanno'
so d lo becorne subject to lhe workqs' conrposatioD laws o f Cal ifonria, and alree that if I should becorne subjet to the
work6s' compeilsation provisions ofScction 3700 oflhe Lak)r Codc. I shall. forthrvith cornply rvith lhose prcvisions.
WARNINCT Failure to sure workss'compffalion coveragc is unlawful. and shall subj(l an onployo to siminal peoahi6 dd
civil finesuptoonehundredlhousmddollos($100.000).inadditionbthccostofcompensation.dilnages6providedforthe
\"t ^*-K (J
I hereby affinn unda penalty ofpqjury thd I m licmsed undo provision ofchaptq 9 (commflcing wilh Section 7000) of Division l
of the BusinN ild Profsions Code. od my license is in lull force md effet.
f,,..n,.3 c
to tg
I haeby affmn undo penalty of pfrjury that thqc is a corotruction lading agqcy for the pqfonnmcc of the work for which this pomit b
issued (Ss. 1097, Civ. C.).
Lender's Name
Lender's Addr6s:
APPLI(]AN-T I)FCLARA'TION
I herby affm under poalty of perjury one ofthe follolving dslilalions:
Dernolition Pemits-Asbestos Nolification Fedsal ReBulations ('l itlc 40. Part6)
-Required
Ldrer of Notifi cation
-l
cdiry that the federal rcgulations regdding mbtskrs rentrval are not applicable to this prejet.
I cerlity that I have read this application erd state thrl thc alx)\'c iilforilration is cons.^l- I aSre lo .omply with all City and County
ordinancB md State [,aws relating to building coNtnrction. mtl hcreby authorize rclnGolativcs ofthis City ard County to enttr upon the
I above nrentioncd propcny for
,X,"," rol"rliX
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report Y
Flood Zone Certif
F!NAL /-/L -/g ,/*{d ,O?)
Certificate of Occu pancy
Notes, Remarks, Etc
Sstion
Drte:rdlaalp,,\
ll
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