Loading...
HomeMy WebLinkAbout101106757 - PermitCify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: {011o,f6757 Pin #: 98,9ffi Project Address: 1585 E Seventeenth St Assessor's Parcel: 396-066-18 LOt: POR DAVENPORBIOCK: A Unit:Bldg: Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: Zoning: P Building Use: Commercial Occupancy. N/A 1st FL Area: Job Type: Signs Constr Type: N/A 2nd FL Area: Natureof Work: Sign Code: CBC 2019 OtherAreas: Existing Bldg. & Use: Commercial Flood Zone: x-0602320163J Garage Area: Proposed Use: # of Stories: Total: O Description of Work: lnstall (1) non-illuminated aluminum channe! letter wall sign for "Cordoba Corporation", bond included. Patio: T.l.Area: Yards Req'd: Valuation: $9,500.00 Planning Conditions: Owner: Address: Noah & Kaden Development LLC 1401 N Broadway Contractor: Address: Guevara, Jerry Amsden, Julie Chavez, Dave 2u Fire lnsp. Req'd: Police Insp. Req'd D'Ziner Sign Company 801 Seward St Date: 05/1 212021 Date: 0512412021 Date. 0611 512021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: Engineer: Address: Total 0f f i ce : (:l YH Tr'nn s lr--llrHLLl,t r Rcpt* I tt332tt327 6i 07776002' '57-60,1 Permit Fee 07776002 53600 Plan Check Fee 07776002 57770 Microfilm Records 07776002 57672 Bldg. Stds.'Revolving 07776002 57600 General Plan Update 07776002 57607 lssuance 05376002 s3636 Bond Fee Tota!: Paid to Date: Balance Due: LrO C Cn; i 3Y3:r:t 6/tiJ .l/'2L1./1 IDI orilonnlegll:,*: 7tt I oi Iftel*: 1t-t11t-t675'l l5/?tr21 1?:31 F'H t LorArgeh., CA gOOl2 Lo. Angol.o, CA gOO38 'ronso,:tron 'ioiol i5r?.64r Phon€: Phone: 132311614a1 Phone: Ten.nt cordob. corporaton slatt Lic#: ?576u Lic€ft6 *: I'linet sisn tonptnc Llc Type: C.as Arch[.cr / nuildrne E:.:)l,ii 8u3. Lic*: 326577 D*ioner irlll6rlirr- 116tr1l1ur- woftee'compensalion trcuranc€: Ad;;; lir'rT"1,'rrilt"li'.Lfti tee - +:J3'l' Canior: Technology Inr Co _. Btde btds,t€v.[vtns ti,r.tliPolicyr: Twc39783.at Phone: Llrrldutr-:161?0trtr-Expires: oal29r2o22 Ucemo #: I/]']t8urr-dille6 r ii $lir,n;' ? Ii Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning !nsp. Req'd: No Landscaping lnsp. Req'd: No No No Account# $172.64 $t 19,67 $16 20 ,$1:00 $23 79 $5e 30 $200 00 $592 60 $0.00 $592.60 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 issua nce,or if the work authorized on the site by such permitis suspe nded or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51601 01116002 51612 01116002 53600 01 1 16002 57770 05316002 53636 $23.79 $231 .94 $1 00 $11967 $16.20 $200 00 lnspector MID#: 2021-165478 I BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby aflirm undcr penalty of perjury that I m excmpt frcm thc CoNmctors' Liccnre Law for the following rcasn (Se.7031.5 Busincss ud Profcssion Codc): Any Ciiy or County which rcquircs a lrcmit to onstruct, altcr, improvc, dcmlish or repair any slruclurc, prior to its issumc, also rcquires thc opplicant for such prmit to lile a signcd statcrcnt that hc or shc is liccnsd pursuant lo thc provisions of thc Contractor's Liccnrcd Law (Chaptcr 9, Comrcncing with Sstion 7000 of Division 3 of thc Busincss snd PmfcssionsCodc)orthathcorshcisexcmptthcrcliomandthcbssisl'orthcallegcdexemption. AnyviolationofsectionT03l.5byBny applicant for a pcmit subjects the applicant to a civil pcnalty of not mrc thar fivc hundrcd doll&s ($500). -1. as owncr of thc propcrty. or my cmployccs with wagcs as their solc compcnsation. willdo the work and thc structure is not intendcd or off'crcd for sale (Scc.7(X4, Busincss and Professions