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HomeMy WebLinkAbout101106285 - Permitt City 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 #: {O1106285 Pin #: {018,2 ,Project Address: 2800 N Main St Unit: 2325 Bldg Address Range: Tract: RESUB OF SHAFERAssessor's Parcel:111-111-11 Historic: No Suite Range: Zoning'. C2Lot: 1 Block: NA 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: Zgz Yards Req'd Valuationr $t 1 ,680.00 0 Description of Work: Tl-Remove and install partition walls, t-bar ceiling and interior door Planning Conditions: !nterior TI only Owner: Address: Phone: Tenant Centennial Real Estate Company 8750 N Central Expressway #1740 Dallas, TX 75231 Spike Construction Inc 7915 Harper Ave Downey, CA 90241 (562) 454-7673 435582 Contractor. Address. Engineer: Address: Phone: License #: Architect / Desiqner: Address. Phone: License #: $'ffAiftif'6nucELLED sff:t c #: bU cqrlscc\lr DATE:Ci- \-) -?\ Lic Type: B Bus. Lic #: 378785 Workers' Compensation I nsurance: Carrier: Berkley Nat'l lns Policy #: BNUWC0154643 Expires. 0711312022 Jesus Hurtado, Architect Jesus Hurtado 1310 S McDonnell Avenue Los Angeles, CA 90022 (323) 4854040 c29969 Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Gomez, Pedro Scott Fazekas & Assoc , Julie Date: OTl27l2O21 Misc. Receipt: Date: 0712212021 Misc. ReceiPt: Date: Og/01 t2021 Misc. Receipt: Subject to Field: No No Account# 01 1 16002 s1600 01 1 16002 51601 01116002 51612 01 1 16002 53600 01 1 16002 57770 08901001 24000 75372 Total 07776002 07775002 07776002 08907007 07776002 07776002 07776002 57607 53600 57770 24000 57672 57600 57607 Permit Fee Plan Check Fee Microfilm Records SMIP - Category 2 Bldg. Stds. Revolving General Plan Update I ssuance Fee Totat Paid to Date: Balance Due: $172.64 $239.34 $36.45 $3.27 $1 00 $23 7e $se 30 $s35 79 $172 64 $363.15 Fire lnsp. Req'd Planning lnsp. Req'd: No Police lnsp. Req'd Landscaping Insp. 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 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. $23.79 $231 .94 $1 00 $66.70 $36.45 $3.27 lnspector MID#: 2021-16521 1 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/S!G COMMENTS OWNER BUILDER DELCARATION I heeby atfm unda pcnalty ofpcrjury thar I m cxcmpt from thc Cootractom' Liccre llw for thc following rcisli(Se.?031.5 Busincs ud Prof*ion Codc): Any City or County which rcquirc a pomil to @nstruct, alto, improvc, <bnolish or rrnair4nl structurq prior to its isuuce, also rcqute the eplicat for such pcrmit to filc a signcd stdmmt thal hc or slrc b licwcd pwant to thc prcvisioc of the Contractor's Liccnscd law (Chapts 9, Commmcing with S*tion 700O of Division 3 of thc Buinw md Prcfesioro Codc) or that hc or shc is cxcmpt thqefrom ed the basis for thc allcgcd cxoption, Any violation of Sction ?031.5 by'my applicantforapemitsubjetsthe applicanttoscivilpcnsltyofnotmorethilfivehundrcddollus($500). _1. re omq of thc !rcperty, or my cmplolc with waga re thcL $le compensation. will do thc w* ad [E strwlrc b rct t intoded or offscd for slc (Sc.7044, Buine md Profeioro Codq Thc Contractor's Licce trw do6 not eply to a om6 of r thc propqty who builds or improvc tlE@n, dd who do6 such wr* himsclf or hwlf or lhrcugh his or ho om mplo1rc, providcd that such impromts rc mt intodcd or oflbrcd for slc. lf. howq. the building or imp.otqnd is oH within onc )qr of compktion, the Oma Buiklc will have thc hrdo of prcving thd hc or $c did mt tuild or improvc thc plopdy for tlE purpos of $le). _1, 6 ownq of the prcpsty, on cxclsivcly contracting with lictrcd conaractoB to coretruct thc Fojccl (SE. 7044, Buine md Profusion Code: Thc Contretor's Liccnsc Law do6 not apply to u own6 of property who builds or imprcvca thq@n, and who contmcts for Euch proj@ts with a ContBcto(s) licsql pus@t to the Contractor's Lic€e Law). -l am exempt under Section-, B. & P.C. for this reason. WORKER,S' COMPEN SATION DECLARATTON I hereby affirm under penalty of pojury one of the following dcclarations: -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, for the perfonnance of the work for which the pennit is issued. /l*t and will maintain workers' compensation Section 3700 of thc Labor Code, for the pcrformancc of rvhich pennit issucd.carrier and policy number are: Policy \ -l certify that in the pqforuncc of the work for which this permit is isucd, I shall not mploy any p6on io any mmno rc m to bccome subjct to thc work6' comp6ation laws of Califomia. ud agre that if I should bccom€ subjet to the work6' compostionprcvisioro of Setion 3700 of the tzbor Codc I shall. forthwith comply with thor provisiom. WARNING: Failurc to suc work6'comp€ffition covmge is unlawful. ud shall subjat e mplolq to qimiml pcrEhks ild civil fins up to onc hudrcd thoMd dollG ($100,000), in sddition to thc cost of ompcnsation, damagd 6 providcd for the Scction -j076 of the labor Code. interest and attorney's I hcreby aflinn under penalty of perjury that I arn licensed 9 (cornrnencing rvith Section 7000) of Division 3 of the Business and Professions Code, and rny license is in full force and effect. License Nurnber: uq I W I hwby affrm undo penalty of psjury that th6c is I mNtruclion loding agmcy for the perfomcc of the wrk for which this pqmit b issued (Se. 3097, Civ. C.). Lender's Name: I-cnder's Address: APPLICANT DECLARATION I herdry allirm under penalty of pcrjury one of the following declarations: Dernolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Pil16) -Required Letter of Notifrcation _l ccrti$ that the fbderal regulations regarding asb€stos removalare not applicable to this project. Mr*rfythat I have read this application and state that the with all City and County and County to ext€r upon theordinances and State [-aws relating to building construction. above rncntioned property for inspection IApplicartl or Agcnt Itcrnrilce nAnle I Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/VenUl ns u !atio n Roof Sheathinq Shear Wall Framinq lnsulation/Energy Dryruall Ext./lnt. Lath Brown Coat [/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL Certificate of Occupancy Notes, Remarks, Etc. 14 1 f