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
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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;'
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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
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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.