HomeMy WebLinkAbout10198617 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702 BuildinCity of Santa Ana
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Address Range: 2701-2717
Historic: No
g Permit #: {O{98617
Pin #: 338OO
Suite Range:
Zoning: C2
Project Address: 2717 S Main St
Assessor's Parcel: 016-053-03 Lot. NA
Unit:Bldg
Block: NA Tract: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use.
Commercial
Alteration
Roll Up Door
Commercial
Occupancy:
Constr Type:
Code
Flood Zone'.
# of Stories:
B
V B, SPK
cBc 2016
x-0602320278J
1
1st FL Area
2nd FL Area
Other Areas:
Patio:
T.l.Area:
Yards Req'd 0@0
Description of Work: Construct new exterior opening. Auth on file.
Garage Area Valuation: $5;000.00
: ,, , , :l ;
Total 0 i!,i . ,::
l: "
Fnr ci i n iiesi s i' nv i
Planning Conditions:
ree \ !.J,t-ts
Owner:
Address:
Phone:
Tenant
Dean Mestafavi
1923 E Deer
Huntington Beach, CA 92648
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer.
Address:
Phone:
License #:
rJ ],
23 Orchard, #?50
Lake Forest; ,CA,92630 i
(949) 20619929 :
s3812 : i
Kemmerer Design Architecture
Marcus KCtnnrerer I r:
228 Crest Av
Huntington Beach, CA 92648
(7141 6s5-3139
c-29s52
$i.[r[r
urI.t+
'I.l . 4u
*,154. Ei
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
Pezeshkpour, Ali
Ahangian,
Zuniga, Allissa
Date: 0112412019 Misc. Receipt:
Date: 0210712019 Misc. ReceiPt:
Date: O2l11t211g Misc. Receipt:
Subject to Field:
Noyes Account#
01 1 16002 51601
01 1 16002 51612
01116002 57770
08901001 24000
71881
Total
07776002
0 77760 0 2
07776002
08907007
07776002
07776002
07776002
s7607
53600
57770
24000
57672
s7600
57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$160.25
$444 32
$15 04
$1 40
$1.00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within180 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 180 days after
the time the work is commenced.
$22.08
$215.29
$1.00
$15.04
$1.40
Fee Totat
Paid to Date:
Balance Due:
$699 1 3
$444.32
$254.81
Inspector MID#: 2018-148192
51
& Assoc
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affum undcr pcnalty ol Frjury thd I m cxcmpt t'rum thc Conlraclon' Liccnsc tlw for lhc followinS rcasn (Sbc.70ll.5
Business anl Profcssion Cillc): Any City or County which rcquircs a Frmit lo construcl, allc( imprcvc, demlirh or rcl[ir any
slruclurc. Irk r to ils issuarcc, also rcquircs thc applicanl lbr such pcmit lo lile a signcd stalcmnt lhat he or she k licensd puFuel
t(, thc pn vlsions of thc Contraclor's Liccnsd law (Chaptcr 9, Commencing with Se-tbn 7fiX) of Division 3 of lhe Busircss dd
Pnrfcssions Codc) or that he or shc is cxcmpl thscliom od lhc basis for thc allcgcd crempltun. Any violation of Scatbn 703 1.5 by any
applicant lbr a tEmit subjccts lhc applicant to a civil pcnalty of not mrc lhan five hundrcd doll[s (S500).
_1, as owncr ol'the pn)pcrty, or my cmployccs with wagcs as thcir solL'conrpcnsation, willdo tlrc work antl thc stru,cture ls not
intcntlcd rlr otlcrcd for salc (Scc.7(X4. Busilrcss and Pnrl'cssions Codc: Thc Contraclor's l-icense [-aw docs not apply lo an owncr ol'
thc pnlJrc(y who builds or inrprovcs lhcrcon, anrl who rJrrcs such work himsclf or hcrscll'<lr lhnlugh his rlr hcr own employccs,
providcd that such impnrvenrcnls :rrc not inlcndcd rlr ollbrcd ftrr salc. lt, howcvcr, thc huikling or inrpnrvcnrcnl is sokl within onc year
of conrplclion, thc Owncr Buildcr will havc thc hurrlcn of pnlving that hc <lr shc did not huild or intprovc lhc pnrpcrty fbr thc purJxrscol'
salc).
