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Home My WebLink About101101884 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 lnspectorSection: (714)647-5853 Permit #: 1O11O{884 Pin #: 32.1R1 Proiect Address: 1917 E Occidental St-a- - Assessor's Parcel. 403-033-04 Lot: 2 Unit:Bldg Address Range: 1907-1919 Historic: No Suite Range: Zoning: MlBlock: NA Tract: 6594 Building Use lndustrial Job Type: Alteration Nature of Work. Storage racks Existing Bldg. & Use: Industrial Proposed Use: Description of Work: lnstall storage racks - 4271trW oN flLe Planning Conditions: Occupancy: Constr Type. Code. Flood Zone'. # of Stories: F-2 V B, SPK cBc 2016 x-0602320277 J 1 1st FL Area 2nd FL Area Other Areas: Patio: T.l.Area: Yards Req'd Garage Area Valuation: $35,000.00 Totat JLB Ing,tnl lnt ions Inc dbn JLB Owner: Address: Phone: Tenant Boyd Enterprises 1946 E Edinger Ave Santa Ana, CA 92705 (8011 243-7466 HD Supply/White Cap Contractor: JLB lnstallations lnc dba JL Address: 37451 Pippin Place Palmdale, CA 93551 Phone: (818) 298-2915 State Lic # 1053783 Lic Type: C-61 , O-24, D-34 Bus. Lic #: 374406 Workers' Compensation lnsurance: Carrier: Security National lnsurance Comp Policy #: SWC 1248874 Exprres. 0811112020 Rack De$em*ffiSocnriDedQt *: F er: Garnik Ohf 0i,ml:t?- i I 6r_u:r[tlu:r- 412 W Bftedldafr#z04 Gtendateit&h16il[04: i L 6t-t I ttttt-t- q1 :114f,{?,t1,1: [l I? l::i,[:c05352+1irrr' cl i i rrr,1, Do,::trffier, t' 1: irl 1 16ru_t7-. i777 t-tt-t[t[t-- 511I F, tt S 9 [t 1 t:t t"t 1 - 7 4t-n -t[t [tt-t[t -- llnEtrlr {:ttrC (:{.+ i r,t*r**ti***li *L7 4fi Engineer: Address. Phone: License #: Architect / Desiqner: Address: Phone: License #: s6i Auth*:53t-tS8t' Planning Approval By: Plan Checked By: Permit lssued By: \0( NPDES lnsp. Req'd: ' No PWA lnsp. Req'd: No Planning lnsp. Req'd. No Landscaping lnsp. Req'd: No Soto, Ricardo CSG Consultants Hernan dez, Kathy Date: 1011712019 Date: 1111212019 Date: 1112112019 Subject to Field: Account# Misc Receipt Misc Receipt Misc. Receipt 07776002 07776002 07776002 08907007 07776002 07776002 07776002 57607 53600 57770 24000 57672 57600 5760 7 7365 1 Total Permit Fee Plan Check Fee Microfilm Records SMIP - Category 2 Bldg. Stds. Revolving General Plan Update lssuance $166.s3 $461 74 $31 28 $e.80 $2 00 $22 9s $s7 20 Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Ceil. Req'd Yes No No Every permitissued shall become invalid unless the workon the site authorized by such permit is commenced within 360 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 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 08901 001 24000 $22 es $223.73 $2 00 $31 28 $e 80 Fee Totat Paid to Date: Balance Due: I $7S1 50 $461 74 $28e.76 lnspector MID#: 2019-155221 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS owNER lltJ I l.l)l:R DEL('AR,\ l'lON I hqeby afftrm unde penalty of perjury that I m qempt from thc Contracto6' Licme Law for the fotlowing rcffin (Sc.70-l1..5 Busines and Profeion Codc): Any City or County which rcquirs a p6mit lo coNtrucl, altr. improve, donolish or rcpair any structue, prior to its isuuce. also rcquirG thc applicat for such pennil to file a signed statmot lhat he or dle is licmred ptmust to the provisiore of the Contractor's Liccnscd Lrw (Chapt6 9, Commmcing with Sction 7000 of Division 3 of the Busins od . PrcfsionsCode)orthathcorshciscxmptthrcfromildthebosisforthcallcgcdexmpion. Anyviolariof,ofSdionT03l.5byany applicant for a pmit subjGts thc applicant to a civil pmlty of not more thd five hundrcd dollus ($500). _1. 