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10196122 - Permit
EProject Address: 1801 E Carneoie Ave Assessor's Parcel 430-0r 1-0't Lot: 11 Unit Bldg Address Range: 1801-1811 Historic: No Suite Range: Zoning: MlBlock: NA ftacl 577'l City of Santa Ana Permit Counter: (714) 647-5800 20 6ivic center Plaza (M-19) santa Ana, cA 92702 Building lnspection Requests: (714) 667-2738 lnspector Sectaonr (714) 647-5853 Permit #: 10196122 Pin #: 84854 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: lndustrial Tenant lmprovement TI lndustrial/Offices & Warehouse Cannalysis Testing Laboratory 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Oescription of Work: Tl-lnstall and remove partition walls and t-bar ceiling to create testing rooms Planning Conditions: Pending approval of RSP-2018-1-TEST lnterior work only. No exterior alterations or modifications Occupancy: Constr Type Code: Flood Zone: # of Stories: B, F-1, S-1 t B cBc 2016 x-0602320278J Patio: T.l.Area: 12055 Yards Req'dl Valuation: $432,810.00 0 Owner: Address: Phone; Tenant QC Labs 3176 Pullman St #124 Costa Mesa, CA 92626 (949) 329-8378 QC Labs dba Cannalysis Testing L Contractor: UBC Construction lnc Address: 2147 E Brentford Avenue Orange, CA 92867 Phone: (714) 380-9181 State Lic #i 824643 Lic Type: B Bus. Lic #: 369443 Workers' Compensalion lnsurance:Carrier: Calif lnsur Co Policy #: 46503193010'l Expires: O3lO1l2O19 Engineer Address Phone. License # Architect / Designer: Address: JPS DESIGNS BUILD Reuben Gene Walters 120 lndustrial Way Costa Mesa, CA 92627 (949) 6s0-9992 c-34408 heh Planning Approval By Plan Checked By Permit lssued By NPDES lnsp. R PWA lnsp. Req'd: Planning lnsp. Req'd abil i, Teri Fire lnsp. Req'd: Police lnsp. Req'd Permit Fee Plan Check Fee Microfilm Records SIIIP - Category 2 Bldg. Stds. Revolving General Plan Update lssuance $1,886.16 $3,530.64 $54.30 $121.19 $ 1 8.00 $21 .25 $52.98 $5,684.52 $3,530.64 $2,1s3.88 o Date: 05/2312018 Misc. Receipt: 70836 Date: 05/1712018 Misc. Receipl: Date: 05/2312018 Misc. Receipt: Subject to Field: No No Account#Total 07776002 0 777600 2 07776002 08907007 07776002 0 77 76002 07776002 57607 53600 57770 2400 0 5 7672 57600 5750 7 No Yes Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every peinit issued shallbecome invalid unlessth6 wo* on tho site authorized by such permit is commenced within 180 days aftet ils i'suance,ot if the wotk authotized on the site by such permit is suspended ot abandoned fot a penod of180 days after the time the wotk iscommenced. lnspector MltD#. 2018-142249 01 1 '16002 51600 01 '1 16002 51601 0't 1 16002 51612 01116002 57770 08901001 24000 $21.25 $1,939.14 $18.00 $54.30 $ 121 .19 Fee Total: Paid to Date: Balance Due: Phone: License #: BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG,COMMENTS OWNER BUII-DIiR DELCARATION I hcrchy !firn undcr Fn!h, i,r prjJry rhr I csnu rmr lhc Gn rncloF Li.cn{ liw ror rhc rollowiDi rcrson (S(.?u:11.5 Busines\ rnd Prurc\ion CGlcl Atry Cny or Counry *hich rcqutc\ r Fnnir ro on{nd, rltcr. nnprolc. dcmli\h or rcnrn rtry nnrruro. l)norlo irs hsurN.,rhorcqunc\rh.attlir r an \rch l).ihirto filcrsisnci allcmnt rhd h. o, \hc a Iicnsd Purs,nr io rhc povinotr( orlr Co.lrrcnn s l-iccnsed l,ar'(Chaprcr 9. Con,tun.iD8 wirh Scclion 7O(x) ol l)ivision ll or rh. Bu\incis tnd PrclcsionsCodoorrharlrorshcisd.mttrh.ftrturniMrhcb,sisiorthcrllcscdcicnunni.AryvnnatDnofSe..lion70.ll5hyotry