HomeMy WebLinkAbout101106286 - PermitD
City 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 #: 101106286
Pin #: 80897
Project Address: 2800 N Main St
Assessor's Parcel: 111-111-11 Lot: 1
Unit: 2345 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: 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
Znd FL Area
Other Areas:
Garage Area:
Totat
Patio.
T.l Area: 286
Yards Req'd
Valuationr $t 1,440.00
Description of Work: Tl-Remove and install partition walls, t-bar ceiling and interior door
Planning Conditions: lnterior Tl only.
Owner:
Address:
Phone:
Tenant
Centennial Real Estate Company
8750 N Central Expressway #1740
Dallas, TX 75231
DATE
Spike Construction lnc
7915 Harper Ave
Downey, CA 90241
(562) 454-7673
43s582
B
378785
Contractor:
Address:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
'' PEmilffi cANcEL LE{;",: t " -
b;1 c o $,*rcra[),-=us Lic #:
'q_\\-t_21
lNrflrtrru
Workers' Compensation I nsurance:
Carrier: Berkley Nat'l lns
Policy #: BNUWC0l54643
Expires: 0711312022
t
Jesus Hurtado, Architect
Jesus Hurtado
1310 S McDonnell Avenue
Los Angeles, CA 90022
(323) 48s4040
c29969
Planning Approval By: Gomez, Pedro
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd *No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Date: 0712712021 Misc. Receipt 75372
Fazekas & Assoc. Date: 0712212021 Misc. Receipt
Amsden, Julie Date: Og/Ol t2OZ1 Misc. Receipt
Subject to Field:
Fire lnsp. Req'd: No
Police lnsp. Req'd: No Account#Total
$23.7e
$231 .94
$1.00
$66.70
$4 0s
0 7776002
07776002
07776002
0 7776002
07776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
57507
s3600
57770
57672
57600
57607
$172.64
$23e 34
$4.0s
$1 00
$23 79
$se 30
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 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 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
Fee Total
Paid to Date:
Balance Due:
$500 1 2
$172 64
$327.48
lnspector MID#'. 2021-165212
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG,COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n s u Iatio n
Roof Sheathing
Shear Wall
Framing
Insulation/Energy
Drlnrvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
I hacby affrm undr pemlty of perjury that I m qcmpt ftom thc Contretos' Liccre Llw for thc following remn (Se.7031.5
Busins md Profsion Code): Any City or County which rcquire a permit to corotruct, altq, improvq drxnolish or rcpai uy
structuq prior to its isumca also requirG thc applicml for such pflnit to filc a signcd stat@ot that hc or she is licosed pmuat
to rhe p@visiom of the Contractor's Liccnscd Law (Chaptq 9, Commcing wilh Sation 7000 of Division 3 of thc Buire ad'
Prcfcsions Code) or that he or shc is cxempt thcefrom md thc bosis for the allcgcd cxstrption. Any violation ofs6{ion 703 1.5 by dy
applicantforapcmitsubjctsthc applicmttoacivilpenaltyofnotmorcthilfivchundreddollrs($500).
_1. as owner of the property, or my employees with wages as their sole compansation. willdo the work and the structure is not
intcnded or offered for sale (Sec.7M4. Business and Professions Code: The Contractor's License Law does not apply to an owner of
the property who btrilds or Lnproves thcreon. and who does such wort himself or herself or through his or her own employees.
provided that such improvanents are not intended or offered for sale. If, horver/er. the building or improvement is sold within one year
of cornplaioru the Or*,ner Builder will have the hrden of proving tha he or she did not build or impirove the propoty for the purpose of
sale).
-1,
as owner of the propefty, am exclusivcly contracting with licensed contractors to construct the project (Sec. 7M4, Business
and hofcssion Code: The Contractor's License Law does not apply to an owner of property who builds or irnproves thereon,
and who contracts for such projects with a Contractor(s) licerse<l pursuant to the Contractor's Liccnse Law).
-l
arn exempt under Section-, B. & P.C. for this rcason.
WORKERS' COMPEI{SATION
DECLARATION
I hereby affirm undcr penalty of perjury one ofthe following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' cornpensation. as provided for by Section -3700 of the
L"bo, Code.
V/nur" una
for the pcrformance of the work for which the perrnit is issued.
will maintain workers' compensation insurancc, as required by Section 3700 of the Labor Codc. for the perfonnancc of
which this permit is issued. My workers' compensation insurance carrier and policy number are:thc work
e A
Policy
_l cefliry that in thc psfonmncc of thc work for which this pcrrnit is issucd. I shall not mploy any p€rsn in sy munq
$ 6tobsomesubjettothewort6'compensationlawsofCalifomia,mdagrethatiflslDuldb$omcsubjsttothc
workm' compensalion provisiore of Sction 3700 of the kbor Code, I slull, fonhwith comply with thos prcvisions.
WARNING: Failurc to suc wrkm' compcosation covcr.Sc is unlawful, md shall subjct e oployd to qimhal psultiB md
civil fins up to onc hun&cd thoMd dollG ($100,000). in addition to the cost of @mp6retion. daragB 6 povidcd for thc
Section 3076 Labor Code. interest and attorney's fees.
DECI.ARATION
I hoeby aflirm under pcnalty of perjury that I am licensed under provision of Chapter 9 (commencing with Seoion 7000) of Division 3
of the Business and Professions Code. and rny license is in full force and effect.
License Nurnber:;E
c J{
W
I hmby affum undo pcnalty of pqjury that th@ is a comtruclion lmding agocy for thc pqformcc of thc wrk for which this pqmit b
issucd (Sw. 3097, Civ. C.).
Lender's Name:
Lcnder's Address:
APPLICANT DECLARATION
I hcrrby affunn under penalty of perjury one of the following declarations:
Demolition Permils-Asbestos Notification Federal Regulations (Title 40. Part6)
-Recluired
Letter of Notification
_l certifu that the federalregulations regarding asbestos removal are not applicable to this project.
4d, ccrtifo that I have read this application and state that the above information is correct. I agree to comply with all City and Counry
ordinances and State Laws relating to building hereby authorize represefltatives of this City and County to enter upon the
above mentioned property for inspec'tion purposes.
Applican( or Agent
Pcrmilce
I
Expires:t*
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