HomeMy WebLinkAbout40134927 - PermitProiect Address: 801 W Civic Center Dr-a- -
Assessor's Parcel: 005-1 4240 Lot: 1-8,14-30110-16
Unit 300
Block: NA
Bldg
Tract:
Address Range:
Historic. No
Suite Range:
Zoning: P
City of Santa Ana 20CivicCenterPlaza(M-19), SantaAna, CA92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:4o^134927
Pin #: 95993
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Cushman & Wakefield
2020 Main St #360
lrvine, CA 92614
(7141 834-5843
Coastline Development
13911 Enterprise Dr
Garden Grove, CA 92843
(7141 265-02s0
01 1 16002 51604
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
VAV Box
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
47.95
27.06
23.79
59.30
4.05
Qty
1.00
1.00
100
1.00
1.00
Fee
$47 95
$27.06
$23 79
$59.30
$4.05
a
State Lic #: 485187
Lic Type: B
Bus. Lic #: 161 OU
Workers' Compensation Insurance:Carrier: Benchmark lns Co
Policy #: CSTSOl8184
Expires: 0110112021
r[tr r tut
6002- 5l
on i csl
Building Use: Commercial
Job Type: Tenant lmprovement
Nature of Work: Tl
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
VB
cMc 2019 Notes: New interior non-structural wall to create offices
withing existing including new doors.
Planning Conditions: lnterior Tl only
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buildins Permit #: 1 01104351
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 the sife by such permit ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-1 61394
09t24t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.7e
$134.31
$4.0s
Fee Total
Paid to Date:
Balance Due:
$1 62.1 5
$0.00
$162.15
,
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS ()}VN T.]R I} I. I I t,I)IIR I)I'I,CA RA'I'ION
I hcrcby afnrm undcr pcnslty of pcrjury that I u exempt frcm the ContrsctoF' Liccns kw for tlrc followitrg rcs$n (56.70.11.5
Busincss and Profession Code): Any City or County which sluircs s Fmit to @nstruc|. rltfi. improve. dcmlish or rcpak 8ny
structurc. prhr to its issume. sls rcquircs the applicmt for sch Jrcrmil to lih 8 signcd stslcmnt thst hc or sttr is liensed iuruut
to the prcvisions of the Conlnctor's Lbcnsd trw (Chaptcr 9. Comrcrcing with Selion 7000 of Divisk,n 3 of the Busircss and
PmfessionsCodc)orthathcorshcisexcmptthcrcfromandtheb&risforthcrllcatedcxcmption. AnyviolrtionofSslhnT03l.5hysny
applicanl for s permil subjctts thc applicsnt to 8 civil pemlly of not mrc than fivc hundrcd dollars ($5fi)).
-1.
as ownerof the with wages as thcir solc compensation. willdo thc work and thc stnrlurc is nol
and Profcssions Code: Thc Contraclor's Liccnsc l-aw docs not opply lo an owncr of
thc pnrlru-rty who builds or irnprrvcs thcreon. and who drrcs such work hirttsclf or hcrsclf or lhrough his or hcr own employees.
proviclctlthalsuch inrprovcmcntsarcnotintcnclcdoroll'crctlfilrsalc. lf.howcvcr.thcbuildingoritttprovenrcntissoldwithinoncycar
of conrpktion. thc Owncr Buildcr witl havc thc burdcn of provirrg lhat hc or shc did not huild or intprovc thc propcrty for thc purprrc of
sah).
_1. as owncr of thc l)ropcrty. am cxclusivcly conlracling with liccnscd conlraclors lo conslrucl thc projcct (Scc. 7044.llusincss
an{ Pnrll.sskln Coclc: '[hc Contractrlr's l-iccnsc Law docs nol apply to an owncr of property who huilds or intprovcs thereon.
and who contracts fcrr such pnljccts with a Contraclor(s) liccnscd pursuant lo lhc Conlractor's Licensc [aw).
-l
am cxctnpl undcr Scclion-. B. & P.C. for lhis rcason.
Owner:_
IVORKERS' CON| pENSA,t ION
ITECLARA',tt()N
I hcrcby af firrn undcr pcnalty ol'pcrjury ortc of lhc lirllowing dcclaralions:
_lhavcanclwill nuintainaCcrtificatco[ConscnttoSell'-lnsurclirru'orkcrs'conrpcnsation.as providcdforbySection3T(X)ofthc
I-ahor Ctxlc. for thc pcrforrnarrcc ol'the work frrr which the pcrnrit is issucd.
_lhavcanclwitl rnnintainworkcrs'cotnpcnsationinsurlrrcc.as rcquirctl by.Scclion37fi)ofthcl,aborCtldc. lorthcpcrlbrlttancertf
thc work for which this Jrcrrnit is issucd. My workers' cornpcnsation insuruncc carricr arrd Jxrlicy nutttbcr arc:
Policy
_l certify that in thc pcrformarrce of thc work for which this Jrermit is issucd. I shall not employ any person in any manner
so as to become subtct to thc workers'compensation lsws of California. and agrce thal if I shnuld trcomc subject to the
workcrs' compensation provisions of Scction 37CD of the Latnr Codc. I shall. forthwith cornply with thosc provisions..
a
WARNING: Failurc lo sccure workcrs' cotnfrcnsation covcragc
civil lincs up lo onc hundrcd thousand dollars ($1ffi.0fit). in
is unlawful. nnd shall subjcct an crnploycr lo critninal pcnaltics arrd
rion. danragcs as providccl, tbr thcloof compcnsal
atk)rncy's
LICENSTD CONI'RAC'T'OR
DECLARATION
t hcreby aflirrn undcr pcnalty of pcrjury that I ant liccrrscd undcr provision of Chaplcr 9 (cotntnencirrg with Scction 7ilru) of Division 3
of thc Busincss and Pnrlcssions Codc. and nty liccnsc is in full ftrrcc aml clfcct.
[-icensc
D,t", ?q 4?-.fr
W
I hcrchy affirnr undcr pnalty ofpcrjury that thcrc is ! conslrucliu lcnding agcmy fo, thc frcrforroncc oflhc work fi,r which this pnnil is
issucd (Scc..3097. Civ. C.).
l-cndcr's Nrmc:
[-cndcr's Address:
APPLTCANT DECLARATION
I trcreby aflirm undcr penalty of pcrjury onc of thc following declarations:
Dcmolition Pcrrnits-Asbcstos Notification Fcdcral Rcgulations (Tille 40. Part6)
-Rcqu
ircd l*tter of Notificat ion
_l ccrtify that thc fcderalrcgulations rcgarding asbcstos removalarc not applicablc to this projcct.
_t certify that t havc rcad this application and state that lhe atnvc information is conccl. I agrcre to comply with all City and County
ortlinanccs and Slrlc Laws rclalilrg to huilding authorizc rcprescntativcs of this City and County lo enter upon the
above nrcntioncd propcrty for insJreclion
Applicant or Agertt
Pcnnitcc rrnrttc
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Eouipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Tvpe I Hood
Type Il Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar A
Rouqh Mech.1-25-70 (WL('I
Final Test
Meter Release
FINAL la -16-70 I VTfiIA [,
Notes, Remarks, Etc.
Cankr:
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