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HomeMy WebLinkAbout101106287 - 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 #: 1O110,6287 Pin #: 40677 Project Address: 2800 N Main St Assessor's Parcel. 111-111-11 Lot: 1 Block: NA Unit: 2365 Bldg: Address Range: Tract: RESUB OF SHAFER Historic: No Suite Range. Zoning'. Cz Building Use. Commercial Job Type: Tenant lmprovement Nature of Work Tl Existing Bldg & Use: Commercial/Retail Proposed Use: 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: 286 $l t ,440.00 Description of Work: T!-Remove and install partition walls, t-bar ceiling and interior door Planning Conditions: lnterior Tl only Owner: Centennial Real Estate Company Contractor: Spike Construction Inc Address: 8750 N Central Expressway #1740 Address: 7915 HarperAve Dallas, TX 75231 Downey, CA 90241 Phone: (972) 888-8044 Phone: (5621454-7673 TENANT PERMIT CANCELLED StAtC LiC #: 435582 Lic Type: B\-_l|f, a:Urf\ CCrC_\C€us Lic#: 3zrz*s DATE: B'i.."::T'"","T:?1'l':;ff,Yiil:"'( \--\\.\--,r2 | eolicv #: BNUwco154643 Expires: 0711312022 Engineer: Address: Phone. License #: Architect / Designer: Address: Phone: License #. Jesus Hurtado, Architect Jesus Hurtado 1310 S McDonnell Avenue Los Angeles, CA 90022 (323) 48s4040 c29969 INIITAL: Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PYUA lnsp. Req'd: Planning lnsp. Req'd t^Ff,imez, Pedro %" No Scott Fazekas & Assoc. Amsden, Julie Date: 0712812021 Date: OT l22l2l21 Date: 09/01 12021 Subject to Field: No Misc. Receipt: Misc. Receipt. Misc. Receipt: 75372 Total 07776002 07776002 077L6002 07776002 07776002 077L6002 57607 53500 57770 57672 s7500 57607 Permit Fee Plan Check Fee Microfilm Records Bldg. Stds. Revolvrng General Plan Update lssuance Fee Totat Paid to Date: Balance Due: $172 64 $239 34 $4 05 $1 00 $23 79 $s9 30 $500 1 2 $172 64 $327.48 Fire lnsp. Req'd: Police Insp. Req'd Account#No No Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs issua nce,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 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 53600 01 1 16002 57770 $23 79 $231 .94 $1 00 $66 70 $4 05 lnspector MID#: 2021-165213 OWNER BI'II,DER DEI,CARA'I'ION I herctr1 affirm unda pcnalty of peiilry that I m erempt fiom thc Conlracto6' [-icensc l-aw for lhe followin8 rea$n (Sc ?0:11.5 Flusin6s and Profession Code): Any City or Couily which rcquirs a [rcnnit to conslNcl. alts. impreve, dotolish or repair any slnrclue. prior to its isiuance. also reqni.6 the applicanl for such Fmnil to file n si8ncd slalment that hc or shc ie licosed pursuanl lo the prcvisions oflhc Contractor's l,icenwd kiv (Chapts 9. Commencing wilh Scction 7000 ofDivision I ofthe Rusircss and Professions Code) or lhat he or shc is exempt lhsefrem and the heris for the allegcd cxqnp(ion. Any violalion ofsdlion 701 I .5 hy any applicant for a pmit strbjcts the applicant to a civil penalty of not more lhan five hundrcd dollars ($500). l. as o*'ncr of the propelly. ot nry ernployees rvith u,ages as their sole compensation. willdo the u'ork and the stntclure is not inlcntlcd or offered for sale (Sc.c.7044. Business and Professions ('ode: The Contractor's Licensc I.au, does nol apply to an os,ncr of lhe propolv rvho lruilds or irnproves thermn. anct rvho cloes srrch w,ort hirnself'or herself or lhrough his or her ort,n employecs. provitletl that such irnprovenrents are not intencle<l oroffere.cl for sale. I[. hos,ever. the huilding