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Home My WebLink About101107340 - 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 #: {O11O734O Pin #: ,rff, Proiect Address: 3332 S Bristol Sta Assessor's Parcel: 412-141-22 Lot: NA Unit Bldg Address Range: 3300-3398 Historic: No Suite Range: Zoning: C4Block. NA Tract: NA Building Use: Commercial Occupancy: A-2 1st FL Area: Job Type: Signs Constr Type: V B 2nd FL Area. Nature of Work: Signs-illuminated Code. CBC 2019 Other Areas: Existing Bldg. & Use: Commerical/Restaurant Flood Zone: X-0602320259J Garage Area: Proposed Use: # of Stories: Total: O Description of Work: lnstall (3) illuminated channel letter wall signs for "Dave's Hot Chicken", bond included.. .,. Patio: T.l.Area: Yards Req'd: Valuation: $e,000.00 Planning Conditions: Owner: Address: Phone: Tenant: CP Bristol SA LLC Contractor: Visible Graphics lnc 6400 S Faddlers Green Cir Ste 1820 Address: 9736 Eton Ave Englewood, CO 80111 Chatsworth, CA 9131 1 (7201493-51 00 Phone (818) 787 -0477 Dave's Hot chicken State Lic #: 745555 Lic Type: C-45 Bus. Lic #: 321821 Workers' Compensation I nsurance: Carrier. CompWest lnsur Co Policy # WCV5900022 Expires: 0 511212022 Engineer: Address: Phone: License #: Architect / Designer: Address. Phone: License #: l r ltl I r-rg 1 I l6LlLt: et'(l I r t I 6tttl2 - e Stds Graham, Jeffery Amsden, Julie Chavez, Dave 4'?' Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs issuance,or if the work authorized on the site by such permit ls suspended or abandoned for a period of 360 daysafter the time the work is commenced 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 Insp. Req'd: No Date: 0710812021 Date: 0712212021 Date: 0712712021 Subject to Field. Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 07776002 07776002 01776002 07776002 0 7776002 0 5376002 57601 Permit Fee 53600 Plan Check Fee 57770 Microfilm Records s7672 Bldg Stds Revolving 57600 General Plan Update 5760L lssuance 53636 Bond Fee Total: Paid to Date. Balance Due: $1 72 64 $1 r9 67 $8 10 $1 00 $23 7e $5e 30 $200 00 $584 50 $0 00 $584.s0 No No Account#Total 01 1 16002 51600 01 116002 51601 01116002 51612 01 1 16002 53600 01 1 16002 57770 0531 6002 53636 $23 79 $231 94 $1 00 $119 67 $8 10 $200 00 lnspector MID#: 2021-164815 BUILDING. INSPECTOR REGORD SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hscby aflim utrds pcrulty of pqjury thst I m cxempt from thc Contractos' Licm law for thc following twn (Se.7031.5 Buinq ad Profsion Codc): Any City or Couty which rcquirc a pamit to costruct, alta. improve dcmolish or rcpair oy structuq prior to its ismcq also rcquirG thc applicet for such Fmit to 6lc a signcd starmot thar hc or shc is licoscd pwanr to thc provisiom of thc Coilractor's LicmEcd taw (Chsptq 9, Comocing with Setion 7000 of Division 3 of thc Bwins md Prcfeions Codc) or that hc or shc is cxmpt thGfrom ad thc basis for thc alle8cd cxmption. Ary violation of Setion 7031.5 by ey applicant for a pcrmit subj(ts thc applicant to a civil pmlty of not morc tha fivc hutrdrâ‚¬d dollm (S500). _1. 