HomeMy WebLinkAbout10186635 - PermitCify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:10186635
Pin #: 12276,
Proiect Addressi 2270 E Seventeenth St
Assessor's Parcel:400-121-01 Lot: 1
Unit:Btdg:
Tract:MAYBURY
Address Range: 2000-2278
Historic: No
l4-
Block: NA
Building Use: Commercial Occupancy: M 1st FL Area:
Job Type: Signs Constr Type: V B, SPK 2nd FL Area:
Nature of Work: Signs-illuminated Code: CBC 2013 Other Areas:
Existing Bldg. & Use: Commercial/fast food Flood Zone: X-0602320164J Garage Area:
Proposed Use: # of Stories.
Totat:
Description of Work: lnstall (2) Ied-illuminated channel letter wall signs for "Panda Express", bond posted on M-66859.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
0@0
$6,000.00
Owner:
Address:
Phone:
Tenant: Panda Express
SDL Management Company
2222East 17th Street
Santa Ana, CA 92705
Jones Sign Co., lnc
1711 Scheuring Rd.
DE PERE, WI 54115
(8s8) 569-1400
959771
C.45
351566
Compensation lnsurance:
American Guarantee & Liability
wc0176378-01
Expires: 08/01/2016
Contractor:
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
.. lVorkers'
Bqil:;;
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd1
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Soto, Ricardo
Amsden, Julie
Amsden, Julie
Date:09/2312015
Date'. 0912412015
Date: 1O12112015
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57607
s3600
57672
57600
57607
Permit Fee
Plan Check Fee
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$144.66
$100.27
$1.00
$19.93
$49.68
$315.54
$0.00
$315.54
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No 01116002 51600
Evety permit issued shall become invalid unless the work on the site authorized by
such'permit is commenced within 180 days after its issuance,or if the work authorized
on tl;e site by such permit rs suspended or abandoned for a period of 180 days after
the titl€ the work is commenced.
01116002 51601
01116002 51612
01 1 16002 53600
$19.93
$194.34
$1.00
$100.27
lnspector MID#: 2015-124075
I
Suite Range:
Zoning: Cl
iP[aq., I
BU!LDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNRR BTIILDER I)EI,(-ARA'I'ION
IherchyaffirmundcrpenallyofperjurylhatIarnexemplfromthcContraclors l-rccnseln\rforlhefirllowingrcason(Sec.7o.ll.5
Busincss and Profession Code)r nny Cily or ('ounly which reqrircs a pennit to conslnlcl. Elter. improve. demolish or repair any
stnrclurc.priorloils issuance.alsorcquireslhcapplicanllorsuchpennittofileasigncdstatement thalheorsheisliccnsed pursuanl
lo lhc nrovisions oflhc ('onlraclor's l-icensed [:w (('hapler 9. Commencing wilh Scction 7000 ofDivision.l ofthe Business ard
Prcfcssions('odc)orlhalh€orshciseremplthcrcfrornandthebasisfortheallegedcrcmplion AnyviolalionofSecli(in70.11 5bvan).
applicantforapennitsilhieclslhe applicanttoacirilpenaltyofnotrnorclhanfivchlndreddollars(9500).
. l. as orvner ol the property. or my enlployccs wilh wagcs as thcir sole cornpensation. s'ill do thc work 6nd lhe structure is irot
in(mded oroffcredforsale(S(.TM4.BusinessandProfcssionsCode:-IheContractor'sl.icensel{wdoesnotapplyloanoNnerof
lhc preperly who huilds or impro\'6 lhtrsn. and \r'ho do6 such worl himselfor hcrselfor through his or her os'n employees.
providcdlhalsuch impro!'otntsarcnolinlendcdorofferedforsale.lf.horvevq.thetNildingorimpmvementissoldtrilhinone!€ar
()[coinpletion. lhe ( xlner Builder $ ill hale the burdef, of prc\ing lhat hc or she did not huild or improve rhc frcIqly for lhc pu{nse of
sale).
l. as os ner oIlhe propffr-. am crchrsively conlracling wilh liceilsed contraclor! to constnrct lhe projed ( Scc. 7(H.1. I]usiness
and Professhn(-odc: lhcContraclor'sl-iccnscl.as,doesnolapplytoanoNnerofproperly!vhobuiklsorirnpro\csthercon.
and \vho conlracls for such proiccls \vilh a ('onlraclo(s) license(l pulslranl to the ( ontractor's l.ic€nse l.aw).
