HomeMy WebLinkAbout10197952 - PermitCity of Santa Ana
Permit Counter: (714), 647-5800
20 Civic Center Plaza (M-rg), Sarlta Ana, CA'g2702 Building
lnspection Requesls: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O197952
Pin #: {5854
Proiect Address: 1910 E Warner Ave
Assessor's Parcel 430-222]12 Lot: NA
Unit: A Bldg Suite Range:
Zoning: MlBlock: NA Tract: NA
Building Use: lndustrial Occupancy: B
Job Type: Tenant lmprovement Consk Type: V B
Nature of Work: Tl Code: CBC 2016
Existing Bldg. & Use: INDUSTRIAL TILTUP Flood Zone: X-0602320279J
Proposed Use: MMD # of Stories:
Doscription of Work: lnterior tenant improvements to construct a vestibule into cannabis testing
memo
1st FL Area: Patio:
2nd FL Area: T.l.Area: 100
Other Areas: Yards Req'd: 0@0
Garage Area: ValuatlSn: $1O,O0O.OO
Total. 0
laboratory & add double door in an inside'wall. See
Planning Conditions:
Owner:
Address
Phone.
Tenant
JZ Realty LLC
4040 Civic Center, #219
San Rafael, CA 94903
(415) 6064357
CB Labs
Contractor; AvalandContractor
Address: P.O. Box 4500
Ontario, CA 91761
Phone: (714) 865-0824
State Lic #: 752083
Lic Type: B, C-33
Bus. Lic #: 342241
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9154951
Expires: 12lO3l2O1A
Menarch Menard Architecture
Nathan D. Menard
206 W 4th Street, Suite 226
Santa Ana, CA 92701
(714\ 5s2-2722
c-27019
Engineer
Address:
Phonel
License #
Architect /
Desiqner:
Address:
Phone:
License #:
PWA lnsp. Req'd: No
Planning lnsp. Req'di Yes
Pezeshkpour, Ali
Chehade, Nabil
Chavez. Dave-4r
No
Date: 1ll08/2018
Date: l1106/2018
Date: l1109/2018
Subject to Field:
0777600 2
07116002
0717600 2
07776002
0 77 7600 2
0 77 760 02
51607
53600
57770
57672
57600
s7607
Permit Fee
Plan Check Fee
lvlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
[/]isc. Receipt
lvlisc. Receipt
Misc. Receipt
71636
Total
$149.25
$100.27
$3.76
$1.00
$22.08
$55.04Fire lnsp. Req'd:
Police lnsp. Req'd ):" Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Evory pofinit issued shall become invelid unless the work on the site authoized by
such permit is commenced within 180 days after its issuance,or if the wo* authoized
on the site by such pemit is suspended or abandoned fot a period of 180 days after
the time the wotk is commenced
$22.08
$204.29
$1.00
bJ. ,/ O $331.40
$100.27
$231.13
lnspector Mto#. 2018-142235
01 1 16002 51600
01 116002 51601
0'1116002516'12
01116002 57770 Fee Total:
Paid to Date:
Balance Due:
Address Range: 1900-1920.
Historic: No
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE tD/srG..COMMENTS OWNER AUILDER DEL('ARATION
I hrchy arfim undcr rnallv oiD€riury lhal I an .rcmDl froh rh. (onrraclon License Lae ior rh. follo\rinC lwn (Sa.7011 t
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srnrclurc. pnor ro ns issuarc. al$ nqut s lhc alplical for such pcnnir lo tlea signed slalqc fial hco. she ir licdrd p6udr
to rlr trolisions ofrhc Cont..toas Licens.d Law (Chapter 9. Commcncins wirh Serion ?000 oaDnision I oarhc Buine$ md
ProLsions Codc) or rhal h.orsh. i. cxonpr rhoclruD Ud rh€ bssis aorrheallcsed cxmpldn Any violarion o I Sd ion ?0115 byany
apphcanlao.ap6nilsubjNlsth..pplicanltoacivilp€nalryoln6lm.nrh..fiv.huddreddollds($500)
L as oNn€r ol rh. pr.t ny, or m, .nployc6 tr nh {396 as Ihcn sb comp€tration. vill do rh. wort d th. srruclE s nor
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thel,opdly rvM buil& or i,nl,ov6 rhcro( aid who d.6 such *orli iinsellor hcllorlhrough his orhsosr cmploy..s.
