HomeMy WebLinkAbout101100020 - PermitProiect Address: 1601W First Sta
-
Assessor's Parcel: 007-202-24 Lot: 9-16
Unit: A Bldg: Address Range: 1601-1605
Tract: pACtFtC ELECTRIC SUB Historic: NoBlock: 12
Suite Range:
Zoning: C2
Cify 6f Santa Ana 20 Crvic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 €l
Permit #:1011OOO2O
Pin #: 56453
Building Use:
Job Type.
Nature of Work:
Existrng Bldg & Use
Proposed Use:
Commercial
Signs
Sign
Commercial
Smoke shop
Occupancy.
Constr Type:
Code
Flood Zone
# of Stories
B
VB
cBc 2016
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total: p.r-t,:l-;i : :-,:-ii: j:
Description of Work: lnstall (1) non-illuminated foam letter wall sign for "TMBH Smoke Shop", bond posted on M-73219
Planning Conditions:
Patio:
T lArea
Yards Req'd
Valuation:
0@0
$1,000.00
Owner:
Address:
Phone:
Tenant:
Roma Bridge LLC
3024 E Chapman Avenue
Orange, CA 92869
(310) 800-3598
TMBH Smoke Shop
Contractor: Signex
Address: 10772CapitalAvenue,#7-A
Garden Grove, CA 92843
Phone: (7141 265-3710
State Lic #: 665480
Lic Type: C-45
Bus. Lic #: 162064
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
n, ! i t,{ i ^a
l.il t I Zrlr'rt--.
nl,t^ 4l't-
frl I { ar1fi'l.
T r.l ..hn.-l
r1l t I Zr1r1i- ':l l l
? lr ott i 1.{ i...-
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:
Escamilla, Manny
Amsden, Julie
Chavez, Dave>e
Date:05/02/2019
Date: 05/06/2019
Dale O711812019
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
01776002
07775002
0771.6002
07776002
07776002
57607
s3600
57672
57600
57507
Permit Fee
Plan Check Fee
Bldg. Stds. Revolving
General Plan Update
lssuance
$166 53
$1 15.44
$1.00
$22.95
$57.20No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd. No 01 1 16002 51600
011'16002 51601
01 1 16002 51612
01 1 16002 53600
Account#Total
Every permit issued shall become tnvalid unless fhe work on the site authorized by
such permit is commenced wrthin 360 days after its issuance,or if the work authorized
on the site by such permit rs suspended o r abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2019-151239
$22.95
$223.73
$1.00
$1 15.44 Fee Total:
Paid to Date:
Balance Due:
$363 12
$0.00
$363.12
DATE ID/SIG.COMMENTSSITE.WORK
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsu lation
Roof Sheathino
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lMasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
I I I
7/ 2/ /4tlt.*1'z lt IF!NAL
Certificate of Occupancy / - 'v
Notes, Remarks, Etc
-+
BUILDING. INSPECTOR RECORD
I hcrrhy alllrm uilcr Nntlly ()l pciury lhat I arr cxcmpl li1)m lhc Conlrack)rs l-iccnsc l-aw li)r lhc tollowirlp rcasr)tr (Scc.70-11.5
IlusiDcss anJ l)ro['ssrrn (ixlc): Any City or County which rc(luircs a ncrillil kr crnrslruct, altcr. imp()vc, dcnx)lish or rcptir any
to thc pft)\'isi(Ds ol'tlE Contractix s l-iccnscd Law (Chrplcr 9. (ommcncing wilh Scclion 7U)0 of Divisioi J ol'lhc Bu\irlcss riD(l
ipplicatrtiortNrmitsuhjcetsthc lpplicanlk)acivilpcnillyolnotnx)rcthdnlivchunrlrcddollars(S5il)1.
_1. as rlwncr ol t hc pnrpctl y. or nly c nlpk)yecs with wrgcs rr tlrcir solc corlpcnsaliur. will ,lo lhc w(n k afil lhc slnrclurc i\ ilil
thcptr)ff,ny wh()huildsoriilprrvcslhcrcon.atr(lwh)d{rssuchwrkhinrsr'll'orherscllorthnrughhisorhcrowncurployccs.
salc).
