HomeMy WebLinkAbout40132543 - Permit (2)@ City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
I nspection Requests: (7 I 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853
Mechanical Permit#:4O13254t
Pin #:30068 .
Proiect Address i 3124 S Main St
Assessor's Parcel: 410-231-02 Lot:83
Unit:
Block:NA
Btdg:
Tract 7408
Address Range: 3100-3260
Historic: No
Suite Range:
Zoning:CR
Owner:
Address:
Phone:
Contractor:
Address:
Phone:
Decron Properties Corp
6222 Wilshire Blvd #400
Los Angeles, CA 90048
(323) 5s6-6600
J - Squared General Contra(
1780 E McFadden, #112
Santa Ana, CA 92705
(714) 8844s90
Fee Type
01 1 16002 51604 Furnace
01116002 51600 General Plan Update
01 1 1 6002 5'1604 lssuance
Amount
93.58
22.O8
55.04
Qty
2.00
1.00
1.00
Fee
$1 87.1 6
$22.08
$5s.04
State Lic #: 918485
Lic Type: B
Bus. Lic #: 344727
Workers' Compensation lnsurance:Carrier: Everest Nat'l lns Co
Policy #: 7600015996
Expires: 0A01|2019
8ot
0rf
/2+/201''snsi! 4?
Refi:- L/21/2Ltl9
I
rerol Contrcctor
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval
Plan Checked
Permit lssued
Commercial Occupancy:
Tenant lmprovement Constr TYPe
Fitness/Clubhouse Pool PgnCode:
Date:
Date:
Date:
A.f
VB
cMc 2016
Updote Fee
6(r0000-
rrr5554
0rr0736
01t24t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Amsden, Julie
Subject to Field:
Buildins Permit #: 10197558
Every permit issued shall become invalid unless lhe wofu on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 1 80 days afrer the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
$22.O8
$242.20
$264.28
$0.00
$264.28
lnspector MID#: 2017-135549
Tenant Name:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hacby affim undc penalty ofpcrjury lhar I m exmpl from the Contractors' License Law for thc following reirn (Se.7031.5
Buincs and Profsion Code): Any City or Comty which rcquira a pa'mit to construct, altc, improvq dcmolish or repah my
strucluc, prior to its i$umce, slso requirs the applicut for such pemit to filc a sigtred siatmot that he or shc is liccns€d pwuAnt
to the prcvisions of th€ Contractor's Liccnsed Law (Chapt6 9, Comcncing rvith Sction 7000 of Division J of thc Buins md
l'rcfcssionsCode)orthathcorsheisexemptthscfromildthebssisfortheallcgcdexmption. AnyviolationofscctionT03l.5byo,
applicant for a pamit subjsts the applicill to a civil penalty of not more tha fivc hundrcd dollm ($500).
-1.
c oms ofthc Foperly. or my employe with wagc a their olc compsuation, will do the wrt md th€ struct@ is mt
immded or offqed for sa.lc (Se.7044. Bshs ad Profcssiom Codq The Con(raclor's Licmc Law doo not apply to m oma of
lhe prcpqty who buil& or imprcvG thren. md who doe such wo* himsclf or h6elf or through his or hfr om cmployeG.
provided that such improvmts re rct intdd€d or offdpd for elc. If, howrys. thc building or improvffit is rcB whhin onc )w
ofcompletion, the Ownq Builds will have thc htrdo ofproving lhat he or she did not build or imffove thc pmpqty for thc purporof
sde).
-1.
re orwr of thc propoly. m cxcluively contracling with licrucd contracton to coNtruct the plojct (56. 7044, BuitrN
and Profrssbn Codc: The Conlractor's Liccnse Law do6 not apply to e own6 ofpropsty who builds or imprcvB ths@n.
and who contracts for such prcjsts wilh a Cootmcto(s) licNd puEumt to the Contractor's Licose Law).
_l m excmpt ud6 Sstion_. B. & P.C. for this r6on.
WORI(ERSI COMPENSATION
DECI.ASAIIAN
I bqcby affm unds poa.lty of pcjury onc of thc following delratiom:
-l
have ad will mintain 8 Cenificate of Cocot to Sclf-lEure for workos' conrpeo$tiorl 6 providcd for by Setiotr 3700 of thc
tabor Codc, for the pofomucc of thc work for which thc pqmit is isued.
-l
have and will maiilain workers' compcmatiotr isuilcc, 6 rcquted by Setion 3700 of thc t bor Code. for the pqfomuce of
the work for which this pmil is i$ued. My workrs' compcnsalion imumce mia od policy numbo rc:
Policy L L3 ?-t -lq
-l
cediry that in the psformancc of the work for which this pmit is issued. I shall not mploy any pmon in any munq
rc o to beome subjml to thc work6' comp€nstion laws of Califomia ad agrc that if I should b.come subj(t to the
work6s'compsationprovisioroofSrction3T00oftheLaborCode,tshall,fonhwithcomplywiththo*prcvisioN..
WARNING: Failure to scue workm' compruation covsage is unlawful. and shall subjcct an qnploys to sirninal pemhie md
civil finq up to one hu&d thoMd dollffi ($100.000). in addition lo the cosl of compemtioo. dmagcs 6 providcd for thc
S€tion 3076 of thc Labor Codc, int66t ad attorney's fG.
Drrq l-tq-lq
LICENSED CONTRACTOR
Drcr.{iLdrtoN
I hrcby aflim urdo paalty of pojury that I m licensed undo provisioo of Chaptg 9 (commocing with Sction 7000) of Division 3
of the B6in6 ild Prcfessiorc Code, ad my licme is in full force ed cffet.
qlsqrtLiceroeNumber:
-'Lo
CONSTRUC'IION LF,NDTNG ACENCY
I hereby affirm under poalty of ps.jury that thqe is a conslruction lending agency for the pqfomance of the work for which this pwnit is
issued (Ss. 3097. Civ. C.).
Lender's Name
Lender's Addrs: _
I hadry atrm undo penalty ofpo'jury ooe ofthe following dslilatioos:
Demolition Pmils-Asb6tos Notiflcation Fedqal R€gulations (Title 40, Pilt6)
-Required
Letts of Notification
-l
cqtiry that thc lidqal rcgulatioN rcgsding sbstos rmoval [e not applicable to this prcjcct.
$ "rtity t a t torc rad this applicatiotr ed statc thal thc abovc infomation is conrt. I agre to comply with 8ll City md Couty
ordimce md Stste laws rclding to building coostructioD, Ed hqeby authorize rcprffitaiivB of this Chy ed Couty to @tq upon thc
above mmtioncd propcny for
Applicant or Agmt
Pmit€nmc ^d
l-zx'tt
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Fina! Test
Meter Release
F!NAL tr'Lo-2-o DaGPlaS
Notes, Remarks, Etc.