HomeMy WebLinkAbout101107218 - PermitProject Address: 301 E Stevens Ave
Assessor's Parcel: 411-12'l-04 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: M1Block: NA Tract: NA Historic: No
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O72{8
Pin #: {0856
Building Use: lnduGtdal Occupancy: B, S-l lst FL Area Palio:
Job Type: Tsnant lmp.ovemont Constr Type lllB 2nd FLArea T.l.Area: 12697
Natureofwork: T.l.rstorag. Reck code: cBc 2019 Other Ar6aa yards Reqd
Existing Bldg. & use: Indultriat Flood zone: x4602320278J
Garage Area V.tuaflon: tso,OOO.q'
Proposed Use: # of Slories: Totat O
Decrlptlon of Wo,k T.l. . Now oflice lpacsa, lntsrlor domo, cailing work, raotrooma,3torage racka, pedlllon walla, flnlahsa for hydroponica warshouag.
t{o OCFA approvat rsq'd porJHobbe lfttPY
Pt.nnino condtttona: fntedor tl only t21l -'y$pt' 5lQ 6
Owner:
Address:
Phone:
Tenant
The Realty Assoc. Fund Xll Portfoli Contractor: Environmental Contracting t
625 The City Drive South Address: 880 East'lst Street
Orange,CA 92868 LosAngeles,CA90012
Phone: (213) 620-8008
The Grow Generation State Lic #: 491028
Lic Type: B
Bus. Lic #: 371131
Workers' Compensation lnsurance:
Carrier: Everest Premier lns Co
Policy #. 760002061621 1
Expires: 0710112022
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Seizmic Material Handling En(
Sal E Fateen
1130 E Cypress
Covina, CA 91724
(eos) 86e-0989
25969
Kamus + Keller lnteriors and Architectu
John Kamus
111 W Ocean Blvd, Suite 1750
Long Beach, CA 90802
(s62) 216-5244
20397
Plan Checked
. Permit lssued
NPDES lnsp.
By:
By:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping !nsp. Req'd:
Planning Approval By.Orozco, lvan
Heidari, Fred
Amsden, Julie
Date: 08/1 112021
Date. 0810512021
Date: 08/1 812021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$2,1 56.67
$4,033.34
$1+ 1 .75
$14 00
$2 00
$23 7e
$se.30
$6,430 85
$4,033.34
$2,397.51
J No
No
No
No
75730
Total
07716002
0 77760 0 2
07776002
08907007
07776002
07776002
07776002
57607
s3600
57770
24000
57672
57600
57607
Fire lnsp. Req'd:
Police lnsp. Req'd:
Noyes Account#
Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-167026
01 1 16002 51601
01116002 51612
01 1 16002 57770
08901 001 24000
$23.79
$2,21 5.97
$2 00
$1+ 1 .75
$14 00
Fee Totat
Paid to Date:
Balance Due:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground I
SLAB Floor 1 zl D&+n#Pkrh
Su bf loor/Vent/l nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsu Iation/Enerqy It
Drywall a ,l7t 7L DKPY,/
Ext./lnt. Lath
Brown Coat
J\Iasonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
I I a
FINAL fifffl,fi I
Certificate of Occupancy
Notes, Femarkq, Etc.
a ?:7 p D >n-l rAla.t c
u It A+fr -
It
I hcrcby aftirrn undcr pcnalty of perjury that I am cxenlpt tiorn the Contractors' Liccnse [.aw for the following
a
rcf,son (Sec.7031.5
Busincss and Profcssion Codc): Any City or County which rcquirc$ a lrcrmit to mnslruct, altcr, improvc, dcmlish or rcpdr any
slructurc. prior to its i$suancc, als rcquircs thc applicant for such Frmit to lilc u signcd slalercnt lhat hc or dE is licensd pursuat
to thc pmvi$ions of lhc Conlrador's Licrnrci hw (Chaplcr 9, Commcrcing wilh Scction 7000 of Division 3 of thc Busincss dd
PmfcssionsCodc)orthathcorshcisexcmptthercfromandthcbssislbrthcalhgcdexcmption. AnyviolationofseclionT03l.5byany.
applicant for a Frmit subj$ts thc applicant to a civil pcnalty of noI rmrc than fivc hundrcd dollus ($50O).
