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Home My WebLink About101106288 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O1106288 rr Pin #: 1 1 Project Address: 2800 N Main St Assessor's Parcel: 111-111-11 Lot: 1 Block: NA Unit. 23gS Bldg: Address Range: TTact RESUB OF SHAFER Histonc: No Suite Range: Zoning: C2 Building Use: Job Type: Nature of Work. Existing Bldg. & Use. Proposed Use. Commercia! Tenant !mprovement TI Commercial/Retail Storage Occupancy: Constr Type: Code: Flood Zone'. # of Stories: M, S-1 II A, SPK cBc 2019 x-0602320163J 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Patio: T.l.Area: Yards Req'd Valuation: 389 $15,560.00 Description of Work Tl-Remove and install partition walls, t-bar ceiling and interior door (1 ff or'B I Es IT ', LtJ \.--!Lr {l-L L.z r , -- l. 8 rI ULrr I r t-tolu 2t-r AfiPlanning Conditions: lnterior Tl only Owner: Address: Phone: Tenant Centennial Real Estate Company 8750 N Central Expressway #1740 Dallas, TX 75231 Spike Construction !nc 7915 Harper Ave Downey, CA 90241 (562) 454-7673 435582 B 378785 Contractor: Address: Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone. License #: ( ftHililff cAltc E L L E dl::l i,. u,b5 eoskrc.C\o r ::Jffi_ DATE:9-\q-A\ en er t11o Workers' Compensation I nsurance: Carrier. Berkley Nat'l lns Policy #: BNUWC0l54643 Expires: 0711312022 Jesus Huftado, Architect Jesus Hurtado 1310 S McDonnell Avenue Los Angeles, CA 90022 (323) 48s4040 c29969 'f zJI . Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd PWA lnsp. Req'd: Planning Insp. Req'd: Landscaping lnsp. Req'd: Gomez, Pedro Fazekas & Assoc. Fire lnsp. Req'd: Police lnsp. Req'd: No No Account# Amsden, Julie Date: 0712712021 Date: 0712212021 Date: 09/01 12021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 07776002 07776002 07775002 07776002 07776002 Permit Fee Plan Check Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance 75372 Total 57607 s3600 57770 57672 57600 57607 $172.64 $23e.34 $4.0s $1 00 $23.79 $5e.30 *r'-NO No No No Every permit issued 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 permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. Flood Zone Cert. Req'd. No 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 53600 01 1 16002 57770 $23.7e $231 .94 $1 .00 $66.70 $4.05 Fee Totat Paid to Date: Balance Due: $500.1 2 $172.64 $327.48 lnspector MID#: 2021-165214 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hrcby affm undo pmaky of pe'jury that I m cxempt from thc Contracton' Licw Law for the following reun (Se.7031.5 . BsitrBs and Prof6sion Codâ‚¬): Any City or County which require a pamit to oNtruct. altc, improvc, doolish or rqai ay structure. prior to its issuocc, also rrcquirc thc applicmt for such pemit to file a signed statemmt that hc or shc b licGcd pmumt to the prcvisioE of thc Contractor's Licenscd Law (Chaptq 9, Comencing with Setion 7000 of Division 3 of thc Buinss md Prcfesions Code) or that he or she is exmpt thqefrom md the b6is for the allcgcd exmption. Any violation of Sslion 7031.5 by ey - applicilt for a pmit subjets the applicant to a civil pmalty of not more thm five hundred dotlus ($500). _1, as owner of the propeny. or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an owner of the property who builds or improves thâ‚¬reon, and who does such work himself or herself or through his or her own employees. provided that such irnprovernents are not intended or offered for sale. If, however, the building or improvement is sold within one ye{r of cornplaion, the Orvner Builder will have the burden of proving that he or she did not build or improve the property for the purposeof sale). -1, as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7U4, Business and Profession Code: 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 pursuant to the Contractor's License Law). _l arn exempt under B. & P.C. for this reason. O*ner: WORKERS' COMPENSAT DECLARATION I hereby afhrm under penalty of perjury one ofthe following declarations: -l have and will maintain a Certifrcate of Consent to Self-lnsure for workers' compexsation, as provided for by Section 3700 of the Labpr Code. for the performance ofthe work for which the parnit is issued. J n^u"and will rnaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is My worters' compensation insurance carrier and policy number are: Policy LL _l certi& that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to bccome subject to the workers'comperuation laws of California, and agree that if I should become subject to the rvorkers' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an anployer to criminal penalties and civil fines up to one hundred in addition to the cost of compensation. darnages as provided for the Section 3076 of the interest f,ees. a i ( DECLARATION I hereby affrnn under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Nurnber:tl I + CONSTRUCTION LENDINC AGENCY I hâ‚¬rcby affrm undtr penatty of perjury that thse is a comtruction lmding ag@cy for the pqformce of the work for which this p6mit is issued (Str. 3097, Civ. C.). Lender's Name: Lender's Address: APPLICANT DECLARATION I hoeby affu:n under poralty of perjury one of the following declarations: Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40, Part6) -Required Letter of Notification _l certi& that the federal regulations regarding asbestos removal are not applicable to this project. _l certi& that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances and State Laws relating to constructron, and hereby authorize representatives of this City and County to entâ‚¬r upon the above rnentioned prope(y for o9Applicant or Agent fij ttldu) [u lf t4 Pernritee nanle 0l Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloo r/VenUl nsu Iation Roof Sheathinq Shear Wall Framing Insulation/Enerqy Drnrvall Ext./lnt. Lath Brown Coat N4asonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL Certificate of Occupancy Notes, Remarks, Etc. I