HomeMy WebLinkAbout103107834 - PermitProject Address: 1751 E Garry Ave
Assessor's Parcel: 430-173-22 Lot: POR 116
Unit:Bldg:
Tract IRVINE SUB
Address Range:Suite Range:
Zoning: PBlock: 9 Historic: No
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 #: {03 107834
Pin #: 28270
Building Use:
Job Type.
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Storage Racks
Storage Racks
Commerical
Occupancy:
Constr Type:
Code.
Flood Zone.
# of Stories:
B
VB
cBc 2019
x-0602320278J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuationt $t,000.00
Description of Work: Leaglize storage racks exceeding 8 ft within interior space. Auth form on file.
Flanning Conditions:
OwnEr:
Address:
Phone:
Tenant
Sonal Patel
PO Box 53218
lrvine, CA 92619
(951 I 218-5199
Silex Technology America, lnc
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping Insp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Kelaher, Selena Date: 08l,0il2021
Date.
Date: 08/31 12021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
R. Cisneros
Zuniga,
07776002 57607 Permit Fee
07776002 s36oT Subject to Field
07776002 57770 Microfilm Records
01776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$172.64
$172 6s
$4.05
$1 00
$23 79
$s9.30
$433.43
$0.00
$433.43
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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#: 2021-167253
01 1 16002 51600
01 1 16002 51601
01 116002 51612
01 1 16002 53600
01 1 16002 57770
$23.79
$231 .94
$1.00
$172.6s
$4.0s
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATTON
I hocby affm unda poalty of pcrjury that I m cxempt from thc Contmctor' LicN lrw for thc following Iton (56.7031.5
Buinss and Profssion Code): Any City or County which rcquirs a pornit to construct, alta. improvq dmolish or rcpair ay
structuc, prior to its isuocc. also rcquirs thc applicat for such pqmit to file a signcd statmot that hc or shc is liccnscd plltswt
to thc provisiorc of thc Contractor's Licoscd Law (Chapts 9, Commcncing with Sction 7000 of Division 3 of thc BGitrs ild
hofsions Codc) or that hc or she is exempt thcfrom od thc b6sis for the allcged cxmpion. Any violation of Sarion 7031.5 by my
applicmtforapamitsubjatsthc applicattoacivilprultyofnotmorcthefivchun&eddollus($500).
-1.
as owner of the propcrty, or my cmployecs with wages as their sole compensation, will do the work and thc structurc is not
intended or offered for sale (Soc.7044, Business and hofessions Code: The Contractor's License Law does not apply to an owncr of
the property who builds or improvcs thereoru and who does such work himself or herself or through his or her own employe€s.
provided that such improvunents are not intcndcd or offered for sale. I[, howwer. the building or improvement is sold within one )€ar
of cornpletion the Orvner Builder will have the hrden of proving tlra he or she did not build or irnprove thc property for the purposc of
sale).
-1.
as owner of the property. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7044, Business
and hofession 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) licanscd pursuant to the Contractor's License taw).
-l
am under P.C.reason.
?l
I hereby affrrm under penalty of perjury one of the following
-l
have and will maintain a Certificate of Consent to Self-lnsure for work6s' compensatior, as provided for by Section 3700 of the
Labor Codc. for the performance of the work for which the permit is issucd.
-l
have and will maintain workers' compensation insurance. as requirecl by Section 3700 of the l-abor Code, for the performance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ?
Policv Number: Exoires:
_l cerri& that in the pcrformance of the rvork for which this permit is issued, I shall not
so as to become subject to the workers'compensation laws of California, and agree that if I
ernploy any person in any manner
should become subject to the
provisions of Section 3700 of the tabor Code. I slnll. forthrvith comply with those provisions.workers' compensation
WARNING: Failure to secure workers' comp€nsation coveragc and shall subjett an to criminal and
civil fines up to one hundred thousand dollars ($l to of for the
Section of the Labor Code. interesl and 6
I hc'reby affirrn under penalty of perjury that I am liccnsed 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effert.
License Class: License Numbcr:
f)olo'
CONSTRUCTION LENDTNG AGENCY
I haeby affirm unds pcnalty of pqjury thal th@ is a @Ntruction lcnding agocy for the psfonrocc of thc wrk for which this pqmit is
issucd (Se. 3097, Civ. C.).
kndd's Nmc:
Lendcr's Address:
APPLICANT DECLARATION
I hercbyaflirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Required Lrttc-r of Notification
-l
certi$ that the federal regulations regarding asbestos removalare not applicable to this project.
_l certi& that I havc read this and state that the above information is corrco. I agrcc to comply with all City and County
ordinances and Statc Laws representatives of this City and County to
above rnentioned property for
Applicnnt or Agent
Pcrnritee nirnrc
and
2l
upon the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloorA/e nU! n s u !atio n
Roof Sheathins
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL lo 5,2 I 2c/ st /2rt61 "217
Certificate of Occupancy
Notes, Remarks, Etc.
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