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Home My WebLink About10190033 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 9270 2 Building Permit#: 10190033 Permit Counter: (714) 647-5800 Inspectio n Requests: (714) 667-2738 Inspector Sectio n: (714) 6 47-5853 Pin#: 76933 Project Address: 1979 E Seventeenth St Unit: Bldg : Add ress Range : Suite Range: Assessor's Parcel: 396-321-21 Lot: Block: A Tract: A.B. CHAPMAN Historic: No Zon in g: Building U se: Industrial Occupancy: M 1st FL Area: 7090 Patio: Job Type: New Constr Type: Ill B, SPK 2 nd FL Area: Tl.Area: N ature of Work: New com bldg/Roof mtd equip Cod e: CBC 2013 Other Areas: Yards Req'd: Existing Bldg. & Use: Flood Zone: X-06023201 64J Garage Area: Proposed Use: # of· Stories: 1 T o tal: 7090 Valuation: $588,420.00 Description of Work: New shell commercial building with roof mtd equip. Exterior walls to be framed with "Fire-Retardant-Treated Wood" complying w ith Section 2303.2 of California Building Code 2016. FEES PD IN FULL ON M-68841 Planning Conditions:AII materials to match existing Owner: Red Mountain Asset Fund LLC Contr actor: Address: 1234 E Sev enteenth St Address: Sa nta Ana, CA 9270 1 Phone: (714) 460-1563 Phone: Tenant: State Lie#: Lie Type : Bus . Lie#: Klaer Brittain Inc Oba KBI 2685 Dow Ave, Ste B Tu stin, CA 92780 (714) 832-5777 660424 B 4481 Workers' Compensation Insurance: Carrier: State Compensation Insurance Fui Policy #: 9039848 Expires: 01/01/2017 Planning Approval By: Pezeshkpour, A li Date: 10/28/2016 Misc. Receipt: Plan Checked By: 0 Heida ri, Fr ed Date: 10/27/2016 Misc. Receipt: Permit Issued By: . Amsden, Julie Date: 12/13/2016 Misc. Receipt: NPDES lnsp. Req' : N o Subj ect to Field: PWA lnsp. Req'd: N o Fire lnsp. Req'd: Planning lnsp. Req'd : Yes Po lice lnsp. Req 'd: Landscap ing ln sp. Req'd: No Flood Zone Cert. Req'd : Yes Yes No Every permit issued shall become invaliri unless the 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 of180 days after the time the work is commenced. Inspector MID#: 2016-130088 Account# N/A -No Balance N/A -No Balance NIA -No Balance N/A -No Balance Engineer: Address: Phone: Li ce nse#: .. A rch itect/ Desiqner: Address: Phon e: Li cense#: 68268 68841 T ota l Tildin Engineering S Tuileh-Kooh 26501 Rancho Parkway, Suite 203 La ke Forest, CA 92630 (949) 421-0144 32261 RED Architectural Group Richard E De ll 3436 N Verdugo Road , Suite 200 Glendale, CA 91208 (818) 957-7765 11875 01116002 51601 Permit Fee 01116002 53600 Plan Check Fee 01116002 57770 Microfilm Records 08901001 24000 SMIP -Cat egory 2 01116002 5161 2 Bld g. Std s. Revolv ing 01116002 51600 General Plan Update 01116002 51601 Issua nce/New Structu Fee Total: Paid to Date: Balance Due: $1,992.65 $6,800 .61 $133.00 $164 .76 $24.00 $20.56 $136.72 $9,272 .30 $9,272.30 $0.00 0i SITE-WORK Set Backs Form s/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsulati o n Roof Sheathing Sh ear W all Framinq Insulation/En e rg y Drvwall .. Ext.lint. Lath ~wnCoa t •• _,, ,,.,. Pool Fen ce DATE ID/SIG. I2--Z..-17 ..J ,J ... ('~J""" ~ ' BUILDING-INSPECTOR R ECORD COMMENTS . V OWNER BUI LDER DllLCARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors· License Law for t he following r eason (Sec.7031.5 , Business and Profession Code): Any City o r County which requires a permit to construct. a lter. improve. demolish or repair any structure. prio r to its issuance, a lso requires the applicant for su ch pennit to file a signed statement that he or she is licensed 9ursuant to the provisions of the Contractor's Licensed Law (Chapter 9 , Commencing w ith Section 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis fo r the all eged ex emption. Any vio lation of Section 703 1.5 by any applicant for a pcnnit subjects th e applicant to a civil penalty of no t more than five hundred dollars {$500). _I. as owner of th e prope11y. or my employees wit h wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply 10 an owner of the property who builds or improves thereon. and