HomeMy WebLinkAbout101106811 - 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 #: {011068 11
Pin #: 52714
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Project Address: 3 E Hutton Center Dr
Assessor's Parcel: 411-092-38 Lot: NA Block: NA
Unit: 670 Blds
Tract: NA
Address Range:Suite Range:
Zoning: SD76Historic: No
Building Use: High-Rise commercl.l Occupancyr B 1st FL Area Patio:
Job Type Tenanl lmprovemont Conatr Type I A, SPK 2nd FL Area T.l-Area: 5227
Nature of Work Tt Code: cBc 2019 Other AreaE yards Req.d
Existing Bldg. & use: commerciat Flood zone: x.0602320278J Ge.age Area Vatu.tion: 5235,,t25.00
Proposed U8e: * of Stodes: Totat O
Oe.crlptlon of Work Interlor tl - domornow partition walla to croats offlc.a, confaronce roort & birak rcom. Flll ln a door opening & inatlll now double
dooE et corddoa.
Planning Conditions: lnterior Tl only. No exterior alterations/modifications.
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Owner:
Address:
Phone:
fenant Spec suite
Cushman & Wakefield
3 E Hutton Center Dr, Suite 605
Santa Ana, CA 92707
Contractor. Casco Contractors, lnc
Address: 9850 lrvine Center Dr
lrvine, CA 92618
Phone: (949) 679-6880
State Lic #: 790706
I ic Type: B
Bus. Lic #: 339868
Workers' Compensation lnsurance:
Carrier: Hartford Fire lnsurance Company
Policy #. 72UEACB4826
Expires: 0110112022
Engineer:
Address.
Phone:
License #.
Architect /
Desiqner:
Address:
Phone:
License #:
Gensler
James Heinly
225 Broadway #100
San Diego, CA 92101
(619) 557-2500
c-26830
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
Jacinto, Heidi
Lee, Wayne
Zuniga, Allissa
Date: 0512712021
Date: 0711112021
Date: 0810912021
Subject to Field:
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$1 ,276.32
$1 ,860.37
$81.00
$10.00
$23.79
$s9.30
$3,310.78
$1 ,860.37
$1,450.41
Account#
75568
Total
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
07776002
57607
s3600
57770
57672
57600
57607
Every permit rssued 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.
lnspector MID#: 2021-166429
$23.79
$1 ,335.62
$10.00
$81.00
,
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm undcr penalty of pcrjury that I m cxcmpt fmm the Contractors' Licens law for thc following rca$n (Scc.7031.5
Busincss and Protbssion Codc): Any Cily or County whhh rcquircs a lrcrmit to construct, altcr, inprcre, dcmlish or rcpair any
slruclurc. friol to its issuoncc, als rcquircs the applicatrl for such pcrmil to filc a signcd statcmnt that he or she is liccnsd pursant
lo thc provisiotrs of thc Contractor's Liccnscd l:w (Chaplcr 9, Comcrcing with Sation 7000 of Division 3 of thc Business and
Prcfcssions Codc) or that he or shc is cxcmpt thwfrom and thc basis for thc alhgcd cxemption. Any violation of Setion 7031.5 by any
applicant for ! pcrmit subjsls lhc {pplicanl lo ! civil pcmhy of not mrc than fivc hundrcd dollus ($500).
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as owncr of the propcrty, or my employees with wagcs as thcir solc compcnsation, willdo thc work and thc stnrture is not
intcndcd or olfcred for salc (Sec.7(X4, Business and Prot'cssions Codc: The Contractor's Liccnsc law docs not apply to an owncr of
the propcrty who builds or impmvcs thcrcon. and who dcrcs such work himsclf or hcrself or through his or hcr own employccs,
providcd that such improvenrcnts arc not intcndcd or offcred for salc. If. howcver. thc building or improvcnEnt is sold within onc )car
of cornplction, the Owner Buildcr will havc thc burdcn of proving that he or shc did not build or irnprovc thc property fbr thc purlnscof
salc).
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as owncr of thc propcrty, anr cxclusivcly contracting with liccnscd conlractors to construct thc projcct (Scc. 7044, Busincss
and ['tofession Codc: Thc Contractor's Liccnsc Law docs not apply to an owncr of property who builds or improvcs thcreon,
and who contracls for such projccts with a Contraclo(s) liccnscd pursuant to thc Conlraclor's Licensc [:w).
-lantcxettlptunderScction-'B.&P.C.forlhisrcason.
Owner'
wtr qxn ts' corna pn'Nsll rlt rx
DECLARATION
I hcrcby affirnr under pnalty of pcrjury onc of thc following dcclarations:
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havc and will maintain a Ccrtificatc of Conscnt to Sclf-lnsurc for workcrs' compcnsation, as providcd for by Scction 3700 of the
l-ltnr Codc. lbr thc prcrformancc of thc work for which the pcrrnit is issucd.
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havc and will maintain workcrs' compcnsation insurancc. as rcquircd by Scction 3700 of the Labor Codc, for thc pcrformance of
thc work for which this pcrmit is issued. My workcrs' com[rcnsation insurance carrier and plicy numbcr arc:
lzzvLtl'olicy
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ccrtify that in thc pcrfornmncc of thc work for rvhich this pcrrnit is issucd. I shall not ",rn,nr{n,
I
pcrson in any manncr
so as to bccorrrc subjcct to the workcrs' compcnsation laws of California, and agrcc that if I should beconrc subjcct lo lhc
workcrs' conrpcnsation provisions of Section 3700 of thc L:bor Code. I shall, forthwith comply with thosc provisions. ,
WARNING: Failurc to sccure workers'comlrcnsation covcragc is unlawful. and shall subjcct an crnploycr to criminal pcnaltics and
civil lincs up to one hundred thousand dollars ($100.000), in addition lo thc cost of compensation, damages as providcd for thc
Scction 3076 of thc Lahrr Codc. intcrcst and attonrcy's fccs.
oR/ oQ lztI)nh:'l I
I hcrcby aftirnr undcr pcnalty of perjury that I am liccnscd undcr provision 9 (comnrcncing with of Division 3
of thc Busincss and Prol'cssiorts Code, urd my license is in full force and cttect.
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Nurnbcr:"4Liccnse
Date:/ nRloq /zr
c
W
I hcrcby affirm under Fnalty of JErjury that therc is a construction lcnding rycrcy for thc pcrformncc of thc work for which this permit is
issucd (Sec. 3097, Civ. C.).
Lrndcr's Nanrc:
[,cndcr's Addrcss:
APPLICANT DECLARATION
I hercby aft-rnr undcr penalty of pcrjury one of the following dcclarations:
Dcnmlitiorr Pcrmits-Asbcstos Notification Fedcral Regulations (Title 40. Part6)
-Requircd
lrttcr of Notification
_l ccrtify that the fcdcralregulations rcgarding asbcstos renmval arc not applicable to this projcct.
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."r,i),har I havc rcad this application and statc that thc abovc infornration is corrcct. I agree to comply
ordinanccs and State [:ws rclating to building construction, and hcrcby authorizc reprcscn'lltives of this City
with all City and County
and County lo cnlcr upn thc
abovc nrcntioncd propcrty fbr
Allplicanl or Agenl
Pernrilee nanle t
purF)scs.
o,,", D{f oy'u(
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall ,/-)
Framinq
lnsulation/Enerqy I
/
Drywal!q l0 LI D6PV
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence I
T-Bar t/Lo.7,(DguDr'/
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
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FINAL \\'(I
Certificate of Occupancy
Notes, Remarks, Etc.
C DWT
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