HomeMy WebLinkAbout40132946 - Permit (2)Assesso/sParcel: 430-222-12 Lot: NA
Unit: A
Block: NA
Bldg:
Tract: NA
Address Range: 1900-1920-
Historic: No
Suite Range:
Zoning: M'l
Cify of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, CA9270?
lnspection Requests: (7 14], 667-2738 lnspector Section: (714) 647-5853
Mecha n ical Permit #: 4O
Pin #:
sv{32946
47554
Owner:
Address
Phone:
Tenant Name:
JZ Realty LLC
4040 Civic Center, #219
San Rafael, CA 94903
(415) 6064357
CB Labs
Avaland Group lnc dba Aval
5198 Arlington Avenue, #90:
Riverside, CA 92504
(714) 865-0824
Amount
90.19
43.62
u-rr5
22.O8
55.04
Qty
1.00
2.OO
177.43
1 .00
1 .00
Fee
$90.19
$87 .24
$1 15.33
$22.08
$55.04
Phone
State Lic #: 752083
Lic Type: B, C-33
Bus. Lic #: 342241
Workers' Compensation lnsurance:Carrier: Nat'l Liability
Policy #: A9WC900499
Expires: O1lO4l2O2O
Building Use:
Job Type:
Nature of Work
lndustrial
Tenant lmprovement
TI
74n - tl 12/2019 I0: ot'YH Trnns+: 75 :Refi: 4013:
i6606 - 3/ 12/2019 12!4I
:n Totol t5l:11 .:
oup lnc dbn Avolsnd
Iqn updote Fee
i i.60000tr-I
5161140t10-
r{r{ir**t723 Authi: (r:
Occupancy:
Constr Type:
Code:
B
VB
cMc 2016
'ronsc
Notes
Planning Conditions:
Planning Approval By: Pezeshkpour, Ali Dale: 12lO4l2O1A
CoPlan Checked By:
Permit lssued By:
Subject to Field
Building Permit 0't97952
Every pe.mil issued shall become invalid unless the wo* on the site
authorized by such pemit is commenced within 180 days aftet its
issuance, or if the wo* authorized on the site by such pefinit is suspended
ot abandoned lot a peiod of 1 80 days aftet the tine the work is
commenced.
lnspector MID#: 2O18-142235
nsultants Date: 0212612019
ki, Teri Date: 031'1212019
Account#
01 1 16002 51600
01 1 16002 51604
Fee Total
Paid to Date:
Balance Due:
$369.88
$1 15.33
$254.55
Proiect Address: 1 910 E Warner Ave
01116002 5'1604
01116002 51604
01116002 5360:
01'116002 5160C
011 16002 51604
Fee Type
Compressor
Vent Fan/Comm
P/C - 65%
General Plan Updale
lssuance
Contractor:
Address:
Misc. Receipt: 71904
Misc. Receipt:
Misc. Receipt:
Total
hener0
0l116Br
llech on
011!50
$22.08
$232.47
MECHANICAL.INSPECTOR RECORD
ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
I\ilisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
7J> -/FINAL 4410 \\i4s,.u€(
Notes, Remarks, Etc.t U
o\l NliR llt ILDER D!],(,\R,\ l roN
t ho*y lrm uf,d6 pci.lry olFjury rhd I m q@ nDE dE co n.lo6 LicN tt* for $! roltowi.S @;(Jii.7ojl,t
Bsir$ d Prolsion cod.): Ary Cily or couty whicn r.quiG a panir lo @firud. slra, iryovc dadrlidr or EF, &y
strucrw., Fior to ilr lsuuc, slso r.qun6 rhc dpdidl for su.h p6@t lo 61. s s'$.d n.laGn dlll hc o. sic b licd!.d pdsud
ro rh. lrovisioG ofrlE Conlr&toft Lic.nr.d L.w (clrpld 9. comd.irg wnh Sction 7000 olDvirio! ! otdE Bsi,N dd
Phf6sions Cod.) or lh.t h. or lhc i! acnfl lbrcfrom 4d lh. b*ig fot thc allcg.d .xd ion. Any violAlion olsclbi 703 L5 by dy
'ppli.er hr ! po[ir subjds rbc appuclnt rc s civil p..rlt, or nor roE ths fiv. huldr.d dous (1500).
