HomeMy WebLinkAbout101106290 - 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 #: {01106290
Pin #: 88,072
a
Proiect Address: 2800 N Main Sta
Assessor's Parcel: 111-111-11 Lot: 1
Unit: Zg2S Bldg: Address Range:
Tract: RESUB OF SHAFERBlock: NA Historic: No
Suite Range:
Zoning: C2
a
Building Use: Commercial
Job Type: Tenant lmprovement
Nature of Work: TI
Existing Bldg. & Use: Gommercial/Retail
Proposed Use: Storage
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories.
M, S-1
!I A, SPK
cBc 2019
x-0602320163J
a service corridor, install t-bar ceiling, add pre-fab
Patro:
T.l.Area:
Yards Req'd
Valuation:$t e,000.00
walk-in cooler, frame in (1)
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
400
Description of Work: Tl-lnstall partition walls and hard lid ceiling to create
interior door, relocate (2) doors, add (1) new door.
Planning Conditions: lnterior Tl only.
"ttt tce; L.tIH
,r --tlr,,ILL L T r
tcpt*:u3+u152
Owner:
Address:
Phone:
Tenant
Centennial Real Estate Company Contractor:
8750 N Central Expressway #1740 Address:
Dallas, TX 75231
dl:::".,.n,
Spike Construction lnc
7915 Harper Ave
Downey, CA 90241
(562) 454-7673
435582
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
)p tlie L.gf
3u i id r ns
ri t l, our_i?
len er'o i
l1116Lt[lj-
bX cosr\rc,re-*o r LicrYPe: B
Bus. Lic #: 378785
DATE: Workers'Compensation Insurance:
- ' a\'_\q _- ,I_\ carrier: Berkley Nat'l lns
Policy #: BNUWC0154643
,rrlfrrt. f^ro-) Expires: 07/13/2022
Jesus Hurtado, Architect
Jesus Hurtado
1310 S McDonnell Avenue
Los Angeles, CA 90022
(323) 48s4040
c29969
It
0r
t.
m
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
ry
Gomez, Pedro
Scott Fazekas & Assoc.
Amsden, Julie
Date: 0712712021
Date: 0T 12212021
Date: 09/01 12021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
07776002
57607
53600
57770
57672
s7600
57607
75372
Total
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
$172 64
$239.34
$4 05
$1.00
$23 79
$se.30
Account#
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No 01 1 16002 51600
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.
No
No
No
Fire lnsp. Req'd. No
Police lnsp. Req'd: No
01 116002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
$23 79
$231 94
$1.00
$66.70
$4 05
$s00 1 2
$172 64
$327.48
lnspector MID#: 2021-165209
SITE.WORK DATE ID/SIG.GOMMENTS OWNER BUILDER DEI,CARATION
I hocby affm undr pmalty of pcrjury that I m cxmpt from thc Contreto6' Licmc kw for thc following lwn (56.7031.5
Buines md Profsion Codc): Any City or County which rcquirc a pemil to coNtruct. altc, imprcva dqnolish or rcpgir my r
struclw, prior to its isumce, alrc rcquirB the applicilt for such pcrmit to filc a signcd statmal thar he or dE b liccf,scd psuet
to thc prcvisioN of thc Contnctor's Licens€d Law (Chaptd 9. Commacing with Setion 7000 of Division 3 of thc Buins od
Prcfcsions Codc) or that he or she is cxcmpt th@from ed the basis for thc allcged cxopion. Any violation of Sction 7031.5 by ey
applicmtforapcrmitsubjGtsthe applicilttoacivilpemltyofnotmorcthefivchundrcddollc($500).
_1. as owner of the property, or my employees with wages as their sole compensation. will do the work and the structure is not
intendod or offered for sale (Sec.70t4, Business and hofessions Code: Thc Contractor's License law does not apply to an owner of
the propcrty who builds or imFnoves thereon. and who does such w'ork himself or herself or through his or her own employees.
provided that such irnprovonents are not intended or oflbred for sale. I[, howener. the building or improvement is sold within onc ]er
of complaion. the Or,nner Builder will have the hrden of proving tha he or she did not build or improvc the property for the purpose of
sale).
_1, as o\^'ner of the property, am exclusively contracting with licensed contractonr to construc't the project (Sec. 7044, Business
and hrcfessbn Codc: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contractor(s) licensed pumuant to thc Contractor's Licensc l-aw).
-l
am exempt under Section-, B. & P.C. for this reason.
)
Date:
WORKERS' COMPBNSNTION
DBCLARATION
I hereby affinn under penalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers'compensation. as provided for by Section 3700 of the
Labor Code. r
(*'.^ro
ttre work for
for the perfonnance of the work for which the permit is issued.
3700 of the Labor Code, for the performance of
and policy number are:
Policy u1 1t)l LL
_l certify that in the pcrfonnance of the work for rvhich this permit is issued, I shall not employ any person in any manner
so ils to become subject to the workers'compensation laws of California. and agrec that if I should bccorne subject to the
rvorkers' compensation provisions of Section 3700 of the tabor Code. I shall. forthrvith comply wilh thosc provisions.
WARNTNG: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal po'rahies and
civil fines up to one hundred thousand dollars ($100.000). in addition to thc cost of compqsation. damages as provided for the
Section -3076 of the Labor interest and attorney's
I hereby affirrn under penalty of perjury that I arn licensed under provision 9 (cornrnencing with Section 7000) of Division 3
of the Business and Profcssions Code. and my license is in full force and effcrct.
License Number:
L4\ 15-xL
Dalc:^.9t 0tlLl't
CONSTRUCTION LENDINC AGENCY
I hrcby affm undo pcnalty of pqjury that thm is a connruction lcnding agocy for thc psfolrmcc of thc rcrk for which this pqrnit is
issucd (Se. 3097. Civ. C.).
Lender's Name:
I-cnder's Address:
AfII,ICANLDECIdSAIION
I harby alfim unds penalty of pcrjuy onc ofthe following delrations:
Demolition Pmit$Asbctos Notification Fcdqal RegulatioB (Title 40, Pan6)
-Rcquired
trti6 of Notifi @tbn
-l
cGriry that thc fcdBal rcgulatioro rcguding ubctos moval ae not applicablc to lhis prcjer.
4fccti& tf,at t lu"c red this application {d statc that thc abovc infomation is cor6t. I agrc to comply with 8ll City ed Couty
ordimcB md Statc lrw rclating to building constructiotr ild h6eby authorirc rcpreslaivG of this City ud Couty to 6tq upotr thc
above mentioned propeily for
Applicrnt or Agent
Pcrmitee nlnre
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n s u I atio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drynruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
BUILDING. INSPECTOR RECORD
a
C*ro, {\. I
I
,^.", oof/crl /Z(