HomeMy WebLinkAbout101102279 - PermitT
Project Address: 302 E Stevens Ave
Assessor's Parcel:411-121-05 Lot: NA
Unit:Bldg:Address Range: 302-304
Historic: No
Suite Range:
Zoning: MlBlock: NA Tract: NA
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Buitding
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {011o.2279
Pin #: {3095
/n^
Building Use: Industrial
Job Type. Signs
Nature of Work: Signs
Existing Bldg. & Use: lndustrial
Proposed Use.
Planning Approva! By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Kelaher, Selena
Amsden, Julie
Chavez, Daverf ?,
Date: 1111212019 Misc. Receipt:
Date: 1111912019 Misc. ReceiPt:
Date: 11tZ6tZO1g Misc. Receipt:
Subject to Field:
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07775002 57507 lssuance
Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
N/A
N/A
cBc 2016
x-0602320278J
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area.
Total
0777
0777
0777
60,o,1r.r53600
Patio:
T.l.Area.
Yards Req'd.
Valuationt $t
I
D..cription of work: Inst.ll(3) non-illumin.ted .lumlnum & acryllc wallslgns for "Ewlng lrrlgatlon t Landscap. Supply", bond pootod on ill-73806
Plannlng condltlona: g.t.h+r5alg+ llr?grgtt tgr _ttlgt^
Engin6€r: trffi':er tIYH Trflnsi: ?C I Lri 3O{,nar: .run CommorEl.l Group conlractor: contlmhtal sign! lnc iicrL+! fief}l lnlltr?r;',
Addre$: 1495 E W.m!. Av.nrr Addressr 7541 S.ntr Rltr clrEle, *D Address: Rtptirtr2ill4llll _ 1tl.:ii/?i19 ?:i4 Ail
s.nt an,ca 92705 st nton, ca 92607 Trdnsaction T6tol \i"r3'4t'
Phone: O14)241.1141 Phon6: (714) 8ga-mll Phone: tonl,iner,tot si!,us rnr
Ton.nt Ewrng rrig.ton state uc #: 684525 uoenEe *:
Licryp€: c45 ryclitecl/ fili:3lrl,li.H[fl3]: *" - r:r..'ir
Bus. Lic *: 367118
workers'compensation rnsurance: ffifl:i [lliltfii- rrro,*o- , 1:23':r
C8fiirr: Farfial3 ln3unnca Erchanga Bldg Strtg Regolvins 11.[[j
Potiry #: ao93t8?33 Phone: 011l6trtr?- Il6lll(rtrlr-E,pi"", o3ror,2o2o Li*n* #, r!.llf,,ld
jgi.r,t,ffl s11r.44
'/l4i't;tf,fr{r H:FI[f,H#:
Plan Check
Foqo
$1 66 53
$11544
$1 00
$22.95
$57.20
\
l.-\,>
Fee
:i7
49
60 0.2{i5 f f f li+tylfdrbfifdt'Heiprds Ari t Ii'l: I t"ri:',I$p?.37
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 s3600
01 1 16002 57770
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
lnspector MID#: 201 9-15577 1
$22 9s
$223 73
$1 00
$1 15 44
$27.37
$390.49
$0.00
$390.49
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILI)ER DELCARATION
I hcrcby allirm undcr pcnalty of pcrjury thal I am cxcmpt liom lhc Conlruchrs' Liccnsc law ti)r thc following rcawn (Scc.7031.5
Busincss alxl P()fcssiur G).lc): Any City or Counly which rcquircs a lrcnnit lo construcl. allcr. improve. dcmolish or rcpair a[y
slNcturc, prior kr its issuancc, als rcquircs lhc applic{nt li)r such lrrmil to lilc a sighcd statcmnt tlEt hc or she ir licenscd puGualt
to lhc pruvisi()ns of lhc Contmctor's l,ienscd Law (Chaplcr 9, Commcncirtg wilh Scclion 7fiX) rf Divisioo .J of thc Busincss and
Prclbssions Culc) ('r thal hc or shc is excmpt thcrctiom and thc basis lbr thc allcgcd cxcmption. Any viohtion of Setion 7O.l I .5 hy any
applicantlirrapcrmitsuhjststhc applicanttracivilpcnallyotnotmorcthatrlivchundrcddolles($500).
