HomeMy WebLinkAbout101103901 - PermitProiect Address: 2200 E McFadden Avea
Assessor's Parcel: 402-111-32 Lot: NA
Unit:Bldg: Address Range:Suite Range.
Zoning: MlBlock: NA Tract: NA Historic. No
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 #: {O11O39Oi
Pin #: 67737
Building Use: Commerclal Occupancf NrA lsl FL Area: Patio:
Job Type: Sign8 ConstrType: ]{rA 2nd FL Area: T.l.Area:
Nature ofwork Signs Code: cBc 20'19 Other Areas: yards Reqd
Existing Bldg. & Use: CommercialrstoregE Flood Zone: x46o232027?J Garage Area: vatuation: ,g,ooo.oo
Proposed Use: # of Stories:
Total:
Oesc.lption of work Instell (2) l.d-illuminated channsl lstter wall signs E install(6) non-illuminal.d wall signs for"Publlc Storage"', bond pald on
M-71509.
Planning Conditions:
i
Owner:
Address:
Phone:
Tenant:
Public Storage
71 Western Ave
Glendale, CA 91201
(8181 234-8080
Public Storage
Contractor: lcon ldentity Solutions
Address. 1701 Gold Road 1-900
ROLLING MEADOWS, IL 60I
Phone: (8471 631 -3207
State Lic #: 796721
Lic Type: C-45
Bus. Lic #. 365906
Workers' Compensation lnsurance:
Carrier. Traveler's Casualty and Surety Cor
Policy #: UB9H903869ACR
Expires: 0110112021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By.
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
Orozco, lvan
Amsden, Julie
Date: 06/1 812020
Date. 0G12412020
Date: 0612512020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
077760 02
07776002
07776002
07776002
07776002
0777600 2
s7 607
53600
57770
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total.
Paid to Date:
Balance Due:
$166.s3
$1 15.44
$3.91
$1 .00
$22.e5
$s7.20
$367.03
$0.00
$367.03
sden, Julie
PWA lnsp. Req'd: -No Fire lnsp. Req'd: No
Planning lnsp. Req'd: No Police lnsp. Req'd. No
Landscaping Insp. 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 afterifs 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 58693
Account#Total
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01116002 57770
$22.es
9223.73
$1.00
$1 1s.44
$3.91
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCA RATION
I hcrcby affirm under Jrcnalty of pcrjury that I am exempt from thc Contractors' License [:w for thc following reason (Sec.7031.5
Busincss arxl Profession Codc): Any City or County which requircs a pcrmit to construct, altcr. irnprove, derrnlish or rcpair any
structurc, prior to its issuancc, also requircs the applicant for such pcrmit to file a signcd statcmcnl that hc or shc is liccnscd pursuant
to thc provisions of thc Contractor's Liccnsed Law (Chapter 9, Commencing with Sc.ction 7000 of Division 3 of thc Businegs and
Profcssions Code) or that hc or shc is excnpt thercliom ard thc basis for thc allegcd cxentption. Any violation of Scction 7031.5 by any
applicant for a Jrcrmit subjccts thc applicant to a civil penalty of not morc than five hundred dollars ($5001.
-1.
as owlrcr of the propcrty. or my employccs with wages as thcir sole compensation. will do the work and thc strtlcturc is rnt
interxlcd or offercd for salc (Scrc.7o44, Busincss and Profcssions Codc: The Conlraclor's Liccnse law docs nol apply to an owncr of
the proJrcrty who builds or inrprovcs thcrcou and who docs such work himself or herself or through his or her own employecs.
providcd that such improvcnrcnts arc not intcrdcrl oroffercd for salc. lf. howerrcr. thc buikling or inprovcnrcnt is sold wilhin onc )aat
of comphtiorL thc Owrrcr Builder will havc thc burdcn of proving that he or shc did not build or improve thc pnoprty for ttrc purynse of
sale).
_1. as owncr of thc proprty. am exclusivcly contracting with licenscd contraclors to construcl lhc projcrcl (Scc. 7044, Business
and Professkrn Code: Thc Contraclor's Liccnse Law docs not apply to an owner of propcrty who builds or improves thcrcon.
and who contracts fbr such projccts with a Contractor(s) liccnsed pursuant to the Conlractor's Liccnse hw).
-IamcxcmptundcrScction-,B.&P.C.forthisrcason'Date: 0wner:_
WORKERS' COMPENSATION
DITCLARATION
I hereby affirrn under penalty of pcrjury onc of thc following dcclarations:
_l havc andwill maintainaCertiticateof Conscnt to Selt'-lnsurc for workcrs'conpcnsation, as provided for bySection 3700of the
labor Codc.
du"ono
for thc perftrrnunce of thc work for which thc pcrmit is issued.
will maintain workers' c<lrrrpcnsation Section 3700 of the [:bor Code. for the pcrformarcc of
this is issued.carrier and policy number are:
3-)N 2 I
_l certify ttrat in thc pcrformancc of thc work for which this pcrrnit is issucd. I shall not
so as to bcconrc subjcct to thc workers'conpcnsation laws of California. and agrce that if I
employ any person in any manncr
should becornc subject to ttrc
t
workcrs' compcnsation provisions of Section 3700 of the latnr Code. I shall. lbnhwith comply with thosc provisions.
WARNING: Failure to sccurc workers' compensation covcrage is unlawful. and shall subjcct an ernploycr to criminal pcnaltics and
civil fincs up to onc hundred thousad dollars ($100,000), in addition to lhe cost of conqrcnsation. damagcs as providcd for thc
3
of thc Business and Professions Code. arxl my liccnse is in full forcc and cffect.
C(INS'IRT)CTION I,IINDIN(; A(;ENCY
I herchy aflirm urder Fnulty of Frjury that thw is a @nstruction hnding agcrcy for thc Jtrfort1rme of the work for which this Frmit is
issucd (Scc. 3097. Civ. C.).
lrndcr's Nanrc:
l.ender's Ad&ess:
APPLICANT DECLARATION
I hcreby affrrm undcr pcnalty of prjury onc of thc following dcclarations:
Derrrolition Pcrrnits-Asbestos Not ification Federal Regulat ions (Titlc 40, Part6)
-Requircd
l,etter of Notification
ffiffi ffid;-:-dffi;;il'#il**,***** *Y",*
above nrntioncd proprty for
/ttpplitarrr or Agenl
[ermilee name
*r",(o ->jl--2D
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loorlY enV lnsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL /Q-11/aa n ,4r.lA
Certificate of Occupancy
Notes, Remarks, Etc
Rev. 08-07-201 5
.l L
C
6- Zo conrracror:_