HomeMy WebLinkAbout30141404 - Permit,fi City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA s27o2 Plumbinp
W Permit counter: (714) 647-sloo tnspection Requests. (714) oo7-2138 lnspector section: (714) 647-58u, W
Permit #:3lJ1414o,4
Pin #: 2lJ125
Address: 3301 S Harbor Blvd
Assessor's Parcel: 414-221-23 Lot: POR 1
unit: 109
Block: NA
Bldg:
Tract:1013
Address Range:
Historic: No
Suite Range:
Zoning: M1
Owner:
Address:
Phone
Tenant Name: BTJ Ventures
Rittermal Family
3301 S. Harbor Blvd #109
Santa Ana, CA 92704
(e4e) 482-7058
1st Choice Solar Constructi,
24OO E Katella Avenue, Suitr
Anaheim, CA 92806
(8441292-3700
0't't16002 51602
01 1 16002 51602
01 1 16002 5't 602
01 1 16002 51600
01116002 51602
01116002 57770
Fee Type
Sink
Floor Sink
Min Fee Adj
General Plan Update
lssuance
Microfllm Records
Amount
13.20
16.77
33.09
22.95
57.20
3.91
Qty
2.00
1.00
1.00
1.00
1.00
1.00
Fee
$26.40
$16.77
$33.09
$22.95
$57.20
$3.91Contractor:
Address:
Phone:
State Lic #: 576474
Lic Type: B, C-10
Bus. Lic #: 372625
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9202692
Expires: O1lOOl2O20
Batch*:52997 - 11/13/28t9 ID: CCUEL0ffice: CTYH Trnnsi: lll 3 slAcct*: Ref*: 30141404
Rcpti:02806610 - tt/13/21119 3:4tr FH
Trsnsoction Totol t2t2tr4.1S
1st. Choice Solor Construction
Genersl Plon Updote Fee
0l I 16002- 516(r(ltrtrtr-
Plurb ing
01116002- 516020(r(r-Ilicrofih & Oocunents
01116002- 5777(100(r-
Viso
CCi: ******x****r3349
12t?A
Auth+: Lll59[13
t21
t13:
Building Use:
Job Type:
Nature of Work:
lndustrial Occupancy:
Tenant lmprovement Constr TYPe:
T.t. - coMMERC1AL 94111141code:
Date:
Date:
Date:
B
VB
cPc 2016 Notes: COMMERCIALCANNABIS.MANUFACTURING
(NON-VOLATILE), DISTRIBUTION. New sinks.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
issuance, 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.
11t13t20',t9
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
01 1 16002 51602
01116002 57770
$22.95
$133.46
$3.91
Fee Total:
Paid to Date:
Balance Due:
$160.32
$0.00
$160.32
lnspector MID#: 2O1B-148255
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
lVlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq zltrl to @r)
Final Gas Test a I
Meter Release
flHAt,,ttFINALilel,flo',/-r)t/
Notes Remarks Etc.
OIVNER BLTI,I)ER DEI,CARlT'TI0N
I hcrchy alfirnr undcr ptrully ol p(rjury thal I am cxcrnpt lioill thc Contrrckils' I-iccnrc l,aw lirr thc folk)wing rcilson (Scc-70.11.5
llusincs( rnd f,rolc{sion (ixlc): Any C'ity or Coutily which rcquircs il pcrnrit lo conslnrcl. lllcr. iuprovc, dcmrlish or rpair rny
slnrclurc.priork)ils issuilocc.0lsorcquireslhcrpplicanllorsuchlcilnilk)lilcirsigncdslillcitnl lhrthcorshcisliccil\cd pursuanl
to thc provisions o[ lhc (i,nlrrck)r's I-iccnscd Law (Chrplcr 9. Corilricncing rvilh Sccli(rl TlX)() ol t)ivision J of lhc Busincss rnd
nlplicantli)rnpcrtrtitruhjccrsthc ilpplicunlmacivilpcnrllyofrxiltrxrrclhrnll\chun(lrc(idollir{'ii5(x{)
_1.asouncrofthcproFrt].()rn1ycmplovccsuithrvagcslsIhcirsolcconrpcnsation.sill(lothcur)rkrftl tlrcstnrcturcirnrl
thc pr)[trty uho buil(ls or irnpmtcs thcrmn. xnd who docs such urrk hinrsclfor hcrscll or thrrngh his or hcr own cnrpk)ycc\.
