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HomeMy WebLinkAbout101106075 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #: {O1106075 Pin #: 75063 Proiect Address: 3621 S Harbor BIvd-a- Assessor's Parcel: 414-261-07 Lot: POR 3 Block: NA Unit: 1 30 Bldg: Tract: WILLIAMS Address Range: 3601-3631 Historic: No Suite Range: Zoning: SD58 Building Use: Job Type: Nature of Work: Existing Bldg & Use: Proposed Use: Commercial Alteration Demising Wall Commercial/Offices B V B, SPK cBc 2019 x-0602320258J 1st FL Area 2nd FL Area: Other Areas: Garage Area: Total: Patio. T.l.Area: 0 Yards Req'd: Valuation: $56,000.00 Occupancy: Constr Type Code. Flood Zone'. # of Stories: 0 Description of Work: lnstall a demising wall to create suite 130 Planning Conditions: lnterior Tl only. Owner: Address: Phone: Tenant: 0 Anne Ahn 11777 San Vicente Blvd #650 Los Angeles, CA 90049 (657) 325-8400 Contractor: Esplanade Builders lnc Address: 23820 Hawthorne Blvd #100 Torrance, CA 90505 Phone. (310) 783-7664 State Lic #. 831964 Lic Type: B, C-2, C-9, C-33, C-23, C-17 Bus. Lic #: 352893 Workers' Compensation I nsurance: Carrier'. Zurich American lnsurance Compe Policy #: WC38046700 Expires: 0110112022 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone. License #: I ,. H Hendy Associates Susan D. Dwyer 4770 Campus Drive, #100 Newport Beach, CA 92660 (e4e) 8s1-3080 c33724 t Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd. No Planning lnsp. Req'd: No Landscaping Insp. Req'd. No Orozco, lvan Le, Tung Chavez, Dave Date: 0310912021 Date. 0411912021 Date: 05/1 212021 Subject to Field:V?? Misc. Receipt: Misc. Receipt: Misc. Receipt: 07775002 07776002 0 5376002 07776002 08907007 07776002 07776002 07776002 57607 53600 53637 57770 24000 57672 5760 0 5760 7 75309 Total Permit Fee Plan Check Fee Accelerated (per h, Microfilm Records SMIP - Category 2 BIdg. Stds. Revolving General Plan Update I ssu ance Fee Total: Paid to Date: Balance Due: $34s 28 $478 68 $1 53 39 $4 05 $15.68 $3.00 $23 79 $5e 30 $1 ,083.1 7 $478 68 $604.49 Fire lnsp. Req'd. Police lnsp. Req'd Flood Zone Cert. Req'd: No 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 permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. Noyes Account# 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 05316002 s3637 08901001 24000 $23 7e $404.s8 $3 00 $4 05 $1 53 39 $15.68 !nspector MrD#'. 2021-164757 BUILDING. INSPECTOR RECORD S!TE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DEI.CARATION I h6cby affm unds pcnalty of pqjury thsr I m qmpt from thc Contrrctos' Liccc [:w for thc following r@n (Sc.7031,5 Buinas and Prcf*ion Codc): Any City or Co6ty which rcquirs a pomit to coretruct, 8ltq, improvc, dmtotish or rcpair my struc1uc. prior to its isuuc, also rcquiG thc applicmt for such pcmit to filc a signcd stalmot thal hc or $c is lic@cd pEuarlt to thc prcvisioru of thc Contretor's Liccnscd law (Ch8pt6 9, Comcncing with Setion 7000 of Division 3 of the Bwinm md PrcfesiomCodc)orthatheorsheisampthqcfromildthcbasbforthcallcscdqmpion. AnyviolationofSetiotrT03l.5byey spplicat for I psmit subjets thc spplicut to a civil pcnslty of not morc the five hundrcd dollm (1500). --1. c omq of thc prcpqty, or my @plo)6 with wsgc I thcir rclc ompquarion, will do dE wort ud thc anrtrc is mt intordcd or offocd for slc (Sc.7M4, B6ine md Profasioro Codc: The Coilretor's Liccrc Law do6 not apply to o ow of thc prcp<ty who builds or improvc th@n, and who do6 $ch m* himself or h€Nlf or thrcugh hb or ha om mploycc. prcvidcd that such imFovmts rc not iiladcd or ofrred for sh. l[ howc. thc buiHing