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HomeMy WebLinkAbout40130731 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 lnspection Requests: (7 1 4) 667 -27 38 lnspector Section: (7 1 4) 647 -5853 Mechanical Permit #:4O13O73{ Pin #: 35894 Project Address: 1665 N Sycamore St Assessor'sParcel: 005-153-09 Lot: Unit: Block: NA Bldg: 2 Tract: NA Address Range: Bldgs 1&2 Historic: No Suite Range: Zoning Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: EN OSTENDO HOLDING CORP 3 PARK PLZ gTH lrvine, CA 926148505 Westport Construction I nc. 125 W.Maple Avenue Monrovia, CA 9'1016 (6261 447-2448 01116002 51604 01116002 51604 01116002 51604 01116002 51604 01 't 1 6002 51604 01116002 53603 01 1 16002 51600 01 1 't 6002 51604 Fee Type Heat Pump Bathroom Fan Range Fan Fan Coil Fire Damper PIC - 650/o General Plan Update lssuance Amount 86.82 29.38 31.10 54.67 63.12 0.65 21.25 52.98 Qry 6.00 3.00 3.00 3.00 6.00 1,204.65 1.00 1.00 Fee $520.92 $88.14 $93.30 $164.01 $378.72 $783.02 $21.25 $52.98 t21. :iz5 t1r298.l-t7 tir.rs, rre . ss State Lic #: 712732 Lic Type: B Bus. Lic #: 12345 Workers' Compensation lnsurance:Carrier: Everest National lnsurance Co. Policy #: 7600015708 Expires: 1'll01l2017 Ettl;,:h*:39556 - 7/2&/2017 I0: LRosAL Ofi icel CTYH Trons*: 55 $ ofAc(t+: Refi: 1013fi731 Iicpti:01958928' 7/26/?tJt7 l:52 PH'fransoction lotol f103r51S.3 Building Use: Job Type: Nature of Work Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Multi-Family (5 or more uni Occupancy: New ConstrTYPe: Townhomes-Building 2 Code: R-2 V B, SPK cMc 2013 Lport Construction Inc Gerrerol Plan Updste Fee rl t16002- 51600000- llechon icslll I l6(102- 51604utr0- It:L Check 0001100203 CSG Consultants Link, Patricia 04t17t2017 07126t2017 Account# Misc. Receipt: 69004 Misc. Receipt: Misc. Receipt: Total Notes: Date: Date: Date: 01 1 16002 51600 01 1 16002 51604 $21.25 $1,298.07 $2,102.34 $783.02 $1,319.32 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authoized on the site by such permit ls suspended or abandoned for a peiod of 1 80 days after the time the wo* is commenced. lnspector MID#: 2016-133708 a Fee Total: Paid to Date: Balance Due: OWNER BUILDER Df, LCARATION I heeby affm undo poalty of pcrjury that I m cxmpt fiom thc Contracto6' Lic@ Law for the following l@n (Sd.7031.5 Buias and Profsion Codc): Any City or County which rcquirG a psmit to construcl. alta. improve dcmolish or rcpeir my structuq prior ro hs issumcc. also require thc applicdt for such pmit to ftle a signcd statm@t thal hc or shc is licoscd punuut to thc fovisioru of thc Contractor's Licoscd trw (Ch8pt6 9. Comencing wilh Sfttion 7000 of Division 3 of thc Bwincs and ProfessiomCodc)orthathcorshciscxcmptthscfrommdthebasisfortheallegcdexmption. AnyviolationofScrrionT03l.5byany applicant for a pmit subjfrts thc applicmt to a civil pcnalty of not more thu fivc hundred dollus ($500). _1, re oms of the prcpcny, or my employe with waga a their sle compffialion, will do thc work ud thc structuc is not intodcd or olTqcd for $lc (5€.7044. Businos md hofasioro Codc: Thc Contractor's Licm. L€w do6 not apply to d omq of the propsly who builds or impove th@n. md who do6 such work himself