povidcd lhar such iml, ovon., s rc ml intfld.d or ofield aor elc l[ lrtr6 6, thc buildin8 o! imp olarc is $ld silhin on€ yw
olco,npldioq tne Orh.r Brildd GU hav. ft &ndd oarovins th.r hc or sh. dA nor build or i,nrftvc lhe poldi, for rh. pu4!* oa
l. a orvnr or the Fopdy, an €xcl6'lcly contraclin8 rvilh lic.nsd .onuacloE lo oN]ruc1 rh. projecl (56 70,14. B6inB
a.d hDGsion Codc: r n. (bnlracroi r Licdsc L.q doB.ol applt ro d ownd ofprop.nywho builds or improvdltdon.
ond trho c.nrEds aor iuch pmjc.rs hth ! Conrraclod, li.ensd puB@l ro rhc Comncrors l-icdsc lls).
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tibor ( od.. aor Ihe pEforhec. oalhe *ork fo, *hich thc pmit is issued.
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l.dilyrhd inlh€prfonnanc.oirhetrork lor shichlhisp€rnrll is issu€d.l shall nor mployanyp€Mn in anymlnns
s 6 Io beomc subjN' lo th. mlt6' comFer io. laNs ofcahaodia. ard a!rc lhar if I shorld b..aft subjdr ro rh.
NorI6' coinpssalio, pro\ isio6 oi Sstion 1700 oarh. tit r Code, I slall lonh{nh conrpl, sirh fios pmvbioro
WARNINC F,ilule ro *u. *ork6 coop.Bation covms. is unlawlul. ud shall sDbjd an mployo lo d'nin.l psu[i6 and
.iril fincs up r.r one hundied rhlus&d dolld ($100.000). in addirnnr ro rh€ cosr olco"pcnsarion. dmar6 &s porided aor rh.
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IICINSED-CQNIAACIOB
DICI,AMI]AN
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ot lhc AusinB Md ProfBsioB Codc, dd my license ir in lull lore dd €fi*l
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I h6€by aflim und€r p.n.lly ol prjury thal lhd. is 0 consrtuclion lodihg asm., aor the p6fomec. orthc lork for which tijs pcril is
issucd (S( 1097. Ci! C).
IItUcANLD!;ClltBAlloN
I hodryammund6 pcnfllty olp.rjury one oflhc lollowing d(lararionsl
Dcmo lition Pdmils-Asb6ros N.i i6c.tion rodd{l R.*u larions (Tnle .10, Ptu16)
Rcquted Lelt6 olNorifi cation
I cdily rhar rh.l€d.ralrcluhlioB cgadi.g ab6rG rdnolalarc nor appli.able kr lhis Doj6t
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at\i!c nr. {id'cd pR,pdly
,\pplisnl or A!€nl Sigo|>( l\% J.,.,C4..-e-
IP
Set Backs
Forms/Steel/Holdowns
Erection Pads
U FER Ground
Subfloor/VenVlnsulation
Shear Wall
Frami ng
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
ftilason (y
T-Bar
Handicap Req
Deputy Final Report
En gineer Final Report
Flood Zone Certif
FINAL 1/tqltq'Dr ahb"?ra4 2)
Certificate of Occu anc
Notes, ftpmarks, Etc..
t(
.+
SLAB Floor
Roof Sheathino
Pool Fence
)
l-etrdcisAddr6s
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