_1, as owner of thc propcrty, am cxclusively cuntracting with licenscd conlraclors lo construct lhc pnrjc'ct (Scc. 7M4, Busincss
and Pnrtbssion Ctxlc: Thc Contraclrlr's Liccnsc Law docs not apply to an owncr ol'propcrty who huilds rlr improvcs thcreon,
and wlro contracts tirr such projccts with a Contraclor(s) liccnsed thc Contract<lr's Liccnsc Law).
_l am exempt undcr B. & P.C. lbr
a.
ft^ a ^.2-_\ \ _ t1
I hcrchy all'irm undcr Jrcnalty ol'1*-rjury onc ol'thc lirlkrwing dcclaralions:
_lhavcrurdwillmaintainaCcnilicatcol'ConscnlloScll-lnsurefbrworkcrs'comlrcnsation,as providcdtilrbyScctklnJT00ofthc
Latxrr Ctxle, for thc grcrtirrnrancc of lhc work lirr which thc Jrcrmit ls issucd.
_l havc and will maintain workcrs' cornpcnsation insurancc, as requircd by Scclion -17(X) ol'lhc Labrlr Codc, lilr thc perttlrmancc of
thc wrlrk lilr which this pcrmit is issucd. My workcrs' compcnsalion insurancc carrier urd Jmlicy numhcr arc:
Policy Number: Expires:
_l ccrlity that in the Jrcrlilrnuncc of thc work lirr which this pcrmit is issucd. I shall nol cmpkty any lrcrson in any manner
so as to bccome subject to thc workcrs'conrpcnsation laws of Calilbrnia.
workcrs' comJrensation pruvisions ot'Scclion .17fi) ol'thc Latxlr CrxJe. I
thal il'l should hccomc subjcct to thc
with ttxrsc pnlvisions.
IYARNING: Failurc to sccurc workcrs' comlrcnsalion covcrasc is shall subjcct an cmploycr lo criminal penaltics antl
civil lincs up to one hundrcd thousand dollars (S100.(Xn), in addition cost ol'conrJrcnsation, damagcs as providcd tilr the
:":2x
of the Latxlr Ctxlc. inlcrcst antl attorro-y's l'ccs.
-\(- t<i
I hcrchy al'lirm unrlcr pcnalty ol'pcrjury thal t anr licenscd undcr pnlvision ol'Chaptcr 9 (comnrcncilrg with Scction 7UX)) of Division J
of thc Business and Prol'cssions Codc, and my liccnsc is in firll tbrce and ctlcct.
Liccnsc Class: License Numbcr:
Dale: Conlractor:
W
I hcrcby alftrm under lEn{lty of [Erjury that thcrc is a conslruclion hndin8 aScncy for lhc lErlbrroncc of lhc M)rk lbr which lhis lEmit is
issucd (Scc. J(x)7, Civ. C.).
lrndcr's Namc:
[,cndcr's Address:
APPLICANT DECLARATION
I lrcrchy allirm undcr pcnalty ol'pcrjury onc ot'lhc tirlklwing dcclarations:
Dcrrxllition Permits-Ashcslos Notil'icatiorr l:cdcral Rcgulations ('fitlc 40, Pan6)
_Rcqu ired Let ter ot' Not ilicat iorr
_l ccrtit_v that thc l'cdcral rcgulalions ashcstos rcnxrvalitrc not applicahlc lo this projcct.
_l certity that I havc reatl this application that lhc ahrve intilrnralion is correcl. I agrcc to comply with all City antl Counly
rlrdinanccs and Statc Laws relating to anr.l hereby auttxlrizc rcprescntativcs o[ this City ar! County to enlcr uJnn lhc
ahrvc nrcntioncd propcrly tirr
Applicant or Agent
Pennitee nanre cl;
rL..a. a- -t\-\1
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu Iation
Roof Sheathing
Shear Wall
Framing
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lVasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I I .l ,4,
FINAL L n 5ruJ L-/
Certificate of Occupancy -I T T
Notes, Remarks, Etc.
'lt
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