I flrn exemft !n(ler Seclion Il. & P.('. tor lhis reason.
I)slc ()rner
WORKERS' COMPENSATION
I hercby affirm under penalty of perirxa one of ,h. li,lln.uingDf,#ffiq
- I have afld N ill maintain a Ce(ificalc ofConsenl lo Sclf-lnsure for workers conrpensation. as prolidcd for hy Scction lT00 oflhe
I nhor ('odc. for the pofirnnance of lhc $ork for \r hich lhe pemit is isstrcd
ftave and ruill rn6inlain workers cornpcnsation insurance. as rcquired by Sccti()n 11700 of lhe Labor ('od€. for the performanc€ of
lhe work for shich lhis perrnit is issred. My workers compcnsalion inlurance catrier and policy number ate:
,.,,,i", A/YL€ f ILAN AO"\t^lAt,ZU i I
poricvNilmber: O||G\T( - O ( rrn;rcs yl, lP
I certify that in lhc pcrformance ofthe rvork for which this pcrmit is issued. I shall nol employ any person in any manncr
so as to hccorire suhiecl lo lhe workos' compensation laws of Califomia. and agrcc lhll if I slrould b€comc subjcct to thc
works' compcnsslion proYisions ofScction -1700 oflhe tnbor ('ode. I shall. fodhNilh comply $ilh Ihosc pro|isions.
WARNING: [ailurc lo sctrte worken' compensalion coveragc is unla$ ful. and shall subjecl an onployff to oiminal Fnaltis and
civil lines up k) one hundred lhousand dollats ($100.000). in addition lo the cosl ofcompensalion. damages as proridcd for thc
Section :1076 oflhe L.hor Code. intcrest and sttorney s fees.
Appllonl:
LI('ENSED CONTRACTOR
DECLARA'TION
I hereby aflirm under penally of periury lhat I an licensed under provision ofChapter g (cotrxilencing rvith Seclion 7000) of l)i!ision ll
of lhe Business and Professions (bde. and mv license is in full forcc nnd efTect
t.icensectass C-- 15
,^,, AHL(L6
l.icense Nunrlrcr:q 997'L t
(L-^*L-'
I herchy affir,n under pcnally of periury lhal lh(e is a
issucd (Sec. .1097. ('ir. ( .).
l,ender's Nanre
ion lending agency for thc perfotmancc ofthe Nork for which Ihis 6nnit is
l-ender's Address:
APPLICANT DECI,ARATION
I lEeby alli[n under penalty ofperiury one ofthe follo!ving declarati(!ns]
I)enrolilion Permits-Asheslos Notificntion lrederal RcSulalions ( Iillc 40. Pali6)
Rcqlrired I ellcr ofNolificalion
I cedify lhat thc fcdcral regulat ions r.garding sshcstos remo\ al arc not applicahlc to this project.
I ccrlily lh^l I harc rcad this applicfllir)n and slalc lhal lhe alx)ve inlirilnali(il is cone.t. I agree lo coillply wilh all Cit.r' and (irunty
ivcs ofthis ('ily and ('ounly to enter upon lhc
/t
o^t" /c (z't lttr
'ii'il*l,l*i'W"'
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
t t
FINAL 4/M/U --trL 3/r,^ LAd
Certificate of Occupancy (vr \_7
Notes, Remarks, Etc
Rev ()B ()i,'()1{
Dricl