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HomeMy WebLinkAbout101103700 - PermitProject Address: 2729 S Grand Ave Assessor's Parcel: 411-132-02 Lot: NA Unit:Bldg:Address Range: 2721 -2729 Historic: No Suite Range: Zoning: M1Block NA Tract: NA City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 1O11O37OO Pin #: 67664 Building Use: Commercial Occupancy: B, F-1, M 1st FL Area Patio: Job Type: Tenant lmprovement Constr Type: V B 2nd FL Area T.l.Area: Nature of work: TI***coMMERcrAL CANNABTS-CUL code: cBc 2019 other Areas. yards Req'd Existing Bldg. & Use: Commercial/Cannabis-Cultivation Flood Zone: X-0602320278J Garage Area: Valuation: Proposed Use: # of Stories: Totat O Description of Work Tenant improvements to construct a commercia! cannabis cultivation (indoor tissue cultivation) facility. Ptanning Conditions: lnterior ti only. No exterior alterations or modifications 575 $50,000.00 Owner: Address: Phone: Tenant Bharat Lodhia PO BOX 5s57 Midway City, CA 92655 (7141 485-7379 Contractor: Cornerstone Company Address: 7164 Samta Lucia Buena Park, CA 90620 Phone: (7141 624-7416 State Lic #: 825467 Lic Type. B Bus. Lic #: 376715 Workers' Compensation Insurance: Carrier: Policy #: Expires: Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: RGA Architects Christopher J Savage 15231 Alton Parkway Suite 100 lrvine, CA 92618 (94s) 341-0s20 c31391 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 Pezeshkpour, Ali Le, Tung Hernan dez, Kathy Date: 1110512020 Date: 0810512020 Date 1110512020 Subject to Field: Misc. Receipt: Misc. Receipt: Mrsc. Receipt:\,s 74402 $231 .94 $2 00 $32.34 $24 30 0 77760 0 2 07776002 07776002 07776002 0 77760 0 2 57607 s3600 57770 57672 5760 0 Permit Fee Plan Check Fee Microfilm Records Bldg. Stds. Revolving General Plan Update $172 64 $23e 34 $24 30 $2 00 $23.7e $se 30 No No Yes No Fire lnsp. Req'd: Yes Police lnsp. Req'd: No Ffood Zone Cert. Req'd: No Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within360 days afterits issuance,or if the work authorized on the site by such permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. Inspector MID#: 2020-158608 01 1 1 6002 51 601 01 1 16002 51612 01 1 16002 53600 01 1 16002 57770 Fee Totat Paid to Date: Balance Due: $s2 1 37 $207.00 $st 4.37 al Cannabis t BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I I hcrcby aftirm undcr penalty of per.yury that I am cxempt from thc Contractors' Licensc law for thc following reason (Sec.7031.5 Busincss and Profcssion Code): Any City or County which requires a pcrmit lo construct, allcr. improvc. dcmolish or repair any structure. prior to its issuarrcc, also rcquircs thc applicant for such pcrmit to filc a signed stalemcnt that hc or she is liccnsed pursuant to thc provisions of the Contractor's Liccnscd Law (Chaplcr 9, Cornmencing with Section 7000 of Division 3 of thc Business and Protbssions Codc) or that he or she is cxcmpt therefrom and lhe basis for thc allcgcd exemption. Any violation of Section 7031.5 by any applicant for a pcrmit subjcrts thc applicant to a civil pcnalty of not morc than fivc hundred dollars ($5001. __1. as owncr of thc propcrty, or my enrployccs with wagcs as thcir solc compcnsalion, will do thc work and thc structurc is ttot intcndcd oroffcrcd for salc (Scc.7044, Busincss and Prol'essions Codc: Thc Contraclor's Liccnsc law does not apply to an ownerof thc prcfrcrty who builds or improves thcrcon. and who dcrcs such work hirnself or hcrself or through his or hcr own employccs, providcd that such imlnovenrcnts arc not intcndcd oroflbrcd for sah. lf. howcrcr. thc building or inproverrcnt is sold within onc )reir of cornplction, thc Owncr Buihcr will havc ttrc burden of proving that hc or shc did not build or irnprove thc property for thc purynsc of salc). ._1, as owncr of the propcrty. am exclusivcly contracting with liccnscd contraclom to construct thc proj<rt (Scc. 7W. Busincss and Prrofesskrn Codc: Thc Contractor's License Law does not apply to an owner of propcrty who builds or intprovcs thcrcon. and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's Licensc hw). -l am exempt undcr Scction-, B. & P.C. for this rea.son. I)ate:0wnen- WORKER.S' COM PENSATION DECLAITATION I hcreby affirm under pcnalty of Srrjury onc of the following declaralions: _lhavcandwill nuintainaCertificateofConscnttoSclf-lnsurcfrrrworkcrs'contpensation.as providcdforbySection3T00ofthe Labor (bdc. for thc performancc of thc wo* for which the pcrmit is issued. _l have and will maintain workers'conllrcnsation insurance. as rcquired byScclion 3700 of the l-abor Code, for the pcrformance of thc work for which this pcrmit is issuod. My workcrs' compensalion insurance carricr and plicy numbcr arc: Policy Numbcr: Expires: _l ccrlify thar in thc perfbrrnarce of the work for which this prnrit is issued. I shall not cnploy any pcrson in any manncr so as lo bccomc subjcct to thc workcrs' comJrcnsation laws of Calitbrnia, and agrcc that if I should beconr subjcct to thc ' workcrs' comlrcnsation provisions of Scction 3700 of the labor Codc. I shall. forthwith comply with thosc provisions. WARNING: Failurc to sccurc workcrs' compcnsation coveragc is unlawful, and shall subjcct an employcr lo criminal Jrcnaltics and civil fincs up lo onc hundrcd thousand dollars ($1ffi.000). in of darnagcs as providcd for thc Scction 3076 of the *Tr Codc. intercst / r / zozc) and atlorrrcy's I ):tl r':lt NECLARATION I hcrcby affirm undcr penalty of Srcrjury that I am liccnscd under provision of Chaptcr 9 (comnrencing with Sc'ction 7000) of Division 3 of thc Busincss and Professions Codc. ard nry licensc is in full forcc and effcct. 3 Lf,I L7 Licensc I)nlr.I o W I hcrcby affEm uftlcr Fnslty of Frjury thrr thm is I consruction lcnding agercy for lhe lErforllmc of lhe work for whhh this pqmil is isscd (Se.3097, Civ. C.). lrndcr's Name: [-cndcr's Addrcss: A PPLICANT DT'CLARATION I hcrc'by affimr undcr pcnalty of perjury one of the following dcclarations: Dcmolition Pcrmits-Asbcstos Notification Fcderal Rcgulations (Titlc 40, Part6) -Required lrttcr of Notification -_l ccrtify that lhc fcdcral rcgulations rcgarding asbcslos rcnrovalarc not applicablc to this projcct. _l ccnify that I have read this application and statc lhc ahrvc with all City arrd County and County to cnter ugrn theordinances and Statc laws relating to abovc nrntioned property for Applic:rnl or Agenl Pernritee nanre v\,L Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf Ioor/VenVl nsu lation Roof Sheathinq Shear Wall Framinq Insulation/Energy Drywall Ext./lnt. Lath Brown Coat [Masonrv Pool Fence T-Bar Handicap Req. Deputv Final Report Engineer Final Report Flood Zone Certif . I FINAL ll l-7 -00 DA'trY:7 Certificate of Occupancv Notes, Remarks, Etc Rev. 08-07 -201 5 ! ,,,", ll /s/zozo