HomeMy WebLinkAbout40133234 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mecha n ical
lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Permit #: 40133234
Pin #: 79lOO
Project Address: 1340 S Ritchey St
Assessor'sParcel: 402-081-05 Lol: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Ml
Owner:
Address
Phone:
Tenant Name:
Contractor;
Address:
Martin lnvestment Co
1340 S Ritchey St
Santa Ana, CA 927054727
(408) 956.4921
DePuy Synthes
Mehas Construction lnc.
8750 Prestige Court Suite 1(
Rancho cucamonga, cA 91'
(909) 980-0847
Fes Type
01116002 51604 Compressor
01116002 51600 General Plan Update
01116002 5'1604 lssuance
Amount
90.19
22.O8
55.04
Bstchi:489U8 - 3/
off ice; CTYH Tn
Acctl:
Rcptt:0256?339 -
Tronsoct ion Tolol
Qty
1.00
1.00
1.00
Fee
$90.19
$22.08
$s5.04
2U
onPhone
State Lic #: 585432
Lic Type: B, A
Bus. Lic #: 369629
Workers' Compensation lnsurance:
Carrier: State Compensation Fund
Policy #: 1409899
Expires; 0912212019
Generol Plan updste
r:r1116002- 51600i100"
Ilechon icsl
Lll I 168102- t16040crtt-
ICL Check ll3?0rl
Ref i:
t/20/2$t
lleh(s (:onstru,:t ion
Building Use:
Job Type:
Nature of Work
lndustrial
Tenant lmprovement
Tl-Phase 2
Occupancy:
Constr Type
Code:
B, S-1
VB
cMc 2016
Notes
Planning Conditions:
Planning Approval By;
Plan Checked By:
Permit lssued By: Verduzco, Viol
Subject to Field;
Buirdins Permit #: 10199245
Every pemit issued shall becofie invalid unless the work on the site
authonzed by such pemit is commenced within 1 80 days aftet its
issuance, ot if the wo* authoized on the site by such permit is suspended
or abandoned for a petiod of180 days altet the time the wo* is
commenced.
o3t20t2019
Account#
N{
Date:
Date:
Date:
l\4isc. Receipl:
lvlisc. Receipl:
lvlisc. Receipt:
Total
$22.08
$145.23
$167.31
$0.00
$167.31
lnspector MID#: 2019-149603
01 't 16002 51600
01116002 51604
Fee Total:
Paid to Date:
Balance Oue:
w
MECHANICAL.INSPEGTOR RECORD
APPROVALS DATE rD/srG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
-Above T-Bar
Rough Mech.
Final Test
Meter Release I .::)
FINAL rl J?
Notes, Remarks, Etc.\J\
q-L8-+4 ?1,4,t2- 9 7.-et tbo€et/-- t-Ila*reu$l
!I vt
OWNER BUILDER DELCARATION
I hmry.rm undd pd.ty of pdjuty $a I m ciopt to6 rhc cof,rffroB Lic@ L5w for rh. foltoeins ,@tr (se.?011.5
Bsin63 .!d Problion Cod.)r Ary Ciy or Coudy sttt ..qut6 ! Fni lo otsttud. .ltq, impove &holah or i.r.n dy
ntuclc. Fb. lo il! isue...to 4qui6 th. lpplic&l for such pctrn lo fib t 3ign d dmt th.d lE or sh. is lica!.d P@ad .
ro rhc Frvisiod of rh. Conn.cldt LicnFd kw (Cb!pl6 9. Comcing w h Scrios ?OO0 of Divnion 3 of lhc Bu'ds ed
ProfBioN Codc) or tur h. d 3h. i! q@pr ths.fron @d thq b05i. for lh. dl.gcd croplion. Aly rilbrior ofsdlion 703 L5 by dy
applicdl ror a pmil sbjc.r3 rt 'pplh&t lo acivilp@lyofnor 6oElne fiv.lundr.d doud ($J00).
