HomeMy WebLinkAbout101106147 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 101106147
Pin #: 7O5O5
t
Proiect Address: 3901 S Main St-a-
Assessor's Parcel: 411-121-OB Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: M1Block: NA Tract: NA Historic: No
Building Use: Commerclal Occupancy: 8,3-l lst FLArea Patio:
JobType Mi.c.ll.n.ous ConstrType lllB 2nd FLArea . T.l.Area: 1535
Nature ofwork TtrRoot ffid Equtp Code: CBC 2019 OtherArcas yards Reqd
Existing Bldg. & U5e: Commorcialrw.rehou3e Flood Zone: X.0802320278J
propos€d uae: # of stories: Garage Area valuation: $300'000'00
Tolal 0
Doac.lption of Work Shell Tlto.n exlstlng w.rohouelng bulldlng lncludlng alte lmprovemonts, AOA p.rklng, path of tr.vol, and ADA ramp, demolltlon ol
exiding non loed bsarlng partltlon walla, conatructlon ot now non load beaalng paaltlton walla tor new offica apaca, rsplacomont of
foorino .nd colllnq, replacoment ot rooflng (bullt uprhot mop), new rooftop unlt and new akylight..
Planning conditions: Screorllng requi.rd.
o
Owner:
Address:
Phone:
Tenant
Sacher Main ans Stevens LLC
301 Forest Avenue
Laguna Beach, CA 92651
(949) 497-3371
Contractor: D L Hann Painting, lnc.
Address: 8625 Central Ave. #D
Stanton, CA 90680
Phone: (7141 724-2390
State Lic #: 600226
Lic Type. B
Bus. Lic #: 189444
Workers' Compensatron I nsurance:
Carrier: California lnsurance Company
Policy #: 4500790101
Expires: 06/01 12022
Coffman Engineers
Christopher M Haight
1401 Dove St, Suite 250
Newport Beach, CA 92660
(s4s) 623-99s7
4596
Huitt-Zollars
Stephen White
555 West Sth Street, #2950
Los Angeles, CA 90013
(310) s71-7se2
c-34829
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
I
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
Fire !nsp. Req'd: No
Police lnsp. Req'd: Yes
Gomez, Pedro
Le, Tung
Hernan dez, Kathy
Date: 0512512021
Date: 05/1 912021
Date: 0613012021
Subject to Field:
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$1 ,936.93
$1 ,435.97
$121.50
$84 00
$12 00
$23.7e
$5e 30
$3,573 49
$1 ,1 96 63
$2,376.86
Account#
75332
Total
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
077760 02
07776002
07776002
08907007
0 7776002
0 777600 2
0 77760 0 2
57607
s3600
57770
24000
57672
5760 0
5760 7
Flood Zone Cert. Req'd. No 01 1 16002 51600
Every permit issued shatt become invatid untess the work on the site authorized by 91 11999? ?1991
such permit is commenced within 360 days after its issuance,or if the work authoized 91 1 1999? ?191?
on the site by such permit rs suspended o r abandoned for a period of 360 days after 01116002 57770
the time the work is commenced. 08901001 24000otltLaz t%b
lnspector MID#: 2021-164912
$23.79
$1,896.23
$12.00
$121.s0
$84.00q elq')
Fee Totat
Paid to Date:
Balance Due:
t
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hercby affirm undcr pcnalty of pcrjury that I m cxcmpt frcm thc ContractoB' Liccnrc kw for the following rc&sn (Ss.?031/5
Busincss ard Profcssion Codc): Any City or County which rcquircs a frcrmit lo construct, altcl improvc. dcmlish or rcpair any
structurc, lrior to its issuancc, als rcquires thc rpplicant for such lrcrmil to file a signcd statemnt that he or slrc is liccnrcd puunt
to thc provisions of thc Conlractor's Liccn$d llw (Chaptcr 9. Commcrcing with Srction ?000 of Division 3 of thc Busincss md
Pmfcssions Codc) or that hc or shc is cxcmpt lhcrcfron and thc basis for thc allcgcd cxcmption. Any violation of SNtk n 703 1.5 by any
applicanl for a pcrmil subjcls thc arplicant to a civil pcnalty of not mrc than fivc hundrcd dolles ($500),
_1. as owncr of thc propcrty. or my cmployees with wagcs as thcir solc comlrcnsation. willdo thc work and thc structurc is not
intendcd or offcrcd for salc (Sec.7044. Busincss and hofessions Code: Thc Contractor's Licensc Lrw does not apply to an owncr of
the proJrcrty who builds or improves thcrcon, and who docs such work himsclf or hersclf or through his or hcr own cmployccs.
providcd that such ilnprovcrncnts are not intcnded or ol'fcred for salc. If, howcvcr. thc buildirrg or inrprovcment is sold within onc year
of cornplction. thc Owncr Buildcr will havc thc burdcn of proving thal hc or shc did not build or improve the propcny for thc purynse of
salc).
-1.
us owncr of thc propcrty. am exclusivcly contracting with liccnscd conlractors lo conslruct tlrc projcct (Scc. 7W, Busirtcss
and Profcssion Codc: Thc Contractor's Liccnse Law docs nol apply to an owncr of progrcrty who builds or improves thcrcon,
and who contracls for such projects with a Contraclor(s) liccnscd pursuant to thc Contractor's Licensc t aw).
-IatncxcnrptundcrSection-,B.&P.C.tbrlhisrcason.I)atc:
WO ITKERS' COM PENSATION
DECLARATION
I hercby aflrrn under penalty of prjury one of the following dcclarations:
_l havc and will maintain a Certificate of Conscnt to Self-lnsurc for workcrs' compcnsation, as provided for by Section 3700 of thc
Labor Code, fbr thc pcrfornuncc of thc work for which the pcrnrit is issucd.
_l havc and will rnaintain workcrs' compcnsation insurance. as required by Scction 3700 of thc hbor Codc. for the pcrformancc of
thc work for which this pcrmit is issucd. My workcrs' compensation insurancc carrier and policy number arc:
.rr,"r. 4 a ,.6ar,., r n lrr, ", Et^r.e Cc
Policy -6(:'[ go I -o I -lo't' la &Z
_l ccrtity thal in the pcrformancc of thc work for which this Jrcrrnit is issucd. I shall not employ any person in any manncr
so as to bcconrc subjcct to the workcrs' comlrcnsation laws of California, and agrce that if I should become subjcct to thc
workcrs' compcnsation provisions of Section 3700 of thc l-atror Codc, I shall. forthwith cornply with those provisions.
WARNING: Failure to sccurc workers' compcnsation coverage
civil fincs up to onc hundrcd thousand dollars ($100.000). in
Scction 3076 of thc [-abor Code, intercst and attorrrcy's fccs.
is unlawt'ul. and shall an crnploycr to criminal Jrcnaltics and
addition to the cost damages as provided for thc
-3o-2ou
I hcrcby altrrn undcr pcnalty of perjury lhat I anr liccnscd undcr Chaptcr 9 (commcncing with Scction 7000) of Division 3
of thc Busincss and Profcssions Codc. and my liccnsc is in t'ull lbrcc and cl'fcct.
Licerrsc
-A)Ll
I hcrchy affirrn undcr pcnalty of prjury that lhcre is a construction hnding
issucd (Sec. 3097, Civ. C.).
for thc lrcrformancc of thc work for which this pcrmit is
[.cndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby affrm undcr penalty of prjury one of thc following declarations:
Dcnrolition Pcrmits-Asbestos Notification Fcderal Rcgulations (Titlc 40. Parl6)
-Rcqu
ired l-cttcr of Notilication
_l ccrtify that thc fedcral rcgulations regarding asbcstos rcmovalare not applicablc lo this projcct.
_l ccrtify lhat I have rcad this applicatiorr and statc lhat the atnvc is corrcct. I agrcc to cornply with all City and County
ordinanccs and Statc [:ws rclating to building represcntativcs of this City and County to cntcr upon thc
abovc nrcntioncd propcrty for
Applicant or Agenl
Pernrileo name
ard
L)
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Venvl nsu lation
Roof Sheathinq
Shear Wall t I ,t t -/U
Framing ,/ll%lal Hluzh Ttlb^
lnsulation/Enersy qq/il46 t rleblat AE/bl tfia6/
Drywall E tu'la(rulh tr{6
Ext./lnt. Lath
Brown Coat
l\Iasonry
Poo! Fence lL-./ -,4
T-Bar //7/r{/wtt{{4r1 trd
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
H I I .t /
FINAL lullL(aat&z6s
Certificate of Occupancv t I
Notes, Remarks, Etc.
BUILDING. INSPECTOR RECORD
a
trndcr's Namc:
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