HomeMy WebLinkAbout101105920 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa A cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667 lnspector Section: (714) 647-5853
Building Permit #: {O11O592O
Pin #:
Project Address: 2511 S Daimler St
Assessor's Parcel: 430-032-25 Lot: POR 14 Block: NA Tract: 5771 Historic: No
Suite Range:
Zoning: M1
Unit:Bldg: Address Range:
Building Use:
Job Type:
Nature of Work:
Existing BIdg & Use:
Proposed Use.
Industrial
Tenant lmprovement
Column Blender
lndustrial
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
B, F.1 , S.1
II! B
cBc 2019
x-0602320278J
Patio:
T.l.Area:
Yards Req'd:
Valuation:$400,000.00
oascription ol wo*: Roplacemont and rglocation of now column blondor and nsw panial ceiling with sxtonding aolfit above thg naw blonder.
Planning Conditions: Interior only
Owner:
Address:
Phone:
Tenant:
FujiFilm
2511 S Daimler St
Santa Ana, CA 92705
(s4e) 261-7800
Fuji Film
Contractor: CRB Builders, LLC
Address: 701 Emerson Rd. Ste 500
Saint Louis, MO 63141
Phone: (7141 833-2090
State Lic #: 994508
Lic Type: C-36, B, A, C-10, C-20
Bus. Lic #: 370808
Workers' Compensation lnsurance:
Carrier: The lns Co of State of PA
Policy #: WS1 108656
Expires: 0410112022
Engineer:
Address.
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #.
Glenn N. Almquist, Structural
Glenn N Almquist
14OO Quail Street #245
Newport Beach, CA 92660
(949) 261-6151
2353
CRB
Etienne Runge
14661 Franklin Ave, Sulte 125
Tustin, CA 92780
(7141 23s-1s33
c28482
Planning Approval By:
Plan Checked By:
Permit lssued By:
Ennquez, Gissel
Lee, Wayne
Amsden, Julie
Date: 0211812021
Date: 0412612021
Date: 0412912021
Subject to Field:
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
BIdg. Stds. Revolving
General Plan Update
lssuance
Fee Total.
Paid to Date:
Balance Due:
$1 ,035.84
$1,436.04
$1 33 65
$11200
$0 00
$23 79
$59.30
$2,800.62
$1 ,436.04
$1,364.58
No
No
No
No
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07775002
08907007
07776002
07776002
07776002
57607
s3600
57770
24000
s7672
57600
57607
75246
Total
NPDES lnsp. Req'd
PWA lnsp. Req'd:Fire lnsp. Req'd: No
Police lnsp. Req'd: No Account#Planning lnsp. Req'd:
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs rssuance,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.
01116002 51601
01 1 16002 57770
08901 001 24000
$23.79
$1 ,095.14
$133.6s
$112 00
lnspector MID#: 2021-164364
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total: O
-BUILDING. !NSPECTOR RECORD
SITE.WORK DATE ID/S!G.COMMENTS
Set Backs I rl I h
Forms/Stee!/Holdowns ' ll'l ,
,,H w
Erection Pads lf
UFER Ground lt ll t ,a
SLAB Floor D{MltrT 'rMl
S u bfloorA/e nUI n s u Iatio n I
Roof Sheathinq
Shear Wall It tl ,-u\
Framing twtpt v6/
lnsulation/Energy ,,
Drywall mle rau
Ext./lnt. Lath J I
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
///, ./A9rffitru7W-)FINAL /q.4 ,/a/
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER I}UII,DER
I hocby aflirm unde pcnalty of perjury that I m exempt ftom the ContractoB' Licmsc Law for the following rcn (56.7031.5
Bsioss ild Profsion Codc): Any City or County which requiG a p6mit to coNtruc1, alto, imprcvg donolish or rcpair my
strucluq prior to its isuucc, also rcquiE thc applicat for such pcmit to file I signed statmqt thal hc or shc is licaEcd pGuut
to the provisiom of the Contractor's Liccnscd trw (Chapt6 9. Comocing with Setion 7000 of Division 3 of thc BNin6 ild
Prcfc$ions Code) or rhat he or shc is crcmpt thqcfrom ild thc basis for thc allegcd ampion. Any violation of S€tbn 7031,5 by my
appliciltforapcmitsubjctsthc spplicanttoacivilpcmltyofnotmorcthmfivchundrcddollm($500).
_1. as owner of the property. or my employccs with wages as their sole compensation. will do the work and thc stnrcture is not
intended or offered for sale (Sec.7044, Business and Professions Code: The Contrac'tor's Liceruc l-aw does not apply to an owner of
the propa'ty who builds or improves thereon. and who does such work himself or herself or through his or her own employees.
provided that such improvonents are not intended oroflbred for sale. I[, hower/er. the building or improvernent is sold within one ]qr
of complaion, the Orvner Builder will have the burden of proving tha he or she did not build or irnprove the property for the purpose of
sale).
_1, as owner of the prop6ty, am exclusively contracting with licensed contractors to construct the project (Scc. 7044. Business
and Pnofcssion 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 Contracto(s) liccrrsed pursuant to thc Contractor's License Law).
-l
am exempt under Scction-. B. & P.C. for this reason.
I hereby aflirm under penalty of perjury one of the following
_l have and will maintain a Certilicate of Consent to Self-lnsure for workcrs' compcnsation, as provided for by Scction 3700 of the
Labor Codc. for the performance of the work for which thc pcrmit is issued.
D?#and willmaintain workers'compensation insurance. as rcquired by Section 3700 of the Labor Code,
G *ork for which this pennit is issued. My workers' compensation insuranie canier and policy number are:
for the perfonnance of
DAp4oF g^le o€
Policy 4
_l certi& that in the perforrnance of the work for which this permit is issued, I shall not employ any person in any manner
so .ls to become subject to the worters'compensation laws of California and agrec that if I should become subject to the
workers' compensation provisions of Secrion 3700 of the l-abor Code. I shall. forthwith comply with those provisions.
WARNING: Failure to sccure workers' compensation covcrage is unlawful, and shall subject an anployer to criminal poraltics and
civil fincs up to one hundred thousand dollars ($100.000), in addition to the cost of compcnsation, damages as provided for the
Section 3076
I hereby affrm
of the Business and Professions Code, and rny license is in full force and effect.
CONSTRUCTION LENDTNG AGENCY
t hrcby affm undo penalty of pojury that thqc is a onstructioo lcnding agocy for thc pqfoIrmce of thc wort for which this pqmit b
issucd (Sa. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPL ICANT DECLAITATION
I heEby affrnn under penalty of perjury one of the following dcclarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Rqu ired Letter o f Notification
removal are not applicable to this project.
the
above mentioned property for
Applicant or
oo
Permitee
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Carrier:
a
Expires:
3
111foe
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