-1.
s ow.o oath. proFrty. m ny mplor6 wnh was6 6 thct $1. comp.tusrion, wjll do tc wo* ed rh. stnIl@ b rcr
inrad.d or of6.d for.6l. (Sc.?041. Bui.d &d Prcfdiod Cod.: Th. ComBcloa! Lic.@ r,w &s nol @ply to e o1rG of
r[. FbFry who t!i].h or ioprwa tld6l\ &rd vh..lo6ech m hiBllor h@lfor $rc!8h hi or hd os ddorc.
prolid.d rhar iu.fi inprowr s e nol imodcd or o0rr.d lbr ..la I( nolBr. th. hrildiis or inpovsnqn ir sld Nithi. on. rd
of@rpldbn thc 0*16 Buitla wil h,E lh. hdd ofFoiry rhd h. o. sic drd mt hrild or inFnrc $c popdty fo. rt litlos of
-1.
6 om6 oltli. propdty. @ qclNiv€ly conlo.ting witt licdcd co,iiel6 lo eE1rud lh. Foj..t (Se, 7044. BBine
.nd AD&sbn Co&i Thc Coflodor'! Lic@ Law do6 @l arply to e oMd olproFry eho buildt or ihpoG thdotr
@d vlb coil$ft aor !!ch Flidls with a conhacro(, lic.crd pBuld ro l[. co nclor3 Lic.M rrw).
-l
e .idrpr udd sclio B. & P.C. for this r@..
lup8r[BgcaMlEllallo!
DF'I "\NATIONI hr.by afliirn unds p@ly of pdjury onc of0r follovi.g deldalioNl
-l
t v. ed will minr.in a Ccnific.t. of CoD$t lo S.la-lN@ for qdlft @nl,.ulioi. s Flvi.t d for b, Selion 1700 of th.
trbor Codq for th. psfomMc ofihc wort for vnich thc prEit ir B3ucd.
-l h.v. ed will oomu wo*.c compcdlrion iBursc.. 6 rcquiicd by S<liotr 3?00 ol th. L3bor Cod.. for thc p6forMc. ol
rh. vorl for *hicn fib p.ei is is*d My workdl o'npoidion iEuMc. cffiid 3id lolicy nu6bq e:
Policy N@bd: EiPi6
-l
cdiry lh.r in rhc p6to,r@.. oath. vork for *hict lhis p6nn tu isu.i. I shtll mr mploy ey pdsa in oy m nd
$ s to hdon. snbjdr ro rhc rcrk6' dnposrion 1.8 oac.liaomi& af,d asE rhar if I srelld b..om. subjd ro rhc
K*c' omp@lion prcvGioB of S..rion 3?00 of rhc t$or Cod.. I slsll. lonhsih ooPly win lhoF pbvisioa
lIARNINC Failu,c ro *uc *orlds
civil lincs up lo ooc hud..d lhoMd
Sdri.n 1076 of rh. I rtnr Code. intc6r
compaqlion ov@se is unl.wtul. Dd shall subjccl d ddorq lo crntrinal Dquhi6 and
000). in addnio. ro rh. con of dau!6 a prorid.d aor lh.
D.re 7 5 /s 'T,-^A.,-,,_t
ulct llilllrJ!
I heb, .mm und6 p6dry of p6jur, fi,r I @ li.6s.d mdd Fovtion olclu$6 9 (@md.in3 wilh Sdion 7000) of Divisio, l
of thc BEin* sd PofsioB Codc atd my licde i! in tull loE. &d cil€.I.
g 4..!7 >o f3<i )
3 )t
I h@by amm lndq poalry ot pEjury thtt
issucd (sr.1097, civ c.).
is a onsltucr ion loding aSdcy for 0'e p6fo'1@c. of thc wo forMichrhis pdnn b
alllJcalr.DEcld&ruo!
I no$y afim undd p6aly ofFj!ry orc oaitc lollowirg dclrrriod;
D.rnolhior P@its-Asb6tG ltorific.rio! F.dail R.Buhtiotu (Titlc 40. Pm6)
-R.qrilrd
L.lrd oallorif ..tion
-l
cdiry tnd tt. a.d6al EeulrlioN r.g&di.g ab6r6 moval uc .oI applicablc to lhis ptljd,
lbovc infonnrrion isconc<r I asrc ro compl, with all City lnd Coudy
od hftby a$orn. t.FMlal iv6 otfii Cit, d Counly lo 616 lFi dE
J2
Pmnilen .(e\)l
APPROVALS DATE
I