_1, as owncr of thc pK)frcrty. or my crnpk)yccs with wagcs as thcir solc compcnsati()n, willdo tlrc wrlrk and thc structurc is not
intcrrdcd or()U'cred lilr salc (Scc.7044. Busincss and Pnrlbssiorrs Crxlc:'fhc Contractor's Liccnsc Law dtrcs not apply to an owner ot'
thc prrJrcrty who builtls or improvcs tlrcrcon, and wlxr tlocs such work himself or hcrsclf or lhroush his rlr her own cmpkryccs,
pnrvided that such improvcrncnts arc n<lt intcndcd or oltbrcd firr salc. If, lrowcvcr, thc building or inrprovcnrcnt is sold wilhin onc ycar
ol'com;rle-tion. thc Owncr Buildcr will havc thc burdcn ol'proving that hc or slrc ditl nut huiltl or improvc thc proJrcrly tilr thc purpose of
salc).
_1. as owncr of'the pn)perty. am exclusivcly corrlracting with liccnscd contractors to constmct lhc pnrject (Sec. 'lt$4. Busincss
and Pnllbssion Codc: 'l'hc Contractor's Liccnsc Law docs not apply lo zur owncr of propcrly who builds or improvcs thcrcon,
and wlxr contracts lirr such projccts with a Conlractrlr(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
-Iantcxe[lptundcrScctitrn-'B.&P.C.tilrthisreastllt'
lVORKERS' CON I I'ENSATION
DECI,ARATION
I hcrcby all'inu unde-r pcnalty of pcrjury onc ol'thc lirlkrwins dcclarations:
_l havc and will maintain a Certil'icatc of Consent to Sclt'-lnsurc lirr workcrs' compensation. as provided firr hy Section 3700 of thc
Labrlr Codc. lilr thc pcrlirrmancc of thc wrlrk for which thc pcrmit is issucd.
_l havc arrd will mtintain workcrs' compcnsation insurancc, ils rctluircd hy Scct ion .17()0 of tltc L:rhor Code, firr thc pcrfirrntancc of
the work tirr which this pcrnrit is issucd. My workcrs' conrpensatiorr insurtncc can'icr"antl prlicy numbcr arc:
rO
I t =Policy 7
_l certrty lhat in the pcrlirrnrance'of the wrlrk tirr which this pernrit is issucd, I shall not empkly anv person in any m&nncr
so as lo bcconrc suhjcct to thc workcrs' compcnsation laws of Calilirrni:r. and agrcc lhat if l should bccome subjcct to thc -
wrlrkcrs' comlrcnsati<ln provisions of Scctiru J700 ol'thc Lahrr Corlc. I shall, lorthwith comply with those pnrvisiotts.
WARNING: Failure to sccure workcrs' cornpcnsation coverasc is unlawt\rl. tntl shall subjcct an cmploycr lo criminal lrcnaltics and
civil tirrcs up lo onc hundrctl tlxrusand dollars (S100,(X)0), in Irt of danragcs as providcd lirr thc
D
attorncy's f'ccs.
I hercby aU'irm under pcnalty of perjury that I anr licensctl undcr pnrvision of Challtcr 9 (contnrcncirrg with .Section 7000) of
o[ thc Busincss and Pnllbssions Cotlc, and nry liccnsc is in litll tbrcc and cllbct.
Divisin.l
66YS?l-icc-rrsc -,
o
I hcrcby allirrn undcr pcnalty of pcrjury that thcrc is a construction lcnding agcncy
issucd (Sec. 3097, Civ. C.).
Lendcr's Name:
tlre pcrlilrnrancc ol'thc work tirr which this pcrnrit is
Lctrrlcr's Arldrcss:
APPLICANT DECLARAI'ION
I lrcreby atlirrn under pcnalty of perjury orrc of thc tirlklwins dcclarations:
f)c mo lit io n Pcrnr it s-Asbcstos Not il'ical ion Fcdcral Rcgu lat ions lT it lc 40. Part 6)
_Rcquircd [-cttcr of Notitication
with all City and Courrty
and County to entcr uporr the
Applicartl or Agenl 'll
Itt'rrttilee nanlc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu lation
Roof Sheathinq
Shear Wal!
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lMasonry
Poo! Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
I I
F!NAL 7 ttllo PL|L(lhbrrrr
Certificate of Occupancy ,l I I
Notes Etc.J
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