HomeMy WebLinkAbout101107466 - PermitCity 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 #: {01107466
Pin #: 58171
Project Address: 301 E Stevens Ave
Assessor's Parcel: 411-121-04 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: M1Block: NA Tract NA Historic: No
Building Use: lndustrial Occupancy: N/A 1st FL Area
Job Type: Signs Constr Type: N/A 2nd FL Area
Nature of Work: Signs Code: cBc 2019 Other Areas
Existing Bldg. & Use: tndustriat Flood Zone: x-o6o2320278J Garage Area:
Proposed Use: # of Stories: Total
Description of Work: lnstall (2) non-itluminated wall signs on east & south elevations for "GrowGeneration", bond included
Patio:
T.l.Area:
Yards Req'd
Valuation:$5,000.00
Planning Conditions:
Owner:
Address:
Phone:
Tenant
The Realty Assoc. Fund Xll Portfoli Contractor: Williams Sign Co.
625 The City Drive South Address: 111 So Huntington St
Orange, CA 92868 Pomona, CA91766
(714) 8884537 Phone: (909) 622-5304
The Grow Generataon state Lic #: 211502
Lic TYPe: C45
Bus. Lic #: 318102
Workers' Compensation lnsurance:
Carrier: Benchmark lnsurance Co
Policy #: CST5021289
Expires: 0410112022
Engineer:
Address:
Phone.
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Botch+:6U316 8/ L2/2tr2I ID: ov i ctor ici
Uff ice: (:TYH Tr'arrs*: 16 I0f' I
Accbf : Rer *: ittl l Lt 7{66
I'rcpt,i:1t337727+ Su 1 2l'7lt2l I r 51 AH
lrsnsoct i on Tocoi t5i6,65
tJiIIi$rrts Sisrr i:o,
tienerol F'lsn tlpd0te Fee
tll I 16tr02- 516Lr00ttti-
Bu i ld ins
ttl I 16Lttt2- Slot tltl[t[t-
trlds Stds Revslvrng
trt 1 l60tt!- 51 o12tt0t-r-
$23 .79
$23 t .?4
$1 ' [l[l
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Arabe, Jill
Amsden, Julie
Verduzco, Violet
Date: 0810412021
Date: 08/1 012021
Date: 08/1 212021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:.l\/
o t t rc di[,t?.-t&1 fldr,1i,i'i.,ltlHd],,,
0 7 7 7 6 a0?l'56i6_0,b Pldrir Eheskf ee
o 777 6 6w !5 t ?yp ar4ictufitr,ii.Bb66ffirr-, il
o t t r t dl_T"' b?:#} Bid6 i$tqi,.=Revorv i n s
$172 64
$t 19 67
$20'.25 : :
$1 .00
$23.79
$59 30
$200.00
$596.65
$0.00
$596.65
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Ffood Zone Cert. Req'd: No
Account#Total
07776002 57600 General Plan Update
07776002 57607 lssuance
05376002 s3636 Bond
Fee Totat
Paid to Date:
Balance Due:
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.
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
05316002 53636
$23.7e
$231 .94
$1 .00
$1 19.67
$20.25
$200.00
lnspector MID#: 2021-167837
BUILDING- INSPECTOH RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcreby affirnl undcr pcnalty of Jrerjury that I am excmpt f@m the Coilmcto6' Liccns taw for thc following rcamn (Sec.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs a prmit to construcl, alter, improvc, dcmolish or rcpair any
struclurc, prior to its issuancc, {lso rcquircs the applicant for such lrcrmit lo filc { signcd statcrcnl thal hc or shc i$ licenscd purslant
to thc prcvisions of the Contr8ctor's Liccnsed Law (Chuptcr 9, Cormcrcing with Scction 700O of Division 3 of Ihc Busincss and
ProfcssionsCodc)orthathcorshciscxemptthcrcfromBndthcbasisforthcallcgedexcmption. Anyviolationofscction?O3l.5byany
applicant for a pcrmit subjtrts thc applicmt to a civil pcnalty of not morc thao fivc hundrcd dollus ($500).