6 own6 ofthc properry, or my employe wirh waga c thcir slc composation, will do tlE wsk {d thc $ruclrc is not intoded or ofrercd for salc (Ss.7044, Bsins md Profcssioro Code: Thc Contrac{or's Licffi law do6 not 8pply to a oms of thc prcpcty who hrilds or imprcrc thmn. and who dos such wrl himsclf or hffilf or thrcugh hb or ha own cmploycc. provided that such imprcv@ols rc not intqded oroffscd for sle. If, howm. thc huilding or imgormt is rcb within onc ]qr ofcompletion, the Ownq Buikla will have thc hrdâ‚¬n ofproving thrt hc or she did not build or imprcvc thc prcpqty for thc purporc of sle). _I. as owner ofthe property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Busincss and Pmfession Code: The Contractor's License Law docs not apply to an owner of property who builds or improvcs thereon. and who contracls for such projeds with a Contracto(s) licensed pursuant to the Contractor's License [aw). -l arn exempt under Sertion-. B. & P.C. for this reason. f\o lo. WORKERS' COMPENSATION DECLARATION I hereby allirm under penalty of perjury one of the following declarations: -l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Scction 3700 of the Labor Code. fcrr the perfonnance of the wo* for which the permit is issued. _l have and will maintain workers' comperuation insurance, as requircd by Section 3700 of the Labor Code. for the performance of the work for which this permit is issucd. My workers' compensation insurance carrier and policy number are: c*r'r, t 0 os*PcDe, T Policy ooo zz t b-tl- ZL _l cefliry that in thc pcrfomncc of thc work for which this pomit is issucd. I shall not mploy my peron in any mmnc m c to beomc subjet to thc work6' compcnsation laws of Califomia. ild agE thal if t should b6ome subjet to thc workc' compqvtion prcvisiom of Setioo 3700 of the tabor Codc, I dBn. fonhwith comply with thos provisioro. \{ARNING: Failurc to wuc workm' compqrsation ovoagc is unlawful. od shall subjrct u mploycr to qiminal pcrEhiâ‚¬s ild civil finc up to onc hun&cd thousud dollm ($100,000), in addition to thc cost of compcMtiotr, dmag6 I providcd for thc Sfftion 3076 of thc labor Codc, intqGt md attomsy's f6. t Dare: '*-LT -Zt Applicant: }(â‚¬ llo s Lp e*ory?.A, o LI DECLARATION I hereby affrnn under penalry of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effoct. I Licensectu*r' C-\f Licensc Nunrber: i ?t ttt o ( conrracror: A/ I gtbt ? ar c,{l^rll-L7 ? J] CONSTRUCTION LENDING AGENCY t hocby affm undc p.nalty of pqjury thar th6e is a @Etruction loding agmcy for the pqfomc. of the wofi 6r which this psmh b isucd (Se. 3097, Civ. C.). Lender's Namc: Lender's Address: APPLICANT DECLARATION I hereby affrnn under penalty of perjury one of the following declarations: Demolition Permits-Asbcstos Notilication Federal Regulations (Titlc 40. Part6) _Required Letter of Notilication _l certify that thc federal regulations rcgarding asbestos removal are not applicable to this project. _l certify that I have read this application and state that the above with all City and County and County to enler upon theordinances and State laws relating to building construction, above mentioned property for inspection purposes. Applicant or Agcnt Permitee natne }(7- rl,e L? -Z ( Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/Ve nUI n s u !atio n Roof Sheathing Shear Wall n\ Framing :-27'.r4 yr&)\ lnsulation/Energy \') Drywall Ext./lnt. Lath Brown Coat Masonry Poo! Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif n ,^\ FINAL Y-27n)Ulll-rr\\ Certificate of Occupancy G'\-/ Notes, Remarks, Etc. -4 Owner: ruo) s)rqdPrtialqrsr^ ^r^\M slv0'18l8l8 xeJ tlvo'/81'818 1 lr llt l6 v) 't{uoMrlPq) 'anua^v uoul 9f l6 erczltf I t0:dxl sv) tdAl ssss v I HlsNl)ll NSrStC 0NV lNlr{l3VNV]^ rfltOUd,NOIlVf IUBVJ NDIS IVNOI1VN V,Oe '[ ,{lnt :O]SlAlU 0z0z'gg raqol)o :olruy\8ns AllvNtDluo v0lz6 v)'euv PluPs '15 ;o1stt8 's zttâ‚¬ 6 o!ilroufl? 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