HomeMy WebLinkAbout40130100 - Permit (2)Project Address: 1951 E Dyer Rd
Assessor'sParcel: 430-221-13 Lot:
Unit:
Block:
Bldg:A
Tract:
Address Range:
Historic: No
Suite Range:
Zoning:
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 14) 667-2738 lnspector Section: (7 14) 647-5853
Mechanical Permit #: 4O{3O{OO
Pin #: 187o,4
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Heritage Village OC LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Alliance Residential Builder
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8460
01 1 16002 51604
01 I 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 53603
01116002 51600
01116002 51604
Fee Type Amount Qty Fee
Heat Pump 86.82 1.00 $86.82
Air Handling 42.85 1.00 $42.85
Bathroom Fan 29.38 2.OO $58.76
Venl Fan/Comm 41.99 4.00 $167.96
Fire Damper 63.12 12.00 $757.44
Ptc - 650/" 0.65 ',l ,',| 13.83 $723.99
General Plan Update 2',t.25 1.00 $21 .25
lssuance 52.98 I.00 $52.98
Al I i qnce Res i dent i ol Bu i lders
State Lic #: 897318
Lic Type: B
Bus. Lic #: 362720
Workers' Compensation lnsurance:Carrier: Travelers Property Casualty Company of America
Policy #: TRJUB4245B187
Expires: Ogl15l2017
A-3, S-2
!B
cMc 2013
Generol Flon Updqte Fee
01116002- 516(r00cr0-
llechon icql
Lrl I 16002- 516tr40(r0-
P/C llechon icol
r:rl 1 16002- 536(r3tl0cr-
ICL Check 0110001309
ICL Check 080001311
$?l .2t
gt r iaa.8t
t472.88
$6119.67
$1r ttll .27
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
other occupancy:
New ConstrType:
Parking Structure-Building lCode:
)
Date:
Date:
Date:
West, Glen
Link, Patricia
11t20t2016
12t21t2017
Account#
Misc. Receipt: 68239
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 180 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2017-139940
01 1 16002 51600
01 1 16002 51604
01 1 16002 53603
$21.25
$1,166.81
$472.88
$1 ,912.05
$251.11
$1,660.94
al
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M ECHANICAL.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
lrlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
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
Rouqh Mech.
FinalTest
Meter Release
(tr-)FINAL 2-zg'2n2o Jdctrt
Notes, Remarks, Etc
Bu\incss tnd l)rrrlcssion Codc): Any City or (i)unty s'hich rcquircs a g-_rmit Io conslnrcl. allcr. intprovc. dciln)lish or rcpnir rnY
npplicilrxli)rapcrinitsuhjcclslhc applicxnltorcivilpcnnllyolnolnxrrclhlnfivchuntlrcdtlollars($500).
_1. r\ (trvncr ol'thc pr()r-tly. or trry ctrrpk))cc\ s'ith $rgc\ as the ir solc cotrrpcnsali()rr. q'ill(lo thc sr)rk rrxl thc slnrlurc is iri
ulc).
-1,
as owncr ofthc pmpcrty. am cxclusivcly contracling with licenscd contracton lo conslruct thc projccl (Scc. 7044. Busincss
ard ProfssbnCode:ThcContractor'sLiccnscLawdesnotapplytoanownerofprolEnywhohuildsorimproveslher@n.
and who contmcts for such projects with a Contmctor(s) liccnsed pursunl to thc Contrsctor's Liccnse hw).
I amcxcmDt lt..c. for
7
I hcrchy undcr pcnulty of pcrjury
-l
havc ud will mintrin a toSclf-lnsurcforworkers'compcnsation.as providedforbyScclion3T(Xloflhc
t bor Code. for thc Frforrorce of for which the pcrmil ir issucd.
_lhavcundwillmaintainworkcrs'compensationinsurancc.as rcquiredhySeclk)nl?0OofthcLuborCode.forthcperformanccof
thc work for which this pcrmit is issuc{.comJrcnsation cmier and Jnlicy ue:,f
Policy
-l
ccrlify thal in lhc perform-mcc is issucd. I shall not 8ny in any manncr
so astobccomcsubjecllolhcworkcrs'conlpensalionlawsofCalifornia.andagrccthiltifl hccome subject to lhc
workers' compcnsalion provisions of Seclion 3700 of thc Latnr Codc. I shall. forthwith comply with tho* pmvisions..
WARNING: I;uilurc to rccurc workcrs'compcnsalion covcBgc is unlawful. and shull subjcct an employcr to fiiminal lEnaltics and
civil fincs up to hundrcd thousa[d dollus (Sl lo thc cost as lrrovidcd for thc
Sc.li(nr 1l)7ar ol inlcrest snd attorney's
I hcrcby {ffirm undcr pcnolty of pcrjury Ihut
DECI.AMIIQN
under provision of Chapler 9 (comrcncing with Section 7fi)0) of Division 3
of thc Busincss lnd Pmfcssi(,ns Codc.is in full lbrcc and clTccl.
Licensc
??;*w74L
I hcrcby affirm IEnallyofperjury lhal thcrt is a lcnding agcncy for thc pcrformncc ofthc work for which this Jrcrrnit is
issucd (Scc. 3097. Civ. C.).
hndcr's Namc:
l.cndcr's Atldrcrs:
APPLICANT DUCLARATION
I hcrcby allirm utr(lcr pcilalty of pcrjury o0c of lhc li)lk)wing dcclarat i(ns:
l)cnrliliotr Pcrnlit\-Asbcstos Nolificalion l:edcrnl Rcgulalio0s ('fillc 40. Prrt6)
-Rc(luircd
l.cllcr of Nolificnli(nr
-l
ccdify lhat thc fcderal rcgulations rcgtrding asbcstos rcmovul arc nol applicablc to this projccl.
_l cdify rhar I have rcad lhis applhation and slalc lhat thc above inforrolion is c6sl. I alrc to comply with all City and County
ordinunccs and Slatc hws u[nn lhe
abovc nrenlioncd propcfly for
or Agcnt
nililrc
construction. and of this City rnd lo
t7
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-trAt-
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