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HomeMy WebLinkAbout104102531 - Permit (2)Assessor's Parcel: 411-152-01 Lot: POR'l Unit.Bldg: Tract: SECCOMBE Address Range:Suite Range: Zoning: MlBlock. NA Historic. No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Permit Counter (714)647-5800 lnspection Requests. (714)667-2738 lnspector Section: (714)647-5853 Building d Permit #: 1O4102531 Pin #: 83883 Building Use: Job Type: Nature of Work: Existrng Bldg. & Use Proposed Use lndustrial Occupancy: Demolition Constr Type: Demo Code: lndustrial Flood Zone: Cannabis Cultivation/Mfg/Distribut # of Stories: B, S.1 V B, SPK cBc 2016 x-0602320278J 2 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Patio: T.l.Area: Yards Req'd Valuation:$1,000.00 Description of Work: Demo unpermitted walls and return back to shell condition Planning Conditions:r\ Owner: Address: 3201 Halladay LLC 3201 S Halladay Street Santa Ana, CA 92705 (310) 497-5320 Botani Group dba Diamond Sap Contractor: Design Builders lnc Address: P.O. Box 706 Mira Loma, C491752 Phone: (7141 990-1275 State Lic #: 834074 Lic Type: B Bus. Lic #: 345874 Workers' Compensation lnsurance: Carrier: Exempt Policy #: Expires: Engineer Address: Phone. License #. Architect / Desiqner: Address: Phone: License #: Phone: Tenant J r:rtrUUtl- t:r I Uurj - Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd il:,:V Date 1211212019 Date: Dale: 1211212019 Subject to Field: Permit Fee Microfilm Records lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuance Fee Totat Paid to Date: Balance Due: No No No No Account#Total Misc. Receipt Misc. Receipt Misc. Receipt 07776002 07776002 07L76002 0L716002 01116002 07L76002 07776002 57607 5777 0 57601 57601 57672 57600 57507 $166 53 $3 91 $100 57 $252.69 $1.00 $22 95 $57.20 Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No 01 1 16002 51600 01116002 51601 01116002 516'12 01116002 57770 $22.95 $576.99 $1.00 $3 91 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance,or if the work authorized on the site by such permit ls suspended or abandoned for a period of360 days after the time the work is commenced. lnspector MID#: 2019-156495 $604.85 $0.00 $604.85 Project Address: 3201 S Halladay St BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARA'IION I hereby aflirin unds pcnalty of perjury that I m .xempt from the ContractoE Licmse Larv for the follorving ree)n (Ss.7031.5 Businss md Prof*ion Code): Any City or County which requires a po'mit lo construct. alta. improvc. dmolish or repair my struclure, prior to lts issuance, also requirs the applicmt for such pennit to filc a signed statemot that he or she is licmsed pursuMt to the provisions of the Contractor's Licensed law (Chapltr 9, Cornrnencing with Sstion 7000 of Division 3 of the Uusins md Prol-cssiotrs Code) or that he or shc is exempt lhsefrom od the bsis for the alleged eranption. Any violation of Seclion 703 | .5 by any applicant for a pcnnit subjsts the applicant to a civil penalty of not rnore thm five hundred dollus ($500). __1. m orvnq ol the pro[Efly. or my ernployee with wags s their sole conpssation. will do the work md the slrudue is not intoded or offqcd for sle (Sa.7044, Busines md Profasions Code: The Contractor's Licsse law do€ not apply 1o m owner of theprepefry whobuildsorimprovelhqon.edwhodo6suchworkhitnselforhmelforlhroughhisorheownemployee, provided thal such impnrvmols ue not inlmdql or offqed for sle. lf. howwq. the building or irnprovernent is sld within one ,@ ofcomplction. the Orvncr Buildq rvill hare the budo ofpoving thal hc or shc did nol build or improve the prepery for the purposof sle). l. as owns of thc property, an exclusively contractin8 with licenscd conlractoB to coNlruct the preject (Sec. 7044. Uusins ild hofcssionCode:TheContractor'sLicenseLawdo6notapplylomosnsofpropmyrvhobuildsorimprovcslhssn. and who conlEcts lor such prcjects with a Contmcto(s) licmsed pureumt to the Conlraclor's [-iceNe La\v). I m exernpt unds Setion---, B. & P.C. for this rmon. l)ale: WORKERS' CO[IPENSATION DECLARATTON I hoeby allirm undcr penalty ofpajury onc ofthe following delruatiore: _l havc md will mainlain a Cenificate of Coreflt to Self-lnsure for work6s' compssation. c provided for by S6tion -1700 of the Labor Code. for the perfommce of the rvork for which the pfinil is isued. __l haveanduillmaintainworkm compcmationinsurance,a rquiredbySetion-1700oftheLaborCode,forthepsfomaceof the work for which this pemit is issued. My works compssation insurmce cmier md policy numts ue: (.aricr:. Policy Numbtr:- ---Expires: I cefrify lhat iI the performance ofthe work which this perrnit is issued, I shall not employ any person in any mmner $ 6 to b€come subjst lo the workds'compeNalion laws and agre thal if I should bccorne subj{l lo the work6' lompmsation provisions of S6tion 3700 of lhe Labor conrply rvith lho* provisions. WARNINC: !-ailure to s(ure rvorkm' compensation shall subjet m mplcyct to siminal Fnalti6 and civil fincs up to one hundred ($l of rJmages o provided t)r the Sstion 3076 oflhc Labor D<<- lLlhtc: DECI-TRATION I hoeby aflinn undr pmalty of pejury that I m licosed undo provision ofchapts I (commocing with Section 7000) of Division 3 of the Buins od Profcsiof,s Code. md my licmse is in full force ud effel. l oLicensc CONS'TRUCTION LENDING AGENCY I hereby affrrm undo ;uralty o f pqjury that thqc is a construoion lmding agmcy for thc pafomance of the work for which this pernit is issued (Sa. 3097. Civ. C.). Lendq's Nme: Lmds s Addrm: APPLICANT DECLARA'TION I hoetry aflinn undo pmalty ofpojury one oflhe following deldalions: Dcmolition Pqmits-Asb6los Notification [redqal Rc8ulations (Tille 40, Parl6) Rcquired lf,tt6 of Notifi cation -l cdtify that the fedsal regulalioN rqnoval are not applicable k) this projst. _,1 ccflify that I have read this above infonnation is conect. I agr* to cotnply with all City and County ordinances and State [,aws aulhorize reprBcntativ6 ofthis City and County to fltq upon the above motioned prcpsty for ,\pplicant or Agenr tPemrile trsmr (pri[t): \rz lLl'd Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloorA/enVl nsu lation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif FINAL fzlrLlra '-/r*V) Certificate of Occu Notes, Remarks, Etc. l)alc: