HomeMy WebLinkAbout40135510 - PermitO
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:40{3551O
Pin #: 11226
Proiect Address: 3901 S Main Sta
Assessor's Parcel: 411-121-OB Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Ml
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Sacher Main ans Stevens LLC
301 Forest Avenue
Laguna Beach, CA 92651
(e4e) 497-3371
D L Hann Painting, lnc.
8625 Central Ave. #D
Stanton, CA 90680
17141 724-23s0
01 1 1 6002
01116002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 16002
01 1 1 6002
01 1 1 6002
01 1 16002
01 1 1 6002
51 604
51 604
51 604
51 604
51 604
51 604
51 604
51 604
53603
5160C
51 604
Fee Type
Compressor
Heat Pump
Air Handling
Bathroom Fan
Vent Fan/Comm
Fan Coil
Fire Damper
Vent System - Not Part
PIC - 650/o
General Plan Update
lssuance
Amount Qty
1.00
1.00
2.00
1.00
1.00
1.00
6.00
1.00
921 .29
1.00
1.00
1r0Q
Fee
$e7.1 7
$97.1 7
$9s.e0
$32.88
$46.99
$61.20
$423.84
$66.1 4
$s98.84
$23.79
$5e.30
o moP n SdsQS:;
tzj . l',i
t4. t-t5
$98tr. ti9
t323, :54
tI r tll?. 9U
97.17
97.17
47.95
32.88
46.99
61 .20
70.64
66.1 4
0.65
23.79
59.30
d05,-,,
State Lic #: 600226
Lic Type: B
Bus. Lic #: 1894U
Workers' Compensation I nsurance:Carrier: California lnsurance Company
Policy #: 4G00790101
Expires: 06/01 12022
01 1 16002 5777C Microfilm Rpg'Qtflp {Lr/ I-;r, I t;..l
(:T YH nns*:
Acct*:
ticpt* :0333(177 4
Tronsact i on Totnl
+ ol'+
1rr13SEt0
8:36 AH
tSrLll2,9t-tD
a'D L Hann Faintirer Int
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
TI
CSG Consultants
Hernan dez, Kathy
101 106147
Occupancy:
Constr Type:
Code:
Date:
Date.
Date:
B, S-1
III B
cMc 2019
0s/1 9t2021
06t30t2021
Account#
Misc. Receipt: 75472
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Mechanlcal for tenant improvement
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 sife 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 53603
01 1 16002 57770
$23 79
$980.s9
$323.34
$4.05
$1 ,607 .27
$27s 50
$1 ,331 .77
lnspector MID#: 2021-164912
M ECHANICAL.I NSPECTOR RECORD !
APPROVALS DATE !D/SIG COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Insulation
Smoke Detectors Installed
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL F,n^\t. J l!Sa a,h h Aq"r;"l [hrt or'\
Notes, Remarks, Etc.(rr/\ lA / tt /'z o>l ^/rt /ffv
I hmby affm uod6 pcnalty of pcrjury thd I m cxcmp from thc Contractotr' Liccnsc law for thc following llen (Se.7031.5
Buines ard hofeion Code): Any City or County which rcquirc a pomit to costruct, altc, improvq donolish or rcpoir my
struc{uc. prior to its bsucc. also rcquirc thc applicst for such Fmit to filc a signr{ $aroqt thrt he or she b licGcd glmant
to thc provbioG of thc Contraclor'! Lienlcd lrw (Chapta 9, Comcncing with Sction 7000 of Divisioa 3 of thG BNitrs ud
Profrsions Codc) or that hc or shc is qmp rh@from ad thc bsis for thc allcgcd qm6ion. Any violation of Setbn 703 1.5 by my
applicant for a pemit subjets thc applicmt to a civil pmlty of not more thu fivc hundrcd dollus ($500).
-1.
as owner of the p,roperty, or my employecs rvith rvages as their sole compensation. will do the work md the structurc is not
intended or offered for sale (Sec.7044. Business and Profcssions Code: The Contractor's License law docs not apply to an or*ner of
the propcrty who builds or funproves thcron and who does such work hirnself or herself or through his or her own cmployees.
provided that such improvanents are not intended or oflLred for sale. lf. horverrer. the h,rilding or improvernent is sold within one year
of complaion, the Ourner Builder will have the burden of proving that he or she did not build or improve the propoty for the purposc of
sale).
-1.
as orvner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Brsiness
and hoftssion Code: The Contractor's License Law does not apply to an owner.of propcrty who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
arn exempt under Section-. B. & P.C. for this reason.
Dete:_Owner:_
w()llKF.tts' ('ol\l PIiNSA'l'loN
DI'('I,AIL\'I'ION
I hereby affirm under penalty of perjury one of the follou'ing declarations:
_l have and will maintain a Certifrcate of Consent to Self-lnsure for workers' contpensation, as provided for by Section 3700 of the
Labor Code, for the perfonnance of the work for which the pennit is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the perfonnance of
the rvork for which this permit is issuod. My workers' compensation insurance carrier and policy number are:
Lt
PoticyNurnw,4L- oi611ol'61-'18 Expires:(, ' l. a6 Lz*
_l certify that in the performance of the work for which this permit is issued. I shall not employ any p€rson in any manner
so as to bccome subject to the work6s' compensation laws of California, and agree that if I should become subject to thc
work€rs' .orpoouiion provisions of Section 3700 of the Labor Code, I shall, forthwith cornpty with those provisions.. I
IVARNING: Failure to secure workcrs' compensation coverage
civil fines up to one hundred thousand dollars ($100.000). in
is unlawful. and
a
subject an crnployer to criminal paraltirs and
thc of compensation. damages as provided for theIattorney's fees.
I hereby affirm under penalty of perjury that I am licensed of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my licensc is in full force and effect.
License
Deou (p',rO' eOZl
I hereby affrm under penalty of perjury that there is a construction
issued (Sec. 3097. Civ. C.).
for the performance of the work for rvhich this pcnnit is
Lender's Narne:
Lender's Address:
,r, ,c N.r rr"cl R
I herdry affinn under penalty of perjury one of the follorving declarations:
Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Par16)
-Required
Letter of Notification
-l
certi0 that the federal regulations regarding asbestos rernoval are not applicable to this project.
-l
certify that I have rcad this application and state that the above
ordinances and State Larvs relating to building
above ntentioned property for inspection
Applicant or Agent
Pennitee name
hereby
^".L.,b,20 Ll
the
'lass:
Contrnctor:
4 _t