HomeMy WebLinkAbout101106334 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O1106334
Pin #: 45612
Project Address: 2677 N Main St
Assessor's Parcel: 003-013-18 Lot: MANY, SEE COMBlock: A & B
Unit: 120 Bldg:
Tract: 7211315
Address Range:Suite Range:
Zoning: SD31Historic: No
Building Use: Commercial
Job Type: Signs
Nature of Work: Sign-illuminated
Existing Bldg. & Use: Commercial building
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
N/A
N/A
cBc 2019
x-06023201 63J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $+,800.00
Description of Work: Replace (2) illuminated channel letter wal! signs for "citibank", bond included.
Planning Conditions:
Owner:
Address:
Phone:
Tenant
The Muller Co
2677 N Main St, #120
Santa Ana, CA 92705
(94s) 476-e800
citibank
Contractor: Coast Sign lncorporated
Address: 1500 W Embassy St
Anaheim, CA 92805
Phone. (7141 520-9144
State Lic #: 654238
Lic Type. C45
Bus. Lic #: 165863
Workers' Compensation I nsurance:
Carrier: Republic lndemmity Co
Policy #. 25440901
Expires'. 10/01 12021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Perpit lssued By:
NPDES lnsp. Req'd:
PWA lnsp: Req'd:
Planning Insp. Req'd.
Landscaping Insp. Req'd
Gomez, Pedro
Amsden, Julie /
zunisa. Arrissry
Date: 0410512021
Date: 0410512021
Date: 0410712021
Subject to Field:No
No
No
No
Account#Total
Misc. Receipt
Misc. Receipt
Misc. Receipt
0 7776002
0 77760 0 2
077760 0 2
077760 0 2
0 77760 0 2
07776002
0s376002
57507
s3600
57770
57672
57600
57607
s3636
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
Bond
$172 64
$11967
$48 60
$1 00
$23 7e
$5e 30
$200 00
Fire Insp. Req'd: No
Police 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 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
01 1 16002 51600
01 1 16002 51601
01116002 51612
01116002 s3600
01 1 16002 57770
0s316002 53636
$23 79
$231 .94
$1 00
$11967
$48 60
$200.00
Fee Totat
Paid to Date:
Balance Due:
$625 00
$0 00
$625.00
lnspector MID#: 2021-165310
.l
a,
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby allrm undcr Fnalty of Jrcrjury that I am cxcmpt from thc Grntract)N' Liccn$ llw lor thc folk)wing rcasrn (Se.70.! 1.5
Busincss arrl Professiru Gxlc): Any City or County which rcquircs a lErmit k) construct. altcr. improvc. dcmolish or rcpai, any
slruchrc, Jri)r b its issuancc, also rcquircs Ihc at plicanl for such lrcmil b filc a signcd slrtcmnl lhat hc or shc is liccnsd p$uanl
to thc Fovisions of lhe Conlracklr's Liccnscd law (Chaplcr 9, Commncing with Sslhn ?(X)0 of Division 3 of thc Busircss and
Prcfbssions Culc) or thal hc or shc is cxcmpt thscfrom and thc basis for thc allcgcd crcmplbn. Any violalion of Sction 70.1 1.5 by any
anplicatrl for a lErmil subjels lhc al,plicatrI b a civil pcnalty of trot mrrc than fivc hundred dolltrs (S500).
_1, as owncr of thc propcrly, or my cmployccs with wagcs as thcir solc conrpensation, will do thc work aftl the structurc is not
intcmled or ot'lcrcd lilr salc (Scru.7044. Busincss and Prot'cssions Crxlc: 'fhc Contractor's Liccnse Law does not apply to an owncr of
thc pnlpcrty who builds or impn)vcs thcrcon, and who drrcs such wrlrk himsclf rlr hcrsclf or th()ugh his or hcr own cmployccs,
providcd that such improvcrncnts arc not intcndcd rlrollbrcd tbr salc. It, howcvcr, thc huilding or improvcrncnt is sold within onc ycar
ol complel.ion, thc Owner Buildcr will havc tlrc burtlen of proving that hc or shc did mrt build or improvc thc proJrcrty lilr thc purJxtrc ol'
salc).
_1, as owncr of thc proprty, am exclusivcly contracting with liccnscd contractors to construct the project (Sec. 704/', Busittcss
and kutbssion Codc: Thc Contractor's Liccnsc Law docs not apply lo an owncr of propcrty who builds or improves thcrcon.
and who contracts lilr such pnljccts with a Contract<lr(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
-IanrexemptundcrS..ctitllt-'B.&P'C.ttlrthisrcastln.f \..r ^.
}VORKERS' CONI PT]NSATION
DECI,ARATION
I hcrchy atlirm undcr Jrcnalty ol'Jrcrjury onc ol'thc kllklwing dcclarations:
_l havc and will maintain a Ccfiillcatc of Crurscnt to Selt'-lnsurc firr workcrs' comJrcnsatron, as providcd for by Scction .37fi) ol'lhc
Lahlr Codc, lilr thc ;rcrlirrmancc ol'thc wrlrk ftlr which thc pcrmit is issucd.
