HomeMy WebLinkAbout101101865 - PermitPin #: {OO
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Proiect Address: 3400 W Vafirner,{ve-a- '
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Assessor's Parcel:414-131-59 Lot: PCR 1/POR 7/POBlock: NA
Unit: F,! Blig: Address Range: 3318-3500
Tract: 101 3t1024/RS 3- Historic: No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, C,492702 Building
Permit Counter: (714) 647-5800 lnspecticn Requesis: (714) 667-2733 lnspector Section: (714) 647-5853
Permit #: {O11O{865
Building Use: Commerciat Occupancy: M 1st FL Area Patio:
Job Type: Tenant lmprovement Constr Type: V B 2nd FL Area T.l.Area:
Nature of Work: Tl/Roof Mtd Equip Code: cBc 2016 Other Areas: yards Req,d
Existing Bldg. & Use: Commercial Flood Zone: X-0602320258J Garage Area: Valuation:
Proposed Use: MMD # of Stories: 1 _o,", O
Description of Work: Tl includes installing a partition wall to separate storage room & show room. New counters & display case for
MMD.***COMMERCIAL CANNABIS - ADULT USE RETAIB-*
Planning Conditions:
1 460
$52,400.00
Owner:
Address:
Phone:
Tenant
Grove Investment Co/Kyle Desmet
P.O. Box 1960
Newport Beach, CA 92658
(7141 545-2776
Newtonian Principles lnc
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
John G Cataldo & Associates
John G Cataldo
835 Mission St
South Pasadena, CA 91030
(626) 79e4400
c10457
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES lnsp.
PWA lnsp. Req'd. No
Planning lnsp. Req'd: Yes
r, Ali
Kathy
Teri
Fire lnsp. Req'd:
Police lnsp. Req'd
Date: 1112712019
Date: 1112712019
Date: 1112712019
Subject to Field.
Misc Receipt.
Misc. Receipt:
Misc. Receipt:
07775002
07776002
07776002
08907007
07176002
07776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
Noyes Account#
73639
Total
s7607
53600
57770
24000
57672
57600
57607
$546.1 3
$7s6.47
$43.01
$14.67
$3 00
$22.95
$57.20
$1,443.43
$7s6 47
$686.96
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site autitorizeci by
such permit is commenced within360 days afterifs issuance,or if the wark authorized
on the site by such permitis suspended or abandoned for a pericd of 360 days after
the time the work is commenced.
lnspector MID#: 2018-1
01 i 16002 51600
01 1 16002 51601
01116002 51612
0r 1 16002 57770
$22.95
$603 33
$3 00
$43 01
ornmercial canna bis
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BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby aflirm undcr Fnally of Frjury that I m cxempt fn)m thc ContrachN' Liccnsc L:w for thc following rcas)n (Se.70.11.5
Busincss ad Pnrlession Cu.lc): Any Cily or County which rcquircs a fEmil to crnslrucl. allcr. inrprove. dcmolish or rcpair any
slruclurc, prirr k, ils issuance, also rcquircs lhc applicant for such Jtrmit to tile a signcd stalcmcnt lhat hc or shc is liccnsd pu6urnl
to lhc provisions of thc Contmctor's Liccnscd law (Chaptcr 9, Commcncing with Secti(ln 7U)O of Division J of thc Busincss and
Prufcssions Codc) or that hc or shc is cxcmpt thcrcliom ud thc hasis for lhc allcScd cxcmpti(tn. Any violation of Setion 70-l 1.5 by nny
xpplicul li)r a lrcmil subjccts thc {pplicant lo a civil penahy of nd morc than livc hundred dollars ($500),
_1, as owncr ol'thc propcrty, or my crnployccs with wages as thcir solc comlrcnsation, will do thc work arxl thc struclurc Ls not
rntcrrlcd or oll'crcd lirr salc (Scr.7044. Business and Prot'essions Crxlc: 'I'hi Contractor's Liccnsc [-aw docs not apply to an owncr of
thc pnlpcrly wtxr builtls or improves lhcrcrln, and who drrcs such wolft himsclf or hcrsclf or thn)ugh his rlr her own employccs.
providcd that such intpnrvcnrents arc not intcnded oroltbred lbr sah. Il, txrwcvcr. thc burfring or impnrvcrnent is stlkl within()nc ycar
of comphtion, thc Owncr Buikler will have the hurdcn of proving lhat he or she did not build or improvc the propcrty for thc purJxrsc of
sale).