or hmelf or thrcugh tis or ha own cmployco, provided that such itnprovmts rc mt intodcd or ofTqcd for sle. lf. howwo. the tuilding or imlrcvoot is sld whhin onc )q ofcomplction. the Owna Builds will havc thc budco ofproviru thd he or she did oot huild or improvc thc pmpo'ty for thc purpos of sle). _1, o ounq of thc propsty. m exclusivcly contracting with licffi€d contactoG to coEtruct lhc poj6l (Sc. 7044. Bsins md Prokbn Codc: Thc Contmclor's Licssc Law doe not apply to u own6 of propcrty who builds or improvB thtron. and who conttacls for such projcls with a Contmcto(s) licsed pE@t to the Contrsctor's LiccM lrw). _l have md will mainlain a Certilicate of Consent to Sclf-lnsure for Norkqs' compmsation. a provided for by Sslion -1700 of the Labor Code. for the peftrnnoce of thc rvork for rvhich the pmit is isued. I have and will naintoin rvorken' compensalion insurance. as required by Srction 3700 ofthe t,abor Code. for the prforuance of the work for rvhich this pemit is issued. My workos' conrpcnsation insurance canier md policy numbe ae: Policy _l certiry that in thc poformce of the work for which this psmit is issucd. I shall not mploy eny person in any mmno rc m to become subjct lo thc work6' compcnstion laws of Califomia. od agE that if I should b.comc subjsl to lhe workm' compc$ation prcvisioB of Sc<lion 3700 of thc Lsbor Code I shall. fonhwith comply with tho$ prcvisioN.. WARNING: Failurc to suc mrk6' compcrualion cov@ge is unlawful. md shall subjd u mploys to qiminal pernltis md civil fina up to onc hundred thoMd dollm ($100.000), in addition to the cost of compcmtion, damaga u provided for thc Setion 3076 of thc Labor Codc int6€t md attomcy's fe. I hwby affm undo pcnalty of pcrjury that I m licoscd undq 9 (comocing rvith Setion 7000) of Division 3 of thc Buins md Prcfcssioro Code, md my licw is in fult forco 8nd effet. r,*r.,, ?L,OCO15?O?llot e-nr,*, ll/ r/ r-l Liceree Applicdr or Agflt Pfinite nane _Licmc Number: 717--, aL ( onlraclor: aeL ..n.r*I,*zur*o"^." I hereby aflirrn undo poally ofperjury that thtre is a construction lending agmcy for the pqfonnmce ofthc rvork lor rvhich this pcnnit is issued (Sec. 3097. Civ. C.). Lendcr's Nanre: landq's Ad&m: APPLTCANT DECLARATION I hetby aIEm u ndq penalty o f psj ury one o f the fo I lowing de laat ions: Demolition Pmirs-Asb6tos Notificalion Fedgal ReSulalions (Title 40. Pd6) -Rquired Lf,tlq of Nolification -l cqtiry that thc lidoal rcgulatioro rcgarding mbctos rmoval rc not pplicable to this prcjcr. -t cqriry thd I havc red this applicstion dd statc thd the abovc bformation is corcct. I agr to @mply with all City md County ordimcB dd Statc lrw rclating to building coNiructioD" dd hqcby adhorizc rcFe@tEtivc of this City md County to 6t6 upon thc above motioncd propcny for "",, 1 lzL l11 APPROVALS DATE ID/SIG.COMMENTS Appliances I\Ietal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork q-- J-l'l {Lczl Vents Toilet Room / Clothes Dryer Residential Ranqe Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release - --'t FINAL 54r /L(a|t ve-71# a / Notes, Remarks, Etc. MECHANICAL.INSPECTOR RECORD I m cxmd ud6 S6tion ,"," -Ilzrolt? ,,,", 1lZ-Ll11 ",r", 1lz,b,l l7 Da.vl4a I !