HomeMy WebLinkAbout40335113 - PermitProject Address: 2001 E First St
Assessor's Parce!: 400-081-06 Lot: POR 15
Unit 209
Block: NA
Bldg:
Tract: MAYBURY
Address Range: 2001 -2011*
Historic: No
Suite Range:
Zoning: C5
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 40335{{3
Pin #: 99058
Owner.
Address:
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #.
Expires:
Fainbarg & Chase Family Trust
125 W Wilson, #100
Costa Mesa, CA 92627
(949) 722-7400
Obria
01 1 16002 51604
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Alter Vent Sys
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
46.99
28.O2
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1 .00
1.00
Fee
$46 99
$28 02
$23.79
$59 30
$4 05
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Ecpti:03116318. : tt/z1/iltfiA 9r06 AHTrsnsoct i on Totol tf i SOo .ii
Fs i nbors & (:hase For i ls Trust
Generql plon Updote Fee .iZS..7?
Lt1 I I6lrtt2- Il6urrrl0rr-Ilicrot-ilm & Docurents S4.[t:-;
Ltl I 1600?- ITTTrrrrttlt-llechonicol $114,:i:L
0 I I I 6tttr?- 11 6114 LtLil:t -Legalliconit 209 - offices, patient rooms, Ad$i{fi Q,'7:istorag6tibit i,bHtttffitllergs4g Auth*: 116J. i i_i6
NO OCCUPANCY APPROVAL PRIOR TO FINAL ON
ALL PERMITS
$1 62.1 s
$0.00
$162.15
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
TI
lrrl Hernan dez, Kathy 11124t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
VB
cMc 2019
Buildins Permit #: 10310 5232
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-162799
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23 79
$134.31
$4.0s
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG,COMMENTS OWNER BUILI'ER DELCARATION
I haeby affm undq paulty of pCjury thd I m qcmpt from tlE ContnctoB' Licms kw for thc followitrg ren (Se.7031.5
Buine ard Profcssioo Codc): Any City or Coutrty which rcquie a pcrnit to corutruct. alt6, imprcvq &rnolish or npah my
structuq prior to its ismc also requirc thc appticet for such pcrmit to tilc a signcd ststmat tha hc or slrc i: licosc{ pwam
to thc prcviEioN of thc Contrstor's Licnscd L:w (ChaptE 9, Commcing with Setion 7000 of Division 3 of thc BusiB ud
Prcfeioro Codc) or that h€ or shc is qmpt thqcfrom ad thc b6sis for thc allcgcd qmption. Any violation of Sction 703 1.5 by my
applicant for a pcrnit subj*ts thc applicant to a civil pcmlty of mt morc thm five hundrtd dollm (5500).
-1.
as owner of the property, or my employe$ with wages as their sole compensation. will do the rvork and the struciure is not
intended or offcred for sale (Sec.70l4, Business and Professions Code: The Contractor's License Law does not apply to an owncr of
the pnoperty who builds or improves thereon and who does such work himself or herself or through his or her own employec.
provided that such improvancnts are not intcndcd orofferod for sah. I(, hower/er. thc hrilding or improvernent is sold within one )car
of complaion, the Orrner Buikder will have thc burdcn of proving thd he or she did not build or improve the property for thc purpose of
sale).
h*
as owner of the property. am exclusively contracting with licenscd contractors to construcl the project (Sec. 7044. Busincss
Profession Code: The Contractor's License Law does not apply to an own€r of property who builds or improves thereon,
who contracts for such projects with a Contracto(s) licersed pursuant to the Contraclor's License Law).
_l am & P.C. for this reason.
?O owner: )-
il'o n[gBctx r pr:rr snr I o n_F_
// pECLARATION
t'uttnrfi nf
-.-lo*ti.*r,
I hereby allirm under penalty of perjury one of the
-l
have and will maintain a Cerrificate of Consent to Self:lnsurc for workers' contpensation, as provided for by Section 3700 of the
tabor Code for the pa'formance of the work for rvhich the perrnit is issued.
-l
have and will 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' compcosation insurance carricr and policy number are:
Policy Number: E.tpires:I
ftl ceniry that in the pcrformance of the work for rvhich this permit is issued. I shall not ernploy any person in any manner
$ as to become subjcct to the workers'compensation laws of California, and agree that if I should become subject to the
llorkers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith cornply with those provisions..I
WARNTNG: Failurc to serure workers' compensation coverage is and
civil fines up to one hundred thousand dollars ($100.000). in to the
Section.3076 Code. interest and attorney's fe'cs.
2)?
I hereby alTirm undcr penalty of perjury that I arn licensed 9 (commencing rvith Section 7000) of Division -3
of the Business and Profissions Code. and my license is in full force and effect.
License Class: License Number:
W
I hmby alfim unds penalty of pqjury that th6c is a construction landing agorcy for the pqfomercc of thc sprk for Nhich this FHrnit is
issued (s6. 3097. civ. c.).
Lender's Name.
Lender's Address:
,r,.rc Nr rr"ct RAr-tnn
I herfuffirnunder penalty of perjury one of the follorving declarations:
Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notilication
all City and County
above mentioned prop€rty for inspection
Applicant or Agent
Pennitee name
upon the
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
Residentia! Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test n
Meter Release
FINAL la-\+ 410 R \S.,it )
Notes, Remarks, Etc V \\)
oate: [l I
Carrier:
Date:_(lontractor:_
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