HomeMy WebLinkAbout101105200 - PermitProiect Address: 3630 W Garrv Ave
Assessor's Parcel: 414-221-02 Lot: POR 1
Unit.Bldg: Address Range:Suite Range.
Zoning: MlBlock. NA Tract: 101 3 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1O11O52OO
Pin #: 8{ 644
Building Use: lndustrial Occupancy: N/A 1st FL Area
Job Type: Signs Constr Type: N/A 2nd FL Area
Nature of Work: Sign Code: CBC 2019 Other Areas
Existing Bldg. & Use: lndustrial Flood Zone: X-0602320258J
Garage Area
Proposed Use: # of Stories:
Total
Description of Work: lnstall (1) nonJlluminated aluminum channcl letter sign for "TireHub", bond included.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd
Valuation:$1,500.00
t
Owner: Crown Associates Realty
Address: 433 N Camden Dr
Beverly Hills, CA 90210
Phone: (3231 272_7777
Tenant TireHub
Contractor: Mega H Z Electric lnc
Address: 1290 Monterey Pass Road
Monterey Park, CA 91754
Phone: (818) 566-1850
State Lic #: 898078
Lic Type: C45, C-10
Bus. Lic #: 344041
Workers' Compensation I nsurance:
Carrier: Pacific Comp lns Fund
Policy #: WA0001 1505
Expires: 0210312021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Gomez, Pedro
Amsden, Julie
Hernandez, Kathy
Date: 1110912020
Date: 1111012020
Date: 1112412020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.,A\No
Total
07776002
07776002
07776002
07776002
07776002
07776002
0s376002
57607
s3600
57770
57672
57600
57607
s3636
Permit Fee
Plan Check Fee
Microfilm Records
BIdg. Stds. Revolving
General Plan Update
lssuance
Bond
Fee Totat
Paid to Date:
Balance Due:
$172 64
$1 19.67
$20.25
$1.00
$23.79
$5e.30
$200 00
$596 65
$0 00
$596.65
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd.
No
No Account#
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd. No 01 1 16002 51600
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs rssuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2019-148612
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
05316002 s3636
$23 79
$231 .94
$1 .00
$1 19.67
$20.2s
$200.00
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATTON
I hcrcby ulllm undcr JEnalty of pcrjury rhat I am cxcmpl from lhc ContrachN' Licenrc Law for thc tirlowitrg rcasrn (SN.?031.5
lJusincss arl Profcsskrn Codc): ADy City or County whrch rcqutcs a farmil lo c(tnslrucl. alts. improvc. &molish or rcIBir any
structurc, lrirr k, it$ issuancc, also requircs thc ,pplicnnt ti)r such [Ermit lo filc a sigrcd statcnEnt thal hc or shc is liccD*d Pursuilt
to thc [n)visiot$ of thc Controckrr's Liccnscd hw (Chaptcr 9, Commcncing with Sccti(rn 7000 of Division 3 of thc Busircss and
l,rotbssi(rns G)dc) or that hc or shc $ cxcmpt lhcrcli(rm and the bosis lor lhc allcgcd crcmFion. Any vi(ration of Sccliotr 70-l1.5 by any
applicant tbr a JErmit suhjccts thc applicant k, a civil pcnalty of n(rt more than fivc hundrcd dollus ($500).
_1. as owncr of thc propcrly. or my employccs with wagcs as thcir solc compcnsation. will do thc work and thc strudurc is nol
intcndcd or oll'crcd lirr salc (Scc.7(t44, Busincss and Pnrlbssions Crxlc: Thc Conlracl()r's Liccnsc Law docs not apply to an owncr of
thc pn)pcrty wh<l buikls ()r improvcs thcrcrrn, aml wlxr drrcs such wrlrk himsclf rtr hcrsclf ttr thrtlugh his ttr hcr own employccs,
providcd tlrat such improvcrncnts arc not itrtcndcd or oll'crcd lirr salc. Il. howcvcr. thc buildiltg or imprrvcmcnt is sold within onc ycar
ot'complction, thc Owner Buildcr will havc thc burdcn of proving that hc or shc did mrt buikl or improvc the proJrcrty for thc purJxlse ol'
sah).
