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HomeMy WebLinkAbout40135153 - PermitCify 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 Project Address: 1241 E Dyer Rd Permit #:4O{35153 Pin #: 45O9O Assessor's Parcel: 411-131-36 Lot: NA Unit: 200 Blds: Block: NA Tract NA Address Range: 1231-1241 Historic: No Suite Range: Zoning: SD63 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Greenlaw Partners 1231 E Dyer Rd #240 Santa Ana, CA 92705 (949) 331-1 316 KPRS Construction Seruice: 2850 Saturn St Brea, CA 92821 (7141 672-0800 01 1 16002 51604 01 1 16002 51604 01 1 16002 51604 01 1 16002 51604 01 1 16002 53603 01 1 16002 5160C 01 1 16002 51604 01 1 16002 5777C Fee Type Compressor Heat Pump Alter Vent Sys Fire Damper PIC - 650/o General Plan Update lssuance Microfilm Records Amount 97.17 97.17 46.99 70.64 0.65 23.79 59.30 4.05 Qty 17.00 17.00 17.00 58.00 8,199.73 1.00 1.00 1.00 Fee $1 ,651.99 $1 ,651.89 $798.83 $4,097.12 $5,329.82 $23.7e $59.30 $4.05 I ! State Lic #: 751130 Lic Type: B, A Bus. Lic #: 188704 Workers' Compensation I nsurance:Carrier: Everest Premier lnsurance Policy #: CA10004028201 Expires: 10101 12021 'i ce: CTYH -$lr,lr?.iti: L'33265j rnsnrt ion KFRS Constru,:t ior Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Commercial Tenant lmprovement Tl/Rf Mtd Equip Consultants Notes: Fee Total Paid to Date: Balance Due: Mechanical for Tl Occupancy: Constr Type: Code: Date: Date: Date: B V B, SPK cMc 2019 00Ee t-rtttt- umen 0tltr- 0s/1 8t2021 06t24t2021 Account# Misc. Receipt: 75047 Misc. Receipt: Misc. Receipt: Total Amsden, Julie Buildins Permit #: 101 105453 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 fhe site by such permit ts 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 $8,259.03 $4.05 $1 3,616.69 $5,329.82 $8,286.87 lnspector MID#: 2020-163257 M ECHANICAL-I NSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work t I t a Pre-lnsulation c llt 7)bv,YA lnsulation 'l Smoke Detectors Installed Rough Ductwork Vents I n Toilet Room / Clothes Dryer ?T Residential Range ,l Other Hood Type I Hood Type Il Hood Grease Duct Fire Damper Openings Installation F.D. Drop Test Above Hard Lid lt -l ,.1 tlrdAbove T-Bar o / I r/rl Rough Mech. Fina! Test Meter Release ll A tl o, FINAL \ I r,t\U / yNgtes, Remarks, Etc.l 'Pl I Y aCQWotuO S€c 1 -r-, -)-D+ -? lt;l?r '- bla-'u/ruro 'r vrvqnh iaU I !L bM_&l I ,J J\ OWNER BUILDER I'ELCARATION I hcby affm undc pcoalty of pajury thd I m ampt from thc Contrscto6' Liccns [rw for thc following ren [Sc.7031.5 BBin6s sd Pmf*ion Codc): Any City or County which rcquirc a pannit to @ngruct. alt6. imprcvc. danolish or rcpair my stracturq pdor to its issumcc. also rcquirc thc applicmt for such parnit to filc a signc{ stamot tha hc or slc b licoscd prcuiat to thc provisioB of thr ContrEclo('s Liccnsd Lrw (Chapt6 9. Comcncing wilh Setion 700O of Division 3 of lhc BBins ud Prcfcsions Codc) or that hc or shc is cxmpt th@fiom md thc b6is for thc allcgcd cxoption. Any violation of Sction 7031.5 by ey applicilt for a permit subjets thc applicmt to a civil pcoalty of not moE thu fivc hundrcd dollars ($500). -1. as ownef, of the property. or my employees with rvages as their sole compensation. rvill do the rvork and the structure is not intended or offered for sale (Sec.7M4, Business and Professions Code: The Contraclor's License Law docs not apply