applicanr ror r p.rmn \ubjNh rh. antticrnlto !civilDcnlllyofnolfrncrhrn fivc hundrcd dnllan ($500) L ,s osmr ni rhc pnJpcny. or nry ctrlp!,,tccs wirh wagcs $ rhcir q,lc .onrFns{rion. will do rhc sork dd rh. slulut '{ nor inrcni.d orollir.d rir elc (Sd 70{.1. Burin.rs and Prolcssions Cq,c: !hc Contacnn \ Li.cn* trq (()cs.ol EPlt h 3n own$of rhc nmFr y who hikG or i'npnws rhctu$n, and wlr, dd( such q}* hinNcll or hcmcla or rhrcqh hh ot hcr os ! cmpk,!cc\. pn,vidL{ rh r su.h irnJ,n,vcnE.h arc nor inrcnicd o r oilcrcd l(rsalc Il howcrcr. rhc iuilding or inumvc'tunr is$ld wilhirotrc rt't of.omoErion. rhc L)*rcr Buikh willhnw rh. budcn ofrtuvir! rhrr tEor \hc dil n t{ild or imPrdw rhc pmrdt lor the Purlr)s ol -l.rsosncrolrtunmpcnt.rrcr.lu\ivclr..nti.rirgtrirhliccn*dconlacio^roco.{rucrrhcnrciLtt(Sc.704,1.Bu\ik.rrid Pi'r6si G)dc: IhcConrrrlor\ l,i.cnsc I ri docs nor aptlyti dtrowncr.ll]tupcnywh{) hrik(or inrr(rc! rhcrcon. un(l who conr'n r\lor\uchpnic.rrwirhrci, r cl(trrs) lietr$d Nr\urtrr h rhc conlrtror \ LEn\c hw). I utqcnrnr undcrs(rion ,a & P.C. Lrlhn rcn$n l)rre o*n.r $trR'(LRS COn PFNaAT(lr,j IIECLABAIION I lrrchy.rfi nn undcr Fnikyolncrjuryo.c ol'rh. follo*ing dcclnrrrn,is: I hal.and will mrnra,n a Ctd i,_rcatc ol Conscnl h Sclt lNurc for woikctr conf.nslri.n. o\ Ptr,vidd turbySccrion 17(tr ol th. hbor Cqlc. ,o, rhc lcrforERd or rhc work fo. which thc pcrmir t hsucd -l hrE and *illnri'nrd {o&cr{ cotrrpcrsatn nrlu!trncc. rs rcquircdhysc.ri(rrTlDoirhcL or Codc, tn thc P.rrornr(h-c of rhc *ork t,rshirhrhi\ pcnnit is issNd My$orkcs compcnulion insuraict.rd.r kl policy nunrl,cr !rc: Exfncs: -lccnilyllurinrheFlf.rruccorrhc*.rklorw[ic[rhnfcnnir i\isu.{|.Isl lltror c\royrtrypc^on inlny mMmr {, as h hr.otu \uhjccr ro rh\ qorlcF comncn\rr ion he\ ol Crlil(triix. rnd i8tot rh$ il I sbuld hccom \uhl..r k, rlt w.rk(ri.orlEnsdnnr!rcvisi(itrsolSccrnr.lTlX)ofrhclrhnCodc.l\holl.linlh*irhcomPly*irhrho{lnrvisidr' \IARNIN(;: IrxilLrc r, *.urc \.rkcr\ .l trr .ov.rr!c l\ tr hsful. rnd s cirPk,ycr k) dimitul |{trrlrts Md .i\il firL up ro oN hundrc'l rhu\itrd Srcri(D.1076.f rhc Lrhtr CGlc. inlcrc{ ion- thmrFcr rs tmv cd nn lhe IIECI,II.BAIIIIN I hcrhy a nmundc!r,cBlrrofp.rjuryrhnrLmliccns'dundc!FovhionofChrprcr9(comnr.cinSwilhSecli,n70(I))orDilisionl or rhc Busi.csand Pnrt$ions Code, ud nyliccn* i\ in tull ror.. axl cffccl /x)qb I hctohy al,lnn und.r ltmltyof F-rjuy lhar rhcrc n rcon(dcri,. Lndhr8 rscncy fn rhc Pcnnrron.e orrh. aork n" shich rhi\ If,rnir n ir{icd rS.. .1097. (\\ ( ) l-.rd.a\ Nrnc A.IILIIANfDICLABAIIA! I hrdry rnim undd F.dkt ol p.rjury onc.frhc followins d6luarion\: Dcnnlition Pclnits Ashcsros Norifi.,rion Fcdcrul Rcgulariotrs (Tillc40. Prn6) Rcquncd Lxtrcr oa No'ifiurkn' -l rcnili thrr rhc rcJcnl rclulrli{N rsl(linE r\hc{o\ r.nrvllrr rcr xt1l)li.nhl. ro thh fojccr . inlnir rr( n.!rr.cl ll y lurh,izc r.prdicitdircs ol ""'""'""s("l/ulAvra rhnc tly srh ,ll Cily .nd Coutrly ily lnd Cohryb.nr( ur.n lrr SlLI, Set Backs Forms/Steel/Holdowns Erection Pads SLAB Floor Sublloor/Vent/l nsulation Roof Sheathino Shear Wall Framinq 4 i-7-1R.J/424 i">\ lnsulation/Enerqy a-?-/6.Jl,gt4./v* \ Drllwall /.,-//-/9-lJalopt,'t'i+ ) 6xt Ztar-]-attr-/^-<-/R .l)^1"{-/ Brown Coal *Aasoflrr' 9eie.[,*L-1- t6 J)e.dl o&9 Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif . FINAL 1l-/G/9 J).-(>t -@l Certif icate ol Occupancy Notes, Remarks, Etc UFER Ground Lrtrdcr'. q,lJrc,. - rr€1 I