HomeMy WebLinkAbout40130136 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Mechanical Permit #t 4O13O{36
Pin #: 48OOgf,
Project Address: 1951 E Dyer Rd
Assessor'sParcel: 430-221-13 Lot:
Unit:
Block:
Bldg
Tract:
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 Builden
450 Newport Center Dr #550
Newport Beach, CA 92660
(s4s) 706-8460
01116002 51604
01116002 51604
01116002 51604
01116002 51604
01 1 16002 53603
01 1 16002 51600
01116002 51604
Fee Type
Compressor
Bathroom Fan
Range Fan
Fan Coil
P/C - 65%
General Plan Update
lssuance
Amount
86.82
29.38
31.10
54.67
0.65
21.25
52.98
Qty
7.00
2.O0
1.00
7.00
1,045.88
1.00
1.00
Fee
$607.74
$58.76
$31 .1 0
$382.69
$679.82
$21.25
$52.98
State Lic #: 897318
Lic Type: B
Bus. Lic #: 362720
Workers' Compensation lnsurance:Carrier: Travelers Property Casualty Company of America
Policy #: TRJUB4245B18Z
Expires: 09115120'|.7
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
West, Glen
Link, Patricia
Other
New
Leasing Office
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
IIIA, SPK
cMc 2013
01t24t2017
01t25t2018
Account#
Misc. Receipt: 68369
Misc. Receipt: 70524
Misc. Receipt:
Total
Notes: fees pd on M-70524
Fee Total:
Paid to Date:
Balance Due:
Subject to Field:
Buildins Permit #: 10190038
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 authoized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced.
$1,834.34
$1,834.34
$0.00
lnspector MID#: 2016-129880
N/A - No Balance
Address Range: 1951-2001 g Suite Range:
Dver Rd
Historic: No ' Zoning:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
fi/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh 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
Rough Mech.
Final Test
Meter Release
FINAL 2-Zc-?22,//.tN"(rr)
Notes, Remarks, Etc.
OWNER BTJII,DI:R I)I'I,CARATION
I hcrcby aftirrn undcr pcnllly of Frjury thill I am cxcnlpt lionr lhc Contrilck)F' Liccnsc kw lbr thc tblkrwing rcason (Scc.70-11.5
Burincss and Proltssion Codc): Any Cily or Counly which rcquircs a lrrnlit to conslrucr. allcr. improvc. dcnmlish or rcpair anv
slruclure. prior lo its issuailcc. also rcquircs lhc applicanl li)r (uch Frnlit nr filc a signcd st0tctftnt thill hc or shc is liccnscd pursuant
lo lhc provisi(nrs of lhc Conlrrcbr's Liccnscd l-aw (Chilplcr 9. Cornnrcncing with Scction 7fiX) of Division 3 of thc Busincss and
ProfcssiolsCodc)orthallrcorshciscxcDrpllhcrcfromandthcbasislorlhcallcgc(lcxcmptk)n. AnyviolationofScclionT0-ll.5byany
ilpplicnnltbrapcrmitsuhjcclslhc afplicanltoacivilpcnilltvofnotm)rcthil[llvchundrcddollar\($5U)).
-1.
as owner of thc pm[Erly. or my cmployes wilh w8Scs as lhcir slc ompcnsalion, willdo ltE work ad lhc stnr-tw Ls mt
intendcd or offcred for sle (58.7044. Busincss and Professions Codc: Thc Contmctor's Licenw bw d@s nol apply to an owner of
thc prcJErry who builds or inprcvs themn. ard wln des such mrk himself or herslf or thmugh his or her own cmployces.
providcd lhat such impmwmnts m ml inlendcd or offcrcd for slc. lf. tnwcvs. lhc builditrg or ir{,mwrcnl is $U within orc }ts
of cotr{,lction. t}E Owner Builds will ha!€ the burden of prcving thd hc or shc did mt huiH or inqmvc orc pmJuty for thc purlbs of
ele).
-1,
as owncr of lhe propcrly. am cxclusively contrsctin8 wilh licenrcd conlraclos lo conslruct thc fmjcTl (Scc. 7044, Busincss
and ProfsskrnCodc:ThcConltactor'sLiccnscLawdoesnolspplyloanowncrofpropcrlywhobuildsorimprovesthercon.
and who conlEcls for such pmjccls wilh a Conlmcto(s) liccnscd pursuanl lo thc Contraclor's License Law).
I am cxemDl undcr Scction . B. & P.C. for lhis reason.
Owner:_
]YQBIEIIII;OMTINSAIIQN
DECI ARATION
I hereby alJirm undcr pcnalty of pcrjury onc oflhc followilg dcclarstt)ns:
t-rl$r C(xlc. li)r thc pcrlbtrnrr(c ol thc $rrk lirr whieh thc pcrnril i\ is\uc(|.
-l
have and will maintain workers' compcnsatbn insurancc. as rcquircd by Scctkrn 37fi) oflhe lahor Codc, for lhe performancc of
thc work tbr which lhis pcrmit is issucd. My workers' compcnsation insumncc canicr and policy numbcr rc:
Policv Numbcr: Ernircs:
-l
ceftify lhat in lhc pcrformance of the work for which this pcrmit is issucd. I shqll not ernploy sny pctson in any manncr
so as to bccom subFct to lhe workcrs' compcnsation laws of California. and ogrcc lhat if I should bcconr subjccl to lhc
workers' comFnsation provisions of Scction 3700 of lhc Labor Codc. I shall. forthwilh comply wilh lhose pmvisions..
llARNING: Failurc to scurc workcrs'coilrpcnsalion covcragc is unluwf'ul. {nd shull subjcci an cmploycr lo oiminal and
civil fines up to onc thousand dollars ($lm.Un). in co\l ()f li)r thc
Scct )n 1076 I-atxrr intercst and allorrcy's fccs.
I hercby allirm undcr pcnBlty ofFrjury that I am
of the Busircss and Pmfcssions Code. ard my I
of Chaplcr 9 (comrcrcinS wilh Scction 70OO) of Dilisbn 3
in full forcc and cffcct.
Liccnse
I hecby affrm under pmalty of perjury that
issued (56. 3097, Civ. C.).
aScncy lhc JrcrfornEncc ofthc work for which lhis JErmit Ls
Irnder's Nanrc:
Lcndcr's Addrcssl
APPI ICANT DECLARATION
I hercby afiirnr undcr pcnally of pcrjury onc of lhc folk)wing dcclarations:
Denx)lilion Pcrnrils-Asbcslos Nolification Fcdcral Rcgulation\ ('l itlc 40. l,at16)
_Rcquircd [,cttcr ol Notilicalion
_l cenity lhal thc fcdcral rcgulations rcgarding astEslos rcnx)val arc nol applicablc b this pmjcct.
_l ccnify that I have rc0d this application and slatc that thc otnlc inlormuliul is I Bgrc lo comply wilh oll City and County
ordinrnccs and Slatc Lrrvs
above ,ncntioned propcny for
Applicant or Agcnt
Pcrrnilcc nrntc
ol this City rnd ulnn thc