HomeMy WebLinkAbout40134030 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647
Mechanical Permit #: 4O134O3O
Pin #: 87695-5853q/
Project Address: 3301 S Harbor Blvd
Lot: POR 1
unlt: 109
Block: NA
Bldg:
Tract:1013
Address Range:
Historic: No
Suite Range:
Zoning: MlAssessor's Parcel: 414-221-23
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Rittermal Family
3301 S. Harbor Blvd #109
Santa Ana, CA 92704
(949) 482-70s8
BTJ Ventures
lst Choice Solar Constructi,
2400 E Katella Avenue, Suitr
Anaheim, CA 92806
(8441 292-3700
01 1 16002 51604
01116002 51604
01't16002 51604
0't 116002 53603
01 1 1 6002 51 600
01 1 1 6002 51 604
01116002 57770
Fee Type Amount
Vent Fan/Comm 45.33
Vent System - Not Part 63.80
Smoke Evac 195.74
Plc - 65% 0.65
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
2.OO
2.00
1.00
414.00
1.00
1.00
1.00
Fee
$90.66
$127.60
$195.74
$269.1 0
$22.95
$57.20
$3.91
state Lic #: 576474
Lic Type: B, C-10
Bus. Lic #: 372625
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9202692
Expires: O1lO5l2O2O
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Off ice: CTYH Transi: 111 4Accti: Ref*: 4trl34
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Commercial Cannabis 1st Choice Ssl0r Construction
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial occupancy:
Tenant lmprovement Constr TYPe
T.t. - coMMERCtAL 94111141code:
B
VB
cMc 2016 COMMERCIAL CANNABIS - MANUFACTURING
(NON-VOLATILE), DISTRItsUT|ON. Environmental air
fans.
$767.1 6
$47.57
$719.59
eri
Date:
Date:
Date:
10130t2019
11t',t3t2019
Account#
Misc. Receipt: 73584
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
198677
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 I 16002 51600
01 1 16002 51604
01't16002 53603
01116002 57770
$22.95
9471.20
$221.53
$3.91
lnspector MID#: 2018-148255
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby affirm undo peralty of prjury that I m exempt from the Contractors' License Law for the following re6on (Ss.703 1,5
Buinss md Profmion Code): Any City or County which require a pmit to construct. alto, improve, dmolish or repair my
structue. prior to its isumce. also requirB the applicml for such pemit to file a signed statment that he or she is licmed pusudt
to the provisios of the Contractor's Licensed law (Chapter 9, Commencing with Strtion 7000 of Division 3 of the Bwiness md
Prof€ssions Code) or that he or she is exeinpt thqefrom md the basis for the alleged exmpliu. Any violation of Section 7031.5 by @y
applicantforapmitsubjststhe appticanttoacivilpenaltyofnotrnorethilfivehundrltdouarp.{€600).
_1. u omr of the properiy. or my mployffi with wag6 6 lheir sole compensation, rvill do the work md the structue is not
intmded oroffsedforsale(S@.TM4,BuinesandProfessionsCoderTheContractor'sLicemelzwdoesnotapplytooownqof
the prcperty who builds or improve thqon md who doe such rvork himself or hmelf or through his or her om mployes,
provided that such improvments ile not intmded or offsed for sle. lf, howfls, the buildif,g or improvmmt is sold within one )@
ofcompletioe the Ownq Buildq will have the burdo ofproving that he or she did not build or imprcve the propety for the purpos of
ule).
_1, 6 offiq of the propsty. m exclusively contracling with licamed contractorsto construct the prcjtrt (56. 7044. Buins
md Pmfesion Code: The Contractor's License Law do* not apply to m owns ofproperty who builds or improvB ths@n,
and who contmcls for such prcjects with a Contracto(s) licemed purs@nt to the Contraclor's LiceNe Law).
-l
m exempt undq Sation-, B. & P.C. for this rruon.
Drle:_ Owner:
WORKERS' CO]\IPENSAI'ION
DECLARATION
I hereby affirm under penalty oIpojury one ofthe following declaralions:
I hare ard rvill rnaintair a Certilicate ofConsent to Self-lnsure for workers' conrpensalion, m provided for by Section 3700 ofthe
Labor Code, for lhe pqfonuance ofthe rvork ftrr rvhich lhe psmit is issued.
_l have and will maintain workers' compensation insurance. d required by Section 3700 ofthe Labor Cod€. for the pqfomance of
the work for which this pennit is issued. My workets' compeNation insurmce cmier md policy number oe:
Policr Nurnber: E*pires,
-
_l certiry that in the poformance of the work for which this porrit is issued, I shall not employ any pmon in any rnano
w ctobeomesubjecttothcwork6s'composationlawsofCalifomia.udagreethatiflshouldbecomesubjecttothe
work6' compffiatioo ptovisioo of Seclion 3700 of the Labor Code. t shall, forthwith comply rvith thos provisiom..
WARNING: Failure to secue workqs' compemation coverage is unlawful. md shall an mployo to qiminal penaltis and
civil lmes up to one hundred thoused dolltrs ln the dronages o provided for the
Section 3076 Code. inttrest ild
q.
I hereby affirm under penalty ofpsjury that I iln licosd undfl provision 9 (commencing wilh Sfition 7000) of Division -l
of the Busines ud Professiom Code. md my license is in full force md effect.
+,,1License
I hwby affrm undu penalty of ptrjury that
issued (Src. 3097. Civ. C.).
Lentler's Name
-
$a lending agency for the pefommce of the work for which this permit is
Lender's Addras:
-
ATTIrcAXI.UECIABAIIQN
I hoeby aflinn under penalty of perjury one ofthe following drclaations:
Denrolition Permits-Asbestos Notification Federal Regulalio0s (Tille 40. Pd6)
-Recluired
Letter of Notification
-l
certirythat the federalregulations regrdirg cbetos rernovalae not applicable to this prcjtrt.
that read this with all City and County
md Coutyto entq upon theLaws relating to
above propeny for
Applicant
Pmnitee
Agmt
state that the
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Tvpe I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech
Final Test
Meter Release
FINAL V/?trlno 7b^^at/-zA )
Notes, Remarks, Etc a t I (I
"^",uf 6lq