Code: The Contractor's Liccnsc Law docs not apply to an owner of thc proprty who builds or itnproves thcrcon, and who docs such work hirnsclf or hcrsclf or through his or hcr own cmployccs. providcd that such improvcmcnls arc not intcndcd or offcred fbr salc. If. howcvcr. thc building or improvcrncnt is sold within onc year of complction, the Owncr Buildcr will have the burdcn of proving that he or she did not build or improve the proprty for thc purlnsc of salc). -1. a.s owncr of thc propcrty, am exclusivcly contracting with liccnscd contractors to construct thc projcct (Scc. 7044. Busincss ard Profi:ssion Codc: The Contractor's Liccnse Law docs not apply to an owncr of propcrty who builds or inrprovcs thcreon. and who contracts for such projccts with a Contractor(s) licenscd pursuant to thc Contractor's Liccnsc Law). _l am excmpt undcr Section_, B. & P.C. for this rcason. I\.rI o.( l.r, nar. WORKERS' COMPENSATION DECLARATION I hcreby aftirrn undcr pcnalty of perjury one of the following dcclarations: -l have ad will maintain a Certificate of Consent to Self-lnsure for workcrs' compensation, as provided for by Section 3700 of thc Labor Codc. tbr thc pcrfbrnrancc of the work for which thc pcrnrit is issucd. -l havc and will nraintain as by Section 3700 of the labor Code, for thc perfornuncc of carrier and policy number arc:thc work for which this o 3t)ilaC Policy a c3q a 4.zq-21 -l cenity that in thc pcrlbrmancc of thc work for which this permit is issucd. I shall not cmploy any person in any manncr so as to bccomc subjcct to the wofkers'cornpcnsation laws of California, and agree that if I should bccome subject to the workcrs' compensation provisions of Section 3700 of the Labor Codc, I shall. forthwith comply with those provisions. WARNING: Failure to securc workcrs' conrpensation covcrage is unlawful. and shall subject an onploycr to crinrinal Jrcnaltics and civil fines up to one hundred thousand dollars ($100,000), in Scction 3076 of thc Labor Code, intcrcst and attorney's fccs. to the cost of danmgcs Ho'id'airn' 't'" orr". - /5-/s - z/ ? I hcrcby aflirrn under pcnalty of pcrjury that I am liccnsed under provision of Chaptcr 9 (commencing with Scction 7000) of the Busincss and Profcssions Codc, and nry liccnse is in full fbrcc and cffcct. t of Division 3 Liccnsc a e 7s7e 6q Dare: t 6'(5 ' 2\I eo, CONSTRUCTION LENDING AGENCY I hcrcby uflirm undcr lEnahy ofpcrjury that thm is a @nstruction lcnding agency for thc pcrformncc of lhc work for which this pcrmit is issucd (Sec. 3@7, Civ. C.). Lcnder's Namc: I-rnder's Addrcss: APPLICANT DECLARATION I hereby affrnn under penalty of perjury onc of the following dcclarations: Dcmolition Permits-Asbestos Notification Federal Rcgulations (Title 40, Part6) -Required Letter of Notilication -l certify that the fedcral regulations rcgarding asbestos rcmoval are not applicable to this projcct. &""nify that I havc rcad this application ancl state that the above information is correct. I agrce ro comply with all City and County ordinarrccs and Statc Laws rclating to building construction. and hcrcby of this City and County to cntcr upon thc abovc nrcntioncd propcrty for inspcction eaoSoApplicant or Iternrilec e tb ,rs. z Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bf loor/Ve nt/l nsu I atio n Roof Sheathinq Shear Wall Framinq lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat lMasonrv Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif. FINAL e-lj-?t \r"cf elz- Certificate of Occupancy Notes, Remarks, Etc.