HomeMy WebLinkAbout101100209 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11OO2O9
Pin #: 684{tJ
Project Address: 2132 N Tustin Ave
Assessor's Parcel.396-341-07 Lot: POR 9
Unit Bldg: Address Range: 2110-2190
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5Block: A
Building Use: Commercial Occupancy: B 1st FL Area:
Job Type: Signs Constr Type: V B 2nd FL Area:
Nature of Work: Sign-illuminated Code: CBC 2016 Other Areas:
Existing Bldg. & Use: Commercial Flood Zone: X-0602320164J Garage Area:
Proposed Use: Nail Shop # of Stories:
Total:
Description of Work: lnstall (1) led-illuminated channel lefter watl sign for "No. 1 Nails", bond on M-73783.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $t,500.00
Engineer: ,i. rr ;
owner: Angola Jon6 contraclo{: Ul0mate Acryllca ;J.:,:i i: '
Mdress: 5 P.rk Pl.z. Address: 37aG W W.mu avenu! Address: : -"r }-i'l _i'i''
lrvln., CA 92614 Santr An., CA 927Ot
Phone: gi4) 306-1299 Phone: (714) a68.a664 Phone: .:. ;...., ,..
T.n.nt t{o I Nrit. stale Lic #: 186a40 License r:
Lb Typ6: C45 Architecl / :' r'rr:"''i'rr|'I'
Bus. Lic*: s88388 ffiii#l l,;,i:,',., 'r':r ''
Wo*ers' Compensation lnsuranc€: AddresB: :r:i..,.: . .i.-,r., ri,"Cafiier: Ercmpt ..,i ji,L:i :., ,J- f r
Policr#: Phone: rLilor,i: :16: i!, ri _
Expires: License f: i; ' irrr'-i'j :'
Planning Approval By:Soto, Ricardo Date: 0512312019
Date: 0512312019
Date: 1112112019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
077L6002 57607 Permit Fee
07776002 53600 Plan Check Fee
o 7776002 577?0 MlcrbfilmrRecords
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$ 1 66.53
$115.44
$15.64
$1.00
$22.es
$57.20
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd:
Planning lnsp. Req'd:
Julie
Amsden, Julie
Landscaping lnsp. Req'd:
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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.
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No
Account#TotalNo
No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
$22.9s
$223.73
$1.00
$t t 5.44
$15.64
$378.76
$0.00
$378.76
lnspector MID#: 2019-151683
Mo
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BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm undo pmalty of pcrjury that I m qmpt from thc ConlractoE' Licmrc lanv for thc following rcmn (54.70315
Busincs md Profcssion Codc): Any City or County which requirs a pcrnit to construct. altq, improvq dmolish or rc1}ai... uy
structue Fior to its ismce. also rcquirG the applicet for such pcmit to filc a si8ncd statmot thst hc or shc irmscd pEuut
to thc provisions of thc Contractor's Licmsed taw (Chapts 9, Commcncing with Sction ?000 of Divisiotr 3 oi the Busins md
Prefc$ions Code) or that h€ or she is qmpt lhgcfrom md thc basis for thc allegql cxorption. Any violalion of Sslion 7031.5 by anv
applicantforapcnnitsubjctsthc applicmttoacivilpenaltyofnotmorcthmfivehundreddollus($500).
l. u ouno ofthc popcrty. or my employm *ith $ ag6 6 thcir ele compcnsstion. sill do thc sork md thc stnriw is not
intmdqt or offcrcd fq slc (Sc.7044. Busine ild ProfessioB Codc: Thc Contraclor's l.icN Larv do6 nol 4ply to m oma of
rhc prepsty rvho tuilds or improvq tha@[ ad who do6 $ch m* himself or hcNlf or lhrcu8h his or hc own cmployco.
providcd that such itnprcvmts rc rct intadcd or offdEd for sle. lf. howM. thc buiHing or impo'mt is $H lvithin one )@
Lfcompteion. the Owne B{ikkr will harc ttE htrdo of prcving thd hc or shc did not buiu or impo\c thc Propqry for thc purpoEof
sle).
_1, 6 ownq of the prop6ty. m cxclusively contracting with liccnscd contractoE to construct thc prcjcct (Sc. 7044. Buine
md Profesion Code: Th€ Contractor's Liccns Law do6 not apply to il ownq ofpropcrty who builds or imprcv6 ths@n.
and who ontncls for such prcjets with a Contmcto(s) licosd PuEWt to thc Conlractor's Licqre [rw).
-l
m cxcmpt undq Setion---. B. & P.C. for this trcNn.
l)ale:
I hcrcby
O*nu.t
DECLARA'I'ION
alfirrn under penalty of pojury one of the follorving declarations:
_l have and rvill ,naintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code. for the performance of thc work for which the pennit is issued.
_l have and will maintain workers' compensation insurance. as required by Section 3700 of the l-abor Code. for the performance of
thc rvork for which this permit is issued. My workers' compensation insurance carrier and policy numLrer are:
Carrier:-
; Policy Nurnber:-Expires:,r/2
-Z cqiify thot in thc psfomancc of thc work for which this pqmit is issued, I shall not mploy any pGon in any mmnc- e s to beomc aubjat ro thc sortm' compqution las of Califomia. ud agrc Ihd if I should bccomc aubjet to the
so*G' cotnpcgtion prcvisioro of Sation 3?00 of thc Labor Codc. I slull. forthwith comply with thor provisions.
WARNING: Failure to suc wrk6'compensation covragc is unlawful. and shall subjct m mploys to simiml penaltics md
civil fine up to one hundrcd thousd dollm ($100.000). in addilion lo the cost of compenetion. damge r providcd for the
Section -1076 of the Labor and attorney's fees.
(,I
I hereby affirm under penalty of perjury
of the Business and Professions Code. and rny license is in full force and effbcl.
(,..n.. class:- C
{,*", I // -,
n +aLicense Numbcr:
Contractor, ?-KtLK ME
,n erronnance ,*n":,:("#-YA-I hereby afTirm under penalty of periury that
issued (Sec. 3097. Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT DECLARA'TION
I hoEty aflirm under penalty of perjury one of the follou'ing declarations:
Dernolition Permits-Asbestos Notification Federal Regulations ('title 40. Pafl6)
. -- Required l.etterof Notification
__l certify that the federalregulations regarding asbestos removalare not applicablc to this projecl.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUl n su latio n
Roof Sheathinq
Shear Wall I \,av^a
Framanq --ll 2G n DA,wa rgv
lnsulation/Enerqy
Drwvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report \
Flood Zone Certrf .aa
I \3,
FINAL lr 'll/F {arwnal , s.d
Certificate of Occupancy I I
Notes, Remarks, Etc.
\
\
Z
ft
havc reacl this application and state that the abol'e inlorrnation is correcl.agree to conrply u'ith all City and County
ordinances artcl Statc Larvs relating building construction.hereby aut horize reprcsentat ives o f this City and County to cnlef ugrcn the
above rnentioned properly for insperction purposes.
or Agcrtt Sigrtaltrre:
l'ernrilee nIrno (prirrt):
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L ,-a-t"
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