HomeMy WebLinkAbout10197914 - PermitryProiect Address: 1330 E Seventeenth St
Assessor's Parcel: 400-231-02 Lot: NA
Bldg: Address Range:Suite Range:
Zoning C4Block: NA Tract: NA Historic: No
Permit #: 1lJ197914
Pin #: 65795
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Miscellaneous
Beacon Signs
Com m erc ia l/Reta il
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2016
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $15,000.00
0
Description of Work: 4 signs for drive up order parking.
Planning Conditions:
Owner;
Address
Phone:
Tenant
Target Corp (Contact: Bob Heitzm. Contractor: P.S. Services, lnc
50 S. 10th Street, Ste.400 Address: 1320 N Red Gum Street
ffiffilis, MN 554409456 Anaheim, CA 92806
(6121761-',1522 Phone: (7141402-5047
Target State Lic #: 614676
Lic Type: C-45, C-10
Bus. Lic #: 163033
Workers' Compensation lnsurance:
Carrier: State Compensation lns Fund
Policy #: 912841a
Expires: O4lO1l2O19
Engineer Kimley-Horn
Justin Becker
765 The city Driye, Suite 200
Orange, CA 92868
(714) 939-1030
74572
l/ ltr/21-tlt,
srs+i s
rlMll{tl
Architect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #:
1{tltr-,dote lee
r_[]0l]-
iv rn9
Planning Approval By:lahe Selena
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req
PWA lnsp. Req'd:
an, Kathy
owski, Teri
No Fire lnsp. Req'd
Planning lnsp. Req'd: No Police lnsp. Req'd
Landscaping lnsp. Req'd; No Flood Zone Cert. Req'd: No
Every pennit issued shall become invalid unless tha wo on the site authoized by
such pennil is comnonced within180 days aftet its issuance,or if the work authoized
on the site by such peonit is suspended ot abandoned lot a peiod of180 days aftet
the time the wo* is commenced .
lnspector
Date: 10/03/2018 Nlisc. Receipt
Date. 10/25/2018 Nlisc. Receipt
Oale. 11t1412O18 Nlisc. Receipt
Subject to Field:
No
No Account#
71617
Total
07776Ci02
0 77760 02
077760 02
oB9o7o07
o1776oO 2
077760 0 2
0 77760 0 2
5 7607
53600
57770
24000
57612
5 7600
57607
$160.25
$222.16
$15.04
$4.20
$1.00
$22.08
$55.04
Permil Fee
Plan Check Fee
Microfilm R€cords
S[,llP-Category2
,
Bldg. Stds. Revolving
General Plan Update
lssuance
0'1'116002 51600
01116002 51601
011'16002 51612
01116002 57770
0890't001 24000
$22.08
$215.29
$1.00
$15.04
$4.20
Fee Total:
Paid to Date:
Balance Due:
$479.77
$222.',t6
$2s7.61
city of Santa Ana 20 Civic Center Plaza (l\/-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unit:
Address:
MID#: 2018-145688
BUILDING- INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OWNIJR BUII,Df, R DELCARA'TION
I hdcb, amnn ondd pcmlly ol p€rjury $ar I m .\€mpr ton rhc conr,cloa' Lic.nsc Lis for Ihc rollovin! rcen (9..?0ll.t
Eusinss md l"ofsion Cqlc) An, aity ot Counly shrch r€q!i'6 a pnnir to co6rrucl, illd, nnprove. dcmolth or r.pat anv
srruduq rrior ro ns isodce als rcqur6 rhc applicanr aor such p.mit lo fi1. a silnd sraroHl rh.t hc o' slt b li.m*d puB l
lo rltr provsions ol rh. Conlraclois Lic.lsd Lar (Chapler 9, Cornben.inS vilh S.clion 7000 of Division I oflhc alsines md
ProlcsDns Code) or rhar h. or shc ir .xcmpl lhgelion dd lhe b.sis lor rhc alles.d etdnprion An! violalionofs..ri6n 70115 bvanv
applica lor. pennit sobjsls rhc applic.ntlo acivilpoaklol'not morelhu liv€ hundrcd dollds ($500).
l. 6 osnq oflhc p.op€ny. o ny cnlploye rirh was6 6 rhen sh .omlerealion. {ill do lh. {orl dd th. slod@ is .or
inrddql or ofid.d lor s.L (Sd 7Ol!. ltusin* a.d Pronssiotu ( od.: I h. contdols Lic.N h$ do6 not applv io an owod ol
rhe propdy tr ho buil& or in roc th6&n. ed who dc $ch *o* hinselaor i6ell or rhroulh his or ner orr dplot.e.
