HomeMy WebLinkAbout101101519 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building
S
Permit #:1O1{O{519
Pin #: 89717
Proiect Address i 2301 N Tustin Avea
-
Assessor's Parcel:396-141-01 Lot: NA
Unit:Bldg: Address Range
Tract:A.8. CHAPMAN Hisloric: No
Suite Range:
Zoning: C5Block: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Signs
Order Board
Commerical
N/A
N/A
cBc 2016
x-06023201 64J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $3,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: (1) llluminated order board 32 " x 68" /bond posted on M-73629
Planning Conditions:
Owner:
Address
Phone:
Tenant:
The Rego Group
P O Box 1493
Tustin, cA 92780
1702l-217-7900
Starbucks Coffee
Contractor: SuperiorElectricalAdvertisi
Address: 1700 W Anaheim St
Long Beach, CA 90813
Phone: (800) 995-9099
State Lic #: 271598
Lic Type: C45
Bus. Lic #: 117521
Workers' Compensation lnsurance:
Carrier: Travelers Property Casualty Co of
Policy #: U85K094655
Expires: O4lO1l2O20
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Sullaway Engineering
Michael Sullaway
PO Box 28789
San Diego, CA 92198
(858) 312-51s0
48588
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 01116002 51600
0't'116002 51601
01 1 16002 51612
08901001 24000
Kelaher, Selena
Ahangian, Kathy
Amsden, Julie
Date: 09/19/2019
Date: 10/11/2019
Date: 10/'1412019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
01176002
07776002
0890L007
07776002
01776002
07776002
Permit Fee
Plan Check Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
57607
5i600
24000
57672
57500
57607
$166.53
$230.87
$0.84
$1.00
$22.95
$57.20
No
No
No
No
Account#Total
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
on the site by such permitis suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#: 2017-139816
$22.95
$223.73
$1.00
$0.84 Fee Total:
Paid to Date:
Balance Due:
$479.39
$230.87
$248.s2
J
BUILDING. INSPECTOR RECORD
SITE-WORK DATE rD/srF\COMMENTS OWNl]R DUILDER DEI,('ARAl'loN
I hereby a{lirrn undr pmahy ofperiury that I ar erenrpt frorn the Contractrs' l.icose Law for the folhrving reruon (Sa.70.11.5
lJusincss and Prof6sion Code): Any City or County utich requilc a pn:nit to conslnrct. alts. improve. demolish or repair any
shrcturc. prior lo its issuaocc. also requirs thc applicanl for such pennit to file a signed slalemtrt that he rrr she is licensed pursuanl
to lhc provisions ofthe ('onlrackn's l,icensed l.arv (Chapler 9. Cornmencing Nith Seclion 7000 ofDivist)n 3 ofthe Busincss ancl
Prclessions Code) or that he or she is exempt thsefrorn and lhe basis for the allcgc'd eremption. Any violation ofSection 70-1 1.5 by any
applicanlforapennilsubjcrlsthe applicanlloacivilpenallyofnotmorelhanfivehundreddollars($500).
l. as otr ne of lhe profEfly. or my employ€ wil h \t ag6 6 their sole conrpcnsation. \'ill do the \r,ork and the shtdue is not
intoded or offred for sle (S(.7044. Busines md Profssions Code: I he ('ontraclor's l-icmse Itrv do6 not apply to m os ner of
lhepft)poly rvhobuildsorimprovsth6an.odslrcdo6suchs'otthirnselforhsselforthroughhisorheotremployca.
provicled lhat such impfovsnents de not intmded oroffsel filr sale. ll horvevq. the building or improvonent is sold within one yetr
ofcotnploion. the Owner Buildq rvill have the burdfl ofproving tha he or she di<i nol build or improve the prcperty for the prilT[sc of
salc).
l. m owner ofthe propmy. m erclusivcly conlracling \r'ith licereed conlracloE lo conslrucl the prej(l (Ss. 7044. B6ins
md PnrfeionCodc: lheConltaclor'sLicenscLawdosnotapplytoano\r'nflofpropeny$'hobuildsorimpro\,6thfteon.
and sho conlmcts for such projats rvith a Conlracto(s) licmsed puBuant to lhe Codractor's Licruc la$ ).