to an orvner of the propcrty who builds or improvcs thcron. and who does such work himself or herself or through his or her own employees. provided that such irnprovonants are not intended or offered for sale. lf. howwer. the building or improvement is sold within one )ear of complaion. the Orvner Builder will have the burden of p,roving that he or she did not build or improve the propcrty for the purposc of sale). -1. as owner of the propcrty. am exclusively contracting with licensed contraclors to construct the project (Sec. 7M4. Brsiness and Proftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thcreon. and who contracts for such projects with a Contraclo(s) licemcd pursuant to the Contrac{or's License l-aw). -l am exempt under Section-. B. & P.C. for this reason. f)olo'( )n ner: WORKERS' CONTPENSATION DECLARATION I hereby affrrm under penalty of pcrjury one ofthe follou'ing declarations: -l havc md will mintsh a Cali6cstc of CoMt to Sclf-lBurc for wrkerr' @mpcnEtion, s prcvidcd for by Sction 3700 of thc t bor Codc. for thc pqfotrMcc of thc rcrt for which thc pqmit b isucd. AI bavc ild will maintain workeru' compcnsstion irourucc, r rcquirrd by S€tion 3700 of the trbor Codc, for thc pqfomcc of thc wrk for which this pqrnit is isrcd My worka' ompansation imuue ffi6 atd policy aumba m: All ;-*l la;5ortr.3c $2,tvloe) - l*, poricy Nu^*r. CA lOOOlO2S2ol Expires:a.bt - eo, I -l certi& that in the performance of the work for which this permil is issued. I shall not enrploy any person in any manner so as to become subject to the wort€rs' compcnsaion laws of California. and agree that if I should bccome subject to the rvork6s' compensation provisions of Section 3700 of the tabor Code. I shall. forthwilh cornply rvith thosc provisions.. WARNING: Failurc to Guc wrkm' compqration ovaagc is unlawful. md shall subjct s mplo)€r to qiminal pouhks ud cMl fina up to onc hundrcd ahormd dollm ($100.000). in addition to th€ cost of @mpcnstion, d.rug6 B prcvidcd for thc ' Setion 3076 of thc Lrbor Codc, intaet md attomey'r fce. '2q -}ot I TL'*'? D-*hou.- LICF'NSED CONTRACTOR DECI..AEAIION I hereby affrm under pcnalty of perjury that I am licenscd under pnovision of Chapter 9 (commancing with Section 7000) of Division 3 of the Business and Professions Code, and my licerse is in full force and effect. a t- a License Date: Chss' Dy't License Nurnber:75tt * b-2.1- bz Conrracro r. -f -r.*.. ?.hlo--t ' Kt?[) ( r.tl. CONSTRUCI'ION LT'NDIN(: AGENCY I heeby affirnr undo penahy of p€rjury Ihat thqe is a coNtruction lending agency for the pcfomocc of the rvork for which Ihis lEtnil b bsued (Ss. 3097. Civ. C.). Lender's Nanre: Lender's Address: Aprt tcANT rr"cl *n I hereby allirm under pcnalty of perjury one of the following declarations: Demolition Pennits-Asbcstos Notification Federal Regulations (Title 40. Part6) -Recluired Letter of Notification -l certify that the federal regulations regarding asbestos rernoval are not applicable to this project. @rcertis that I have read this application and stare that the above infltrnnation is correct. I agree to cornply rvith all Ciry ancl County ordinances and Statc Laws relating to building represortatives of this City and County to cxter upon the above mentioned property for Applicant or Agent ,ur". 3'l'l' Tocl pennitee name (prinr): Tn^a- D{ata va/ JE.*r#IJ DY+IT'I t DWIT' ?t- fuur(h,t