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Home My WebLink About101108218 - PermitCity 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 #: {O11O82{8 Pin #: 12124 /,-7: Project Address: 3503 S Harbor BIvda Assessor's Parcel: 414-262-03 Lot: POR 3 Block: NA Btdg: TTact WILLIAMS Unit:Address Range. 3501 -3521 Historic: No Suite Range: Zoning: P Building Use: Commercial Occupancy: A-2, B 1st FL Area Patio: Job Type: Miscellaneous Constr Type. lll B, V B, SPK 2nd FL Area T.l.Area: Nature of work: Special Evenuremp Stage code: cBc 2019 other Areas yards Req,d Existing Bldg. & Use: commerical Flood Zone: x-0602320258J Garage Area Valuation: Proposed Use: # of Stories: Total Description of Work: Temporary stage for Special Event on Saturday 1OlO9l2O21 for one-day outdoor concert from 5pm-11pm Planning Conditions: LUC #2021 -53-TOA $10,000.00 ' Owner: Address: Phone: Tenant Meltdown Management, LLC PO Box 1267 Sunset Beach, CA 90742 (562) 685-3430 Observatory Contractor: JJ Ross Electric Address: 2201 N Lakewood Blvd D14! Long Beach, CA 90815 Phone: (310) 503-7775 State Lic #: 838229 Lic Type: C-10 Bus. Lic #: 351849 Workers' Compensation I nsurance: Carrier: Exempt Policy #: Expires: Engineer: Address: Phone. License #. Ar chitect / Designer: Address: Phone: License #: Bnbclrt:6tlJ5UiiitriiEii i"iYll Ac,:: t * : Fl,-:p l" '', I' t- '[ l'cl tl r?Llt- $)t?r/-rr-rl I 'I r'(trr:r* i 'i 4 Rr:t"*: 1.r:/ g/')1121 IIJr r Errj ll.tt 1l:t ri : [ll.l $1r55:i J 6en er'(t 1- I' tJt l t6llLt:i"' ltir i }d i rrst lJt l t6rttt?- trl ds iit.dt rJ t I 1{rtjU? trn 'JP d ttt, r: F ee l, 1 ,5ul:t[tul:l- 5 l6tJ l lJl'Ju-. lievc,l v i n:i ::i t 61 '-1[tt-ttJ-. irrg '07776002 57 Permit Fee $172.64 $239 34 $101.25 ' $280 $1 .00 $23.79 $5e 30 ,lr.)O Planning Approval 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 Gomez, Pedro So, Anson Zuniga, Allissa Date: 09i21 12021 Date: 1010812021 Date: 1010812021 Subject to Field: Misc. Receipt: Misc. Recerpt: Misc. Receipt: 07775002 5?7zO Microfilm Records 1:08e07007 24000 SMIP - Category 2 07776002 57672 Bldg. Stds. Revolving 07776002 s7600 General Plan Update 07776002 57607 lssuance 07776002 53600 Plan Check 't, Fee Fee Totat Paid to Date: Balance Due: Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Account#Total eiyy permitissued shall become invalid unless the work on the site authorized by Sur:h permit is commenced within 360 days afterifs issuance,or if the work authorized on the site by such permit is suspe nded or abandoned for a period of 360 days after thgtime the work is commenced. c)1 1 16002 51600 01 1 16002 s1601 01 1 16002 51612 01 1 16002 53600 01 1 16002 57770 08901001 24000 $23.79 $231 .94 $1 00 $239.34 $101 .2s $2.80 $600.1 2 $0.00 $600.12 lnspector MrD#'. 2021-168808 601 BUILDING. !NSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DETTARATION I h@by amrtn utrd6 penalty of pqjury that I m cxcmpt liom the Contrado6' Lic@c Law for thc following reen (Sc.7031.5 Buinas od Profsion Codc): Any City or County which rcquiro a pcmit to coNtruct. altq, improvq dorclish or rcpeir oy structre. prior to its issuaca alm requir6 thc applicat for such pcrmit to lilc a signcd statmot thd hc or slrc b limed pwant to thc provisioru of the Contractor's Liccnsed Law (Chapt6 9. Commcncing with Setion 7000 of Division 3 of thc Busins ud Prcfe$ions Code) or that hc or shc is .xcmpt th@from ild lhc basis for thc allcgcd cxmption. Any violation of Sâ‚¬tion 7011.5 by ey applicant for a pemit subjats thc applicut to a civil penalty ofnot morc the fivc hundred dollm ($500). _1. as owner of the property, or my employees with rvages as their sole compensation. will do the work and thc structure is not intendod or offered for sale (Sec.7044, Business and hofessions Code: The Contraclor's License law does not apply to an owner of the propcrly who builds or improves thereon. and who does such work hirnself or herself or through his or her own employees, provided that such irnprovonents are not intended or offersJ for sale. If. however. the building or improvement is sold within one year of complaion. the Olvner Builder will have the h.uden of proving tha he or she did not build or irnprove the propoty for the purpose of sale). _1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Bwiness and Profcssion 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 Contractor(s) licensed pursuant to the Contractor's License Law). -l am excmpt under Section-, B. & P.C. for this reason. 0wner: WORKERS' COMPENSAT DECLARATION I hereby affrrm under penalty of perjury one of the follorving declarations: _l have and will maintain a Certificate of Consent to Sclf-lnsure for workers' compssation. as provided for by Section 3700 of the Labor Codc, for the performance of the work for which thc perrnit is issued. _l have and will maintain workers' compcnsation insurance. as required by Section 3700 of the tabor Codc. for the po'formance of the rvork for rvhich this pennit is issued. My workers'insurance carrier and policy number are: Policy _l certi& that in the perforrnance of the rvork for which this permit is issued. I shall not employ any pâ‚¬rson in any manner so as to bccome subject to the workers' cornpersation laws of California, and agree that if I should become subject to the workâ‚¬rs' compcnsation provisions of Section 3700 of the Labor Code, I shall. forthwith cornply with those provisions. WARNING: Failure to serure workers' compensation coverage is unlawful. and shall subject an onployer to criminal pcnalties and compensation. damages as provided for thecivil fines up to one hundred thousand dollars ($100.000), in to the cost of Section 3076 of the Labor Code, interest and attorney's- ,6-9.01 I hereby affinn under penalty of perjury that I arn licensed under provision 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forcc and effect. ,/ License , c)o 3518 qq l).-r to'./ k)-o-2 r I hcby affm undo panalty of pcrjury thar th@ is a construclioo krditrg agmy for thc pqfomcc of thc worL for which this p6mit b isucd (Se. 3097, Civ. C.). ktrdfi's Nmc: Lender's Address: APPLICANT DECLATTATION I hereby aflirm under penalty of perjury one of thc following declarations: Demolition Permits-Asbestos Notification Fcderal Regulations (Title 40, Parr6) -Re4uiretl Letter of Notification _l cerrify that the fedtral regulations regarding asbestos removal are not applicable to this project.o -l certi& that I have read this application and state that with all City and County and County ,o ertter upon theordinances and State laws relating to above mentioned property for Applicnnt or Agent Permitee name (print): tt--â‚¬.) I Set Backs Forms/Stee!/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/Ve nUl n s u I atio n Roof Sheathing Shear Wall Framing lnsu Iation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif ), FINAL /A4.'?\lLc /st -t),uF57Al Certificate of Occupancy Notes, Remarks, Etc. _Expires: Date: