HomeMy WebLinkAbout101101476 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O{ 476
Pin #: 26,40^1
Project Address: 1831 E Carnegie Ave
Assessor's Parcel: 430-021 -01 Lot: 13
Unit Bldg: Address Range:Suite Range:
Zoning: MlBlock: NA Tract: 5771 Historic. No
lnd ustrial
Miscellaneous
Storage Racks
lnd ustrial
B, S-1
III B
cBc 2016
x-0602320278J
1st FL Area.
2nd FL Area:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Description of Work: lnstall storage racks 14' high.
Planning Conditions
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Raymond
Area:
Total:
Structural Engineering & Desi
Naresh Palkhiwala
-1" ! ll-L?'pt*:[t!
0n sitcL
tJt
Ftt-
Fc
Tr'
flrr UFdfl[e I-Ee
:i1 6[t[t[tr:r[l-
516Lt1r_r[r[r-
$4,200.00
$1 66 53
$461 .7 4
$27.37
$1.18
$1 .00
$22.95
$57.20
Owner.
Address:
Phone:
Tenant:
Ragco John Garrison
P.O. Box 10145
Newport Beach, CA 92658
(s4s) 833-s887
Acd LLC
Contractor
Address:
Phone:
State Lic #:
Lic
Violet
Fire lnsp. Req'd:
Police lnsp. Req'd:
dri
10261 181 5 Wrigfiti
La
(s0e)
c26608
r'l
L #'
D-21 Architect /
Designer.
Address:
Phone:
License #:
4347 1
Total
0 77760 0 2
07776002
0777600 2
0890700L
07776002
07776002
07776002
57607
53600
57770
24000
57672
s7600
57607
u
lltr-I L, I I
Lrl 1 16'.tr:r
SNIP
t tS9t-tI LlLl1 * ?4ftt-tUt[t[t[t-
Uisn
(:i:* i .x*** ** *{t * * * 17 Lii
Compa
04t01t2021
Date: 05/1 112020 Misc. Receipt
Date: 0310212020 Misc. ReceiPt
Date: 0610312020 Misc. Receipt
Subject to Field:
Yes
No Account#
01 1 1 6002 51 601
01116002 51612
01116002 57770
08901 001 24000
$
L
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA Insp. Req'd:
Planning lnsp. Req'd:
Arabe, Jill
J Lee
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
BIdg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
Landscaping lnsp No Flood Zone Cert. Req'd: No 01116002 51600
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 days after
the time the work is commenced
$22.95
$223.73
$1 00
$27.37
$1 .18
$737.97
$461 74
$276.23
lnspector MID#: 2019-153730
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNTIR BUII,I)HR I)IiI,CARATION
I hcreby affirnr under pcnalty of perjury that I am exempt from the Contractors' License [-aw for the following reason (Sec.7031.5
Business and Prol'ession Codc): Any City or County which requircs a Jrrmit to construct, altcr. itnprove, dcrnolish or rcpair any
structure. prfurr to its issuance. also requircs the applicant for such permit to file a signed staternent that he or she is licenscd pursuant
to the provisions of thc Contractor's Licensed law (Chapter 9. Commencing with Scction 7000 o[ Division 3 of the Business and
Prof'essions Code) or that he or she ls exempt theretiom and the basis firr rlrc alleged exemption. Any violation of Section 7031 .5 by'any
applic:rnt for a perrnit subjecls thc npplicant to o civil penalty of not more than five hundred dollars ($5tlO1.
_1. as owncr ol'thc proprty. or rny crnployccs with wages as thcir solc compcnsation, will do the work and thc structure is not
intendetl or offered for sale (Sec'.7014, Business and Professions Code: The Conlractor's License Law does not apply to an owner of
the properly who builds or improves thereon, and who does such work hinxelf or hersell'or through his or her own employees,
providcd that such irnprovc'ments arc not intended or ollcred for salc. Il, howcvcr. thc building or irnprovernent is soH within one ycar
of conrpletirrrt, tlrc Owner Buildcr will havc thc burtlcn o[proving that lrc or she did mrt build or improve the prcpa'ty for thc purprsc of
sale).
