HomeMy WebLinkAbout40134070 - PermitProjectAddress:@ Unit:Fi
Assessor's Parcel 414-131-59 Lot POR I/POR TrPO Block: NA
Bldg: Address Range: 3319-3soo
Tract 101 311024/RS 3- Historic: No
Pin #:
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #:4O134O7O
Owner:
Address:
Phone:
Tenant Name:
Grove lnvestment Co
P.O. Box 1960
Newport Beach, CA 92658
(7141 s45-2776
Newtonian Principles lnc
01 1 16002 51604
01 1 16002 51604
01 1 16002 5360;'
01 1 16002 5160C
01 1 16002 51604
Fee Type
Bathroom Fan
Ev'aporative Cooler
PIC - 650/o
General Plan Update
lssuance
Amount
31 .72
68.1 4
0.65
22.95
57.20
Qty
1.00
1.00
100.51
1.00
1.00
Fee
$31 .72
$68.1 4
$65.33
$22.e5
$57.20
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Bo[ch+:53196 ll/27/2019 ID: oiloro0ffice: CTYH TnonE*: 60 3 oiAcct*: Ref*: 4ltt34r.l7rr
Rcpt*:02814875 lL/27/2tr19 1?332 F'
Tronsoction Totql tl1203.77
6rove Investment (:o
freltePol, Plnn Updote Fee
tJl I16002- 516110000- .
tlechan icol
011 16CI02- 51604000-
P/( Ilechon icol
01116002- 53603000-
Viso
CC*: r****rr**rr18?86Building Use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
Tl/Roof Mtd Equip
Auth* :49J::i70
Notes. Mechanical for Commercial Cannabis - Adult Use
Retail.
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit 1101865
Every permit rssued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2O1 8-141746
Cornmercial Cannabis
Teri
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
M
VB
cMc 2016
10t25t2019
11t27t2019
Account#
Misc. Receipt: 73639
Misc. Receipt:
Misc. Receipt.
Total
01 1 16002 51600
01 1 16002 51604
01 1 16002 53603
$22.9s
$157.06
$0.02
Fee Total
Paid to Date.
Balance Due:
$245.34
$65.31
$180.03
(
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Insulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
lr'\^. .y' Lt t P)FINAL ,\dt\\ \A 1
;lNotes, Remarks , Etc \
\c )t '; i'. {:l I
, e - j
OWNER BUILDER DELCARATION
I hscby affm undr poalty of perjury tha I m cxonpt ftom thc Cortrac{on' Licre kw for thc following rcon (Se.7011.5
Buincs and Prcfsion Codc): Any City or County shich rcquie a pemh to construct. altc. improvc &mlish or rtpair my
strucluc. prior to its isumcc, also rcquic th€ applicant for such pcrmit to filq I signcd statmmt that h€ or shc is licmscd pwant
to thc previsioro of thc Contnctor's Licmscd Law (Chaptq 9. Commcncing with Setion 7000 of Division 3 of thc Buine ud
Pmfcsions Codc) or that hc or shc b qmpt th@from ffd thc bosis for thc allcgcd ampion. Any violatioo of Selbn 7031.5 by my
spplicant for a pcrmit subjcts thc applicant to a civil pmalty ofnot morc thff fivc hundred dollus (3500).
_1. as owner of the property. or my employees rvith rvages as lheir sole compensation. willdo the work and the structtre is not
intended or offered for sale (Sec.7044. Brsiness and hofessions Code: The Contractor's Licensc Law does not apply to an owner of
the propeny rvho builds or improves therqrn, and rvho does such work himself or herself or through his or her own employees.
provided that such improvanents are not intcnded or offtrcd for sale. If. horvever. the building or improvement is sold within one year
of complaion. the Ourner Builder will have the burden of proving thd he or she did not build or improve the propcrty for the purposeof
sale).
_1. as owner of the prop€rty. arn exclusively contracting rvith licensed contractors to construct the project (Sec. 7M4. Business
and hnftssion Code: "l'he Contractor's Licerse Law does not apply to an orvner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licased pursuant to the Contractor's License L:w).
I am exemot under Sfttion
""", l/".tf ft-
I hereby affrrm under poralty of perjury one
___lhavcandrvill rrraintainaCerlificaleof('onsenttoSelf-lnsureftrrrvorkcts'cotnpensation.as providedforbySection.lT00ofthc
l,abor Cotle. for the po'fonnance of the s'ork for s'hich the po:nit is issued.
I have and rvill ntairrtain rvorkers' cornpensation insurance. as recluired hy Section .1700 of the l.ahor ('ode. for the pcrfonnance of
the u,ork frrr u'hich this pennit is issued. My u'orko's' cornpensation insurance carier and grlicy nutnber are:
Policy lr r pir cs.
_l cenify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner
so as to become subject to the workers'compensation larvs of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthw'ith cornply with those provisions..
WARNING: Failure to secure rvorkers' cotttpensation is unlau'ful. and shall subject an onployer to crirninal Fsralties and
compensation. damages as provided for thecivil frnes up to one hundred thousand dollars to the cost of
interest
I hereby allirm under penalty of perjury that I am 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my licensc is in full force and effect.
License Class: License Number:
('onlraclor:
W
I harby affm ud6 poalty of pgjury that thm b s sretruclion lcnding agey for thc pcfotlmcc of thc wrl &r which this p6mt b
bsucd (Se. 3097. Civ. C.).
Lender's Name:
Lender's Address:
A l'l'l,l('i\N'l' l)lt('l,AltA'l'l()N
I hodry aftinn under penalty of pcrjury one of the following doclarations:
Dernolition Permits-Asbestos Notification Federal Rcaulations (Title 40. Part6)
-Required
Letter o f Notification
-l
cenify that regulations rcgarding asbestos removalare not applicable to this project.
I I read this
Laws relating to
" above
Applicant or
l'crrnitcc
for inspc'ction
M ECHANIGAL.I NSPECTOR RECORD
Section -1076 of the laborfode.
Dare: tt /ut ltlT