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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.