)
_I, as owncr ol'lhc propcrty, am cxclusivcly contracting with liccnscd conlractors to construct lhc prtrjcct (Sec. 7(X4, Busincss
arxl Pmtbssrrn Codc: 'f hc Conlractor's Liccnsc Law docs not apply lo an owner of prolrcrty who builds or improvcs thcrcon.
and who conlracts tirr such projccts with a Contractor(s) liccnscd pursuanl lo thc Conlractor's Liccnsc t-aw).
_l anr tundr-r P.C. tilr this rcason.
I hcrcby al'l irm unrlcr pcnalty of prjury onc of the dcclural iorts:
_l havc aml will maintain a Ccrtificatc ol'Consent to Sclt-lnsurc lilr workcrs' comJrcnsalion. as pnlvidcd for by Scction 17fi) of the
Labor Ctxlc, lor thc Jrcrlilrmance of thc work firr which the Srermit ls issued.
_l havc anrl will nraintain workcrs' comJrcnsation insurancc. as rcquircd hy Scction 37fi) of lhe Labor Code, ftrr thc Jrcrfirrmancc of
the work lirr which this prmit is issucd. My workcrs' compensation insurance carricr anl Jxrlicy numbcr are:
Policy Nunther: Expircs:
_l ccrrity that in thc pcrlbrmancc of thc work tilr which this Jrcrmit is issucd, I shall not cnrpkry any lrcrson in any manncr
xl as to hcc<lnrc subjcct to thc workcrs' comJrcnsal ion laws of Calilirrnia, and agrce that if I should hcctlnrc subjcct to thc
workcrs' comJrcnsation pnrvisions of Scction -l7U) of the Lahor Crxic. I shall. tbrthwith comply with thrlrc provisions.
WARNING: Failurc to sccure workcrs' comJrcnsation covcrag,c is unlawlul, and shall suhjcct an cmpkrycr to criminal pcnalties and
civil llncs up lo onc hunrlred thousattd dollars in addition to thc cost of compcnsation, damages as provided lirr thc
Scction J076 thc Codc, inlcrcst and
I
I herehy al'lirm unr.lcr Jrcnalty of Jrcrjury thal I am of Chapter 9 (commcncing with Section 7firu) of Division J
of thc Busincss and Prot'essions Codc, and my license is in full lilrcc and ell'ccl.
Liccnsc Nurnbcr:
W
I hcrcby allirm undcr pnalty otpcrjury lhal thcrc is a conslructi)n bn'lir8 agcncy for thc [Erti)mncc of thc work for which this lmit is
issucd (Scc. -1097, Civ. C.).
kndcr's Namc:
lrndcr's Address:
APPLICANT DECLARATION
I trcreby allirm undcr Jrcnalty of pcrjury onc of the tbllowing dcclaral ions:
Dem<llit ion Pcrmit s-Ashcstos Notiticat krn Fcderal Rcgulat ions ('l'it lc 40, Part6)
_Rcquired [*ttcr of Notitication
_l ccrlity that thc t'cderal rcgulations rcgarding asbestos rcmovalarc nol applicablc to this pnrjcct.
_l certily that this applicalion with all City and County
and County lo cntcr uJxrn thcorrlinanccs and rclating to
atxlve nrcntioncd
Applicant or Agent
Pennitee nanre
lilr
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl ns u lation
Roof Sheathinq
Shear Wall
Framinq
lnsu Iation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
l\/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL l?l u t4 f lam.rrr il4v)
Certificate of
Notes, Remarks, Etc.