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Home My WebLink About101100082 - PermitCity 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 Permit #: {O11OOO82 Pin #: 13320 Project Address: 3636 3/4 Westminster Ave unit WCG01 Brds: Address Ranse: Assessor's Parcel: 198-081-31 Lot: NA Block: NA Tract: NA Historic: No Suite Range: Zoning: SP2 Building Use: Other Occupancy: B 1st FL Area Job Type: Miscellaneous Constr Type: V B 2nd FL Area Nature of Work: Cell Site Code: CBC 2016 Other Areas Existing Bldg. & Use: Flood Zone: A-0602320143J Garage Area: Proposed Use: Unmanned Tetecommunications F # of Stories: Total Description of Work: Replace (6) panel antennas & (6) RRU's, install (1) AMOB unit & (1) top hat on existing cabldâ‚¬tt' I : , Patio: T.l.Area: Yards Req'd Valuation: 0@0 $8,000.00 Planning Conditions: Acct i : Rcpti:02902018 TnanEoft i on Totol Owner: Address: Phone: Tenant GLP Cell Site ll 750 Park of Commerce Blvd, Suite trUla Raton, FL 33487 (s16) 886-3s21 Sprint Contractor: X3 Management Services, lr Address: 2128 Auto Park Way Escondido, CA 92029 Phone: (760) 658-6455 State Lic #: 933263 Lic Type: B, C-7, C-10 Bus. Lic #: 331503 Workers' Compensation I nsurance. Carrier: Berkshire Hathaway Homestate Policy #: XTWC000379 Expires: 10/01 12020 M Squared Wireless Michael B. Montello 1387 Calle Avanzado San Clemente, CA 92673 (ss1l 233-4729 c83930 Engineer: Address. Phone: License #: Architect / Desiqner: Address. Phone: License #: t_ Planning Approval By: Plan Checked By: Permit lssued By: NPDES !nsp. Req'd: No PWA lnsp. Req'd: No Planning Insp. Req'd: No Landscaping lnsp. Req'd: No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Arabe, Jill Heidari, Fred Zuniga, Allissa Date. 05/10/2019 Date: 0512312019 Date: 1110612019 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07776002 07776002 07776002 07776002 07776002 0777600 2 Permit Fee Plan Check Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance Fee Total Paid to Date: Balance Due: 72580 Total 57607 53500 57770 57672 57600 57607 $666.1 2 $461 .74 $43.01 $1.00 $22.9s $s7.20 $1 ,252.02 $444.32 $807.70 Account# 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. 01 1 16002 s1600 01 1 16002 51601 01 't 16002 51612 01 1 16002 53600 01 1 16002 57770 $22.e5 $723.32 $1.00 $17.42 $43.01 lnspector MID#: 2019-151446 BU!LDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hseby affirm unds peralty of perjury that I m excmpt from the Contraclo6' Licorc liw for thc following rwn (Se.7031.5 llusinCs md Profeion Codc): Any City or County which require a pemit to construct. alto. improvq demolish or rgnir oy slruclue. pior to its issuance. also rcluirG the applicilt for such peflnit to filc a signed ststmcnt that he or shc is lictred puBumt to lhe provisions of the Contractor's Licenscd Larv (Chapts 9. Commcncing sith S(tion 7000 of Division -l of the Busines md ProfrcionsCode)orthalhcorsheisexcmptthqefromildthe basisforthe allegedexenption. AnyviolationofSctionT03l.5byany applicant for a pmnit subj(ts the applicant Io a civil penalty of not more thil live hundred dollils ($500). _-1, as owner of the propeny. or my employees with wages as their sole compensation. willdo the work and the struclure is not intended or offered for sale (Sec.7044. Business and Profcssions Code: 'l'he Contractor's l,icense Larv does not apply to an owncr of the propeiry rvho builds or improves thereon. and rvho does such \r'ork himself or herself or through his or her own employees. provided that such improvanents are not intendetl or offered for sale. I[, horve''rer. the building or improvement is sold within one ]ear of complaion. the Orvner Builder rvill have the burden of ;noving tha he or she did not build or improve the propoly for the purpose of sale). __1. as owner of the property. arn exclusively contracting with licensed contraclors to construct the project (Sec. 7044. Business and hoftxskrn Code: 'fhe Contractor's l-icense Larv does not apply to an owner of properly rvho builds or improves thereon. and rvho contracts for such projects rvith a Contractor{s) licensed pursuant to the Contractor's [,icense Larv). _l am exempt under Section_B. & P.C. for this reason. l)ntc:0rvner: w()ttK t.llls' ('oNt t't,tNsA't'tdN DECLARA'TION I hereby alTirrn under penalty of pojury one of the follorving declarations: _l have and lvill rnaintain a Cstificate of Consent to Self-lnsure for w'orkers' compensation. as provided for by Section 3700 of the Labor Code. for the po'formance of thc work for rvhich the permit is issued. [tl have and rvill rnaintain rvorkers' compensation insurance. as required by Section 3700 of the Labor Code. for the perfonnance of rvork for which this permit is issued.rvorkers' compensation insurance carrier and policy number are: ) l'>olicy Exoires: _ I certify that in the perforrnance of the w'ork for rvhich this perrnit is issued. I shall not ernploy any person in any nranner so .rs to become subject to the rvorkcrs' cornpensation la*'s of California. and agreâ‚¬ that if I should become subject to the s'orkâ‚¬rs' compensation provisions of Section 3700 of the Labor Code. I shall. forthu'ilh comply u'ith those provisions. WARNING: Failure to secure s'orkers' civil fines up to one hundred thousand coverage is unlarvful. and shall subject an employer to criminal penalties and in addition to the cost of for thc DECT.,ARATION I hereby aflirm under penalty of po.iury that I arn licensed under provision of Chapter 9 (comrnencing rvith Section 7000) of Division -3 of the Business and Professions Code, and my license is in full force and effect. F/.u,::':i Nurnber:-b. 7a(? c0NS t'RU("t't0N t,t,:Nt)tN(; A(;Il,N('\' I heeby affurn unda peralty of pcrjury that thqe b a construction ldding agmcy for thc pofonmce of thc rvork for rvhich this pqmit b issued (Sec. -i097. Civ. C.). Lender's Name: l.ender''s Acltlrcss: APPLICANT DECLARATION I herâ‚¬b,y affrrm under penalty of perjury one of the follorving declarations: Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Pan6) -Required Letter of Notification -l cenify that the federal regulations regarding asbestos removalare not applicable to this project. above information is conect. I agree to comply rvith all City and County of this City and ('ounty to enler upon lhe above rnentioned propeity for Applicant or Agerrl l'ermitee nrnre ./rr^r",/ t'rclz Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/VenUI n s u latio n Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Itlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL t;ddata n /,<r,t ?/a5 zr) Certificate of Occu pancy Notes, Remarks, Etc. .",,*EPR{+U [29,)r/** Scction 1076 l.ahrr Cocle. interest and __--_ fE< ,-J