HomeMy WebLinkAbout40132631 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civjc Center Plaza (M-'19), Santa Ana, CA92702 (l Mechan ica I
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 4450 Westminster Ave Unit:
Block: NA
Bldg;
Tract: NA
Address Range:
Historic: No
Suite Range:
ZoningAssessor'sParcel: 198-301-02
Owner:
Address:
Thumbs Up Management, lnc.
18752 E 17th Sr.
Santa Ana, cA 92705
(714) 801-1515
Two Thumbs Up Express Car Wash
01't 16002 51604
01116002 51604
01116002 51600
0'1116002 51604
Fee Type
Heat Pump
Bathroom Fan
General Plan Update
lssuance
Amount
90.19
30.52
22.O8
55.04
Qty
1.00
2.00
1.00
1.00
Fee
$90.19
$61.04
$22.08
$5s.04
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Poliry #:
Expires:
i U_l
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:
B
V B, SPK
cMc 2016
Notes
Planning Conditions:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
en 10t1812018
11114t2018
Account#
ki, Teri
0197808 01 1 16002 51600
011'16002 5'1604
$22.08
$206.27
$228.35
$0.00
$228.35
Every pernil issued shall become invalid unless the wo* on lhe site
aulhodzed by such pemil is commenced within 180 days after its
issuance, ot il the wo* autho zed on the site by such permil is suspended
or abandoned for a peiod of 1 80 days after the time lhe work is
commenced.
lnsnf o
Fee Total:
Paid to Date:
Balance Due:
o
Permit #: 4lJ132631
Pin #: 1616{
Lot:
Phone:
Planning Approval By:
Commercial
New
Admin Building
MID#: 2017-138372
MECHANICAL-INSPECTOR RECORD
---,!-OWNER BUTLDEX DELCARATION
, nftby lmtm unds pcn.ly ot pcq!ry thar I e cicnq,l nbd rh. Co.r&bu Lhens lw for the followi.S M$n (Se.?031,,
Btrsin6i ard P.ofcssion Conc)r Any Cny or Counly snich Equn$ s lrfui ro .onimc1, an9, i$poe, .t @,ish or EI,on dy
slfu.nE. Irior ro ils is$.mc, abo rsquircs tlE qdtanr for such Fdil ro lik a ri8rcd salc@.t thd no or shc ir liccn*l rumanl
ro rlE Flvislons of rlE Conrmtor's Li.e.Ed kw (Charrto 9, Conmming *iln S.ction 7000 of Divhion I of llE Busio.ss and
Pmf.$ions Codc) or rhar hc d.hc as ex.trp rhcFlmo ud d. ba\iq ior lh. olh8cd c&mflion. Any viohlionofselion ?olt.l by my
applicer tor . pcmil ebick lhc lpplicant lo s civil prmlly of not mrc Ihln five hundrcd dolt$ (t50o).
I. trs owNr of thc Fop.ny. or ny cmtloy€ci wirh woscs !s rhct sk c.np.nsdrion, wil do tlt rcrt ad llf snxlw i\ 6r
inrcndcn or ofcrcd for $lc (se.7044, Burim$ ,nd Prolc$ioor C(i.: Th. coarrcdois Ltlnsc Lr* &6 .nr dlllly b nn owrcr of
$c pmFnr eho blilds or nlpmv6 thcon. aid *ho des suh sork himslfor hc^cltoi rhouBh hn ot h.t own cmnhltes.
l(,lidcd rhor sn.h imprc(mds @ mr inr.idcd or oltc,.d tn ek l[ noscki rh. hoihhg or inpmrcmnl is $ld wilhitr otrc,ru
oaoq'hlion. fic Owmr Buil+r will hlt 0E burdcn of pmvin8 thd lr or sh. dil mr tfuild or d,Ima rhc pmFiy lor ItE puqDc of
-1.
