HomeMy WebLinkAbout40134373 - Permitt
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 #: 40134373
Pin #: 67962
Project Address: 307 E First St Unit: 1-A
Block: 1
Bldg: Address Range: 301-3Oz
Tract BLEE.S ADD HiStoriC: No
Suite Range 5./
Assessor's Parcel: 398-516-16 Lot. PORS 1,2,3,4,10 Zoning: SD84
Owner:
Address:
ROIC CA LLC
9455 Ridgehaven Ct #200
San Diego, CA 92123
(8s8) 2ss4s03
Jugos Acapulco
Owner-Builder
Fee Type
01 1 16002 53603 Revision
01 1 16002 5160C General Plan Update
01 1 16002 5777C Microfilm Records
Amount
230.87
22.95
3.91
Qty
1 .00
0.00
1 .00
Fee
$230.87
$0.00
$3.e1Phone:
Tenant Name:
Contractor:
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Commercial
Revision
Revision
Occupancy:
Constr Type:
Code:
A-2
VB
cMc 2019 Notes: Revision to 40133071-change to kitchen equipt
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
ffi:T;:::V
Date:
Date:
Date.
05/1 9t2020
06t24t2020
Account#
Misc. Receipt: 74020
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 10198910
Every permitissued 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 site by such permit rs suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
N/A - No Balance
N/A - No Balance
Fee Totat
Paid to Date:
Balance Due:
$234.78
$234.78
$0.00
lnspector MID#: 201 8-148042
M ECHANICAL.INSPECTOR RECORD I
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
lVlisc. Equipment
Duct Work
Pre- Insu lation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type II Hood
Grease Duct
Fire Damper
Openings
!nstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release rx
FINAL G-hrrl)qaDpfr0
Notes, Remarks, Etc.al \l/
\7
olvNIiR tlt;tLl)I.,R
I hcrcby effum undcr Fmlty of Isjury that I m cxetrpt from thc Cotrtrutffi' Licup trw for tlE following rc&sn (Src.7031.5 |
Busincss and Profcssion Code): Any City or County which rcquires ! lEmit ro @[s|rcL sltq, itrprcrc, dcmlish or rcpsir any .
struclurc, [ri,r lo iis issure, also rcquircs lhe spplicet for such pcrmit to fib s sigrcd statemnt lhat hc or shc b liccnsd pumalll -
to the Fovisions of the Contrscaor's Liccnrcd trw (Chaptcr 9. Comncing with Section 70fl) of Division 3 of thc Businc$ 8od ,
Profcsiirns Code) or rhat hc or she is ercmpt thcrcfrom 8nd thc b&sis for the allcged cxctr{rtion. Aoy viohtion of Setion 703 1.5 by ony r
applicrnl for I pcmil subj$ls thc rpplicsnl to r civil pemhy of not mrc than fivc hundrcd dollus ($50O).
_1. as owncr of thc proprty. or my cmployees with wagcs as thcir rch compcnsation. willdo the work and ttte stnrcture is not
intcndcd or offercd for salc (Scc.7044. Business and Professions Codc: The Contractor's Liccnsc l.aw does nol apply to an owncr of
thc proFrcrty who builds or irrproves thereon. and who docs such work himself or hersclf or through his or her own employccs.
provided that such improvenrnts arc not intcnded or offercd for sale. lf. however. thc building or improvcnrcnt is sold within onc )aar
of complction. thc Owncr Builder will have the burdcn of proving that hc or she did not build or impmve the propctty for thc purynse of
sale).
-1.
as owncr of thc proFrcrty. am cxclusivcly contracting with liccnsed contractors to construct thc proict (Sec. 7M4. Business
and Prrofcssbn Codc: Thc Contractor's Liccnsc Law does not apply lo an owner of propcrty who builds or improves thercon.
and who contracts for such proicts wilh a Contracto(s) liccnscd pursuanl to the Contraclor's License Law).
-l
am exempt undcr Scction-. B. & P.C. for this reason.
Date:
WORKERS' COMPENSATION
DECLAITATION
I hercby affirm undcr ;rcnalty of pcrjury onc of thc following declarations:
-l
havc and will nuintain a Certificate of Consent to Self-lnsurc for workcrs' compensation, fl.s pmvided for by Section 3700 of the
labor Codc. for thc grcrformancc of the work for which the pcT mit ls issucd.
-l
havc and will rnaintain workcrs'compensation insurarrcc. as rcquircd by Section 3700 of thc Labor Code. for lhe pcrformancc of
thc work for which this pcrmit is issucd. My workers' comlrcnsation insurance carricr and policy number are:
Policy Nunrbcr: Expires:
-l
ccrtify that in thc ;rrfornuncc of thc work for which this permit is issucd. I shall not cmploy any pcrson in any manncr
so as to bccomc subject to thc workers' comgrcnsation laws of Calitbrnia. and agrcc that if I should bccornc subject to thc
workcrs' colnlrcnsation provisions of Section 3700 of thc l-abor Codc. I shall. tbrthwith comply wilh those provisions..
WARNING: Failurc to sccure workcrs' compensation covcragc is unlawful. and shall subjcct an cmplo),er to criminul Jrenalties and
civil fines up to onc hundred thousand dollars ($100.0m). in addition to the cost of compensation. damages as providcd for the
Scction 3076 of thc l-ahor Codc, intercst and attorney's fees,
LICENSED CON'IRACTOR
DFCLARA'TION
t hcrcby atllrm undcr pcnaltyof pcrjury that I anr liccnscd undcr provision ol'Chaptcr 9 (cottrnrcncing u'ith Scclion 7Un) of l)ivision 3
of thc Busincss alrd Prol'cssions Code. aml rny liccnsc is in t'ull t'orcc arxl clfccl.
License Class: Liccnse Numbcr:
I ):rlt.( 'rrrrl rcrclrrr'
CONS TRUCTION LENDING AGENCY
I hcrcby alfirnr undcr pnalty ofpcrjury rhol thcre is a conslruction lcnding rgcncy for lhc pcrformancc oflhc work for which lhis tsnlit i\
issucd (Scc. 1097. Civ. C.).
lrndcr's Namc:
lrndcr's Addrcss:
APr, ,.ANT n"cLAM
I hcrcby allirnt undcr pcnalty of pcrjury onc of thc ttrlkrwing dcclarations:
DcrnoIition Pcrrnits-Asbcstos Notilicalion Fcderal Regulations (Titlc 40. Part6)
-Rcquircd
Lcttcr of Notificalion
_l certify that the fedcralregulations rcgarding asbcstos rcmovalare not applicabh to this pmject.
--l ccrtify that I havc rcad this application and state that thc atxrve informatiorr is corrcct. I agrcr to conrply with all City and County
ordinanccs arrd Statc l-arvs rclating lo building construclion. and hercby uuthorizc rcprescniltivcs of this City and
ahove nrntioncd proFrcrty
Applicant or Agcnl
Permitcc nanrc
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