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Home My WebLink About101101885 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714)-667-2738 lnspector Section: (714)647-5853 Permit #: {Oll0i885 Pin #: 258OG{t Project Address: 1919 E Occidental St Assessor's Parcel: 403-033-04 Lot: 2 Unit:Bldg Address Range: 1907-1919 Historic: No Suite Range. Zoning: M1Block NA Tract: 6594 Building Use: Job Type: Nature of Work. Existing Bldg & Use Proposed Use: lndustrial Alteration Storage racks lndustrial F-2 V B, SPK cBc 2016 x-0602320277 J 1 1st FL Area 2nd FL Area Other Areas: Garage Area Totat Patio: T.l.Area: Yards Req'd Valuation: Owner: Boyd Enterprises Address: 1946 E Edinger Avenue Santa Ana, CA 92705 Phone: (801) 243-7466 Tenant HD Supply/White Cap Occupancy: Constr Type: Code: Flood Zone'. # of Stories 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. Rac k DeJpuri&Gtg hnelilrlr.G r Garnik Ohanian 412W Bnd#ulayit*ebt#tL iciri* Iri,:- rltici Glendale^ CA 91204 ('*Eqqqqfi[l;1' l'i u'dt,fl lii,: F r? r: C053524ui td in:l t-tI 1 15t-tti?- 516t-tL t-tt-tt-t- BIdg Sfdi: R{r','c1'r i ns ttl 1 16r:rLr?* i161 ?[tt-t[t- f'tlil 7 l-rJIIJT $ss,000.00 Description of Work Install atorage recks - 5461f Nlll o t Ftu Plenning Condition!:'i' ' ; ! i i Engineer: Address: Phone: License #. Architect / Desiqner: Address. t651 .: JLB Carrier: Security National Insurance Comp Policy #: SWC 1248874 Phone: Expires: 08t1112020 License #. rr$9011t01 - 240ttrt00tt- llqster Card $651.:,? CC+:******r**r**174S Auth*:53[t,?$F' 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 Fire lnsp. Req'd: Yes Police lnsp. Req'd. No Soto, Ricardo CSG Consultants Hernan dez, Kathy Date: 1011712019 Date: 1111212019 Date: 1112112019 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt. 07776002 0777600 2 08907007 0 77760 0 2 0777600 2 077760 0 2 Permit Fee Plan Check Fee SMIP - Category 2 Bldg. Stds. Revolving General Plan Update ! ssua nce 73651 Total 57607 s3600 24000 57672 57500 57607 $166.s3 $461 74 $e 80 $2 00 $22 e5 $57 20 Account# 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 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 $22 e5 $223 7301 116002 51601 01116002 51612 08901 001 24000 $2 00 $e B0 Fee Totat Paid to Date: Balance Due: $720 22 $461 .7 4 $258.48 lnspector MrD#'. 2019-155223 I BUILDING. INSPECTOR RECORD S!TE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARAT]ON I haeby aflirrn undo pcnalty of pcrjury that I m â‚¬xcmpt frem thc Contraclorc' l.icqrc Law for the following remn (5(.7031.5 Busin6s ild Profsion Codc): Any City or County which requirs a pmit to coNlrucl. altc. improve. demolish or rcpair oy structurc. prior to its isumcc. also rcquirs the +plicmt for such pcmit to filc a signcd statmot that hâ‚¬ or shc b licascd puNmt to thc provisiom of the Contractor's Liccnscd t:w (Chapts 9. CommcncinB with Setion 7000 of Division 3 of thc Busine$ md Profsions Codc) or that hc or shc is exâ‚¬mpt thscfrom od thc basis for thc allcgcd crmFion. Any violation of Sdion 7031.5 by any applicant for a ponit subjcts the applicanl lo . civil penalty of not morc lhm fivc huodrcd dollus ($500). _1. o orms of thc propcrty. or my employe with wag6 6 thcir mlc compqrstion. rvill do the work dd thc structrc is nol intoded or offqc{ for elc (36.7044. Bsins od Profsio$ Codc: The Contractor's Licsc tlw do6 not apply to il orvnq of the tropqty rvho tuilds or irnprove thqan. md who do6 uch