HomeMy WebLinkAbout40135594 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 4O1 35594
Pin #: 90688
Project Address: 3 E Hutton Center Dr
-
Assessor's Parcel: 411-092-38 Lot: NA
Unit 670
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: SD76
Owner.
Address:
Phone:
Tenant Name: Spec suite
Cushman & Wakefield
3 E Hutton Center Dr, Suite 605
Santa Ana, CA 92707
01 1 16002 51604
01 1 16002 53603
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Air Handling
PIC - 650/o
General Plan Update
!ssuance
Microfilm Records
Amount
47.95
0.65
23.79
59.30
4.05
Qty
9.00
431.65
1.00
1.00
1.00
Fee
$431.55
$280.s7
$23 79
$5e.30
$4.0s
Contractor:
Address:
Phone:
Casco Contractors, lnc
9850 lrvine Center Dr
lrvine, CA 92618
(949) 67s-6880
State Lic #. 790706
Lr$"Type: B
Bus. Lic #: 339868
Worke. E' Compensation Insurance:Carrier: Hartford Fire lnsurance Company
Policy #: T2UEACB4B2G
Expires: 0110112022
Botch *t 6tr247
0f f ice: (:TYH
Acc[*:
Rcpti 3u33753:
Tr0nsoct i on
8/9/2it2l I0: o,ionoIesl.5
TrsnE*: I 10 + of 4tief*: {ttl355911 8r r i2l2L 11 :57 AIIIotol t3r 147.43
!,:OSCO (.Onf,POcf,OPEr Irl
General Plon Updote Fee
trl I 16t102- 5l6tt00tr0-
llechon i c0I
Lrl I 160(12- 5l6tr4(rCI0-
tlicrof iIr & Docunents
r23 .',79
S19(t. .95
14 . t-t5
$.5 r t17 . 43
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
High-Rise Commercial
Tenant lmprovement
T!
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
I A, SPK
cMc 2019 Notes:
Fee Total
Paid to Date:
Balance Due:
:
Mechahical [9r ipterior ti,]LIU.
trl ?14
CSG Consultants /
Zuniga, AllissaV
06/1 5t2021
08t09t2021
Account#
Misc. Receipt. 75568
Misc. Receipt:
Misc. Recerpt:
TotalSubject to Field:
Buildins Permit #: 101 10681 1
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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$490.8s
$4.05
$799.26
$280.57
$51 8.69
lnspector MID#: 2021-166429
a
?
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BI'ILDER DELCARATION
I hcrcby sllirm unds pcoslty of pcrjury thst I m excmpt ftom th€ Contrsc,loE' Lktn$ lrw for thc following msn (Sec.7031,5
Business ild Prcfcssion Codc): Any City or County vhbh requircs 8 pemit to onstrct, altcr, improw, demlish or Eprir my
suuctrc, prior to its issure, alrc rquircs thc spplisl for such permit to file r signed slrlcmnt lhat hc or slE is liccnrcd pususnt
to thc prcvisioos of the Contrctor's Llrcoscd L:w (Chrptcr 9, Commrcing with Setion 7fiD of Division 3 of thc Busircss ud
Profcssions Codc) or thst hc or slrc is cxcmpt thcrcfrom 8rd the bssis for thc alhgcd cxemplion. Any viohlion of Setion 7031.5 by any
applicsnt for a lrcrmit subjccts the applicant to 8 civil pemhy of not mrc thatr live hundred dollus (5500).
_1. as owncr of thc property. or my cmployees with wagcs as their solc compcnsalion, will do the work and the strLrdure Ls not
intcnded or offered for salc (Sec.7044, Busincss and Professions Code: Thc C-ontractor's License Ilw does not apply to an owner of
the property who builds or improves thereon, and who does such work himself or hcrsclf or through hi.s or her own employces.
providcd that such improvcnrnts are rKrt interdcd or offercd for sale. lf. howerrcr. thc building or inproverrcnt is soh within one )tar
of conplction thc Owner Buildcr will harc the burdcn of proving that hc or stre did not buiH or inqnove the property for the purpsc of
salc).
_1. as owner of thc propcrty, am cxclusivcly contracting with licenscd contractors to construct the projcct (Sec. 7W. Busirrcss
and Profcssirn Code: Thc Contractor's Licensc Law docs not apply lo an owner of property who builds or improvcs thereon,
and who contracts for such projccts with a Contractor(s) licensed pursuant to thc Contraclor's License Law).
-l
amcxempt under Section-, B. & P.C. for this reason.
I)ate:
WORK I.' RS' COI\I PENSA'I'ION
DECLARATION
I hcrcby affirrn undcr pcnalty of pcrjury onc of thc following dcclarations:
-l
havc and will nuintain a Certifrcatc of Conscnt to Self-lnsurc for workers' c-ompensation, as provided for by Section 3700 of the
I-abor Code, for the performance of the work for which the pcrmit is issucd.
-l
have and will maintain workers' compensation insurancc, as rcquircd by Scction 3700 of thc [,abor Code, for thc performance of
thc work for which this pcrmit is iszucd. My workcrs' compcnsation insurancc carrier ard policy numbcr arc:
c,,i",, TLuIIJ Ctf{ ftUlE f|\i:w
t ltCPolicyl/I I
-l
certify that in the performance of the work for which this permit is lssucd. I shall not employ any perso.l uf any manncr
so as to bcconrc subject to thc workers'compensation laws of California, and agrcre that if I should bcconr subject to the
workers' comyrcnsation provisions of Section 3700 of the Labor Code. I shall, forthwith comply wilh those provisions..
WARNING: Failure to secure workers'compensation coverage is unlawful, and shall subject an employer to criminal penalties and
civil fines up to one hundrcd thousand dollars ($100,00t1), in addition to thc cost of compensation, damages as providcd for the
fccs.
I)I.:CLARA'I'ION
I hcreby affrm under penalty of perjury that I am licensed under provision of Chapter 9 (comnrcncing with Section 7000) of Division 3
of the Busincss and Professions Code, and my license is in full force andrffcct.
,bLiccnscNumber:
I hcrcby sffrm under Jrcnally of lrcrjury that thcrc is a @nstruclion hnding agency for thc [Erformrcc of thc work for which this lnmit is
issucd (Scc. 3097. Civ. C.).
kndcr's Namcl
Lrndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby aflirrrr undcr pcnalty of perjury onc of lhc lirllowing dcclarations:
Dctnolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
_Rcquircd Irttcr of Notification
_l ccrtify that the fedcral regulations regarding asbestos removal are not applicable to this project.
_l ccrtify that I havc rcad this application and statc that thc atnve information i' ordinanccs and State laws rclating to building construction. and hereby authorize
is correct. I agree to comply wilh all City and County
representativcs of this City and County to enter ugnn the
abovc mcntioncd proFrcrty for inspection
Applicanl or Agcnt
Pcrnritcc namc
o*", o tr/ oqhl
Appliances
l\Ietal Fire Place
Evaporative Cooler
Furnace
Compressor
lt/isc. Equipment
Duct Work
Pre-lnsulation I Itk 7(DLITVY 7
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room I Clothes Drver
Residential Ranqe
Other
Hood
Type I Hood
Tvpe ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid I
Above T-Bar L '\fr -?r\D**n
I
Rouqh Mech.
Final Test
Meter Release (rl o,
FINAL ff\ \q \)\\fl[a )
Notes, Remarks, Etc.\\
Owner:
Date:t)3/3L
--l,
={n cte fn Z
)
I
(h
-t