HomeMy WebLinkAbout101102445 - PermitProject Address: 2001 S Main St Unit:Bldg:Address Range: 2001
Historic: No
Suite Range:
Zoning: ClAssessor's Parcel: 403-164-01 Lot: 1,17, POR 2 Block: B Tract: 284
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01102445
Pin #: 21545
Building Use
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Commercial
Revision
Revision
Commercial
Occupancy:
Constr Type:
Code
Flood Zone'.
# of Stories:
B
VB
cBc 2016
x-0602320276J
1st FL Area
2nd FL Area
Other Areas.
Patio:
T.l.Area.
Yards Req'd
Description of Work: Revision to 10197198 - relocate ADA restroom
Garage Area Valuation:
Totat
Dtib t:orrstrucL ionPlanning Conditions:
tr
Owner:
Address:
Phone:
Tenant
BANK OF AMERICA NT & SA ASSE Contractor: Deb Construction
NCl-001-03-81 Address: 2230 E Winston Road
Charlotte, NC 282550000 Anaheim, CA 92806
Phone: (714) 632-6680
State Lic #: 372419
Lic Type: B
Bus. Lic #: 159001
Workers' Compensation lnsurance:
Carrier: OLD REPUBLIC INSURANCE COM
Policy #: MWC31521819
Expires: OSl31l2O2O
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Il icrol i lm & Documents
r_r I I l611112- fi77 7tJ[[rr-
Visn
C(:+ : r****r*****x630lr
$11.7;5
$33S " 7.5
Auth*:t-tttll9.I/r
,U
Nelson/Nelco Architecture lnc
30 W Monroe St, Suite 200
Chicago, lL 60603
(3121 263-660s
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd. No
Orozco, lvan
Heidari, Fred
Zuniga, Allissa
Date: 1210212019
Date: 0110212020
Date. 0110212020
Subject to Field:
01 1 16002 57770 $1 1 .73
07776002 57770 Microfilm Records
07776002 53600 Revision
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
73854
Total
$1 1 .73
$230.87
$0 00
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#
Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,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#: 2018-145049
$242.60
$230.87
$1 1 .73
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aftirm undcr lEnally of Fr.iury that I m crcmpt fR,m tlE ConlracloF' Li(nrc Law li)r thc fotlowirg rcaen (Se.to.tl.5
Busincss arl Profcssion Cole): Any City or Counly which rcquircs a lEmil to conslruct. altcr. improvc, dcfrrlish or rcpair any
structurc. pri(rr to its issuancc, alro rcquircs thc lpplicant for such ltmit to filc a si8ncd slalcrent that lE or shc is liccn$d pursuet
to thc pn visions of thc Contractor's Licensd kw (Chaptcr 9, Commcreing wilh Scclion 7000 of Division 3 of thc Busincss and
Prulessions Cqlc) or lhat hc or shc is erempt lhscfiom and thc basis f(rr thc allcScd cxcmption. Any violation of Scctitn ?01 I .5 by any
applicant for a lrrmil subjets thc applicsnt lo a civil pcnally of not morc than fivc hundrcd dolles (5500).
_1, as owncr of'thc propcrly, or my cmpbyecs with wagcs as thcir sole compcnsation, will do thc work and thc stru,cture is not
intendcd gr gffcrcd tirr salc (Sc.,c.7044, Busincss and Prol'cssions Crxlc: Thc Contractor's Licensc [-aw rJoes not apply to an owner of
thc pn)pcrty wlxr builds or inrpnrvcs thercrrn, arxl wtxr docs such work himsclf or hcrsclf or thK)uEIh his or hcr own empkryecs.
providcd tlrat such irnprtverncnts arc not intcnded rlrofi'cred lirr salc. Il, howevcr, thc building or improvcrncnt is sold wilhin onc ycar
of complction, thc Owner Builder will havc thc burdcn of pnrving that hc or shc did rxrt buikl or improve thc pnrpcfy tirr thc purposc of
sah).
_1, as owncr of thc property, am exclusively conlracting with liccnsed contraclors to construct thc projcct (Scc. JOdd, f,usingss
arxl hotession Codc: The Contractor's Liccnse Law docs not apply to an owner o[ propcrty who builds or improves thercon,
and who contracts for such projccts with a Contractor(s) licenscd pursuant ltt thc Contractor's License Law).
-Iamcxemr,tundcrScctittn-'B.&P.C.lilrthisrcason.l)ale:
}VORKERS' COTIT PENSATION
DECLARATTON
I hcrcby atTirm under Jrcnalty of prjury one of the lillkrwing dcclarations:
_lhavcanrlwillmaintainaCcrtiticatcofConscnttoSclt-lnsurctilrworkcrs'conrJrcnsalion,as providcdtbrbyScctirtnJT00ofthc
Labor Crxlc. lbr the pcrtilrmancc of the work filr which the Jrcrmit is issuetl.
_l havc antl will maintain workcrs' compensation insurancc. as rcquircrl hy Seclion 17fi) of lhe Labor Code, lbr the Jrcrlilrmancc of
the work ftrr which this permit is issucd. My workcrs' compensalion insurance carrier anl pllicy numtrcr iue:
Policy Numbcr: ExPircs:
_l ccrrify that in thc pcrtilrmance of thc work lilr which this;rcrmit is issuctl, I shall not empltly any lrcrson in any manncr
so as to bccomc subjcct to thc workers' com;rcnsation laws of Calilirrnia, and agrec that if I should bcctlme suhjcct to thc t
workcrs' compensation provisions of Section 17fi) of the L-ahrr Crxlc. I shall. tilrthwith comply with thttse provisions.
WARNING: Failurc to secure workcrs' compensation covera€rc is unlawful. and shall suhjcct an employcr to criminal Jrcnaltics'and
civil tincs up to onc hundrcd thousand rlollars ($l(n,UX)), in atldition to thc cost of compensation, damages as provitlcd ti,r thc
Section 1076 of the l-abor Ctxle, intcresl and attorney's fccs. r,
I lda^.
LICENSED CONTRACTOR
DECLARATION
I hcreby aftrm undcr pcnalty of pcrjury that I am liccnscd undcr pnrvision of Chapter 9 (cummcncing with Section 7000) of Division 3
of the Business and Pntfbssions Code, and my licensc is in l'ull tirrce and ctl'cct.
Liccnse Class: License Numbcr:
CONSTRUCTION LENDING AGENCY
I hcrcby affirm undcr Jrcnalty of lErjury that thm is a onstructirn lcndhg agcncy for thc JErf(rrmrec of thc wrrk lirr which this JEmit is
issucd (Se. 309?, Civ. C.).
lrntler's Namc:
l,enrlcr's Addrcss:
APPLICANT DECLARATION
I lrcreby atlirm untlcr penalty of 1^*rjury one of the lblklwing dcclarations:
Demolition Permits-Asbcstos Notification Fcderal Rcgulations (f itlc 40, Part6)
-Rcquircd
l-cttcr of Nolitication
_t ccrtiti that thc t'cdcral regulations rcgarding asbcslos removalarc not applicablc to this projcct.
_l ccrtity that I havc rcad this application altd slale that thc with all City and County
and County to enter uJnn thcordinanccs and Statc [-aws rclating to
atxrvc mcntioncd prolrcrty tbr
Applicant or Agent
l)cnnilee n$nrc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu latio n
Roof Sheathinq
Shear Wal!
Framinq
lnsu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Jt/asonrv
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
It
FINAL Ststu llrrnp ')++x7
Certificate of Occupancy l
Notes, Remarks, Etc.
*ri l-?')o