wort himsclf or hmelf or thrcugh his or ha orw mployrs. providcd that such imprcmots uc not inrodcd or offqed for slc. lf. hoB'6, thc tuilding or imprcvmat b rld rvithin onc )q ofcomplction. thc Owns Buil{a will have thc hrda ofproving thd hc or shc did rct build or improvc the plopqry for the purpo$of ele). _1. asowno of thc pop6ty. m exclusivcly contracting with licensed contraclos lo conslruct thc projct (Sc. 7044. Busin* ild Profission Code: 'thc Contractor's Liccnsc Law do6 not apply to an orvnq ofpropcrty who builds or improvcs theron. and who contmcts for such Fojecrs with a Contmcto(s) licffied pu6uant to lhc (bntractor's Licw law). -l am exempt under Section-. B. & P.C. for this reason. Dnte: Owner:- WORKERS' CONT PENSA'TION DECLARA'I'ION I hereby affirm under penalty of perjury one of the following declarations: _l have and rvill maintain a Certilicate of Consent to Self-lnsure for workers' compensation. as Fovided for by Section 3700 of the Labor Code. for the pâ‚¬rfonnance of the work for which the pennit is issued. _l have and witl maintain workers' compensation insurance. as requird by Section 3700 of the Labor Code. for the po'fonnancc of the work for which this pennit is issued. My workers' compensation insurance calrier and policy numtrer are: grr1"r. S a.,Jv.-\-}\ ,'+tar\P.\ Sq^J< tZ\ Eg \t ['ixpires:e/,r I ro Policy Nutnber:_ -l certify that in the perforrnance of the work for which this permit is issue<I. I shall not employ any person in any manner :so as lo become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' colnpensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with those provisions. WARNING: Failure to serure workers' cornpensation coverage is unlarvfrrl. and shall subject an onployer to crirninal pcnalties qnd civil l-rnes up to one hundred lhousand dollars ($100.000). in addition to the cost of compcnsation. damages as provided forlhe Section -1076 of the l-ahrr Code. interest and attorney's \()t J L\b tr^e\^\\qtu,, I hereby alTinn under pcnalty of perjury that I am licensed under 9 (comrnercing w'ith Section 7000) of Division 3 of the Business and Professions Code. and rny license is in full ftrrce and effc'c't. to(3-7e3License Class: C uate: tt/ zr lq h.trro* S utr \sot\<ttoa' CONSTRUC'TION LENDING AGENCY I hwby allirm under Jxnalty of pcrjury that thqe is a construction lending agcncy for the pqfomance of the work for which this pmit is issued (Sec. -j097. Civ. C.). Lender's Narne: - Lender's Address: - APPLICANT DECLARATION I lEdry alfm unda pcnahy ofpcrjury onc ofthc following delarations: Dsnolition Pmtrits-Asbstos Notification Fcdqal Regulatiors (Titlc 40, Part6) _Rcquircd t ats of Notificrtion hhcdiry rhd thc fcdoal rcgulatiore rcguding cbetos rmoval rc not spPlicablc to this prcjcct. _l cdiry that I havc red this applicatioo and statc that thc above infomation is corcct, I agrE to omply with all City ud Counly ordimnc6 ed Ststc Law rclatitu to building construcrion and h@by authorizc rcprMtdiv6 of thb City ed Comty to 6ta upon thc above rnentioned property for Applicnnt or Agent Pernritee nilnre (print):Lg T**.\\c, Ir Lt Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/VenUl n su lation Roof Sheathing Shear Wall Framing lnsulation/Enerqy Drlnvall Ext./lnt. Lath Brown Coat I\/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif I I FINAL t tula)D kf/)r'-*yq Certificate of Note Re Etc. 0 b t I Jt Arrolicant: t \ I (o- t!