HomeMy WebLinkAbout40135733 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:40135733
Pin #: 41503
Project Address: 301 E Stevens Ave
Assesso/s Parcel 411-121-04 Lot NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: M1
Phone:
Tenant Name: The Grow Generation
Owner:
Address:
Contractor:
Address:
Phone:
The Realty Assoc. Fund Xll Portfolio c/r
625 The City Drive South
Orange, CA 92868
Environmental Contracting I
880 East 1st Street
Los Angeles, CA 90012
(213) 620-8008
01 1 16002 51604
01 1 16002 51604
01 1 16002 53603
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Alter Vent Sys
Bathroom Fan
PIC - 650/o
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
46.99
32.88
0.6s
82.28
23.79
59.30
4.05
Qty
1.00
1.00
79.87
1.00
1.00
1.00
1.00
Fee
$46.99
$32.88
$s1 .e2
$82.28
$23.79
$se.30
$4.05
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State Lic #: 491 028
Lic Type: B
Bus. Lic #: 371131
Workers' Compensation lnsurance:Carrier: Everest Premier lns Co
Policy #: 760002061 6211
Expires: 0710112022
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Eenerol lrlon updoBe l-ee
r.rl I 160(t2- 51ott0O(ttt-
l'l icrof ilr & Docurents
01 1 16t r(tZ- 577 700tt0-
I'lechon ics I
Lrl1160tr2- 5160400u-
f l.l
t+
$ 196
$3 r 561
Building Use:
Job Type:
Nature of Work:
!ndustrial
Tenant lmprovement
T.l./Storage Racks
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
08/1 6t2021
08/1 8t2021
Account#
Misc. Receipt: 75730
Misc. Receipt:
Misc. Receipt:
Total
B, S-1
III B
cMc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buirding Permit #: 1 01107218
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.
,z\. CSG Consultants
( f ^msden,
Julie
\,\-/
Notes: Mechanical for T.l.
Fee Total
Paid to Date.
Balance Due:
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$196.91
$4.05
$301 .21
$76 46
$224.75
lnspector MID#: 2021-167026
,
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby affm uodq pcmlty of pqjury thd t m exmpt frcm thc ContrrctoE' Licw trw for thc following l@n (56.7031.5
Buincs ad Profsion Codc): Any City or Coudy which rcquhc a pomit to erotrucL attE impovq danolish'or rtpoir oy
struc{[c. prbr to its iswcc. also rcquirc thc applicut for such pqmh to filc a signcd std@ot thd hc or shc b licmscd pmwt
to thc provisioB of th€ Contretor's Liccnscd kw (Chrptq 9, Commcing with Setion 7000 of Division 3 of thc Bsiosdod
Prcfcsiore Codc) or that hc or shc is qmpt th@fiom ed thc basis for thc allcacd cxmption. Any violstion of S4lion 7031.5 by any
applicst for 8 pennit subjats th€ applicant ro a civil paalty of not mrc tho fivc hun&cd dollrs ($500).
_1, as owncr of the Fopcrty, or my employce with wages as their sole compersation, wi[ do the wort and thc $nrturc is not
intcndod or offered for sale (Sec.7044, Business ard Profcsions Code: The Contractor's License l-aw does not ryply to an own6 of
the propcrty who hrilds or improves theron, and who does such work himself or herself or through his or her own employees.
provided that such improvanents 8c not intendod or offcrcd for sab. I[, howerrer. the building or imprcvement is sold within one ]car
of completioru the Owner Build€r will have the burden of provfurg tlra he or shc did not build or improve the propcty for the purpose of
sale).
-1.
olr owner of the propcrty, anr cxclusively contracting with licensed contracton to construct the project (Scc. 7044, Buincss
and hofcssbn Code: The Contractor's License Law docs not apply to an owner of propcrty who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licerued pursuant to the Contractor's Licensc l-aw).
-l
am exempt under Section-, B. & P.C. for this reason.
TOS6EESS.AI4EENSAIION
DECI.ASAIIAN
I hoeby a[Iim undo pcnaltyof po'jury onc ofthc following delaatiore:
*alhaw{tvillrointairaCcrtificateofcoMttoselfJrourcforworkm'compquation,r prcvidcdforbySclion-lTClofthe
Labor Code, for thc pcfonmcc ofthc wort for which thc psrnit is isucd.
9/lrhave and will mainrain workers' compensation insurance, as requircd by i
the work for which this pe'nnit is issued. My workers' compensation insurance
Section 3700 of the l-abor Code, for the
,carrier and policy number are:
ncrfonlancc of
"/r/ zozzporicy N"^v"r, ?6O co Ddl/6 2 /t Expires:
_l certi& that in the performance of the work for which this permit is issued, I shall not qnploy any person in any manner
so as to become subject to the workers'compensation laws of California, and agiee that if I should become subject to the
workers' compersation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions..
WARNING: Failure to secure workers' compcnsdion covoage is unlawful, and shall subject an anplopr to crimind poahics and
cMl fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for the
Section 3076 of the l-abor Codg interest and attorney's fc6.
orrc, d/f0/>/ Appucanr S-A *t.'/.r-a-^-<-
LICENSED CONTRACTOR
DF'.rLAIL{TION
I haeby affrm under penalty of pcrjury that I anr lic€nsd undcr provision of Chapto 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my [icense is in full force and effect.
4q(o24l.icense Numbcr:
W
I hcby affm unda pcnatty of pojury tha th@ i! a ou$rudbn loding agcy for thc psforrc of ttc wo* br vtich thb pmn b
iscd (Se. 3097, Civ. C.).
l.cnder's Name:
lrnder's Address:
A,*LICANT DECLARAT
I hereby afnrm under penalty of perjury one of the following declarations:
Dernolition Permits-Asbestos Notification Fcderal Regulations (Title 40, Part6)
-Required
Letter of Notification
_l cefli& that the federal regulatioru rcgarding asbcstos removal are not applicable to this project.
$!-rc€rtiry that I have read this application and state that the above information is correcl. I agrec ro compty
ordinances and State [aws relating to building constn"rction, and hereby authorize represcritatives of this City
with all City and County
and Cormty to exter upon the
above mentioned prop€rty for inspection
Applicant or Agent
Pennitee name
o^,", e/rl y'zt
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type II Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release l I I r - t),t
FINAL
J ta( \q l7/l bI\
Notes, Remarks, Etc.I
4_
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