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: