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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.