!sownd olrhcl)rcp.ny. amcxclu.irl,.onmcting eirh l iccn*d .ontracioB t conslocl llE tmjRl (Se. ?044. Bunms!
ard Abfe{siroCodc: Thc Conrmcrols Li.cnsc Lr* dms mr rpply r. owncr of!,rcpcnyvho blilds or inDmw3 6crcon.
and vno mntrrcrs for sch pFitli anh r Co.rturo(s) lien*d pus@r ro rh. Conlrlclor's Li.cnsc L{*).
I mcrc'nd undcr S(rion . B. & P.C. lo.lhts rc@..
trOBKEBIIIQ!'IINSA.IION
DEC| ASArllA
I h.eby rffiro undc. pco,hy of pcrjury om of lhc tollowing delarulions:
lhrv.n willtrBinrrin iCcniicarcolcons roSclflns{ciorworkcn $nt.nsnin,n, a\ !6vidcdrorbySc.tknrlT00.ith.
btl, c()dr, nn rhc J).rlnrmmcc ol rlrcp. ior which rhc pcrnrir i. issucd.
-l h.re and *ill f,ainhii wortcB corl.nrlrion insuBnce,.! Equind hy Sdlion 3?00 of lh.lrbor Code.lo. thc l!.ni)lrurcc of
rhc $o* for *tich rhh pcmn is i.$cd. My wort6 onp.neiioo iosmk trtr aid IElty nlhh.r e:
t ccnilr (hdr inrhcr.rro.numcolrhc work for whthtnispcflnn is hslcd.l {h!ll.or cnFloya.yI(mn inanynunncr
$ as ro bccom subjcct to rhc {o,lss @n!$srk,n hwr o{ Clliao ia. lnd agmc thll ifI should bc<om suti*' ro thc
wolkgl onu.nslion pmvhtuns ol Stcr io. l70O of rhc Lrk, Codc. I shnll. fonh*ilh comtly wilh lho* Prclisionr..
WARNINC| FaihE ro *c@ uokcrs smpcnsliotr .oRa8c is unlow Nd shall sublccr M cmtbrlr ro dinirdl Fnullis &d
ciril nnes uI r. onc hlndrcd rhou\.nd dol,rB lslfl).(x)o). nr lddir codncnsarn,n, d!ro3cs ns 0rovacd for rhc
SNri,r :1076 olrhc lihtr C()dc, i'n$c{ rtrd rr
IIECLIEAIIoN
I h.rhy,0irm und.r r.n,lrrofledur! lnllI ur liensn undcr arerisnnr ol Chrprcr 9 (co rmn( in8 sith Scdion ru)O) .a Oivnion :r
of rhL Busim\\xnd Pr.f.{sn,ns Cod., ri nry ll.cnsc r r lullhrcc ltlclf(1.
o/
Drlc:
IANSIBIJCII9NIENI]IIG.&AEN}
IhcrchytrinnrlndcrFnulryolFrjlryrhrrrhcrnr.on\l.ri)nLndin!lScncrrorrhcpcrforronccoirhcMtkturwhiclr{hiipcnnnis
is{Dd (Scc.1097. Civ. C.)
afflls NfDlictdSrua!
I lrrhy r,[m !odcr pcn!lr, ol r.rl0ry otrd ol thc inllowi'ig rtc.lxrrrr \:
Dc x'lir,on Pcirnire sh.sos Notili.dion l'cdcralRcBuldions (lillc 40. Pdan
-R.quncd
hrrcrol Norirr rion
cmHl u! nol arpliclbh lo rhh proJccr
rh6w i.fnmrnrn ic corNr. I agr lo somp lyBirh all Ciry !nd Counry
! and counryb cnrcr uPon rhcrDrhornr rclf clcnrrrivcs of rhis Cir
APPROVALS DATE lD/Slc..COMMENTS
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
lvlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Hough Mech.
Final Test
Meter Release )?v)FINAL 4 V L,t'l
Notes, Remarks, Etc.lt 0\
to -t 2/-t8
II
!
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