HomeMy WebLinkAbout10199344 - PermitProject Address: 1628 S Grand Ave
Assessor's Parcel 403-111-08 Lot: NA
Unit Bldg Address Range: 1628-16/f0
Historic: No
Suite Range:
Zoning: MlBlock: NA Tract: NA
Building Permit #: tO199344
Pin #: 96369
Building Use:
Job Type;
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Revision
Revision
Comm/Retail
Cannibus Oispensary
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
VB
cBc 2016
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T LArea:
Yards Req'd:
Valuation:
Description of Work: Revision to 10197730-relocate janitor's closet and partition wall
Planning conditions:
Contractor
Address:
Engineer
Addressl
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
PAC Design
Paul A. Collins
'1213 E Warner Avenue
Santa Ana, CA 92705
(552) 437-6311
22,733
Phone
License #
Architect /
Desiqner:
Addressi
Phone:
License #:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd
So, Anson
sden, Julie
No
No
No
No
Fare lnsp. Req'd:
Police lnsp. Req'd
Date: Misc. Receipt
Date: 04/1512019 Misc. Receipt
Dale: 04/23/2019 Misc. Receipt
Subject to Fieldi
No
No Account#
07776002 53600 Revision
07776002 57500 Genetal Plan Update72277
Total
$222.16
$0.00
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No N/A _ No Batance
Every pemit issued shall become invalid unless lhe wo* oh the site authonzed by
such pennit is commenced within 360 days aftet ils issuance.ot il lhe wod< authotized
on the site by such pennit is suspended ot abandoned for a peiod of 360 days after
lhe time lhe wo is conrnenced
lnspector MID#: 2018-141908
Fee Total:
Paid to Date:
Balance Due
$222 16
$222 16
$0.00
City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, C492702
Permit Counter: (714) 647-5800 lnspection Requests: (714])667-2738 lnspector Section: (714) 647-5853 <1
Ken Okamoto & Associates
Sivaram Nagaraian
3186-F Airway Avenue
Costa Mesa, CA 92526
(7141 444-2422
s6349
Owner. Rick D Kagsoff
Address: 2420 Cape Cod Way
Santa Ana, CA 92703
Phone (323) 893-7269
Tenant: WCW Organization lnc.
Owner-Builder
Planning Approval By:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE l t COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf looriVenVl nsulation
Rool Sheathing
Shear Wall
Framinq
lnsu lation/En erq y
D rywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL 6lnlu.i ,%
Certilicate ot Occupancy 'T rfr
Notes, Remarks, Etc.
\
O\lNER BUIT,DER DEI-('ANANON
I lrr.hy rrlrr u cr Fnrh, r,l Frlry rhrr I m rkn{r ln,n rk (bntut'F trcne l,* tu rlE n,lt,*hs 8"",i?tS..rOlt S
Bu{R<i .rn Pn,f.rsrD (irtc) Any Cny or C.unry whkh rqurc< 1 Fmr n' $naNr. !lr(, tn{rrr., J.mnrsh or RPrt r.y
(rueturc. Frtrn' rrr R$m., !lq'..qurc! rlE rl'r txr i, tkh lrmr t,llL. n8ktl narcmnr rh.rlror nE s ltr.nsd puN@l
t' th. F('vfi)n( ol rh. (-onk4l,tr { L.!n*J L.v l(tupl.r 9. (imtrNrnS w h S(non TllD ol D'vrk,. I ot rh. Bunm( .n!
Pnrc$on\ Cirr.) ,x rh.r h. ttr nE ir .r.no rlEr.ann rnl r lE ha{\ t, rh. rlk!.d .(n{, bn. Any v$[lrr ol S<r i,n ?l].! I t hy !o,
+plkldtuaF6nrohj.\hrh.:rplrrnrk,rrrv,ll.nahyornorn c rh.tr nvc hundrc!&,ll[r Isl@)
_1. $ swr ot rh. FlFnr, (r ny .npk,y{! wnh w.!.r ri rh.! r)k u,qEnerion, v l & tll. e*t r^i rh. iurw n hn
d.nldl ,tr.flcrJl r.L (Se.?l,a-t. Bu!m( M.I Pn,lb(i'.r CoL ]1r Ciidtrtii lt6< U* JG! *, rJ,|lly ro d owkt.l
rL ln tEly wh t[lll! o. r{nrEt rh.e)n. d who lllB uh frf,t hn(lf o. h.rtlf or ltuoulh hn or rrr o*n.r9lt'y..s.
po1rl.! rh't .h 'n{f,wds e nn dorld !r oliar..l lif, nl ll, l$9G, rlE l! lul! q ulh)ttd 8 $U v[hh oB ]tr{
ol d,rrt'tk,r rlE o*rr Bul&. *!I h.k rtr hnhn or Ftrrurs rh, lE q dE ,irr d hr o. "rlR,E ttE lxuFy nx rlE pu{r,$ or
-1.
