HomeMy WebLinkAbout101104299 - Permit7
Project Address: 1231 E Dyer Rd
Assessor's Parcel: 411-1 31-36 Lot: NA Btock: NA
Unit 200 Blds:
Tract: NA
Address Range 1231-1241
Historic: No
Suite Range:
Zoning: SD63
City 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 #: {O11A4299
Pin #: 5301{
Building Use.
Job Type:
Nature of Work:
Existing Bldg & Use
Proposed Use:
Commercial
Sig ns
Sign-illuminated
Commercial
N/A
N/A
cB c 2019
x-06 02320278J
1st FL Area:
Znd FL Area:
Other Areas:
Garage Area.
Total: i i
Bond inctuded. '
Patio:
T l.Area:
Yards Req'd:
Va Iuation: $5,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: lnstall (1) led-illuminated channel letter wall sign for "Quest Diagnostics"
Planning Conditions:,All materials to match existing
Owner:
Address:
2720 Partners LLC
129 Cabrillo St, #202
Costa Mesa, CA 92627
Contractor: Stellar lnstallations lnc
Address. 400 Commercial Way
La Habra, CA 90631
Phone: (951) 310-2896
State Lic #: 810013
Lic Type: C-45
Bus. Lic #: 4389
Workers' Compensation lnsurance:
Carrier: State Fund
Policy # 9281 298
Expires: 08/01 12021
Eng ineer:
Add ress:
Phone:
License #:
Architect /
Desiq ner.
Add ress:
Phone:
License #:
Phone:
Tenant: Quest Diagnostics lt.i:r
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued 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.
lnspector MID# 2020-1 60716
Date. 08/1 112020 Misc. Receipt:
Date: 08/1 112020 Misc. RecetPt:
Date: 0g/1 3t2o2o Misc Receipt:
Subject to Field:
No
No Accou nt#
01 1 1 6002 51 600
01 1 1 6002 51 601
01116002 51612
0111600253600
01116002 57770
0531 6002 53636
Plarrning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd
Arias, Fernanda
Amsden, Julie
Amsden, Julie
07L76002
0L776002
077L6002
01_7L60 0 2
077L6002
077L6002
053L6002
Permit Fee
Plan Check Fee
tVlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Bond
5760 7
53500
57770
5 L572
51"600
5L601"
ss536
Fee Total:
Paid to Date:
Balance Due:
$172.64
$1t967
$16 20
$1.00
$23.79
$5e 30
$200.00
$s92.60
$0 00
$592.60
o
JNO
No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
$23.79
$zs 1 .94
$1 00
$1 19.67
$16.20
$200 00
6\W
BUILDING- INSPECTOR RECORD
,!
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/Ve nt/l nsu latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqv
Drywall
Ext./lnt. Lath
Brown Coat
I\/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report ,
Flood Zone Certif
I I
FINAL l(,r1 ,?rt r*kv"
Certificate of Occupancv It
Notes, Remarks, Etc.
\
./
\
I hereby affirnt under penalty of perjury that I irm exenrpt fronr the Contractos' License l;rw for the following reason (Sec.7031.5
llusincss and Prol'ession Code): Any City or County which rcquires a Jrcrrnit to construct, alter. irnprovc. dcrnolish or rcpair any
stnrclure. prkrr to its issuance. also requires the applicarrt firr such pernrit to file a sigrrd slatetnent that lr rlr she is liccnsed pursuant
to thc' provisions of thc' Contractor's l,iccnsed law (Chaptcr 9. Cornrncncing with .Section 7(XX) ol' Division 3 ot'the llusincss and
Prot'essionsCode)orthatheorsheisexempltherettonrarrdtlreba.sisltrrtlrcallegedexenrption. AnyviolationofSectionT03l.5byany
appliclrrt for a perrnit subjects thc applicant to il civilperraltyoInot more tharr llve hurrdred dollars ($5Otl1.