ol coDrplct ion. th! O*ilcr lluildcr s ill ha\r thc hurdcn of pr()r inl thrt lrc or shc did not huild or inrpr(lr'c thc pR)Frcny for thc purfx)* of
srlc).
rnrl $'h() conlrnel\ li,r \uch projcets $ith a Corrlrrclr)r(\) Iiccn\e(l pilrsuxnl k) lhc (i)illrircl(n s l.iccn\c l,il$ ).
I smexemt under Sslion-, B. & P.C. for this reason-
l)atel ()$ ncr:
\1()RKt,.RS', ( ()i\t PIaNS,\I ION
I)t,t( t,,\la,\I l()N
l hcrchy rlTirm undcr psirlty of I^-rjury onc of thc lirlkru ing rlcclarrtions:
_lhavcandwillrruintrirr('crtilicateofConscnlhScliln\urclorrvorkcrs'conrpcnsalt,n.us p()vidcdforhyScctk)n37(X)ollhc
lJhor Codc. lhr thc pcrli)rilrrilcc ofthc work lbr which thc fcrilrit is i\\ucd.
lhavcandu'illnmintilinworkcrs'cotrrpcnsationinsurancc.as rcquircdhyScclt)n.17(X)ollhcl-aborCodc.forthcpcrfornranccof
thc sl)rk li)r which this pcrrnit is issuc{. My sorkcrs' conlpcil\illi()n insurtrnce canicr an<l Jrrlicy nunrhcr arcr
Policv Numbcr: Exoircs:
-l
ccrtify thal in ftc pcrformncc of the work for which lhis pcrmil is issucd. I shall not cmploy any person in any mnnncr
so as lo becomc subjcct lo thc workers' smpensalion laws of Californi8. f,nd Bgrec lhql if I sholld hccomc subjcct to thc
\vork€ts'compenstrtionprcvislonsofScction3T00ofthctiborCodc.lshall.fonhwithconrplywiththoscprovisions..
WARNING: Failure to rccure workcrs' comlEnsalion is lnlawful. ard I subjccl an cnrployer to oiminal ;rculties and
civil fincs up to orc hundred thousnd dollds ($l k)of compcnsation. damges as providcd for thc
':,"'i'rlff\ftr intcrc(t and
I r-I
I hcrchy allirrr undcr pcnxlly ol pcrjury thdt I anr undcr provisk)n ofChaptcr 9 (commcncing with Scclion 70U)) of Division 3
ol llro llnsinc\\ nnrl l'rolissions (ixlc. anrl trrv liccn\e i\ ir lirll lirtcc ntr(l rllccl.
License "1 4
I hcrcby affirm under lEnahy ofFrjury that lhm is a
issued (Sec. 3097. Civ. C.).
ion lcnding agency for thc pcrfornuncc ofthe work for which this frcrmit ir
knder's Name:
hndcr's Addrcss:
APPI,ICANT IIFCI.ARATION
I hcrchy allinn undcr ;xIrlly ol pcrjur! onc of thc lirlkru'ing dcclarat kxts:
I)cil()litiotr ['crilril\-Ashc\tos N(ililicrtiol Fedcral Rcculdi(,ns I l itlc {0. Pnn6)
_Rcquircd t-ctlcr of NolilicrlioD
_l ccrlify that thc fcdcrslrcgulalions rcgarding ashcshs rcnrvul arc nol upplicahlc lo this f()iccl.
,}k,reud this application and slate lhat lhc is corect. I agre lo comply with all City and County
I reprcscnlativcs ofthis City lnd County to cnts ulnn lhekws rclstinS lo
rtxrr'c
,\pplicilnl
Pemritee
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