HomeMy WebLinkAbout101107341 - PermitProiect Address: 720 S Harbor Blvda
Assessor's Parcel: 108-25342 Lot: NA
Unit:Bldg:Address Range: 706-810 .
Historic: No
Suite Range:
Zoning: SP2Block. NA Tract: NA
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {O1107341
Pin #: ,frfr,
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Signs
Signs-illuminated
Com mercial/Retai I Sales
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $S,000.00
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2019
x-0602320256J
0
Description of Work: lnstall (3) illuminated channel letter wall signs for "T-Mobile", bond lincluded
Planning Conditions:
ngineer:
Owner:
Address:
Phone:
Tenant
Santa Ana Plaza B & D Partners
888 S Disneyland Dr, Suite 101
Anaheim, CA 92802
(7141 687-0000
T-Mobile
Contractor: Coast Sign lncorporated
Address: 1500 W Embassy St
Anaheim, CA 92805
Phone: (7141 520-9144
State Lic #: 654238
Lic Type: C-45
Bus. Lic #: 165863
Workers' Compensation I nsurance:
Carrier: Republic lndemmity Co
Policy #: 25440901
Expires. 10/01 12021
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Address:
I
t
Chone:
license #:
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Architect /
designer:
A'ddress:
I
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Phone:
t
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By: i
NPDES tnsp. neq'o'' 6"
PWA lnsp. Req'd' (- No
Planning lnsp. Req'd: No
Machado, Miriam
Amsden, Julie
Amsden, Julie
Date: 0712212021
Date: 0712212021
Date: 0713012021
Subject to Field:
No
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
07776002
0 77760 0 2
07776002
07776002
07776002
07776002
05376002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Bond
Fire lnsp. Req'd:
Police lnsp. Req'd:Account#Total
57607
53600
57770
57672
57600
57607
53636
$172.64
$11967
$20.2s
$1 00
$23.79
$s9 30
$200.00No
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 within 360 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#: 2021-167609
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
05316002 53636
$23.79
$231 .94
$1.00
$1 re 67
$20.25
$200.00
Fee Totat
Paid to Date:
Balance Due:
$596.65
$0.00
$596.65
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm undcr penalry of pcrjury that I m cxcmpt frcm thc Conl]aclo6' Licenrc l:w for thc following rcarcn (54.7031.5
Busincss and Profcssion Code): Any City or County which rcquircs a Jrrmit to construct. altcr, improvc, dcrclish or rcpaL any
structurc. pdor to ils issuamc, also rcquircs thc applicant for such Frmil to file a sigrcd statcrcnt th.t hc or dlc is liccnsd puru8nt
to thc prcvisions of thc Contractor's Liccnwd law (Chaptcr 9. Cornncncing wilh Scction 7000 of Division 3 of thc Busincss and
Prcfcssions Codc) or that hc or shc is crcmpt thscftom and thc basis for lhc allcgcd exemption. Any violation of Sethn 703 1.5 by any
applicant fbr a permit subjccts thc applicant lo a civil pcnalty of not mrc lhil fivc hundrcd dollms ($500).
_1. as owncr of the proprty, or my cmployccs with wagcs as thcir slc compcnsation. will do the work and the slructurc is not
intcndcd or ofl'cred for salc (Scc.7044. Business and hof'cssions Codc: Thc Contractor's Licettsc Lrw docs not apply to an owner of
thc propcrty who builds or improvcs thcrcon, and who docs such work himsclf or hcrsclf or through his or hcr own cmployccs.
providcd lhat such intprovcnrcnts arc not intendcd or otlcrcd frlr salc. lf. howcvcr. thc building or improvctrrcnt is sold within onc ycar
of corrrplction. thc Owner Buildcr will havc thc burdcn of proving that hc or shc did not build or improvc the properly for thc purpnsc of
sah).
-1.
as owncr of thc proprty. am cxclusivcly contracting with liccnscd contractors to construct thc projcct (Scc. 7W, Busincss
and Profbsskrn Codc: Thc Contractor's Licensc Law docs not apply to an owner of propcrly who builds or improvcs thcrcon,
and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's Liccnsc taw).
-IatncxcmptundcrSection-.B.&P.C.lbrthisrcason.
I\... ^.
IIQ8TE&I:I]TIMPINSAIION
DECIdSAIION
- I hercby allrm undcr pcnalty of pcrjury orc of lhc following dcchmtions:
-l
havc and will miltoh a Ccnificarc of Conrcnt to Self-lnsurc for workcs' comlEnstion. as pmvidcd for by S(tion 3700 of fic
lilr thc lrcrfornuurcc of thc work frrr which thc pcrnrit is issucd.LaborzCodc,
Ar" onowill nrairrtain workcrs' compensati<ln insurancc. as by Scction 3700 of the Labor Codc, for thc;rcrformance of
,carricr and plicy numbcr arc:thc work for this pcrrnit My
0 z
_l ccnify that in Ihc pcrforrmrcc of thc work for which this pcrmit is issucd, I shrll not cmploy any pcrson in any nunrcr
w astobc@msubj€ttothcworkffs'omlrcnsationlawsofCalifornia.andagrclhatiflshouldbccomsubjccttolhc
workss'@mpcnsationpmvisionsofScction3T0OoflhetibrCodc.lshall.forthwilhcomplywiththosprovisions.
WARNING: Failurc lo $curc workers'compcnsation covcrogc is unlawful, and shall subjcct e cmploycr to siminal lrcmltbs and
civil fincs up to onc hundrcd thoosand dolles (SI00,000), in addition to lhe cost of comJEnsation, damgcs as providcd for thc
Section thc Codc. intcrcst and attorncy's
/
I hcrcby atfirm undcr pcnalty of perjury that I arn liccns;ed undcr provision of Chaptcr 9 (comnrcncing with Scction 7000) of Division 3
of thc Busincss and Profcssions Code. and rny licensc is in full force and cffcct.
5 5t/ uBNurnbcr:
1 z
W
I hcrcby amrm undcr Fmhy of Frjury that thcrc is a constructirn hndin8 agcncy for thc ;xrforrorce of the work for which thls Frmit is
issucd (Se. 3097, Civ. C.).
hndcr's Nsmc:
Lendcr's Address:
APPLICANT DECLARATION
I trcrcby affirm undcr pcnalty of perjury onc of the following dcclarations:
Demolition Permits-Asbcstos Notification Federal Rcgulations (Titlc 40, Part6)
-Requircd
lrttcr of Notificalkrn
_l ccrtify that the fcdcral rcgulations rcgarding asbcstos rcmoverlarc not applicablc to thls projcct.
I ordirranccs and Statc Laws relating to building construction. and hcrcby authorizc
is corrcct. I agrce to comply with all City and County
r rcprcscntativcs of this City and County lo enter upon the
abovc mcnlioncd propcrty for
[,'Applicant or Agent
frfermitee
n&me
LO IL
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framing
Insu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
-l\/asonry
Pool Fence \
T-Bar \
Handicap Req \
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 9zo w(P-(!-Za -oJLsJ-o 2Y7 \
Certificate of Occupancv
Notes, Remarks, Etc.
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Owner:--
_F.xpircs:
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