_1, as owncr of thc propcrty, or my crnpklyecs with wagcs as their solc conrpcnsation. willdo thc work and thc structurc is not
intcndc.d or offcrcd for sale (Scc.7M4. Business and Professions Codc: Thc Contractor's Liccnse Law does not apply to an owncr of
thc pnrpcrty who builds or improvcs ttrcrcon. and who docs such work hirnsclf or hcrsclf or through his or hcr own cmployces.
providcd that such inrprovenrcnls are not inlcnded oroflbred for sah. If, howcvcr, thc building or improvcrnent is sold within onc year
of corrpletion. thc Owncr Buildcr will have thc burdcn of proving that hc or shc did not build or improvc thc propcrry for thc pur;nsc of
srh).
_1. as owncr of thc propcrty. arn cxclusivcly contracting with liccnscd contraclors lo construct thc projcct (Scc. 7U4, Busincss
and Professkrn Code: Thc Contractor's Liccnse Law docs not apply to an owncr of propcrty who builds or intproves thcreon.
and who contracts lbr such projccts with a Contractor(s) liccnscd pursuant lo thc Conlractor's l,iccnsc [:w).
-lamexcmptundcrScction-'B.&P.C.forthisrcason.Date:_0wner:_
WORKITRS' CONT I'UNSA'I'ION
DFCLARA'I'ION
I hcrcby atllrrn undcr pcnalty of pcrjury onc of thc following dcclarations:
havc and will maintain a Certificate of Conscnt to Self-lnsure for workers' cornpensation. as provided for by Section 3700 of thc
latxlr Codc. lirr the pcrf<rnnancc of the work for which the pcrmit is issucd.
have and will maintain workcrs'comlrcnsation insurancc, as rcquircd by.Scction 3700 of thc labor Codc, for thc pcrformancc of
thc work for which this pcrmit is issued. My workcrs' compcnsalion insurancc carricr and plicy numbcr arc:
poricy N","rrr, TSOCObCfl2 ff Expircs:Jltl *u
_l ccrtify that in thc pcrforrnancc of thc work for which this Jrcrmit is issucd. I shall nol cnlploy any pcrson in any manner
so as to bcconrc subjcct to thc workcrs'cornpcnsalion laws of California. and agrcc lhat if I should hccome subjcct to thc
workcrs' conrpcnsation provisions of Section 3700 of the Labor Codc. I shall, forthwith cornply with those provisions.
WARNING: Failure to secure workers' compcnsation coverage is unlawful. and shall subjcct an employer to criminal penaltics and
civil fincs up to one hundred thousand dollars (5100.000), in addition to the cost of comgrcnsation, damages as provided for the
Scction 3076 of the labor Codc. interest and attorncy's fees.
,^r", {/tl I vt Appricanr: Sc*<? h|/^-a^^---
LICENSFN CONTRACTOR
DT'CLARATION
I hcrcby afllrrrr under Jrcnalty of prjury that I arn liccnscd undcr provision of Chapter 9 (comnrcncing with Scction 70m) of Division 3
of thc Busincss and Professions Codc. and rny liccnsc is in full forcc and cflbct.
Liccnsc Nurnbcr:4a to zl
r):rrc AlLtl>t
W
I hcrcby affirm undcr JEnalty of pcrjury thal lhcrc is I @nslructbn bndirg .gcmy for thc pcrformncc of thc work for frich this lEmit is
issucd (Sa. 3097, Civ. C.).
kndcr's Namc:
I
lxndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby affirnr under penalty of pcrjury one of thc following dcclarations:
Dcrnolition Pcrmits-Asbcstos Notification Fcderal Regulations (Titlc 40. Part6)
_Rcquircd lrtter of Notification
_l ccrtity that thc t'cdcral rcgulations rcgarding asbcstos rcrnovalarc not applicable to this pr<ljcct.
ccrtify that I havc rcad this application and statc that thc alxrvc inlirnnation is corrccl. I agrec to conrply with all City and Counly
and State Laws rclating to building constnrction. and hcrcby authorizc rcprcscntalivcs of this City and County to cntcr uJnn thc
abovc nrcntioned propcrty for insJrcction
Applicant or Agent f)ate:
Pernrilee name (print)://
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