HomeMy WebLinkAbout40134919 - PermitProiect Address: 2729 S Grand Ave- -a-
Assessor's Parcel: 411-132-02 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 2T21-2729
Historic: No
Suite Range:
Zoning: Ml
a City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:4013491 9
Pin #: 87695
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Bharat Lodhia
PO BOX 5557
Midway City, CA 92655
Cornerstone Company
7164 Samta Lucia
Buena Park, CA 90620
17141 624-7416
01 1 16002 51604
01 1 16002 53603
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Vent Fan/Comm
PIC - 650/o
General Plan Update
lssuance
Microfilm Records
Amount
46.99
0.65
23.79
59.30
4.05
Qty
2.00
93.98
1 .00
1.00
1.00
Fee
$e3 e8
$61 09
$23.79
$se.30
$4 05
State Lic #: 825467
Lic Type: B
Bus. Lic #: 376715
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
IEI
Commercial Occupancy:
Tenant lmprovement Constr TYPe:
TI***COMMERCIAL CANNASCOdC :
B, F-1, M
VB
cMc 2019 Notes: Mechanical for T.l. for COfilMERCIAL CANNABIS -
Building Use.
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
CULTIVATION
No application returnedfrom
CSG Consultants 1110512020
11t05t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc
Date:
Date:
Date:
74749
$H"rnandez
Kathy
Buildins Permit #: 101 103700
Every permit issued 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#: 2020-1 58608
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$153.28
$4.0s
Fee Total
Paid to Date:
Balance Due:
9242.21
$61 0e
$181.12
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I ho$y atfm uorla pcndty of pcjury thd I m cxcopt fiom thc Conbscls' LieM Ls for thc hlhwing reo (Sc.?0t1.5'
Buine and Profta3iotr Cod!): Any City or Crurly which rcquiro 8 Fmit to oBtruct. rh6. inprcve &aolbh or nprir my
structucpriortofu isMccd$rcquiBthcrpplimtforshpqmittofilcssigocdstdqErt thahcorshcblicascd ptmar
to thc FovisioE of thc Contrelor'! Lienrcd trw (Chapc 9, Comdcing wih Sctbn 7000 of Division 3 of thc BuiN md
Pmfcssiom Codc) or thsr hc or she b dapt tbsc&om md thc bsb for thc allcgcd acaptiotr. Atry violttbo of Sdbtr 7031.5 by uy
8pplicut for I p6mit $bjcls thc rpplicut to e civil paalty of mt mrc thu fivc hu&cd dollm ($500).
-1,
u ow of thc prcFty, or my mplo]6 with waga u thcir slc orrycruaioq will do thc md( ed tlrc stsrrrw b mt
intqdod or oftrod for slc (Sc.7044, BBiK md Proftsriou Codc: Thc Contncior's Licre Lrw doc mt spply to m ow of
thc Fopqty who bui!& or iqros tbmo. nd who doc mh w* hiroctf or hmlf or thrcugh Ns or hc om oployccs.
prcvidcdttatsch improvqmErcDtitrtodGdoroftodbrslelf,how,thcbuiHingcirqoErcdismldwithinorc]qr
of oopl*io& thc Owm BuilCr will haw the hsda of povirg thr hc or strc dit mt build tr in4rcrc &c pmFty 6r thc purpoe of
sh).
-1.
s om6 of thc Fopqty, m sclBivcly $rlra.ring with licqBcd cotrtsactoE to sDstrud thr Projct (Sc. 7044, Baird
ud Profrsin Co&: Thc Cootnclor's Licce Law do6 mt rpply to m omq of prcpcrty who builds or imprcv6 tb6on.
ud who oln8t! for sEh projct3 with I Crohcro(s) lic@lcd pmurd to thc Contndor'! Lic@ kw).
-l
m qcmpt urda Sclio!--, B. & P.C. for thb @L
0wner:
DECI,I\RA'TION
I hereby affrrm under penalty of perjury one of the follorving declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for \r'orkers' contpensation, as pro!'ided for by Section 3700 of the
Labor Code. for the perfonnance of the work for which the pennit is issued.
_l have and rvill maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance of
the work for which this permit is issued. My workers' compensation insurance c.urier and Snlicy number are:
lblicy
_l cerriff that in the performance of the work for which this permit is issued. I shall not ernploy any person in any manner
so &s to become subject to the workers' compensalion laws of California and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code I slull. forthwith comply with those provisions..
WARNTNG: Failure to sccure workers' compensation coverage is unlawful. and shall subject an anployer to criminal porahies and
civil frnes up to one hundred thousand dollars ($100.000), in addition to the cost of compensation, damages as Provided for the
Section 3076 of the l-abor Code interest and attorney's fees.
Dete:
I ICFNSEIT CONTRACTOR
DF'CI.ARATION
I hereby affrm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Profcssions Code. and my license is in full force and effect.
Licensecturr, 0 LicenseNurnber:
gZStt ftl
flolo'
C(}NS'I'RTI("TI()N I,I,N DI NC AG I.'N('\'
I hrcby affm unda Fnrlry of pcdury thal th@ b a snsruction kndioS ag6cy for rhc pcfomcc of thc uork for which this pqmit k
issued (Sec. 3097, Civ. C.).
Lender's Ad&ess:
APPI ICAN'T DECLAITATION
I hercby affirm under penalty of perjury one of the following declarations:
Dernolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Pan6)
-Required
Letter of Notilication
-l
cdiry that thc fcdq8l rcgularioG regading rbstos ronoval re not 4plicablc to this prcjcl.
-l
cdiry that I havc read this application ed statc that thc abovc infomalion is conct. I agc lo comply with 8ll Cilyatrd Counly
ordinecG ed Stat€ t ws rclsting to buildiog constructio& dd hseby authorizc rc?rGatativo of this City md County to mts upon thc
above mmtioned prcpcaly for i$p€lion purpos.
Applicant or Agert
Pennitee name (orint):
I ),rt t'.
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 Range
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I I I L /-ry
FINAL i I I
J (/),DKV>/
Notes, Remarks, Etc.I I
Drte:_
Annlicant: \/
contrecto.' \(.