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Home My WebLink About101101192 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 AY Permit #: 1O11O{ 192 Pin #: 63403 Project Address: 5015 W Edinger Ave Assessor's Parcel: 108-381-25 Lot: NA Block: NA Unit: G Bldg: Tract: NA Address Range: 501 5-5127 Historic: No Suite Range: Zoning: C1 Building Use: Comm.rcial Occupancy: t lsl FL Area Patio: Job Type Tonant lnprcv.nent Consk Typ€ V B, SPK 2nd FL Area T.l.Area: 648 NatuEof work Tt code: cBc 2018 other Areas ya.ds Reqd o@o Existing Bldg. & Usq Comm.rciauR.atau..nt Flood Zone: X.0602320256J proposed us". R.at.u,ant # of stodes: Garage Area valuatlon: 324'000'00 Totat 0 Dsacdption ot Work Lagaliza lhe combination of units G & H to oxpand oxisling sandwich shop. Tl yrilh psnition walls to croat6 e front counter, ceshiar, & customer saating. NOTE: Per PW momo, a gEvity gl.aae inlerceplor is not Eq'd. Planning Conditions: Owner: Address: Phone: Tenant Philip Miller 5015 W Edinger Ave G Santa Ana, CA 927041966 (310) 43s-e766 TAN HOANG HUONG FOOD TO G( Contractor: H LS Electric Address: 1509 N Ross Street, Apt D Santa Ana, CA 92706 Phone: (714I- 955-8980 State Lic #: 963886 Lic Type: B, C-10 Bus. Lic #: 338870 Workers' Compensation lnsurance: Carrier: STATE COMPENSATION INSURAN Expires: 0711112020 BDP Engffioilfif ,m663 fill0/2rJn ID: [-r(tl!irii l-:l BauPha0ff ice: CTYH Tronsi: ltt i tit :l 1 3902 naegOlHvd. . #2A Ref t : 1l-l I I t-l L 1't) / Garden dfdbl !_ff 328$1, "i tt' / to / 20 I I -i[i i; ri' r i (soe) s3slfdufocc I on C60087p L S Electric Engineer. Address: Phone: License #: Architect / Designer: Address: Phone: License #: Generol Plsn Updote Fee trl I16002- 516t10000- Buildins 01116002- 51601000- Bldg Stds Revolv i ns 0l t 16002- 516121100-llirnnf ilr t Dnrrnrent-q. |22. ?5 ,22'';.6S $1 . [t[r t3-91 07L76002 51,60L Permit Fee 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 So, Anson Hernandez, Kathy Date: 10110/2019 Date: 10/01 12019 Date: 1011012019 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt. 07776002 07776002 07776002 07776002 07775002 Plan Check Fee Microfilm Records BIdg. Stds. Revolving General Plan Update I ssuance $ 168,.48 $233 28 $3.e1 $1.00 $22.95 $57.20 $486.82 $233.28 $253 .54 73368 Total s3600 57770 57672 57600 57607Fire lnsp. Req'd: Police lnsp. Req'd No No Account# 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 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. 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 $22.es $22s.68 $1.00 $3.e1 Fee Totat Paid to Date: Balance Due: lnspector MID#' 2019-153826 BUILDING. !NSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hseby amm unds penalty of pojury that I m qmpt film the Coilraclo6 Licmre law for thc following rcen (58.7031.5 Businss and Profsion Code): Any City or Coumy which rcquira a pmit to comrud. allq. improvq dernolish or rcpair my structure. prior to its isumcc, also rcquirG the applicant for such pmit lo file a signed statcmqt that hc or shc islicffcd psuant to the provisions of the Contmtor's Licensed Law (Chapter 9. Commencing wilh Sstion 7000 of Division 3 of the Busin6s atd Prcfe$ions Codc) or that he or she is umpt thsefrom ild the basis for the allege<l excmption. Any violation of Scaion ?031.5 tf, any applicant for a pemit subjsts thc applicilt to a civil penalty ofnot more lhil fivc hundred dollm ($500). _1. as o\\,nef, of the property. or my employees with wages as their sole compensation. willdo the rvork and the structurc is not intended or offered for sale (Sec.7044. Busines and hofessions Code: The Contraclor's License Law does not apply to an owner of the property who builds or improves thereon. and rvho does such wort himself or herself or through his or her orvn employees. pr ovided that such irnprovanents arc not intended or offered for sale. If. horvever'. lhe building or improvente'nt is sold within one year of completion. the Orvner Builder will have the burden of proving that he or she did not build or improve the propoty for the purpose of sale). _1. as owncr of the prop€rty. am exclusively contracting s'ith licensed contraclors lo construct the project (Sec. 7M4. Business and Profession Code: The Contractor's License Larv does not apply to an o$,ner of property rvho builds or improves theretn. and rvho contracts for such projeds with a Contracto(s) licensed pursuant to the Contractor's License Larv). I an exernpt under Section- . Il. & P.C. for this reason. I)atc:( )rvner: WORKERS' CONT PENSA'TION DECLARATION I hereby affirm under penalty of po'jury one of the follou'ing declaratiors: ._l have and will tnaintain a Certillcate of Consent to Self-lnsure for workers' compensation. as provided ftrr by Section 3700 of the Labor Code, for the perfonnance of the rvork for which the pcrmit is issued. _l have and will rnaintain rvorkers' compensation insurance. as required by Settion -1700 of the Labor Code. for the perfonnance of the u'ork for which this permit is issued. My workers' cornpq$ation insurance carrier and policy number are: Carricr: t)1riic1 Ntrntbct : lrrPil g5' _l cerrify that in the perforrnance of the rvork for rvhich this perrnit is issued. I shall in any rnanncr so as to ber'orne subject to the u'orkets' compensation larvs of California. and agree that if to the rvotters' cornpersation provisions of Section 3700 of the l.abor Code. I shall. forths'ith WARNIN(): Failure to secure rvorkers' compensation coveraBe is unlas'[ul. and shall to crirninal panalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of as provided for the Section 3076 Code. intcrest and attorney's fees. 1 DECLARATION I hcreby alllrm under penalty of perjury that I arn licensed under provision of ('rvith Scction 7000) of l)ivision .l l.icerrsc ('lass:License Nurnber: [)ate:0//Contrtctot, L (]ONS'I'RUC'[ION I,ENDI N(; AG I.:N('\' I heeby aflirm undo penaty of psjury thst th@ is a congructiori lending agmcy for thc pqfomilce of lhc work for rvhich this pqmit is issued (Sec. 3097. Civ. C.). Lender's Narne: APPLICANT DECLARA'TION I horry aflinn under penalty of pcrjury one of the follorving dc.clarations: Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6) -Required Lelter of Notification -l cerrily that the federalregulations regarding not applicable to this project. _l cedify that I have read this application and ordinances and State [au's relating to building above rnentioned property for inspection Applicant or Agent Signature: S Pernritee nrme (print):_ purposes. Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/Ve nUl n s u !atio n Roof Sheathing Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif. -/r^ FINAL 4t'{b 1 M Certificate of Occu Notes, Remarks, Etc. \\ brr- of thc Business and Professions Code. and my licen-se is in full force and effec't. Lcnrlcr''s Adrlrcss: