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HomeMy WebLinkAbout101105684 - Permitf@ city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O11O56E4 Pin #: 45388 Rtv 8J Project Address: 2900 S Main St Assessor's Parcel: 410-31 1 -06 Lot: NA Unit:Bldg: Address Range:Suite Range: Zoning: C5Block: NA Tract: NA Historic: No Building Use: Commorcial occupancy: NrA lstFlArea: Patio: Job Type: Signs Constr Type: NrA 2nd FL Area: T.l.Area: Nature of Work: Slgns.illumin.ted Code: cBc 2019 Oher Areas: yards Req'd: Existing BldO. & Lrse: Connercl.lrDrivs.{hru re.teurent Flood Zone: X{602320278J GaEge Area: V.tu.tion: ,ZT,OOO.OO Prcposed Use: # of stories: Totat: D6crlptlon of Work: Signagafor "OslTaco', includea (3) channcl lottor wall signs,7'menu cabinat, driv.-thru order canopy, directional aign,lO claarance baf. Bond lncludsd. Planning Conditions:H(-t. Jt tl'rt -t_LrJ I Owner: Address: Phone: Tenant: Randall Cornelius 27290 Scott Rd Menifee, CA 92584 (4121 600-1685 Del Taco Contractor: Darneil Enterprises dba D & Address: 1282 W Lambert Road, A Brea, CA 92821 Phone: (7141 822-6457 State Lic #. 856006 Lic Type: C45 Bus. Lic #: 376177 Workers' Compensation I nsurance: Carrier: State Comp lns Fund Policy #: 1643978 Expires'. 10/01 12021 600 B Street, Suite 300 San Diego, CA 92101 (619) 354-1 152 c81435 Engineer: Address: Phone. License #: Architect / Designer: Address: Phone: License #: I (: I 6 LtLt ? -. :-' 3 6 Lt Ll LlLlLl 11 icrof i Im & Do,-ument Lf l 1 16ttt l2- 177 Tttt-tt-t0- t 07776002 57607 Permit Fee 07776002 53600 Plan Check Fee 07776002 57770 Microfilm Records 08907007 24000 SMIP - Category 2 07776002 s7672 Bldg. Stds. Revolving 07776002 57600 General Plan Update 07776002 57607 lssuance 0s376002 53636 Bond Fee Total: Paid to Date: Balance Due: $172.64 $239.34 $81.00 $5 60 $1 .00 $23.79 $59.30 $200.00 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 lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Pezeshkpour, Ali Ahangian, Kathy Chavez,Dave<rzC Date: 1210212020 Date: 03l,04l,2021 Date: 03/1 012021 Subject to Field: Misc. Receipt: Misc. Receipt. Misc. Receipt: Account#Tota! Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs issua nce,or if the work authorized on the site by such permitis suspe nded or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01116002 51601 01116002 51612 01 1 16002 53600 01 1 16002 57770 05316002 53636 08901 001 24000 $23.79 $231 .94 $1.00 $239.34 $81.00 $200.00 $s.60 $782.67 $0.00 $782.67 lnspector MID#'. 2020-1 61046 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG COMMENTS OWNER BUTLDER DELCARATION I hcrcby arlirm utrdcr Fnaly of lErjury thal I am cxcmpt liom lhc Contrachrs' Liccns hw for thc li)llowing rca*rn (Ss.4ll.s Busincsr ?nd Profcssion C(xlc): Any CiIy or County which requircs a Jrmit k, construct. alts, improvc. dcmrlish or rcpair any struclurc, [rx)r to its issuancc, also rcquircs lhc applicant for such Frmit k] filc a signcd slatcmnt that hc or slE is liccn$d pursuant k) lhc E()visi()ns of thc Contracl()r's Liccnrcd taw (Chaptcr 9. Commncing with Scction 7000 ot Division .l (!f thc Busincss and Pnllcrsk)n$C(xlc)orthalhcorshciscxcmptthdchom.ndlhchasisforthcallcgcdcxcmplion, AnyviolationofSetionT0ll.5byany applicaDt li)r a fErmit subjets thc al,plicanl to a civil pcmlty of not mrc than five hundrcd dollas ($500). --1, as owncr of thc propcrty, or my cmployccs with wagcs as thcir solc compcnsation. will do thc work aftl lhc strur,*turc is not intcrxlcd or oll'crcd lbr salc (Scc.7044. Business and Prot'cssions Ctxlc: Thc Glntractor's License law dtrcs not apply to an owncr of thc pnrJrcrty wlxl builds or imprrtvcs thcrcon, anl who tltrs such work himsclf rtr hcrsclf or through his or hcr own cmpkryccs, provitlcd that such impnrvcnrcnts arc not intcrxlcd or oft'crcd tirr sah. It. txlwevcr, thc building or improvcrncnt is sokl within onc ycar ol'complction. tltc Owtter Buildcr will havc thc burden ol'pnlving that hc or shc did not builtl or improve thc proJrcrty lirr thc purJxlse ol' salc). _1. as owncr ol'lhc property, ant cxclusivcly contracting with liccnscd contractors lo construct tlrc projcct (Scc. 7044, Busincss arx.l Pnrtbsskrn Codc: Thc Contraclor's l-icense Law docs not apply to an owncr of progrcrty who builds rlr improvcs thcrcon, and who conlracts tor such projccts with a Contraclrlr(s) liccnscd pursuant to thc Contraclor's Liccnsc Law). -IamexcmptundcrScction-.B,&P.C.tbrthisreastln. WORKERS' COI\T PENSATION DECLAITATION I hcrchy al'llrm undcr pcnalty ol'prjury onc of thc tillkrwing dcclarations: _l havc arxJ will maintain a Ccrtilicatc of Consent to Scll-lnsurc tbr workcrs' comJrcnsation, as pr<rvidctl lirr by Scction 3700 of thc Latxlr Crxlc, tor thc Jrcrtirrmancc of thc work tbr which thc pcrmit Ls issued. _.l havc and will maintain workcrs'comlrcnsation insurancc, as rcquired by Scctiun -]700 of thc Labor Codc, tirr thc lrcrlirrmancc o[ thc wrlrk tilr which this ;rcrmit is issucd. My workers' conllrcnsation insurance carricr and Jxllicy numbcr arc: s Policy -,0--l-zl _l ccrlily that in the Jrcrlirrmancc o[the Work tbr which this Jrcrmit is issucd, I shall mrt cmphly any lrcrson in any manncr so as lo hcconrc subject to thc workcrs' compcnsation laws of Calililrnia, and agrec that if I should bec<lmc subjcct to thc wrlrkcrs' conrJrcnsation pnlvisions of Scction 3700 of thc Lahlr Crilc, I shall, lirrrhwith comply with thttsc pnrvisions. WARNING: lrarlurc to sccure workcrs' conrJrcnsation covcragc antl shall subjcct an cnrploycr to criminal Jrcnaltics and civil lirrcs up to onc hundrctl thousarrd dollars in lo thc cosl ol'cornlrcnsation, damagcs as providcd tirr thc Scclion -1076 of'thc Labor Ctxlc. intcrest and attonrcy's p"6, .3- lO-Z( I hercby allirnr under Jrcnalty of pcrjury that I am liccnscd undcr provision of Chaptcr t) (commcncing with Scction 7UX)) of Division 3 ol' thc liusiness and Pnrl'cssions C<xlc, anrl my licensc is in lull lorcc and cfi'cct. Liccnsc a 4s Esr.,(frla ,^*, o'1 "10 *Zl w r I hcrcby allirm undcr penalty of Frjury that therc is a coDstruction btrding agency for thc Jrcrfomrcc of thc work for wbsh this Ismit is issucd (Scc. 3097, Civ. C.). lrndcr's Namc: hndcr's Addrcss: APPLICANT DECLARATION I hcrcby allirm undcr pcnalty of Jrcrjury onc of thc firllowing dcclaratkrns: Dcmolition Pcrmits-Asbcstos Notillcation Fcdcral Regulations (Titlc 40, Part6) _Rcquircd lrtter of Notilication _l ccrtily that the l'cdcral regulations rcgarding asbcstos rcmoval arc not applicablc to this projcct. mk.",aity that I havc rcarl this application uxl state that thc atxrve intbrmation is corrcct. I agrec to comply with all City anrt County rlrriinanccs and Statc Laws rclating to arxl hcrchy authorizc rcprcscntativcs of this City and County to entcr u;xln thc atxrvc mcntioncd proprty ti)r Aliplicarrl or Agenl I)crrttilcc ttanrc ortu, --blFZl Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl nsu lation Roof Sheathing Shear Wal! Framinq lnsu lation/Energy Drywall Ext./lnt. Lath Brown Coat Jt/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Fina! Report Flood Zone Certif tl FINAL 'llt ftt \K yz Certificate of Occupancy tt Notes, Remarks, Etc. ) Florr nP*n7 -2nl q f \.-. ,.. a a