-1.
s oM6 ofth. FoFny, or my .dptore wilh wagd s lh.ir elc .onp@stliotr will d. dE *o* dd $c !EuG@ h rcl
intdd.d oroGcd for $lc(Sc,7044, Bsir6 ed ProftlliocCod.: Tn. Conmctol! LiccMt wdo6@lgPlylomoMdol
$.pmFty who hoild! or itoFoB rlEet! ed who do6 Mh elt hi@lf or 6sstf or lhrcush hb or ha oM mployc,
pblid.d lh.r sch mFD!86! @ mt inlatkd or or..!d 6r sL.Ii lhwd6.lh. t{idin8 or itprDvffil b sld widrin on. }d
ofempkrior rhc olrrn Blildq will halc $. bu&r ofFovirg lh, h. or !$. did mt hrild or imFoE lllc FDFty for dE pillo* of
-1.
soM6of th.propdrr. m.x.lsir.lycontmcling wilh lictucd.o rado6to @.nod thcFojdl (Se 704-{. 8Bl!6
snd hofrsion Cod.: Tnc ConkGtoa! l"icc@ Lrw do6 nor ,pply to sD om.r o lpropsly who b.ilds or inproc lh6oo.
ad vho @.uacls lor luch Foj.ctr with s Conrr.cto(s) lics.d puu@r lo Oc conrr.cror's Licd. L!w).
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m ex.mpl undd sarion , B. & P.C. forlhh rB)..
lt.rq Orne.:
g!85E8!:CAM8!N!AION
DECIAEAIIA!
I hacbr srnm uod6 F.6ty orFjury otu olth. fouowi.g d.dardoc:
-l
hsc ald till roi rin a CdifiqG olcoMr lo S.lf-lNr. fo, wrk6a onlp.Nlion. s pDvid.d for by Sdd@ 3700 of ft!
Llbor Codc for ftc Ffor@c. of lh. erk for whib th. pqsil i ksu.d.
-l h.v. .nd will mai ail work.B .of,pcMdon iauu.q d r.quircd by Selion 3700 of th. t bor Codc. fot thc psfotrec. ol
lor {li.h lhis Ftf,nir is ilsuol yy wolksi corposation insumrcc.diq md policy um6ro.:
9l'.+- r".rl
1€q1 1-zz*rl
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cqlit rhd in lhc paromanc. of rt No* lor *hich lhis ,.mi is ku.d- I lhdl rol dploy ey pdsn i. &, @E
$ s ro t€o'rc subjer to $. wod(6' coep.reaion lr8 or Califoni4 md $E thar if I slbuld b..om. iobjer ro rh€
*0*6' amp€oetion povi3io6 of Sdion 1700 offi. tihn C.&. I nu . tonhrilh comply witt $o* pr.rilioB .
WARNINGT Faillr. lo Ku. uorl6' mmpdsatio. covras. i! u.lawiul, od slBll subjd an dployd lo ciminal p.o!hi6 ud
civil lircs up lo on. nundred thousnd doll6 ($100.000). ii addition ro th. cost olcompc6.lion. dmag.s 6 providcd for ihc
Sdion 1076 oathe t*or Cod., n{cc( ed llrotuy'! fc Rr*-/tlztrt-20'tq
IIffXSED-QtrlTAclA&
DliclalduaN
I h6by a0'@ undd pemht of lojury th,l I m liceis€d unds I,o\ ision orchrprd 9 (com,ffiitrs silh Sdlion 7000) of Dirision l
of rfi. Bsin6s ud Prca6sioN Cod., dd ,ny lic.6. is in full torcc a.d .Od.
^14
A sfi'l3z
3.2"- @
colsrtrlcuolJ,lNlac-dclxcr
I hRby .mm undd Fmlry o f pcjury Oal rhd i. a conslo.rioo kndinS osdcy lor l!. pefotl@.c oa$c lvorl for *fii.h lhi! Fni' b
issu.d (Sec. 3097. Civ C ).
aEEUCAAf![lLI8Ar]Atr
I hset, at'm undd dalryof pdior. o.c olthc louoNin8 d.cltroltuns:
D.,nohio6 PmneAshstN Nolific nnr F€dtral Rclulalions (rillcir0, Pan6)
-Rqun.d
Ldl( olNotifi calion
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c.niry Od rh. aeddrl r.gublioN Eseding 6b6los rdoval e 661 alpli.ablc to lhis prole.l
-l.ditthar
I hav.@dlnisapplic6tionadstal.thol lh..hov. inronnalion b conal, I.EElo onply wih allcn, d county
ordinancd md Slotc Lows rhtiis lo blildii! coisltuclio[ ad hq.by aull[rtc rcrre alilc oflhis City .!d Counry lo alc lron ttt
attrre nEnrioned prop€ny for insper
Applicmt or A8ctrl Sbnalu -4-
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