HomeMy WebLinkAbout40135198 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:40{35{98
Pin #: 44489
I rtr'trProiect Address: 1241 E Dver Rd
Assessor's Parcel: 4'11-131-36 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range: 1291-1241
Historic: No
Suite Range:
Zoning: SD63
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Greenlaw Partners, LLC
1231 E Dyer St, Ste 240
Santa Ana, CA 92705
(e4e) 331-1 316
Christian Bros. Mechanical
11140 Thurston Lane
Mira Loma, CA 91752
(s51) 361 -2247
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
Bathroom Fan
General Plan Update
lssuance
Microfilm Records
Amount
46.99
32.88
23.79
s9.30
4.05
Qty
3.00
2.00
1 .00
100
1 .00
Fee
$140.97
$6s.76
$23.79
$5e.30
$4.05
Botch* :59056 - 5/il2|fl.21 ID : EL I ZABETI
0f f ice: (:TYH Trans*: 39 1 of 1Acct*: Reft: {8135199
Rcpti:03282299 3/1/2fi21 11 :29 Arl
Tronsoct i on Totsl t293, g7
(:hr i st i on Bros. llechnn i cal Ser
State Lic #: 499547
Lic Type: B, C-10, C-20, C-38
Bus. Lic #: 174880
Workers' Compensation I nsurance:Carrier: AIU Insurance Company
Policy #: WC0Z229B1TO
Expires: 03/01 12022
6ener01 Plon Updote Fee
Ltl 1 16002- 5l6lttrr.r(rtr-
Ilicrof ilrn & 0ocuments
r:f 1 1 t60tr2- 3777fi1r0[r-
llechan i csl
[1 1 16002- 5161.14[r[r[r-
lloster Card
C(:*: rm**rr*x***63S9
$23 .-/?
t4 . rJ5
i266, rlrS
-
t2g3 . {.?,7
Auth*:7(ttt13PBuilding Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
TI-ADA Upgrades
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
A-3, B
V B, SPK
cMc 2019 Notes: Mechanical for-Tl on first floor includes door exit
modifications for ADA and Tl on second floor includes
restroom ADA upgrades.
Zuniga, All ,rrrp 05t05t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 101 1 0 5577
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on fhe sife by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
01116002 57770
$23 79
$266 03
$4.05
Fee Total
Paid to Date:
Balance Due:
$293 87
$0 00
$293.87
lnspector MtD#'. 2021-163553
M ECHAN ICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER EUILDER DELCARATION
I hcdry affm unda pcnalty of pcjury that I m qmpr 8om thc CortsrcloB' Lic@ t w for thc followirg ffi (Ss.7031.5
Buin6s 8nd Prcfsion Codc): Any City or Coutrty which rcquim a pomit to @lstruct, 81t6, improvq danolish or npoir my
structuc. Fior to its issmca also rcquim thc spplicet for such pamit to frle 8 sigtr€d srarmor that hc or *c b ticascd pwant
to thc provisior of tlrc Contrutor's Licmscd kw (Chrpt6 9, Comacing with Scrioo 7000 of Division 3 of thc Buins ed
Prcfsions Codc) or thrt hc or shc is qmpt thacfrom ud th€ basis for thc allcgcd qmpion. Any violation of Sctbo 7031.5 b uy
applicst for a pcmit subjcts thc applicat to a civil pcodty of mt morc thm fivc hundrcd dollus ($500).
_1. as owner of the property, or my cmployecs with wages as their solc compensation, will do the work and thc stnrcture b not
intendod or offered for sale (Sec.7044, Business and hofcssions Code: The Contractor's License l-aw does not apply to an owncr of
thc propcrty who builds or imprcves theroru urd who docs such work himsclf or hcrsclf or through his or hcr own cmployee.
provided that such improvonents arc not intendod or offered for salc. If, howwcr. thc hlilding or impnovemcnt is sold within one )rcar
of complaion, the Ourner Buiktcr will have the hrden of proving thd lrc or she did not build or impove the property for the prposcof
sale).
-1,
as orvner of thc pnopcrty. am exclusively contracting with licetsed contractors to construct the projet (Sec. 7O44. Business
and hofcssion Code: Thc Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracls for such projeos with a Contracto(s) licensed pursuant to thc Contractor's License law).
-l
am exempt under Section-, B. & P.C. for this reason.
l)ittt'
WORKERS' COMPENSATION
DECII\RATION
I hcreby affrm under peoalty of pcrjury onc ofthe following dcclarations:
-l
havc and will maintain a Cqtificate of Corseot to Sclf-Insure for workcrs' comp€osdion as provided for by Section 3700 of the
kbor Codc for the pcrformancc of thc work for u&ich the pcrmit lg issued.
-I
have and will maintain workert' compquation insurance, as required by Section 3700 of the kbor Code, forthe pcrformance of
the work for which this pcnnit is issuod. My workcrs' comp€osation insurancc canicr md policy numbcr are:
L)
tDe Z a
_l certi& that in the perfonnance of the work for which this pcrmit is issued, I shall not employ any pcrson in any manner
so as to become subject to the workers'compensation laws of California, and agree that if I should become subject to the
workers' compensation provisioru of Section 3700 of the tabor Code, I shall, forthwith comply with those provisions..
WARNING: Failure to secure workers' compensation is unlawful, and shall subject an anployer to criminal pctr,alties and
civil fines up to one hundred thousand dollars in addition to the cost of compensation, damages as provided for thc
Section of the Labor Codc, interest and attorney's
I hereby affrrm under penalty of perjury that I am licensed 9 (commencing with Secrion 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.,C ,ra'q S*1Nurnber:
Dete: <'(O t- Is.-rl \q <-- \
I hereby affrm under penalty of perjurythat thcre
issucd (Sec. 3097, Civ. C.).
agercy for the performance of the work for which this perrnit is
Lender's Name:
l.cadcr's Ad&ess:
APPLICANT DECLARATION
I hcrcby allinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbcstos Notification Federal Rcgulations (Title 40, Part6)
-Requircd
Lctter of Notification
\ t certify that the ledcral regulations rcgarding asbestos removal are not applicable to this projecl.
.-l ccrtiry that I have read and state that the above information is correct. I agree to comply with all City and County
construction. and hereby authorize representatives of this City and County to enter upon thc
above mcntiond propcty
Applicant or Agort
Pcrrnitec name
a
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rough Ductwork
Vents 1. t t'.lA
Toilet Room / Clothes Dryer L b\^
Residential Ranqe I
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release r -l tL f n
FINAL ,\r\ ut D)u|4 o I
Notes, Remarks, Etc.\
Carrier:*
Policy Numbcr:.
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