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10197079 - Permit
E Project Address: 3233 W Harvard St Assessor'sParcel: 408-141.01 Lot: 3 Bldg: Address Range Suite Range: Zoning: MlBlock: NA Tract: 3236 Historic No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAgzToz Building Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853 Permit #: lOl97079 Pin #: {7806 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: lndustrial Tenant lmprovement Upgrade Restrooms lndustrial Occupancy: Constr Type: Code: Flood Zone: # of Stories: B V B, SPK cBc 2016 x-0602320256J ,| 1st FL Area 2nd FL Area Other Areas Garage Area Total Patio: T.l.Area: Yards Req'd Valuation: 0@0 $1,s00.00 Description of Work: Drywall repair throughout Planning Conditions B(t,:h+3.(4?11 - 7 /2t)/21)lB JD: {:t:ut:0ffire, (TYH Trons+: 4 1 r,Acrt+: Rel+: 1r:r197ri i Owner: Address: Phone: Tenant Oavid Mersereau 3233 W Harvard St Santa Ana, CA 927043917 (206) 794-1180 ORCHIO MPS Contractor: Xpress License Schools lnd Address: 500 Bencamp Street San Gabriel, CA 91776 Phone: (526) 551-8112 State Lic #: 1028785 Lic Type: B Bus. Lic #: 368742 Workers' Compensation lnsurance: Carrier: State Compensation lnsurance Fur Policy #: 9222854 Expires: 1211512018 Tronsoct ion fotol t388.8/RobPrt Cnl ixto Xpress License Schsols Ind dhn Engineer Addressl Phone: License #: Architect / Desiqner: Address: Phone: License #: Generol Flon Updote Fee 01116002- 51600000- 8u i ld ins r'r1 1 160r]2- 5160 tr.r00- Blds Stds Revolv ins 011t60r:t2- 51612000- (:o9h ICL Check 0111 $:i(r:t. ilr:l Zuniga, All ,."v Misc. Receipt Misc. Receipt Misc. Receipt Date: Date: Dale: 0712012018 Subject to Field: 07776002 51601 Permit Fee 07776002 57672 gldg. Stds. Revolving 07776002 57600 General Plan Updale 07776002 51601 lssuance $160.25 $1.00 $22.08 $55.04 No No No No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No 01't16002 5'1600 01'1 16002 51601 011 16002 51612 Total Every permit issuod shall become invalid unless tho wo* on the sile aulhoized by such permit is commenced within180 days after its issuance,or if the wo* authorized on the sito by such permil is suspended or abandoned for a period of 180 days after the tine the wotu iscommenced lnspector MtD#. 2017-140657 Fee Total Paid to Date: Balance Due: $238.37 $0.00 $238.37 Unit: 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: Account# $22.08 $215.29 $1.00 BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby trffin undcr pcnrlly (,f rErjury lhd I onr chmnr lronr rhc O)ntr.r.rJ Li..n$ t2w ror rhc bllowi.S rca$n (S(.?O.ll 5 Bu\inc$ ond Protc$bn C.xlc): An! Ciry.r Grnr, which rcquid\ , luni io consld.t. 0llc.. imtrovc, dcmlhh or rupan lny {flcrud, pnorn, ik i\\urncc. alqJ n4un.