who docs such work himself or herself or through his or her own employees. provided that such improvements are not intended or offered for sale. If. however, the building or improvement is sold within o ne year of completion. the Owner Builder will have the burden o f proving that he or she did not build or improve the property for the purpose of sale). _I, as owner of the property. am exclusively co ntracting with lic ensed contractors to construct the project {Sec. 7044. Business and Profession Code: The Contractor's License Law does not apply to an owner ofprope11y who builds or improves 1hereon, and who contracts for such projects with a Conlractor(s) licensed pursuant to the Contractor's Li cense Law). _I run exempt under Section, ________ • 8. & P.C. for this reason. Da te: __________ Owner: _______________________ _ WORKERS' COMPENSA TION DEC LARATI ON I hereby affirm under penalty of perjury one of the fol lowing declarat ions: _I have and will maintain a Certificate o f Consent to Seir-lnsure for workers' compensation. as provided for by Sectio n 3700 of the Labor Code. for the performnnce of the work ror which the peimit is issued. T B _I have and will maintain workers· compensation insurance. as required by Section 3700 of1he Labor Code. for the perfonnance of H~n:ca p Re q. \ J:~::k r;;hir.:;;/;+; iss2;;;;~f;;~e;;;~ i];=cr and poli cy number are: t-D-e-ip-u-tv-F~i -na-l ~R-e-po-rt-----+----+---~--------------¥-,✓-PolicyNumber c,o3l})( s-(~6/ ')4-,pires: J-J .. ,8(Jl/i Engin eer Fin a l Re port _I certify that in the performance o f the work for which this permit is issued. I shall not employ any person in any manner ./ Flood Zone Ce rtif. workers' com pensation provisions of Section 3700 of the Labor e. I shall, nhwith comply with those provisions. so as to become subject to the workers' compensata1on laws of Califom· ree that if I should become subject to the \VARNlNG: Failure to secure workers' com pensation cov ge is un lawfi and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 00 0). in additio n :zhe cost ompensation. damages as provided for the Section 3076 of t he Labor Code. in terest and attome fees. t-F_I_N_A_L ________ ><;_-..::;.~..;..9_-L...!... l?...1..~;;_;,_,1;_.,_J_~___,J.,;_'1'.;,.:Y)::,..__ _______ .,,>{o.,., J:1 ~) t; -16 AppJ~;~~/-·~==1!."_;:!,£~-~:__ __ _ Certificate of Occupancy / u rn~~~L~~;.~NcrnR Notes, Re marks' Etc. I hereby affirm under penahyof perjury 1ha1 I am licensed under provision of Chapter 9 {commencing with Sectio n 7000) of Division 3 l-~-'---~_,..i,ee.-~..:._~V..L~,..1.7/1__:-!=--'/_-,/~F-//:-.,.A-•t:,::nu• :,r::...,~u'""~{./-;-~)--1,~!::·.A_~;;fl~·::..~r·~...,~'--'~!l.<~~/-"-,,:p:t!':~""~l!:L....:__,~~~'1'0_!...,. :-~-'-l,,.':"'(J=ll<:f..J~''-1-J'~,,~2..,1'~~0 ,u.-u...-~,,i:~Y::........:~~::..._--~,~;:;~!-~~= ~ :::~~ot& q / CO NSTRUCTION LENDING AG ENCY I hereby affirm under penalty of perjury that there is a construction le nding agency for the perfonnance of the work for which this permit is issued (Sec. 3097. Ch•. C.). Lender's Name: _________________________ _ Lender's Address: _________________________ _ A PPLICANT DECLARATION I hereby affin n under penalty o f perjury one of the following dec larations: Demoli tion Permits-Asbestos Notifica1ion Federal Regulations (Title 40, Part6) _I certify that the federa gulations regardin asbeslos removal arc not applicable to this project ordinances and State ws relati ng to building nstructio n eby authorize representat ives of this C ity and County to enter upon the _Re quired Lc~tcrofNotification ~I cenify that I ha ve · d this applicatio n and te t~r,at the ve, infonnation is correct. I agree to comply w it h all City and County , above mentioned p perty for inspection p scs. \),-} I') I. t-------------------------------------------------------lll_,,,.1-,_,.Applicant or Agent ~,g .... ,urc: ' .::..--/'--Dntc: o-/S--6 t-----------------------------------------N)c Pcrmitcc namc (pri nt): ~(.-(S(.•/{.,. KJ_t;,tc+-,e~-'ll--~--/-----------