rr ortur of rlE |r,pd y, s .t( lu$r.lt !ot*r*r tr8 r h lMnrd !o r.u,6 I' ..n<fld rh. pn,rcr (stc 7(x4, BurE(
ui lhnisth C&k fh. C.drrntr't l -k.nc l iw ,Ir\ nr .pply b an u*n.. of l)t,Fny who hurlJ\ or rmrrovcr rh.ron.
rn.t wlr,.odtuBk*ikhF)Fcwlh!CrnrRt'(s)lf,ensdluruanrt,rhcCi'nnkttr'sli.tr<l.w)
I rmci.hd ! ic. s.dnn , B. & P.C. r,trrhf rr.\)n
!lt85E8Sr{DlfE!tA.IrO!
TECIASAIIO!
I h.Rhy lllrmlnid Fn.hynlf.rjuryonc orth. i,nt'wr3 !..hnrx,n{:
-lhrw
ri * rll MmtrD . Ctn rrrar. trf cl,ncr r. S.[lnuE lir Rrkcr' oqErdx,n, .! FDvrl.at lor b, Se1!r.]?l)(r ol Ih.
lili, Gxl., f rh. Frfolllmc ol rh. rolt rd *hi.h rlE Fn! . Bru.J
I hnvc l wrllnumr.rn sork.F uoq{n\rrxn rn\urlr.. r\ (q mJ hy S.(Inn li(trdfrhc Irh'tr(i'Jr. ntrrh. IrrlDrmtu.or
rh. w.* ntrvhrhrhtr n n ( rikl Nty *ort.n (ntxnd()h nsunEc (!tr*r ml F'[cv numhcr rc
Pohy Nun rr:[rPFr
-
-l(nnyih.r
m rh. IEilorrN. ol rhc wo rrrehf,hrhnFfln E r\u.J,I rlull ncml'hy.nyn e,nrrn!'Mmr
r' ,! t' h.a{m subFr tr rh. urts' .onrll.nsllk)n la*s of C.lllom6, ,nJ rlr rh:r i, I rlboll tEom lubiti ro tlr
u,rtd! urnrlEnririr pmvrotr! olSenon l?0OofrlE lihtr (irL.l tlsll. ronh*rh cotr{!l, *rh b{ J'nrvr$.!
wAf,NlNG l.nrd r, r(urc * .h'on{f,nsdm ov.nr. tr unh(uL .rn rh.ll iubFr e mpk'F n' mnrl Fml.s lnd
.nn an.\ ut h on. hunJr.d rhourri Joll{\ rsl0o.flXr), r rllr.n ll' ih. c.r il .ompcn!.non, 'hru3.\ .r pn'vd.d nr rh.
sc.rr,tr 10?60lrh.ljtrtrGrlc.ur.r.{lrjdr'my\,ir!
D.Lr- AppU l
LICEIiSED CONTRACTOR
DECIAMII{IN
I hcEt'y .lltn uni.r F.d, of Frrq i har I I uNnnl onti.r rovl\ rD ol chrprc. 9 (d'mEmha * h s(rion 7&D) of Divnto. t
.r rtE Burm$ .d PNrcrsirr C{ik. rn ny h.ns. E u tull nr! lrl .lr&l
l-rccn.c Cl.s:-Lf,!n* NunlEr
D.t: co tr
(aNiral]l]uqNl[N[lllilliE!.l;I
I hrh,rfiirhond.r Fhllryo(!.rr!ryrhrrrh.rc rr u,n{d.t''n Ldo8.BcBy nrrh Fn.,ruN. ol rh.w ntrtr,hf,hrhrlrm E
Nnrdl (SR 1097, Civ, C.)
L.rdd . N!m:
-
L,rki. A.lt!$'
-
AEEU$ILISCIdEATIB
I Hry ]ltim uil.r p.n2lryof Jrrllry dm ol tlE l!,lbrft &.lrrtk'n.
lkmnn$n P.rmnl^rlE{os Ndrfk{x)n Fd.ral R.!!larxrni (T l. rl(), Pf6)
-R.quiEJ
lrrr.rol flrili,
rc3ul.hn\ rcBd'1r,3 rrlx turr)vrlr. rfl)lrrhk t, rl,r rr']-(r
rnntrnslrr !cocr l.!rerocoqrlrw hr,lCiyrdCounty
.!lh{E r.Fr*nl.xEr ol rnr C , rntl Cou.ry tr . ct l|bn trE
4#::::#/t:-
II'EIrIII
2
T-Bar