or imprcvmt is sH withia onc ]qr of complaio!, th€ otf,ns Buil& will havc thc h[da of prcving tha hc or she did mt build or inporc thc propqly for thc purpos of sle). -1, 6 oms of thc Fopsiy, m cxclsively contracring with lics€d contractoE to coEtrucl tlE projGr (Sa. 7044, BBin6 ud Prohsion Codc: Thc Contmctor's Licmsc Law do6 not apply to a own6 of propqly who builds or improv6 th@n. and who @ntracts for such projets with a Contreto(s) licfficd puBwt to thc Cootractor's Licmc [aw). -l m cxmp unds Setion-, B. & P.C. for this rcmn. Drle _ O*nE' EOBKESS:CAMfINSAIION DECI.ASATJON I hocby affrm unda pdalty of pqjury one of thc following delaratioG: _l have ad will mintain a Cqtificatc of Comt to Sclf-lrourc for workG' compcrEation, c providcd for by Serion 3700 of thc labor Code. for thc pqfolMce of thc work for which thc pqrnit is issucd. -l have and will maintain workers' compensation Section 3700 of the Labor Code, for the pcrformance of the work for which this perfnit is issued.carrier and policy number are: a Cu (\,\)a \Policy -l certift that in the performance of the work for which this pcrmit is issued. I shall not cmploy any person in any manner so as to become subject to the workers'compensation laws of California, and agree that if I should becomc aubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with those provisions. WARNING: Failure to secure workers' compensation is unlawful, and shall subject an to and r thecivil frnes up to one hundred thousand dollars ($addition to the cost Scction 3076 of the tabor Code. interest and attorney's D",., '5-l J--;Ul)\w I hcreby affirm under pcnalty of perjury that I arn licensed provision of Chapter 9 (cornmorcing with Section 7000) of Division 3 of the License Business and Professions Code, and rny license ' i\3 L -,INumber: ,",., . s _\)-JlCe\ W I hmby allim undo pcrulty of psjury thst thsc is a coctruclion knding 8g@cy for thc pqfomcc of thc wort for which this pqmit b issucd (Sc. 3097, Civ. C.). Lender's Name: Lender's Address: APPLICANT DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Part6) _Required Letter of Notification with all City and County and County to eflt€r upon thc Applicnnt or Agent l'ermitee name I )\ Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/Venul nsu latio n Roof Sheathing Shear Wall ,)Qo ) Framing ;lt\Hav N&t,L) Insulation/Energy l/vt t n Drnrvall 'o//dal :q0 Ext./lnt. Lath I Brown Coat Nlasonry Poo! Fence ,l lt /')G T-Bar /b/,lrfhAr /lDtlt 7%rtr Handicap Req // Deputy Final Report Enqineer Final Report Flood Zone Certif -'/ /l0 F!NAL IHA/YN- Certificate of Occu Notes, Remarks, Etc. rA .- in lbll Q-l regarding asbestos removalare not applicable to this project. construction" and ffiDTZ t-og TIr Z g m Hd9i o tlt2 trlfl t- oozrl/ o-loF(o -l EIz zrt ?Ar0 Fo EI (nz ,.1 a a+=oot==r'f'.iE8ilJ-*B=inr- zo o 3E (D-PI No N)o 5-===laoo =F?r-r,r,.j?8333-'o===Sreao:lorln a qfr H YPb'o- (^) fon-:l -lo { =o 3 (+ 3 o) (')o fo (D- -f = qeil u-orj-rP :6& d EgE =. vt o, 1+B fr!{OOJil' = O-o) ru,r 6'q\Y r+ t* oIH =.o_e+=d =:=g }3 rre E;n6 = 4+E =d-3+r(/)+r=0 I ='Se-ro)-rt\ io-=o) -- 3 Hq []'.-6' '+(D ni? il aE(Df-rmlO-vr(Dt;r-- o, -(DoXf*.6 &s-i6E *qorrn =.9:f o)oq=qt ;o Ego)=. =' o-dqvr -l=o,:,T os c)c)rnll(.) q89A-? n'i893 i o, (D rr vl6'3@ 6?o- alll -t \-t@tnO-6\r-(DO 71t-.--uB 2 ) -1 , = f(ul-c)(1o' ..b +t;ts ]JSio Ststx ?N \s \s O.o{ h lf. rtb : s F t) *t tl N(x @No-o,{* =o =(D @?P vr.+o Poo {='{afor) (,t e_ E- h.oror63 =froro)vro-o-o(DfD* oo'r+cc@ ==wo-o-Poo(o-raCrl?:45(1rioo33 wooN 0-{oGE € E3Pvtf! ul (.) ?(od5N Bq'9il d6dr-) tsB (.rloul