-1.
as owncr of thc prcFrty, or my cmplo)@s with wagcs as thcir solc comlrcnsarion. will do lhc work ard thc structm is fril !
inlcndcd or olfcred for slc (Sa.7Ol4, Busincss and Pmfessions Codc: Thc Contractor's Liccn* lnw docs not apply to an owncr of
thc pmltrty who builds or impmrcs thc@n, and who docs such work himsclf or herself or thrcugh his o. hcr own crnployccs.
providcd that such imprcrcmnts re mt intended oroffcrcd for $le. If, howcvcr, thc building or imprcrcmnt is mH wilhinonc ycu
of complction, thc Owncr BuiHq will havc the burden of pmving thal hc or shc did mt build or irymvc thc prcFny for thc purporc of
sah).
-1.
as owncr of the propcrty, am exclusively contracting with liccnscd contractors to construct the projcct (Scc. 7W, Busincss
and Pncfcssion Codc: The Contractor's License Law does not apply to an owner of property who builds or improves thercon.
and who contracts for such projccts with a Contractor(s) liccnsed pursuant to the Contractor's License Law).
-IamcxcmptundcrSection-.B.&P'C.forthisreason.Il..r ^.
SQB6E8Ii5:OMEENSAIION
DECI.ABAIION
I hercby affirm undcr pcnalty of pcrjury onc of thc following dcclarations:
_l havc iltd will mintair a Ccrtificate of Con$nt to Selflnsurc for workers' compcnsation, as prcvklcd tbr by Section 3?0O of the
labor Code, for the performncc ofthc work for which the pcrmit is issucd.
Al havc and will maintain workcrs' compensation insurancc, as rcquircd by Section 37OO of the tabor Codc, for the pcrformre of
' Ihc work for which this pcrmit is issucd. My workcrs' ompensalion insurancc cuier md policy numbcr rc:
fuluhrnno.rLltrs 0u
Policy q lt lzz
\Q.l ccniry
'l I
that in thc pcrfbrmancc of thc work lbr which this pcrmit is issucd. I shall not cmploy any pcrson in any manner
so as to bccornc subject to the workcrs' compensation laws of California, and agrec that if I should bccome subject to the
workcrs' compcnsation provisiorrs of Section 3700 of the Labor Code, I shall, tbrthwith comply with those provisions.
WARNING: Failure to sccure workcrs' conrpcnsation covcragc is and an crnploycr to criminal pcnaltics and
civil lincs up to onc hundrcd thousand dollars ($100,000;,to thc compcnsation. damages as provided for the
Section 3076 of the Labor Codc, inlercst and altorncy's
I hcrcby allirm undcr penalty of pcrjury that I anr liccnscd undcr provision of Chaptcr 9 (commcncing with Scction 7000) of Division 3
of thc Business and Profcssions Codc, and nry liccnse is in l'ull force and cfl'cct.
Liccrrsc zilSb?
Dnre: *lt Ll Z Il/
I hercby aflirrn undcr pnalty of pcrjury that thcrc a constructiolr agcncy performancc of the work ltrr which this prmit is
issued (Scc. 3097. Civ. C.).
Lcndcr's Nanrc:
Lrndcr's Addrcss.
APPLICANT DECLARATION
I hcrcby affinn undcr pcnalty of pcrjury one of thc following declarations:
Dcnmlition Permits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd [.ctter of Notification
-l
ccrtify that thc t'edcral rcgulations regarding asbestos rcmovalarc not applicable to this projcct.
that I have rcad this application and state that thc above information is corrcct. I agrcc to comply with all City and County
and hcrcby authorize rcprcscntativcs of this City and County to cntcr upon the
abovc mcntioned property for
Applicant or Agent
Permitee nanle
7
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf I oo r/Ve nt/l n s u I atio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
JMasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
tl,..t .l
F!NAL IU q-t\DWf,'ID'
Certificate of Occupancy l\
Notes, Remarks, Etc.