6 owner of thc propsty. or my mployc with wag6 6 their elc compwlion. will do thc work aad the structrc is not inrqrdcd or offscd foi elc (SG.?044. Buine md kofruiom Codq The Contractor's Licosc law dos not apply lo m oms of . thc Eop.fly who builds or improvs tlson. od who doc such \ror* himsclf or hfficlf or thrcugh his or htr om cmploy6. provided that such improvoots rc not iltodcd or off<cd for slc. tf. ho16'q. the boilding or imJrovmt is mld u'hhin onc ya of complaion. thc Ormo Buildq will havc rhc budfl ofprcving that he or she did mt build or improvc thc ptopqly for thc purposof ele). _1. cowns of the propsly. m exclNivcly contractinE with licmsd contmctoElo coNtrucr lhc prajet (Se. 7044. Bsios ed Prof6sion Code: Thc Contmctor's Liccnsc Law do6 not apply to u o$nd ofpropcny who builds or improl'6 thq@n. and who contmcts for such trojds with I Contraclo(s) licscd pmwt to the contraclor's Lic6c I2w). -l an excmpt under Section--. B. & P.C. for this reason. Date:_Owner:_ WORKERS' COI}IPENSATION DECLARATION I hereby afftrm under penalty of perjury one of the following declarations: _l have and rvill maintain a Certificate of Consent to Self-lnsurc for workers' compensation. as provided for by Section 3700 of thc l-abor Code. for the perfonnance of the work for which the p,ennit is issued. _l have and will maintain workers' compensation insurance, as requird by Section 3700 of the Labor Code, for the work for rvhich this permit is issued. My w,orkers' compensation insurance catrier and policy numkr are: S., eq/ c \-( N o-\roq- [(a11igr. \-,- --. ' \E--:-- trtr.,-policy Nr,,.uu, SLI C \t'q Etq Expres: : the performance of _l ccnify that in the perforrnance of the rvork for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should becotne subject to the . rvorkers' compensation provisions of Section -3700 of the Labor Code. I shall. forrhn'ith cornply rvith those provisions. WARNING: Failure to sccure $,orkers' compensation coverag,e is unlarvful. and shall subject an onployer to crirninal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damagcs as provided for the Section -3076 of the Labor Code. interest and attorney's ,\ I hereby alTirm under penalty of perjury that I am licensed under provision u'ith Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and License Ct"rr, ( ,rr", t'W IC)379\ (rontracto',J4 I hereby affirnr under penalty of perjury that there is a conslruction lending agency perfonnance of the rvork for rvhich this pennit is issued (Sec. 3097. Civ. C.). Lender's Name: API!,ICANI.DECT.ABAIIAN I hqlby affim unds pcnahy of pajury onc of thc following dslsrations: D@olition Pqmit$Asb6tos Notificstion Fcdcal Rcgulations (Titlc 40' Part6) -Requircd Lâ‚¬tts of Notificarion m.l cqtify that the fcdaal regulatiom rcgrding rbstos rmovsl ue not applicablc lo this pmjcd. _l cGtify thst I havc rad this application ud statc that the abovc infomation is colrcl. I agrc to comply with all City md County ordir"n"o'-d Strt. t * rchting io building construclion, md hqcby authorizc reprefltalive of this City sd County to 6tq upon thc above mentioned propetty ftlr inspection ,r,., tt/tApplicant or Agent Signature: Permitec nrme (print):_L vrSlo\\-t rd^J l,q Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/VenUl n s u lation Roof Sheathinq Shear Wall Framinq lnsulation/Energy Drnruall Ext./lnt. Lath Brown Coat Masonrv Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif. FINAL l\tk.?//D4r'O(T-H6J1 Certificate of Occupancy t Notes, Remarks, Etc. Lender's Adclress: {