_1. x\ ()wncr ()l'lhc pfi)pcny. inr c\chsivcly crnilrictin8 wilh lict'nrctl erllraclorr |) con\tntct lhc pll).icct (Scc. 7(I44. Bustrl(-.(
and lloll\\imCodc:l'hcConlr{elor's[-i(cDscl-awdr]csnolapplyloiDownrYollropcrlywhobuildsorinrprovcsthercon.
ind who ronrr(ts l()r sueh pfi)icrts wilh a Corilracl(il1s) li.cn\cd pursnrnt k! lhc (i)nlrrcl()r's l-iccns!- l-iw).
I xrl a\cnlU urklar Sccl B. & ['.(. l(tr'lhr\ rcr\('n.
(l*'ner'
tvonrsns' coltptns.trF
I'ECLARATION
I hcrchy allirm undcr I--nnlty oflcrjttry oDc ol thc li)llowi,re dcclxrrtioIs:
I htyc {Bl will nuinlnh a Ccdillerlc ol Cr)[\cnt k) Scll:Itr\urc li)r workcrs cr)mltnslli{il. as pi,vtled li)r hy Scclxr .]7(X) (}l thc
t-trhor C(xlc. li)r thc pcrli)rmanec ol'lhc work lix which lhc pcrmil is issued.
_lhtveandwillnlaintxinworkcrs c(mrpcnsiti(rrirsurancc.as rcquircdhySccli(m-17(Xlollhct-ahorCodc,li)rlhcpcrli)rm{nccof
thc work lirr whlch this pcrmi( is issucd. My workcrs conrpansatioD irrsurilnce can'icr an,l Jxrlicy tltmhcr uc:
Pohcy Nurnhr'r: '
_l c(.tttly thrt in thc l[rlifnan(c ol thc work li)r which lhi\ lcrnril i( l\sucd. I shxll n()l cnrphry any pcrson ln any n]rnncr
\() ts to lrc(nnc suhiccl t() lhc wrn-kcrs ci)nrFnsrlr()n hws ol Crlif)rnri. atJ den'('lhrl il l \h()uld lfc(nnc (ulE'(t to thc
IVARNlN(i: l:rilurc lr rr'crrrc N()rkcrs (rtnll)cn\rlir)n (rr\'.lxlc r\l. xDd-shall \uhjccl an onl)lolcr lr) erirninrl l^-nxlli(
n\{lir)[. drnrrg('s as prolidrl lirei!il Iirrt's up k) r)nc hundrcd thourand rlollarr 1$10{).(xX)). nr ld llx
Srel('!r lO7() ()l lhe l-alxrr (ixlL'. ililcrcsl an(l rlloflNY s
i)l thcllu\trrc\\rnLiI'l1,l.s\iorlsCr\lc.rnrltnvltecnrcl\irllullIn(f inJ.llctl.
a
W
issilcd (Scc. .1097. Civ. C.).
l.cnrlcr'r Nrntc
lrndcr'* A,l,lress:
APPI,ICANT DECLARATION
I lrNhv allinn undcr IEnrltv of lx dury onc ol thc li)lk)wing dL'clarntioDs:
l).nx)lition Pcrnrils-Ashcslos Nolificilli(nr Frcdcrnl RcgUltrlions (-l ille 40. t'n!16)
RcqrireJ lJltur ol Nolilicilirl
I .crlilv lh.il thc
'il"nr.r,'nu,uu'"
ttdcral rcSuliti(nls rcgarJitte aseLslos rcn$vnl arc n(il lpl)licablc t) lhis Pfl)icct.
rcill thr\ rfpli(rt(),r rD(l \lrle lllrl lhc irlxr\'.wilh rll ( (v rnrl (i)[nly
rnri (itrrnlv l() cnlcr ulx)D lh.or(linnnccs rld Slatc l-aws rchlirlg to
rh)v(, o(Dlirill.(l Irrl)ciy lor i[(l)ccl(ilr
Appli(anl 0r Afrill
Itrmrilce n{nre
ilx!
. <D4ff
,^,",, y'lBr/lq
,r.-.t-7/./Hiq
u^,",, 7y'gy' ?