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HomeMy WebLinkAbout101106078 - Permitt city of santa Ana 20 civic center Plaza (M-19), santa Ai-,:, cA 92702 Permit Counter. (714) 647-5800 lnspection Requests: (714) 667-2738 tnspector Section. (711) 64 L Building Luu, Permit #: {01106078 Pin #: 96o^72 r, /,/ Project Address: 3770 W McFadden Ave Assessor's Parcel: 144-561 -09 Lot: NA Block: NA Unit: E Bldg: Tract: NA Address Range: 3500-3790 Historic: No Suite Range: Zonrng: SP2 Building Use: Commercial Job Type: Tenant lmprovement Nature of Work: Tl Existing Bldg & Use: Commerical/Massage Proposed Use: Occupancy: Constr Type Code: Flood Zone'. # of Stories: B VB cBc 2019 x-0602320256J 1st FL Area: 2nd FL Area. Other Areas: Garage Area: Total: Patio: T l Area: 1390 Yards Req'd: Valuation: $25,000.00 0 Description of Work: Tl for new massage business including new partition walls. a Owner: Address: Phone: Tenant: Rio Vista West LLC 2443 E Coast Hwy Corona Del Mar, CA 92625 (s4s) 667-7888 Royalty Massage Contractor: New Bear Wind lnc Address: 13304 Netzley Place San Gabriel, CA 91776 Phone: (626) 383-2020 State Lic #: 1059216 Lic Type: B Bus. Lic #: 378070 Workers' Compensation !nsurance: Carrier: Exempt Policy #: Expires: Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: Central Pacitic lDesign/Build VincentTran: : ; , 9615 Skylark Blvd Garden Grove, CA 928;41 (7141 71945s8 Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd PWA lnsp Req'd: Orozco, lvan BCS Consultants Date: 0310912021 Misc. Receipt: Date: 0412312021 Misc. ReceiPt: Date: OSt26lZO21 Misc. Receipt: Subject to Field. No No Account# 01 1 16002 51601 01116002 51612 01116002 57770 75311 Tota! 07776002 0 7776002 0 7776002 0 7776002 07776002 07776002 57607 s3600 57770 57672 57600 s7607 Permit Fee Plan Check Fee Microfilm Records Bldg. Stds Revolving General Plan Update I ssuance $37s 30 $514 30 $24 30 $1 00 $23 7e $se 30 sden, Julie Planning lnsp. Req'd: Landscaping lnsp. Req'd: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 within360 &ys 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#: 2021-164765 No No No No Fire lnsp. Req'd: Police lnsp. Req'd: $23 79 $434 60 $1.00 $24 30 Fee Total: Paid to Date: Balance Due: $997 ee $st4 30 $483.69 ! Planning Condltlons: Inl.rior Tl only. BUILDING. INSPECTOR RECORD SITE.WORK DATE^a ID/SIG.COMMET.ITS OW]!ER BUILDER DEI.CARATION I hrcby affm undo pctulty of pcrjury thar I m cxcmpt from the Contracto6' Licmc I.3w r?rr thc follorrig lwn (Se.703 1.5 IJuins and Profsion Code): Any City or County which require a pcmit to @Gtruct, altq, imprcvq dcmolish or npat uy stuctrc. pdor to its issuilcc, also requiG thc applicet for such psmit to filc a signed slalm@t that hc or $c b licsE€d plNilt to thc provisiom of thc Contrctor's Liccnsed Law (Chapts 9, Comcncing with Sstion 7000 of Division 3 of the Bwins md Profesions Codc) or that hc or shc is cxmpt thqcfrom ad the b6sis for the allcged exmpion. Any violation of Setbn 7031.5 by uy applicant for a pemit subjsts the applicant to a civil pemlty of not morc thu fivc hundred dollrs ($500). _1. as owner of the property. or my employe$ with wages as their sole compcnsation. willdo the work and the structure is not intendod or offerd for sale (Sa.7044, Business and hofessions Code: The Contraclor's License Law does not apply to an owner of the property who builds or improves ther@n, and who does such work himself or herself or through his or her own cmployees, provided that such improvonents are not intended or offered for salc. If, howeiver. thc building or improvement is sold within one )Ear of complaion, the Orvner Builder will have the burden of proving tha he or she did not build or improve the property for the purpose of sale). __t, as owner of the prop€rty. am exclusively contracting with licensed contraclors to construct the project (Scc. 7044, Btsiness and hofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projccts with a Contracto(s) licersed pursuant to the Contractor's License taw). -l am exempt under Section-. B. & P.C. for this reason. I)q I o' WORKERS' COMPENSATTON DECLARATION I hcreby allirm under pcnalty of perjury onc of the following declarations: _l have and will maintain a Centificate of Consent to Self-tnsure for workers' compcnsation, as provided for by Section 3700 of the I-abor Code, for the performance of the work for which the permit is issued. _l have and will maintain workers' comp€nsation insurance. as requircd by Section 3700 of the l-abor Code. for the performance of the work for which this permit is issued My workers' compcnsation insurance carrier and policy numbcr are: And*. Policy Number: Expires: fil*tt that in the performance of the work for which this p,ermit is issued, I shall not ernploy any person in any manner so as to become subjcct to the workers'comporsation laws of California, and agree that if I should become subje*t to the workers' compensation provisions of Section 3700 of the l-abor Code, I shall, forthwith comply with those provisions. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an onployer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to thc cost of compcnsation. damages as provided for the , Section 3076 of the Labor Code, interest and attorney's fees. I hereby affrrm under 3 of the Business and Professions Code, and my license is in full force and effect. License Nurnber:0 Dare: + llA/rr1 1-l w W I hmby affm unda pcnalty of pcrjury that th6c is I @nstruciion lmdiog agocy for fic pofommce of the mrk for which this p6nit b issucd (Se. 3097, Civ. C.). Lf,dd's Nmc: Lendcr's Address: APPLICANT NECLARATION I hqrby affm undq Fnalty of perjury onc of thc following dclaratiom: Dcmolition Pcmit$Asb6t$ Notification Fcdqat Rcgulations (Titlc 40, Part6) -Rcquircd trtto of Notifiqlion -*r^rr, ,* ,tre fcdaal rcgulatiore regEding 6b6tos rmoval e nor applicablc to this prcjct. l-?o,,,ry ,nn I have rad this application sd state that the abovc infonnalion is conct. I agre to @mply with all City and County ordhilcG od Statc lrws rclairg to building coretrucrion, and hoeby authorirc rrF6@tativ6 of this City ad Couty to atq uIDa 0E above mentioned property for inspection 6Applicant or Agent I I'crnrilcc nanrc Iten I 0 Set Backs D Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/Ve nUl n s u Iatio n Roof Sheathins Shear Wall Framinq .-zq4 O CRJ ) lnsulation/Energy Drywall /rr$J&7q-z {UC?-'7 Ext./lnt. Lath Brown Coat Masonry Pool Fence ( T-Bar tLcri n Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif FINAL L (-i-'ru*v2r7Certificate of Occupancy Notes, Remarks, Etc. O