HomeMy WebLinkAbout40434174 - PermitProject Address: 309 W Third St
Assessor's Parcel: 398-591-0T Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: Yes
Suite Range:
Zoning: SD84
City of Santa Ana Zd Ciric Clenter Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 4o,434174
Pin #: 45540
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
State Lic #: 964743
Lic Type: B
Bus. Lic #: 343456
Workers' Compensation I nsurance:Carrier: Falls Lake
Policy #: FLA00SZ13
Expires: 0511212020
DEBORAH GILMAKER
790 N SIAVOHN DR
Orange, CA 928692589
(7141 862-7375
El lndio Botanas Cerveza Restaurant
LSR Builders
225 North Broadway, #216
Santa Ana, CA 92701
(858) 4374247
01 1 16002 51604
01 1 16002 51604
01 1 16002 53603
01 1 16002 51604
01 1 16002 sl600
01 1 16002 51604
01 1 16002 57770
Fee Type
Type I Hood
Bathroom Fan
Ptc - 65%
Penalty
General Plan Update
lssuance
Microfilm Records
Amount
1 17.68
31 .72
0.65
252.69
22.95
57.20
3.91
Qty
1.00
2.00
181 .12
1.00
1.00
1.00
1.00
Fee
$t t 7.68
$63.44
$1 17 .73
$252.69
$22.95
$57.20
$3.e1
fi72. ?5
i491 . [r I
$3. ?1
$1r 297 .?4
Batch+ :53428 12/ I2/2A$ ID : llP INEDA
Off ice: CTYH Trnnsi: 72 2 of 3Acct*: Ref t: 4$434174
Fcp ti :0293358tr 12/ I2/2AI9 4 : 33 F'll
Transoct i on Totnl tl r 2?7 .24
Lu i s $oto
LSR Bu i lders
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked
Permit lssued
Commercial
Alteration
Type I Hood/Fans
New t'dhH,$ttjoil d ffihitbih[*,
Generol Plnn Updobe Fee
t:tl I t6Lt02- 5l6lrt-tlt[0-
Ilechon icnl
111 1 l6(tCI2- 3777fi1r01r-
I (:L Check 0Ct00tttr?35(l
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
!II B
cMc 2016
12t02t2019
12t12t2019
Account#
Misc. Receipt: 73772
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Teri
Subject to
Building Permit
Every permit rssued 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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 201 8- 141277
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$22.95
$4e1.01
$3.e1
$635.60
$1 17 .73
$51 7.87
M ECHANICAL-I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Meta! 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 ll- 17-?0 fZc o'3^)?A2, -Zrl
Type ll Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
F!NAL /28-@ //Z Ctc.J c ?-a vZT
" J OWNERBUILDERDELCARATION
I hschy affrm undr pcnalty of pcjury that I m cxmpt ftom thc Cotrtmctots' Liccre Lrw for thc following lwo (Sc.7031.5
Busins and Profcssion Codc): Any City or County vhich rcquirc a pcmit to srstruct. alta, improvc rlanolish or rcpair my
strucIw. prior to its iswcc. also rcquk6 thc applicer for such p6mit to 6lc 8 sigocd stalm@l thd hc or shc b licas€d pw8ril
to thc prcvbioN of thc Contractor's Liccnscd Law (Chaptq 9. Commcncing with Setion 7000 of Division 3 of lhc Busins md
Prcfsio6 Codc) or thar hc or shc b qcmpt thqcfrom md thc bcis for thc alktscd qmplion. Any violation of Sction 7031 .5 by my
8pplicstforspf,ritsubjcBthc applicanttoscivilpcnaltyofnotmorclhtrfivchundrcddollm($500).
_1. as owner of the property. or my employees rvith wages as their sole compensation. will do the rvork ard the structue is not
intended or offered for sale (Sa.7044. Business and Professions Code: The Contractor's Liccnse [aw does not ryply to an orvner of
the propcrty rvho builds or improves theron. and who does such rvork himself or herself or through his or her own employees.
provided that such improvanrcnts are not intcnded or oflbred for sale. l[, horvgt'er. the building or improvanent is sold within one ]car
of complaion. the Orvner Builder will have the burden of proving that he or she did not build or improve the propctty for the purpose of
sale).
_1. as owner of the propcrty. am exclusively contracting with liccnsed contraclors to construct the project (Sec. 7044. Business
and Profission Code: The Contractor's License Law does not apply to an orvner of property rvho builds or improves thereon.
and rvho contracts for such projecrs with a Contraoo(s) licersed punuant to the Contractor's Liceose Law).
-l
am exempt under Section-. B. & P.C. for this rcason.
l)ate: On trer:
\\'ORKILItS' ('( )l\l l'l',NSr\'l'lON
t)}.C1.,\RA'l l()N
I hcrcbv affir'rrr urrrlcr pcrraltv of llerirrrv orrc of tltc lirllorvinu tlcclat al iotts:
__lhaveantlwill rnaintaina('ertificateofConsenttoSelf-lnsurefrrrs'orkers'compensation.as providedforbySection-3700ofthe
l,abor Code. for the po'fonnance of the s'ork frrr rvhich the pennit is issuecl.
t have and s'ill rnaintain rvorkers' cornpensation insurance. as required by Section .1700 of the Labor Code. for the perfonnance of
the rvork for s,hich this pennit is issued. My workers' cornpensation insut'ance carier and policy number are:
Policv Number:l'rpir cs:
_l certi& that in the performance of the work for rvhich this permit is issued. I shall not onploy any person in any manner
so as to become subject to the u'orkers' cornpensation larvs of California. and
rvorkers' cornpensation provisions of Section 3700 of the Lahrr Code. I shall.comply with those provisions..
WARNING: Failure to secure w'orkers' compensation is unlarv[ul.shall subject an onployer to crirninal penalties and
as provided for the
Section 3076 of the Labor Code.fees.ltlts/l<
DI]('I,ARATION
of tlrc l]usiness and Profcssions C'ode. antl my'license is in full force and effcct.
9 (L(3
License I iacnoa Number:
I)nte:lc
I hereby affinn under penalty of
issued (Sec. .1097. Cir'. C.).
lending agency for the po'formance of the work for rvhich this p,ermit is
Lender's Address:
APPLICANT DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
Demolition Permils-Asbestos Notification Federal Regulations (Title 40. Part6)
Notes, Remarks, Etc.
civil fines up to one hundred thousand
Dete:
]
l,ender's Nanre:
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