r/ovid.d rhar such inpmrdmrs enor i ar&l orolIdai ioreh.lr, ho{dd, th. buildinA or inl,or@6r is eld wilhin on. }@
ofcomplerio[ rh. Osrd Btrildr siu h.w thc budo ol pdins rhat hc or she dij nol hrild or inprorc tfi€ Fopdv ao, tc purlIs of
l. d orns of rhc Fopdt, an crclusively conl4din! *nh licmsd conlraclo6 ro coNrtud th€ roi.cl (Sd 7Or4. Bltrins
and PiDasiro Code l he Cotrtrrcrol s Licctu. Lsw doB nol apply lo d o$nn of p!op61y * ho builds or nnprcv.s $d.od.
and *ho cohrhds for such projeft wnh a Co.lsclo(s) li.ns€d pu&anl lo rhe('onlmclois L,icds. Li*J
I E,D.\an.r nndd Sdrnn .B & P C. fo, rhl"dun
lt.le: Orn.r:
TVORKERi...NIPENSAI ON
DDCIAtsAIIA!
I hdeby afilnn undd pmaltyotpdjuryoncoarhc follo*in-! dclaatbG:
I havc dd *ill man ain . Cslificalc olcocdl lo s.lf IGm tor \orkc4' .onrpdlation, s pmridcd lor bv selio. l70() of th.
kl,or Code for rhe pdfoman.. of lhc soli fo, Nhich thc p@ir i! issu.J.
-lhrv.andsillm.inlainxorl.s
coftp..satio. isorancc. s rcquted bl Serion lT0O ofthc lib()r Cod. aor lhc psfon.dc. oa
lh. work for whicn rhls p6nil is Nlcd My wolkgt comp.Ntion iBuroc. cmi6 sd policy nudb6 de:
I.dlilylhar ifllhcD€.fo@n.eolrh.Notk lorrvhi(hlhis p€.lnir ir issudl.l shall nol d.ployanyp.son in anvmdnd
so 6 lo headc $bj(r ro rhe work6' compcneltun la*s .ic.liiomia. ud asr< lhar if I should be.on subld lo thc
*o,k6.o6p.Nrionprcvisio6ors.ctionr?00ofIhcLiborCodeIstDll.lonhwnh.ofliplyuirhth6epovisions.
W RNTNC: tnibrc ro s4 r. rvolksl compc.urion covd8c is unla$,ul. Md $all subjd u 6.plord fu 6ihi.il laatie md
civil nn* up io on. hundr.d tho6dd dollm ($100.000). in.ddnio.ld rhc cosl olcomp€el i(n,. dtun.tes as t( id.{ lnr ihc
Ss.rnr :1076 !l rh. Lnlar (ndc.d,r*a
atgdlAllol
I hdrby .ilinn unds pqaly o I Fdjry I licds€d und6 prori.ion ofChaplq 9 (coto!n6.ing $nh S.clion 7000) olDi!isio.l
ol rh. ausinss md l'rolessioN Codc, dd,nyli.croc is in full lorce dd.fli.r
C\O C L(S u(L(61b
\2S S \€S
I hen6y .mi!n nndq pcmhy ol rdjury
,sru.d (S< 1097, ( iv C.).
nsrrudion kodins 0Bdcy io! the psaom@c€ olrh€ sork lor $hi.h thG psrh is
APPI ICAN T}'CLARATION
I hE ny aflim undq poalry ot pdjuy one of lh€ tollowi.s d€larar ions
D.nDlition Ps,nils-Asbdtos Noliiic,l ion l_.dsal Rcsulalions(T lc'10, Pan6)
Requncd L.lls of NorifLarion
are nor appl'.abl. ro rnis pmjdr
iomarion is cotrcr I asrE ro .ornply Nilh all Cny ud Cou.ry
aurho.izc reprenlal iv6 o llhis City md County lo dr6 ulrh lh€
/71) tL
dl
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenVlnsulation
Roof Sheathinq
Shear Wall
Framing
lnsu lation/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL f[ t"t\r:.Ultr4/tE.
Certificate of Occupancy
Notes, Remarks, Etc.
DATE
Set Backs
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