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HomeMy WebLinkAbout10195174 - PermitCity of Santa Ana 20 civic center Plaza (N4-19), santa Ana, CAI27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 1(J'19I5174 Pin #: E5977 wProiect Address: 3855 S Main St Assessor's Parcel 411-111-O3 Lot: NA U nit Bldg Address Range: 3801-3885 Historic: No Suite Range: Zoning: MlBlock: NA Tract: NA Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: lndustrial Alteration Storage racks lndustrial bldg s-2 VB cBc 2016 x-0602320278J Patio: T.l.Area: Yards Req'd: Valuation: $20,000.00 Occupancyl Constr Type Code: Flood Zone: # of Stories: 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Description of Work: lnstall (3) sets of storage racks, 12' tall. Planning Conditions: lnterior ti only Owner: Address Phone: Tenant Richard Hunsaker 17761 Michel North lrvine, CA 92614 (949) 853-1391 Contractor: The Rack Depot lnc Address: 10226 Greenleaf Ave Santa Fe Springs, CA 90670 Phone: (562) 777-9809 State Lic #: 853858 Lic Type: C-61 Bus. Lic #: 368275 Workers' Compensation lnsurance: Carrier: Republic lndemnily Company of Ar Policy #: 251380 Expires: 12lO1l2O1A Structural Engineering & D6si Naresh Palkhiwala 1815 Wright Ave La Verne, CA 91750 (909) 596.1351 26608 Engineer Address: Phone: License #: Architect / Desiqner: Address: Planning Approval By Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: No Planning lnsp. Req'd: No Guevara, Jerry \ Ahangian, Kathy $ uernanoez, xatnv Date:1212712017 Dale.0512112018 Date: 06/1212018 Subject to Field: Misc. Receipt L4isc. Receipt lvlisc. Receipt 0 7775002 011760 0 2 08 90 700 7 0177500 2 0 771600 2 077160 0 2 57607 53500 24000 57672 5760 0 57607 $154.26 $427 .72 $s.60 $1.00 $21 .25 $52.98 70433 Total Permit Fee Plan Check Fee SMIP - Category 2 Bldg. Stds. Revolving General Plan Update lssuanceFire lnsp. Req'd: Police lnsp. Req'd No No Account# Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every 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 wofu aulhoized on the site by such peftnit is suspended ot abandoned fot a period of180 days aftet the time the work is cofimenced . $21.25 $207.24 $1 .00 $5.60 $662.81 $427 .72 $235.09 MID#: 2017-140647 01116002 51600 011 16002 5160'1 011 16002 51612 08901001 24000 Fee Total: Paid to Date: Balance Due: Phone: License #: lnspector BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BU!I,DER DELCAR TION I hcrby a,ltm unilcrynilly .f i'crjury rhd I m .xcnl,r rro'n rhc A,ntrdon l-iccisc ti* ,n lhc rbllo*in8 rcohn (Scc 7031 s Busi|css rtrd Ptuf.ssn Codc) iy Cny or Count, which rcqutcs ! ncnnit ro consldct. rlrcr. inrfrovc. dcnnish or ml n any In,cru(. pri{n lo n\ hsurrcc. also rcquncs $c,ppli.nnr r{, such lrmir h flc r si8md sr em lnat lEor shc h li.cord nuruul h rhc povisiotr\.rrh Conrrrois Li..n\cd ljw (Chaltcr 9. ComnrcmirS wilh Sccrio Tofi).f Division I ofrhc aurrcqs and Pmtcssions Codc)orrh,r h.orshc acxc rprrh.rtio'nlld rhct{sis lor lhcallcsedcxcmprion. AtryvnndionofSc.lion701t.5byiny aFili.rnrt,apcnnirsuhjcclslhc.mlicanllorcivilp. rlrlninoi nxrc rhrn ll!c hu rcddoU!n(55lX)) -1. !\ owrcrolrh. lroFdy. (n nrt cnuhyos wirh wrsc\ a\ rhct slc compctrlxrion. will &' rhc rut aM rhc (nrlurc h ml irrcnddl drollcrcd Lr qlc lS(7()tt.lluin.ssrtr ProL$ion\ c(ic Th. Co tDckr'! 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C.niatr c ol Clnr*nr b Sclrlnrurc fu workm .omFn\al ion- $ providcd lor hySc.rion.r?m ofthc lihor Codc, lor tlr !.nnmakc .l rhc work rd shict rhc p.rmir n issucd rhc \r.rk f.r shth rhn pc.mir i\ i\sufrl MyIorkc mnltl. \rriu in$fumc.ffiicr,, trlirynunhu uc: t\ri.y Nunhcr_ -l ccnilylhd ir rh. Nrrormnc..rrhc work fttr which rhi\ ncrnril n tucd. I shall nor cnrploy.n, p.ron i. any nunncr $ $ k, hc.6m suhjcd k, rhc sort.6 comn nsrtion lrqs.fCrlifonrir. md l!tuc rh{ ifl should bc.otu srhj.rr k, rlf, work.r'.lnnFnsurirnrnviltlnsofSccrionlT{Dofrh.tihtrCdl.,lsturll.lonhsirh..nrllysirhrhorpft,li\iont. WARNING: Faihm ro $.urc work.^ L\nnFnsnrion .ovctusc is unhwtul. rnd snrll suni.t r!' cmrloycr ki si'ninil tcnrltics rnd lill,11"il,',LiHT,I::"{:li::}.ll ,."' c///tr I ltrrthyrllnn,rDdcrpcnrlryol t{rjury(hal I Jnll undcr pmvhion olChitlrci 9(commncnrE wirh Sccrhn ?uD) oIDilhion I ,'l rh.lll\i,,.\\ rnl fiiilcr\i,trr\C.rLe. rD(l ur- ]r.tr\c ^ i'r tullturcc ctr..r - Ihcrcby!firnr undcr lcmhyoipcrjury rh th.rcka.oNflcrn,nkndirgr[cnctrttrrhcFrturrntr'rc.rrhcworkr.rwhi.hrhislf,nniri! i(sucdls( l097.civ c ) AITUCAILDEILAE{II!]N I ffiyrmnnundcr lcna,ty ol lrrjury.nc orrh. rolbwins dml{ ioos: Dcmolirio. 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