-1.
as owner of the property, am exclusively contracting with licensed conlractors to conslruct the project (Sec. 7(X4. Busincss
arrd Pnrleskn Code: The Contractor's License Law does not apply to an owncr of property who builds or improves thereon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's License kw).
_l anrcxempt under Section_, B. & P.C. ltrr this reason.
W( )RKI.IRS' C( )M l'],lNSA'l'l( )N
DECI,ARATI0N
I hcrc'by afl'irm undcr pcnalty of perjury onc ol'thc tbllowing rlcclaralions:
-l
have and will nrainlain a Certilicate of Consent to Self-lnsure for workers' comJrcrsalion, as provided for by Section 3700 of the
Labor Codc. for the Jrcrformancc of the work lbr which thc permit is Lssued.
-l
have and will nraintain workers' conrJrcnsalion insurance, as required by Section 3700 of the [:bor Code, for thc lrcrfornunce of
tlrc work filr which this pcrmit is issued. My workcrs' compcnsation insurancc carricr iuxl gllicy numbcr are:
cuni,,. Z WKh Arntricern [ns C,
Poticy Nunrter: ly' L CIb ] i[5] 000 Expires:o'l lorlzozI
-l
ccrrity that in thc prfbrnrancc ol'lhc work for which this pcrmit is issucd, I shall not cmploy any f,erson in any manncr
so aslohccomesubjccttothcworkcrs'cornpcnsationlawsofCalifornia,arrdagrccthatil'lshouldbccomesubjecttothc
workers' compensation provisions of Section 3700 of the Labor Cbde, I shall, forthwith comply with tlpse provisions.
WARNING: Failure to sccurc workcrs' cx)mpcnsation coveragc Ls unlawful. and shall subject an employer to crimrnal pcnaltics and
civil lines up to one hundred thousand dollars ($l(n.UX)), in addition lo the cosl of compensation. damages as providcd for the
Seclion 3076 of the [:hor Cule, interest and attorrry's fees.
D\rc. ob ( oe2 12, ?p
I hcrcby al'lirrn undcr pcnalty of pcrjury that I arn liccnscd olChaptcr 9 (cornmcncing with Scction 7fin) ol'l)ivision 3
of thc Busincss and Protbssions Codc. aurd my liccnse is in full frlrcc and clfcct.
l.icensc ctorr, t-q lozt I t72.1 lD2Y Liccnse Nurnbcr:O L(71o 1
oorc, o b/otf zaz o lZn,1 rr't,t d lt anrl linq S Ir h rrs-----r
CONSTRUCTION I,ENDING AGT:NCY
I hercby aflrm under penalty of perjury that thcre is a construction brrding agenLy for the performance of the work for which this pcrmit is
issucrl (Sec. 3097, Civ. C.).
Lendcr's Name:
l-cntlcr's Atldrcss:
APPLICANT DECLARATION
I hcreby affrm under penalty of perjury one of the following declarations:
Denrolition Permits-Asbestos Notification Fcderal Regulations (Title 40, Part6)
_Required Letter of Notifrcation
-l
certity that the federalregulations regarding asbestos removalare not applicable to this project.
-l
certify that I have read this application arxl state that the above infornulion is correcl. I agree lo comply with all City and County
onliltartces and State [-aws relating to building constructiorl arxl hereby authrrize representalives of this City and County lo enler ug)n ttE
atxrve mcntioncd proFrcrty lirr inspcction
Applicant or Agcnt
l't rnrilee nanle
oo,r, oc., rt? lZ tz a
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu latio n
Roof Sheathinq
Shear Wall
Framinq
Insulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enoineer Final Report
Flood Zone Certif
FINAL W
Certificate of Occupancv
Notes, Remarks, Etc.A.
ll
Rev. 0B-07-2015
t
,