HomeMy WebLinkAbout40113465 - Permit (4)City of Santa Ana 20 Civic center Plaza (M-19)' Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Mechanical Permit#: 40{13465
lnspector's Section: (714) 647-5853
Project Address: 4 E Hutton Center Dr suite: 1000
Assessor'sParcel: 41'l-092-30 Lot: NA Block: NA
Address Range:
Hisloric: No
Suite Range:
Zoning: C2
Contractor:
Address:
Triple Net Properties, LLc
155'l N Tustin Ave, Ste 200
Santa Ana, CA 92705
Gene Tribolet
25801 Obrero #5
Mission Viejo, CA 92691
(949) 583-9300
Fee Type
Vav Box
Air Handling
lssuance
Notes
Fee
$48.00
$16.00
$32.50
Qty
3.00
'1.00
1.00Phone:
Tenant Name: The Credit Exchange
State Lic #: 480519
Lic Type: B, A
Bus. Lic #: 0169201
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: i 3810Z6
Expires: 1210112005
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
TI
,11102t2005
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Occupancy:
Constr Type
Code:
B
I-F,R. SPK
cMc 2001
Date:
Date:
Date:
\c etbabBuilding Permit #:
This permit sha expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wofu authoized by this
pemit is suspended or abandoned at any time after the wotu is commenced for a peiod of 180 days
Before such wotk can be rccommenced, a new pemit shall be ftrst obtained to do so.
Fee Total:
Paid to Date:
Balance Due
$96.50
$0.00
$96.50
Account #: 01 1-01-5915 lnspector MID#: 2005-65410
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Bldg:
Tract: NA
Owner:
Address:
Amount
16.00
16.00
32.50
Phone:
Serna, Janet
APPROVALS DATE tD/stG.COMMENTS
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.ll,['rtrt-,hr
Final Test
FINAL Q-/?a//r/.)4r, ltta/
MECHANICAL.INSPECTOR RECORD
Ownd-Build.r D.ctor.rid
I hdby .ffim Dda padty of p6jqry$n I ir .xdpt fm iI. CdE&tm' Licd. Lav fd rhc followinS Ea6 (r. 703 , 5 Bainar
ed lrofcliod c.d.): Any Cit, or CNty flri.h rcquir., ! pmn io cMFuc! ahr. imprcv., danolish or rcpah Dy !rr!c$!c, prior ro irs
i!rue, rllo cqdB $c lppli@l f6 N! Fail to filc i ti8rcd 3tlrdrat thd h. q rtc it lico!.d p$u ro $. Fovkionr of0E
C@h.r@! Licen*d lr* (Ch4r.. 9, ColEI.ncin8 wirh SEtiod 7000 ofD:v8on I ol rn. Bsin4! cnd Prof6lio,u Cod.) or dl.l hr u
,h. is d.npl &ftfim Ed lh. bat fd rt dcgd GmtPdm.Aiy,iohti@ of Seti6 7031J by ey lpplicsl fa. Fmi! lsbj6tl d.
.pplicllt to a civil pqdty ofnd tnoE tba fE !u(i.d &llu (tJ00).
_1,6 omd of thc FoFrty, d trry dPloyc wirh wl8B a rhcir sol..mpae ion,willdoth.wo ed $c trucr@ ir nd inhdql
or ofd.d fd !al. ( S.c 7044, Blsina! &d Prof.irioG Cod.: nr. CmE&rd's Lictu. kw dN nol 6pply !o d o*n.r of th. prcp.ny
who buil& dinFDvd th6!on, ddwhodo€ iuqh wort hi@.lf orhd.lfdlnrolgh hi! d hd own cnployd, Fovid.d th su.h
impmvd6$ u. nol inr.nd.d or ofiacd fd !.1.. lf, lDv.v.r, tn. hilding q inprovdol is sold wi$in on. yce of cmplaion, ih.
Own.FBuil.Lr will hav. th. bud.n ofproving $al h. o ih. nol build mihprov. ld !h. purpo* of salc)
_I, a oMd of t. p@Fny, d oGlBiv.l, @tr.tirg *idr licd.d @r&t@ b @nstud rh. pbjcct ( Scc. 70a4, SBind ed
Pref6rio. Cod.r Tlc C@B&!o.! Licalc Lrw rbd nor eply to e oMd of FoFrty who builde s idprovd lh.@n , ud *ho
.@h.r lu iuch Fojen wilh . C@tt rot(r) li65.rl p@usr to $. CoDrdtr\ Licd. L!v.)
_l m q6!F u&, S*1i6
-A
& ?.C. fd thn E !6
WORKERS COMPENSATION DECLARATION
I hfrby af,im ud6 p.nalry of Fj!ry d. of rh. followirs .L.l@iiol:
-t
h!v. 6d eill rui.itin . Cdti6.ri. of C...6t io S.lflN@ fd vdtd' compqsdid, s Fovid.d fd by Sdjd 3700 of,h.
rrbt Cgd., f6 dE p.rfolruc! of tG wt fq *hi.h Ih. Fnir i! ie.d.
21h.v. &d willmirl8tr wdtd' cdlatrid ill.lm4, d rcquircd by S*d@ l?00 of th. L.bo Cod., ror $. p..fomDc. old.
wot fd xhict t[ir FDit is ir$.4 M, qdt6' 6,D.r4dd i '@e @i6 od policy nmb6 e:
(Thit sctjd n..d .ot b. corplct d jf t,!G paDft i! fd Orc h@&!d dollG lt l00l B 16)
_l cddf, $.r in thc F{()ll 6 of $c wat fn wiich Oi! Fmit i3 i!.u.4 I ih.ll nor oploy ey !d!oo in ey ,@n6 F a ro
bc.e. subjd ro dE rc*m ' c6rFri.ti6 l.wr of Cdifmi." ed $e thd if I lho{ld
olSdion 3?0o ofth. t boCod..I
WARNING: F.ilE lo i6u. rc!t6' cmFrs!6 cova.3. ir ul.vfd, srl rubj.d u @ploy.r ro cimin.l pa.ldq Dd civil
6n6 up ro @. [or&.d thMd dolle (t100,000),i. addiri@ lo th. @r of .6porsti@, &au8B 6 provid.d f6 thc Scti6 3016 of
6c L!b6 C.d., intcr &d .dmcy! f€.
LTCENSED CONTXACIONS DECLAf, TTON
I hdhy rf,im und.r p6.lly of Fjuy tt.t I @ lico!.d u.Lr rrcvitid of ChapE 9 Gffimcing *ith S.crion 7000) of Divbion I of
th. BBii{ ed Prof6!i@ Cod., ed n, liccE. ir ir tull tdrc {d .fidt
4
I h.Eb, afiim u.Lr pnalry of pdjury lhal th@ is . coNddio. lddin8 r8.ncy re
is$.d (Sft. 309?, Cir. C.)
p.raomM.. of rh. eork aor which $is pcmil is
APPLICANT'S DECI.ARATION
Dmdid@ P@iB-Arh.nc Notifqlon l.dlrBl R.guladoi! (TirL a0, P!.t 6)
R.qui.cd Ldd ol Norifiqti@
_l ccniry t'r!t 6. f.ddtl rcgul4ions rcgar.ling 6b6rs rcnolal s. nol .rplicabl. ro rhi. proj.c(
'_ I @ftiry tnol I havc Ed die spplicadoo &d !r. tl:rr lt. a!ov. infm.tid is cor.ci I agr.c ro ..hply wnh dl City ud Couty
ordiiecB ed Slal. Laws r.l6tiig |obuilding @nrEucdon, dd hd.b, auth orizc ,cpr6d tari v.3 oflht City d County to dh ulon i1r.
!bov. mdddcd prop.ny ld
sis \-z-o(Meter Release
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