_1, asowncr<lt'thc propcrty, amc.xclusivelycontracting with liccnscd conlractorstoconstruct thc pnr.icct (Scc. 7044, Business
and lhrlbssion Codc: Thc Contractor's Liccnsc [-aw docs not apply to an owncr of proJrcrty whrl builds ttr inrprtlvcs thcrcon.
and who contracls klr such pnl.iccts with a Contractor(s) liccnscd pursuant to thc Conlraclor's Liccnsc Law).
-IanrcxcmptuttdcrScclitltt-'B'&P.C'lilrthisrcasrln.I)itlc:
WORKEIIS' COTTT PENSATION
DECLARATION
I hcrcby al'l'irm undcr pcnalty ol'prjury onc ot'thc lirlkrwing dcclaratittns:
_l havc and wili maintain a Certillcatc of Conscnt to Sclt-lnsurc tor workcrs' comJrcnsation, as pnlvidcrl for hy Scctitln 37ffi rtf thc
Latxrr Ctxlc, tirr thc pcrtormancc o[ thc work lor which thc Jrcrmit ls issucd.
,K""and will mainrain workcrs' comFrcnsation insurancc, as hy Scction l7([ of thc Lahor Codc, lor thc pcrtitrmancc rtf
thc wrlrk Ie.^rtnit My irrsurarrcc camicr and Jxrlicy rtumhcr arc:
L
Pulicy --
_l ccrtrly that rn thc Jrcrlirrmancc o[thc work filr which this Jrcrmit is issucr], I shall nol cmploy any Pcrson in any manncr
so as to bccomc suhjcct to the workcrs'comJrcnsation laws of Calililrnia, antl agrcc that if I shtluld bccome subject to thc t
workcrs' comJrcnsation provisions of Scction .17fi) of thc Lahlr Crxlc, I shall. t'orthwith comply with tfxlsc provisions.
WARNING: Failure to rccure workers'comJrcnsation covcragc is unlawtirl, and shall suhjcct an cmpktycr to criminal pcnalties and
civil lrncs up hundrcd thousand dollars ($1ffi,fiX)), in to thc of comJrcnsation, damagcs as providcd for thc
Scction -1076 thc CrxJc, intcrcsl anrl attorncy's t'ccs.
t0
I hcrc'hy allirnr undcr pnalty of pcr.iury that I am liccnscd 9 (commcncing with Scclkrn 7U)()) of Division -]
of thc llusincss and Pnrl'cssions Code, and my liccnsc is in l'ull lilrcc atil cl'tbcl.
Liccnsc Class:c ?o zE
(]0NSTRI.J(II'ION I.T,N DI N( ;,\( ; F]N (]}'
I hcrcby atlirm undcr JrcMlty of perjury thtt thcrc is a (urstructknr lcnding agcncy for the Jrcrtbrmncc ()f thc work for which this Frmit is
issued (Scc. 3097, Civ. C.).
kndcr's Namc:
lrndcr's Addrcss:
APPLICANT DECLARATION
I trcrchy allirm undcr pcnalty of pcrjury onc of thc lollowing rlcclaratiotts:
Demolitiorr Pcrrnits-Asbcstos Notification Fcderal Rcgulations (Titlc 40, Pan6)
-Requircd
l-cttcr of Notilicatkrn
._l ccrtily that thc fcrlcral regulations rcgarding asbcslos rcmoval arc not apphcablc to this projcct.
_l ccrtity lhat I havc rcad this applicaturn utd statc that inlornration is corrcct. I agrcc to contply with all City and Coullty
ordinanccs and State Laws rclating to
ahovc mcntioncd propcrty lirr
Applicarrt or Agent
Penrrilee nanre
hcrcby authorizc rcpresental ivcs of ')J"'r)ru"'"""^"'*
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl nsu Iatio n
Roof Sheathing
Shear Wall
Framinq
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Fina! Report
Flood Zone Certif.
,t .t Dr
FINAL '0 lz,l"lW Dftfrft I
Certificate of Occupancv
Notes, Remarks, Etc.
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