_1. as owncr ol'thc propcny, or rny crnployces with wages as thcir solc cornpcnsalion, will do the work and thc stnrcture is not
intentled or oflbred for sale (Sec.7(Xa. Business and Professions C<xlc: Tlrc Conlraclor's License Lnw does not apply lo an owner of
the pmp€fly who bttilds or improves thereon" auxl wlro does such work hinrself or lrerself or lhrough his or her own employees,
provided that such irnprovcrrcnts arc rnt intcnded or ollcred l'or salc. ll. howevcr. tho building or improvcrnent is sold wilhin one )ur
of conqrletkrn, ttrc Owrpr Buikler will lurvc the burden of provirrg tlurt lrc or she tlid not build or impnrve the propaty for tlre purgr:;e of
sale).
-1,
as owner of the propcrty, am exclusively contracting with liccnsetl conlraclors to conslruct the pnrject (Sec. 7(X4, Business
arxl holessi<rn Code: The Contractor's Liceuse Law does not apply to an owner of property who builds or improves lhere<ln.
ancl who conlracts for such projccts wilh a Contractor(s) licensctl pursuant to thc Contractor's License Law).
_l anrexempt under Section_. B. & P.C. lbr this reason.
-l
have anl will nuintafur a Certilicate of Consent to Self-lnsurc frrr workers' comlrrrsation, as provided for by Section 3700 of the
l.atxrr Codc, for thc Jrcrformance of the work lbr which thc pcrmit is issued.
_I Irave rrttrl 3700 of the krbor Code,lirr tlre Jrcrformance of
t lrc wrlrk tirr arxl ;xrlicy rtunrtrcr
poticy*u,',n.," laBlzt8 rixpires:9'I 'tt
_l ccrrity that in thc J*-rfirrrruncc o[tlrc work for which tlris pcrnrit is issucrl, I shall not cnlpk)y any pcrson in any manncr
so as to hccorrc subjcct to thc workc'rs'cornpcnsation laws ol'Calil'ornia. and agrcc that if I should bccornc suhjcct to thc
workers' cornpensation provisions of Section 3700 of the Labor Cule, I sturll, forthwith conrply with tlmse provisions.
WARNING: Failurc to sccurc workcrs' conrpcnsation covcrugc is unlawful. antl shall suhjcct an cnrpkrycr to criminal pnaltics and
civil fines up to onc hundred thousand dollars ($l(X),(XX);. in addition to the cost o[ conrpensation. danmges ls provided for the
Seclion 3076 of the l-abor Crxle, interest and atlorney's fees.
E,-2,o
I hcrcby al'linn undcr l&-nalty ol'pcrjury that I arn liccnscd (cornmencing with Scction 7ff}()) ol'l)ivi.sion 3
ot' thc Busincss an<l Prolbssions Codc. iuxl nry liccnsc is in hrll lirrcc aml clfLct.
C:r 3rrco/J
tll-ro ?d,
I heretry athrnr under ;renalty of perjury that there is a construction lendlrg
issucd (Scc. 3097, Civ. C.).
Jrcrformarrce of the work frlr which this pernrit Ls
l-ender's Narne:
l.cnrlcl's Atldrcss:
APPLICA TTIT DEC I,ARATION
I trrcby affrm under pnalty of perjury r.rne of the followirrg declaratiorrs:
Denrolition Permits-Asbestos Notification Federal Regulatiorrs (Title -10, Part6)
_Retluired Letter of Notification
_[ certily that the t'ederal regulations regarding asbeslos renxrval are rx)t applicable to this pr<r.ject.
_l ccrtify that I have read this application and .stale that the abor,e information is correct. I agree to comply with all City and County
ordirrances ard State Laws relating to building lrereby aullurrize represenlalives of this City and Courtty to enter uprn tlrc
atxrvc rrcntioncrt propcrty lirr
or Agent
9, (z- 1^
Rev. 0B-07-2015
I
l)ate: Owner:
W()RKI.:RS' C( )M PI.:NSATION
DECI,ARATION
I hcreby atlirm undcr penalty of perjury onc of thc tbllowing dcclarations:
al'c:
Annlic:rnt: