HomeMy WebLinkAbout40130728 - Permit (2),ffi Ciff of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #:4O13O72A
Pin #: 5EO9E
Project Address: 1666 N Main St
Assessor'sParcel: 005-153-19 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SP3
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
EN OSTENDO HOLDING CORP
3 PARK PLZ gTH
lrvine, CA 926148505
Westport Construction lnc.
125 W.Maple Avenue
Monrovia, CA 91016
(626l. 447-2448
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
0't1't6002 51604
01 1 1 6002 51 604
01 1 16002 51604
01 1 16002 51604
01 1 't6002 51 604
01 1 16002 53603
01 1 16002 51600
01 1 16002 51604
ety
59.00
2.00
10.00
52.00
10.00
48.00
20.00
59.00
220.00
1.00
26,525.11
1.00
1.00
Fee
$5,122.38
$279.72
$524.60
$1,527.76
$335.40
$1,492.80
$839.80
$3,225.53
813,886.40
$181.32
117,241.32
$21.25
$52.98
FeeType Amount
Heat Pump 86.82
Heat Pump 139.86
Clothes Dryer - Comme 52.46
Bathroom Fan 29.38
Laundry Fan Envir. Air 33.54
Range Fan 31.10
Vent Fan/Comm 41.99
Fan Coil 54.67
Fire Damper 63.12
Product Conveying Syst 181.32
PIC - 650/o 0.65
General Plan Update 21.25
lssuance 52.98
State Lic #: 7'12732
Lic Type: B
Bus. Lic #: 12345
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Co.
Policy #: 7600015708
Expires: 'l1l01l20'17
,:h*:39556 - 7/26/2tJl7 ID: l-ftOice: (:TYtl Trcrns*: 55 i2L+: Ref*: 4r-rl3r:r;l
i+:0198891? * 7/26l2l0t/ 1!52 F'
nsact ion Total lllt3r:11
i1?
;l:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more unl Occupancy:
ll€ur- Co$WFrlA Constr Type:
Adaptive Reuse-Main 9u116;;Code:
A-3, B, R-2, S-2
IA,VB,SPK
cMc 2013
i,,Notes: Adaptive reuSe/charige of use'fibm boinmercial office
B-occupancy to Residential
t?-'7 r t
ttCISrl
CSG Consultants
Link, Patricia
04t17t2017
07126t2017
Account#
Misc. Receipt: 69004
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
lssuance, or if the work authoized on the site by such permit ls suspended
or abandoned for a peiod of 180 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
$21.25
$27,468.69
Fee Total:
Paid to Date:
Balance Due:
$44,731.26
$17,241.32
$27,489.94
lnspector MID#: 2016-127286
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MECHANICAL.!NSPECTOR RECORD
APPROVALS DATE lD/slG COMMENTS OWNER BUILDER DELCARATION
I h6cby affim und6 poalty of pqjuy that I m exmpt &om thc ContrrtoB' Licmsc lrw for thc fotlowing r@n (Sc.7011.5
Busines ud Profsiou Code): Any City or County which rcquiro a pomit to congruct. alta. improvc. dmol(h or rcpai; m.v
srucl[q prior to its isumce. also rcquirc thc appli@t for such pcmit to filc I sigocd sratmmt that Mor she b licrucd puNar,
ro thc provisioN of th€ Contretor's Licmscd law (Chaptr 9. Commcing with Setion 7000 of Divisior3 qf the Bsins and
PrcfesionsCodc)orthathcorshciscxmptthqefrommdthcbssisforthcallcgcdaoption. AtryviolstionofSctionT0Sl.5bymy
spplicet for I pfinit subjets thc applicet to a civil psnally ofnol mor€ thm livc hundrcd dollds ($500).
_I. d om6 of the Foperty. or my cmployc with wag6 6 their sle @mptrdion. will do the wort ad thc structue is not
intmded or offscd for sle (5@.7044. Busine md ProfesioN Codc: Thc Contnctor's Licce Law do6 nol apply to m owns of
the prcp€rty who builds or imprcvc thmn md who doc such work himself or hwlf or thrcugh his or ho om employee.
providcd that such impovsnmts rc not intqdcd or offqcd for sle. lf, howws. the building or imprcvmt is sld within one )6
of omplaion, thc Ownq Buildq will hsvc thc hrdo of poving tha he or shc did rct tuild or imgrove 0rc popcty for the purpos of
ele).
_1. c omo of the propqty. m crclGivcly contracling with licscd contracloBto coBlruct the prcj<<t (Se. 7044. BEins
md Profesim Code: The Conlractor's l-icensc Law do6 not apply to m own6 ofprop€rty who builds or improvs thqsn.
and who contracts for such projeds with I Contrac,lo(s) licqscd puN@t to the Contractor's Licmc Law).
I m excrnDl undd SKlion P.C. for
D.t", llzblll
I hocby affim unda pqaltyofpdjury one ofthe deltratioB:
_l have md will maintah a Csdificatc of Commt to Sclf-lBure for workos' compwtion, o povidcd for by S€tion 3700 of thc
tabor Codc, for thc pqfommcc of the work for which thc pmit is issucd,
_l havc md will maintain workc' compcruatioo imumcc. s required by S*tion 3700 of thc t bor Codc. for thc pqfonmcc of
the uork for which this psmit is iscd My workc' compo'uation imumcc cuic md pnlicy numbo rc:
p"ri.y N,,b*, ? k'trttDl <7OG I lc. l-Expire:
_l cenify that h thc p€rfomcc of thc work for which lhis p6mit is issued, I shell oot mploy any pmon in any mone
rc o to baomc subj*t to thc work6' compcnsdion laws of Califomia ed agre thal if I should beomc aubj€t to thc
workc' compostion prcvbioro of Setion 3700 of the kbor Codq I shall. foahwilh comply with tho$ prcvirioru..
WARNING: Failurc to wue work6'composation covmgc is unlawful. ud shall subjct m mployo to siminal penatiG ed
civil fines up to one hundrcd thousand dollm ($100.000), in addition to thc cost of compereation, damagcs as provided for the
Sfition 3076 of thc Lrbor Codc. intqst md attomcy's fc.
LICENSED CON'I'RACTOR
DECLARATION
I hoetry alfirm under psalty of perjury that I an licmsal under prl)vision ofChapts 9 (comrnencing rvith Scrtbn 7000) of Division 3
of the l]usinss and Proiessions Code. and rny licmse is in full force md ell*1t.
1tz12LLicenseNumbs:
I hereby affirn undo pnalty of perjury that lhqe is a conslnrclion lcnding agency for lle po forililce ofthc work {irr rvhich this prrnit is
issued (SN. .1097. Civ. C.).
lrod6's Nam.:
Igrds's Ad&es:
APPLICAN'I' DECLARATION
I horbyaffmn undo penalty ofperjury one ofthc following dalaations:
Demolition P6ftils-Asbctos Notification Federal RcgulatioN ('l itle 40, Part6)
-Required
lata of Notificatiod
-l
cdiry thr, thc fcdoal rcgularioro rcgrding obetos rmovd uc not appticsble to this prcj€t.
-l
cdiry that I hsve r@d this application ud stdc that the abovc infomation is coffcct. I agre to comply with all City and County
ordinacB and Stale Laws relating to building corutruction. ild hscby authorizc rcprcmtarivs of this City md County to mts uJnn the
above menlioned property for
Applicilt or Agot oa, l\zul t1T -r-
Pmite nane (Frinl
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 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.6'Zb-P?fr ft2 7
FinalTest
Meter Release
FINAL 5--25-zoz,) E,A gtt:€.zzt s a 7
Notes, Remarks, Etc.
o.r,, l lzulll
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