HomeMy WebLinkAbout101102014 - PermitProject Address: 3 E Hutton Center Dr
Assessor's Parcel: 411-092-38 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: SD76Block: NA Tract: NA Historic: No
city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11O2O14
Pin #: 85eo\.1
Building User comme.clal Occupancy: S-2 1sl FL Area Palio:
Job Type Altsration Constr Type I A, SPK 2nd FL A.ea T.l.Area:
Natue ot Wo.k Ev ch.rgera Codq cBc 2016 Other Areas yards Reqd
Existing Bldg. & UEe: Commorciatrofiice. Flood zone: x.060232027EJ carage Aree v.tuaflon: l2E,OOO.oo
Proposed Usq # of Stories:
Totat
D.scription ot Work EV ch.rgors for pdvato uso on (il) €{.ting.talla. Soe the l.tle. in tho addrs$ flle.Auth on fil.
i!nt..:i,a\!:,lti], i1 i:..ji_rii 1i| l,
Planning Conditions:tlf f ice: (:TYH
A,-rl r :
Tr'nn si 3 6?
D^fl.{ fi{ { r-r'-,r-
,Owner:
Address:
Phone:
Tenant
Cypress 3HS LLC
3 Hutton Center Drive
Santa Ana, CA 92707
Contractor: ABM Electrical & Lighting S,
Address: 14202 Franklin Ave
Tustin, CA 92780
Phone: (949) 888-2340
State Lic #: 967676
Lic Type: B, C-10
Bus. Lic #: 340343
Workers' Compensation lnsurance:
Carrier: lndemnity lnsurance Company on
Policy #: WLR C65895857
Expires'. 1110112020
Engineer:
Address:
Phone:
License #:
Architect /
Designer.
Address.
Phone:
License #:
Rcpti: il2$06343 II/ 13/2tr19 11 ;2? An
Tronsnct i on Tota I t66tt .4I
ABH Electricnl & Lishting $olu
J
ABM Electrical & Lighting Solutions lnc
14202 Franltlin Ave
Tustin, CA 92780
(949) 888-2340
fi??.?
$?30. {i
$3.5
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd.
Pezeshkpour, Ali
Heidari, Fred
Hernan dez, Kathy
Date: 1111312019
Date: 1'111312019
Date: 1111312019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:$,
l.to
No
No
No
tSfl
0771,6002 53600 Plan Check Fee $230.87
07776002 57770 Microfilm Records $3.91
07776002 s7672 Bldg. Stds. Revolving $2.00
077L6002 s7600 General Plan Update $22 95
07776002 5L60L lssuance $57.20Fire Insp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
Account#Total
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#: 2019-155429
$22.95
$223.73
$2.00
$230.87
$3.e1
Fee Totat
Paid to Date:
Balance Due:
$483 46
$0 00
$483.46
{{
BUILDING- INSPECTOR RECORD
SITE.WORK DATE !D/S!G.COMMENTS OWNER BUILDER DELCARATION
I hereby amrm unds pqalty of psjury that I on exempt film the Contraclorc' Lic@sc taw for the following,rwn (Se.7031.5
Businos and Profession Code): Any City or County which requirG a pqrnit to construct, altq, improvq donolish or repair uy
structue. prior lo ils issumcc. also requirc the applicilt for such pennit to filo a signed statmflt thal h. or she is licoscd pmuilt
to the provisiore of the Contractor's Liccnscd Larv (Chapts 9. Commmcing rvith Sation 7000 of Division 3 of the Busine md
Profsions Codc) or that hc or shc is cxempt thecfrom md the basis for Ihe allcgcd cxmplion. Any violation of S€tion 70-l1.5 by my
applicot for a pmit subjels lhe applicot to a civil pcnalty of not mor. the five hundred dollus ($500).
__1, as owner of the propefly. or my emplolces with rvages as their sole compensation. rvilldo the rvork and the structure is not
intended or offered for sale (Sec.7M4. Business and Professions Code: 'I'he Contractor's License Larv does not apply to an orvncr of
the progxrty, \\'ho builds or inrproves thermn. and rvho does such u'ork hirnself or herself or through his or her orvn employees.
provided that such improvanents are not intendcd or ofF€red for sale. I[, horvev'er. the building or improvemert is sold wilhin one year
of cornplaion. the Orvner Builder rvill have the hrden of proring that he or she did not build or improve the property for the purpose oF
sale).
-1.
as owner of the property. am exclusively contracting rvith licenscd contractors to construct the project (Sec. 7M4. Business
and Profession Code: The Contractor's License Law' does not apply to an owner of property who builds or improves thereon.
and rvho conlracts for such projects s'ith a Contracto(s) licensed pursuanl to the Contractor's License Larv).
-larnexemptunderSection-B.&P.C.forthisreason.
l)al c:()rr ner:
WORKER,S' COIITPENSATION
DECLARATION
I hereby affrrm under pcnalty of perjury one of the follorving declarations:
__l have and rvill maintain a Ccrtificate ofConsent to Self-lnsure for workers' compensation. as provided for by Section .1700 of the
Labor Code, for the p€rformance of the work for rvhich the pennit is issued.
_l have and rvill rnaintain workers' compensation insurance. as required by Section -1700 of the Labor Code, for the performance of
the work for which this pennit is issued. My rvorkers' conrpensation insurance carrier and policy number are:
c**futdLa4,l,/a/q-&z-t-M
'oricy
Nunber: db-R-4d2 ? q g f 5Z' Expires: ll//p---(
-l
cqrify lhat in thc pcrfr,nnance of the uork for which this pcrrnit is issued. I shall not qnploy any ;rcmn in any mancr
rc o to bccomc subjet to the rvo*m' compoution laws of Califomi.. dd agre that if I should beomc subjsl to the
u,orkc' compastion prcvisioN of Scction 3700 of thc tibor Code. I stnll. fonh$ith comply with thos pmvisioN.
WARNING: Failurc to surc riorkeN' omFmsation covoage is unlarvful, od shall subjct u mploya to qimiml pcnaltics ild[
civil fincs up to one hundrecl thousand dollars ($100.000). in addition to of darnages as for the
Section 3076 l-abor interest and attorney's fees.
I hereby afllrm uncler penalty of pcrjury that I arn license<l under provision of Chapter 9 (commencing rvith Scction 7000) of Division -3
of thc Business and Profcssions Code. and rny license is in full force antl eflect.
License ('lass:C -'/O License Number:7
7
CONS TRUCTION LENDING AGENCY
I hereby aflinn unde penalty of pcjury Ihat th6c G a consruction loding agmcy for thc Jufomocc of Ihe work for trhich this pcmit is
issued (Sec. 3097. Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT DEC LARAI'ION
I lrreb/y affrnn under penalty of perjury one of the follow'ing de<larations:
Dernolition Pcrmits-Asbestos Notification Federal Regulations ('t'itle 40. Part6)
-Required
Letter of Notification
-l
cdiry that the fedaal rcgulations rcguding abGtos rmoval trc not applicablc to this prcject.
-t
cerrify that I have read this application ild stat. that the abovc infomation is conect. I agc to comply with all Cityand County
ordinancB and Statc Laws rctating to building conslruction. ud hqcby au(horire re?remtativs of this City md County to otd upon tlrc
above mentioned property for inspection
,\pplicartl or Agcnt Date:
Pernritee nRme
illAu
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUI n s u Iatio n
Roof Sheathing
Shear Wall
Framing
!nsu !ation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL fl-?l-F)ile'q ^Certificate of Occupancy
Notes, Remarks, Etc.