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
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