_l havc and wrll maintain workcrs' compcnsation insurancc, as rctluircd by Scction -]700 of thc Lahor Codc, lilr thc Jrcrlirrmancc of
lhc wrlrk tirr which this 1^-rnrit is issucd. My ;iffi insurancc caricr and plicy numbcr are:
.1-
.R v, \ic I trt
Policy tt rDlt I 4J
_l ccrtity that in thc Jrcrlirrmancc of thc wrlrk tilr which this pcrnrit is issucd, I shall not cmploy any pcrson in any manncr
so as to becomc subjcct to thc workcrs'comJrensation laws of Calitilrnia, and agrcc that if I stxluld becomc subjcct to thc
workcrs' comJrcnsation pnrvisions o[ Scctirln J700 of thc Latxrr CrxJc, I shall. tilrthwith comply with t[xlsc provisions.
WARNING: Failurc to sccurc workcrs'com;rcnsation covcragc is unlawl'ul, and shall subjcct an cmpkrycr to criminal Jrnaltics and
civil lincs up to onc hundrcd thousand dollars ($1ffi,fi)O), in l<l lhc cosl ol'comJrcnsation, damagcs as providcd lirr thc
Scction 3076 of thc Lahrr Gxlc, inlcrcsl and
I\.rr^.
LICENSED CONTR/|CTOR
DECLARATION
I hercby atfirm undcr Jrcnalty ol'pcrjury that I am liccnsed under pnrvision of Chaptcr 9 (commcncing with Scction 7000) of Division .]
of thc Busincss and Pnll'cssi<lns Codc, and my liccnsc is in t'ull lirrcc and cll'cct.
Liccnsc 5 65 1Z5a
WthcEbyafftrmundcrJEnallyofJrcrjurythartrro"iryrformcofrhcmrkforwhichthisImitis.
issucd (Se. 3097, Civ. C.).
kndcr's Namc:
hndcr's Atldrcss:
APPLICANT DECLARATION
I hcrcby atlirm undcr pnalty of pcrjury onc of thc lirlkrwing dcclarations:
Dcmoliti<ln Permits-Asbcstos Notification Fcdcral Regulations (Titlc 40, Part6)
-Rcquired
lrttcr of Nolilicalion
_l certily that thc t'cdcralrcgulations rcgarding asbcstos rcmovalarc not applicablc lo lhis prljcct.
aml statc that the atxrvc inlirrmation is corrccl. I agrc.c to comply with all City and County
arl(l hercby auttxrrize rcprcscrrtativcs of this City and County to cntcr uSxrn the
atxlvc mcntioncd propcrty tirr
Applicant or Agent
\
l)crnritee nanle
construction,
\Dare:\l*/u7
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUI nsu lation
Roof Sheathing
Shear Wall
Framing
Insu Iation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL /-,a-.21 bno*a
Certificate of Occupancy
Notes, Remarks, Etc.
Elrrv nQ-n7 -2n1q
/I
I
d-aBz5f ta
IIg:
3.8; o
E3i -5s3 D'-ts{
Eg n
Scl
U
tr)?+e
(-a
E.
)o
b,Jo
b'.)O
rlo
{-Jo
I3
Fa.-;
3
A)
oo3Jo
(Drl
F
(D_oo.ir E?
Fl t-'i?I'.trs5v'
\aI-Hx-(DPP
*oirI
a
v,tso
Br.t
D,
=o-
o(t
F}g.-e
CQil
='gq
g
(Dg
-lI.
c)
P.
At-Jo.
o;
E'rJ
BFt
E.
a
a'3 B a
E f;.# E
gE ltr
5 qg H'
r[**
rff;.3
H;H*
3rr1
i $gEDCL}AC
B = E A3FrIe 3 +?
31E Bv, =5|,.D'3(D o v'
E &i3g.? I gr (D sg.s s d 7
3qE a(D6oFo
f * ="+
g*&[
EET:
H- H'+ =u, - tuzt-6o*Ir- \ 'o=;,r9-d
=o6
Edo
D)Fto.
!na
D
N.,iAf,
O E>C'U'' D C, -.O =.= H=a+O (D o aoI ==€=F EI.:>
= 88F9r -@a F'
.H sB H=
E tg:B q
LT.', -".o,t
?'lrro'o,, I.lrIf, .{
,,
Is'r
ooo
m'a
J
Jo.(D
-oO
fi3s
=r ctBq1sUl3
Pp-g*
iE
E6'is1*
-r Cl
=Q.D6.
ts9d*,gB
B9.r<
ertsdase€
49.
sqof+ft+='l)o.
& tt-
8EioEe.!-!E),
&
=o
R AA-a= F s 8ff
E'g1Ea,Erg
: nEt =b F3 i=r iE ch a,
=
e+B €EEe g*= \
rHqEE* E3SEH E9. 98d l-r FEr EH Erg L=
3 EaEs ;=t-ii (D '--I ::r- (L .= SLESI d=ail 3E;trF 6'q1 36 Jc (D:= ==QE ;FEo.a
=o(cl -= q, (nE EE-7E B€gE EEH
= tDH-6' 6lqoF a*ga =e=
U'oP
,
C)o336'U,6'
=mxE.
(D9
tC.-lcl=
l<o
lru
l.--r.ILlolN)ls
D
@
f,liiE
igE ?EB" t;:
E
g
f
rlcs.oIc
at()
tII
f
E4
B
o6cac(,\q
ffi
o
cr)
d
C)ioo
t
c{(Yo(\I
F
(Y)
(Y)o
,
ttI
rf)so
-
E
IaeIo
TL
E.
8ftiF
E,o
o-tro
C)
=z
rYr I
$Erod(0(JIIui
ffi
C)(x
EHEYuttuirU)C)
EqE
AHE
Fut
t[
U
u
a
I
a
a
a
i
a
a
!
a
a
oa
(D
G
I
/
L_/
i
It
T
T
I