I an erempt under S(tion_ _-_ . U. & P.C. for this reson.
l)ric:Orviler:
\l',OtiKl.trs' ( ot\tPI'NsA'r't()N
t)t,t( l,AII|iloN
I hcrchr allirnr under pcnaltr ofpcrjurr ore ofthe lrrlkrrvinu clcclarations:
lhaveodlvilliltaintaina('ertificateofConsenttoSelf-lnsurefor$'orkm compmvlion.6 providedforbySetion3T00ofthe
Latx)r Code. for the pofonnmce of the work for which the pfinit is issued.
lhaleandrvillrnaintainworkos'compensationinsurance.as requiredbySectionST00oftheLaborCocle.forthepofonnanceof
thc work for *hich this penrrit is issqed. My uorkafunrpmsalion insurance caricr md Folicy nutnher se:l*,*, 17at9lgE LL! / t
(ror,.1r.r,u,u*, :grL$7Vo377;67 .*,',*, Yzolc0
I culif) that in Ihe perfornrance ofthe \\'ork for \r'hich this perrnit is issuc(|. I shall ilot enrploy any pcrson in any nlmne'
so as lo lEconre suhi{l k) lhc work6s'cornpensalion lalvs ofCalifomia. and a8rcc that ifl should becoille suhjGl to the
rvorku's' conrpensation provisions ofSection 1700 oflhe l-abor Code.IirtlrsitI conrplv *'ith llrrsc protisiors.
\YARNIN(i: Failure l() sccure \'([kcrs'con)pensalion covcrage is anci shrll suhjcct an enpkrycr to criminal per:allic arrl
civil fincs up lo one hundred thousaild dollas ($100.(X)0). in to lhe cosl of compensation. donages 6 providcd ft:: the
a:1076 oflhe fbdc. interBl and alk)rncy s f$s
to (((q
I hcrchv allinu undcr pcnalty o I pd jur] lhal I anr liccnscd undcr ol'( hirlxer()((()rnnrclcirg sith Scctiorr 7000)of I)i\isioil I
ol lltc llLrsincss and lloli'ssions (irdc. md mv liccnsc is itr lirll lirrce antl cficet
l".n,"cru*, C-L({
\" r i\,.{\rt
--
con,.".,*
2-7 {rf el-icense Nu
CONSTRUCTION LENDINC AGENCI'
I hereby affinn undo penalty ofpetjury that thse is a construclion lending agency firr thc pqfonnance ofthc rvork for which this fvmit is
issued (S(. -1097. Civ. C.).
Lendrr's Narne: _
I-md( s AddrN:
APPI,ICAN'T DECLARAl'ION
I hcrr$y alfinn under penalty of peljury one oflhe follorving delaralions:
l)crnolili()n Permits-Aslxslos Nolification Federal Rcgula(ions ( l ille 40. l'M6)
Rc(luiled Letler of Nolifi cfltion
I colify that lhe lAltral cbtslos removal are nol applicable lo lhis proj(1.
I cfiify lhat I have read this md state that thc atnl'e inlonnation is con L{I. I agrs to conlply wilh all City and Counly
ordiilanccs and State l.aws rclaling k)const(rcli)n, eil hereby author izc rcprcscntati\'6 ofthis City and County to cnto' ulrn lhc
alxryc Inenli(nred prol)er1y li)r inspccli()n
{rplicant or Agclt Signaturc
\rnritcc ranrr lprinty:-!Lr\ Cd tAi(
D8,e, ,r{t+r,
Set Backs I lY. rQ w)/6>
Forms/Steel/Holdowns lu-t( t I u-uv
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL lo - z l- (?JalpSrfz @
Certificate of Occupancy
Notes, Remarks, Etc.
t