or improve,nent is sold rvithin one ycar o[cornpletion. thc Orvncr Ruilder rvill havc the brrrtlen of proving that he or she did not huild or impror,e the property for the purJxrse of sale). l. as o\\'ner of the propoly. arrr exclusively conlracling s,ith licensed contractors lo conslnrct lhe projecl (Sec. 7044. Brrsrness and Proficssion ('odc: f'he Contractor's l.icense l.arv does not apply to an owner of propmtv s,ho huilds or improves ths'eon. and s'ho conllacls for such projects rvith a Contractor(s) licenscd pursuarrt lo thc Contraclor's l-icense l.arv). _ I arn cxcnrpl urrclcr Section . l]. & l'.('. f<rr llrrs rcason. J)nlt: DECLARA'TION I herehy affirnr uncler penalty of po'jury one oIthe follorving cleclaralions: ._--lhaveancls'ill ntaintainaCertificateofConsenttoSelf-lnsureforrvorkers'cornpensation.as providedforbySection.lT00ofthe Lalxrr Code. for lhe perfonnance of the rvort for u,hich lhe po:nit is issuetl. #n:ltl,ili:ir',til;.l"ll;::::L:::'rfiJ,Hil,.I'i'iHJJ;;:J:i:l1;.llri:'J[:ilJhrl'fiJ;ll[l:l' (-arer: htcllll JWlr*l ]pr*,rs* Jolrr/ ,",., ;,,f;'uiitr,'t3'ftiFitW - .Exp rc,, -' -04 for the performance of )/ZL _ - I cedify that in the ptrform.f,cc ofthe uork for which this permit is issrerl. I shall not enploy any pcmon in any mnnno so as lo hecornc snliiet to the rvorlios' composation larvs of Califomi.. and agrc that if I should haorne subi(t to I hc rvorkoC compensation provisions ofSstion -17fi) ofthc lalnr Codc. I shall. fo|lhwith comply with those provisions. WARNING: Faihrrc lo sccure workss'conrpensntion covcmge is unlarvful. and shall subjet an qnlloyer to siminf,l lEnlli6 and civil fines up to one h$ndred thousand dollars ($100.000). in addilion lo tlrc cost of compcnsation. damagcs as providcd for the Scclion .1076 of thc l.ahor Coclc. intercst OI Ll(: I,INS lit) (.O N't'RACr'O R Dt!,('LARA'l'l()N I hereby afl'irm under penalty of per.iury that I arn liccnscrl under provision of Chaplo'9 (comrnencing s'ilh Section 7000) of Division .1 of the Busincss and Profcssions Code, and my liccnsc is in full forcc antl elfecl. h Nunrtrcr: L{\5,8L l)n lc: CONS RUC'I'ION LENDTNC ACENC}' I hcrchy aflirm under lmalty of pcrjury thal th@ is I constnrction lending agflcy for tfte pofomance of the rvork for rvhich this gumit is issued (Ss. 30q7. Civ. C.). [,ender's Narne: _ l-ender's Acldress: A PPLICANT DECLARATION I hodry affrnn undt'r poralty of pcr.iury one of the follos,ing cleclarations: Denrolitiorr Pcrrnits-Astrestos Notification Federal Regulations ('title 40. Parl(r) - Required Letterof Notification _ _- I ccrlify lhat lhc fcrlcral regulations regarding asbestos renroval are n()t applicahle to this pro.iect. cor ify I hat I havc read this npplicat ion ancl statc that the ahrve inflormation is corect. I agrcr to cornllly rvith all City and Coqtnly ordinancs f,nd Slate l-aws rclatinE to bililding constnrcl ion. ild herchv authorize rqrscnlal iv6 of this ('ily and (:ounty to ml€ tpon lhc alxrvc lrrcnlionctl propcrly lor l,iccnsc (-lass: ,Allplicant or Agent Pcrnrilcc nrlmc -Dn,e:-o Yotf2 t VA SITE-WORK DATE ID/SIG COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/Ve nUl nsu lation Roof Sheathing Shear Wall Framing Insulation/Energy Drywall Ext./lnt. Lath Brown Coat lMasonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif F!NAL Certificate of Occu pancy Notes, Remarks, Etc. BUILDING. INSPECTOR RECORD ()rlner: 11',0 ItK l,,lts' ('ol\t PI.,NSA l' l()N //