\ th. llflican| tur \uch ncnnt ro filc 0 si8rEd n0tcnEnl lhal hcor shc n li..i[d pu^urir lo lhe lovkions oi the Conrracroi\ Ijccnrd Iiw (Chaplcr 9. Conmcncin8 {irh S..rion 7fllo or Division 3 oflhc Businc$.nd Pmfc$ionsCodc)orrhntlrorshciscr.mtrrh&cfmnandrh.bd\ilforlhcalkscdcxcmprion.AnlviolllionofS.crkn?0.ll5byrny rprlic.trrl'or 0 Frnn subjcchlhc {ff,|i.!nl k, acivilpcnrltyoinot mnrc rlrtr liv. hundrcdd.llrs (Ss(xr. L as owmr or rlE phrcny. ornrtcnrtlorcs wiih wagcs 0s lhcir snccompcn ion.willdolhe wort !d rh. nmrm i{ mr intcndcd or orlcrcd lor slc (Sa.7014. Eusincs ond Ptufc$ions Code: Tnc ConrDcld s Lic.n\c ljq docs nor 4ply to on o$ncrol rhc pmpcn, rho buikls or in{,m!cs rhcfr)n, ud sk) dffs skh sort himscllor hcs.lfor thou8h his or hcr ownc'nploy.cr. ,nvidcd rhrl $rh irnti!rcNrh!arn inrc cd or otlcE{ fir slc I I howcrcr. rh. hiildir8 or irnpnvcmnr i\ {nd wirhin unc JU olcomphriotr. rlE Oqftr auiks srllhrvc rhc htr&n.fpmviu rhlr hc or shc dil mr tuild or inlmk dr pmp.iy aor ih. I rlx)e ol -1. ns o*rcr .l r hc pm|xny. !m crclNilcly conrrrir8 snh liccnsd c.nr6cro6 ro conndcr rhe prt,j..r (sc 7G14. Buqrcss nnd Pn,fs\ir Codc: Thc Contmkx s Liccnsc Lrw dors nor rnrl, k, rn osncr ufntupcriy who builds or imor.us rhcrcoo. rnd who.onrnctslot$chpmjccrr*nhooorrlcrtrls)liccnsdpunulnrhihcC.nhrrtr\Lk.n$tiw). -l !m cicmpr undcr se.'li{)B & l'(' lnr rlrr\ rri!trr. Dale Orner: wonxFRs' coltltFNSATI(;N aEcl.aSarlo! I hcrchyofir uNlcr pcnalryolpc.,u!yo.c ofrhc rollowins dalnrarnnr Ihruidwilln inroinaCcnifi.rcofc{,nrnrbSclfltrsurcturuorkc^..nr.n{ri(nr-NpolidcdlorhyScrri(r.17(xIofrlr l-ltxtr C{r,lc- ir lhc ncrfonuncc ofrhesork lnrRhichrhc |r(rmir i\ i\{,cil I h.\r rnd s,lltuinrrin workcrs.onrpctr\arion iNunn.., a{ rquircd h} Sccliu]Tmofrhc lrl'orC(d.. lorrhclctlor.unccol hrtr.r[htrsh,3 retr ('a 0^ l.cnny thnr in thc pcrioriMncc oirhc *ork lnr $hnh lhn Fnnil n issu.,l. I rhrll tr.r .nph)j",try pcnotr irr rtry mrnrcr v, r\ k, hccorr subjccr t,rhc workcs conrr.nsiri(,r lr*s ol Crl,lnnrir rtrd rgrcrlx ill \houkll'ccotrE \uhjccrt'rl[ worlcn compcNarion prevision\ ofSdn,n.lT(X).frhc Irhr Cod..lshsll. fodhe irh comply {ith rhoc pmvtion\ W,{RNINC: frilu'r ro {ruo rorkcrs ..nlcnsdrion..rcrugc '\ utrl.rlirl. rtrd \hnll slhjc.l rn e'npbycr t, dimiml ltMlras trd .,vil finc\ ut to otrc hundrcd rhous.Dd dollin (SlU),(xXr. tr dddirion k' rhc.o{ ofcompcnsnrion. drm Ars rs ln,{dcd for rhc sftri{ .1076 of rhc ljb. C-odc, imcrcs -\* ADpli. l XL\ torw /tc'c'het" Dlrcl ARA rlON I hcrhylillrm unJc, l}cnllr, ofpcrjurr rhar I a'n liccn\.J undc! nrovi\i,,n .l Chpru 9l.rnnmn.itr8 wirh S(rion ?{xD).fDiri\nr l or lhc Busirrs{nnd Polcrsi{trNC.dc. md nryliccn\c is i'r lirll rirc. r,rlcl{i.r /02070tl*", I h.rcby nf,l.n !nd.r F.trhy.lFcrjury rhat lhc.c h i sn(tu.riotr lcndirg,scrcy lor lhc Deliormnc. oirhc woik fot wni.hrhh pcrmn i\ ksucd (sN 1097, Civ. C.) AIILI$NLIIEIIIAAIION I hsrbydlrflunder pcnalry ofpcijxry.nc of rhd latlo*ine dc.hrarn \: Drnn'lirion Pcrnrirr A\l,csos Norific ion F.dc.rl R.Auhrion\ (Tirld 40. 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