HomeMy WebLinkAbout40133865 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714],647-5853
Mechanical Permit #: 4O133E65
Pin #: 88891
Project Address: 1590 E St Gertrude Pl
Assessor'sParcel 4O3-O82-O2 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
AddressRange: 1560-1590
Historic: No
Suite Range:
Zoning: Ml
Owner:
Address:
Contractor
Address:
Phone:
Tenant Name Gold Coast Baking
Leed Warner Llc
PO Box 17777
Beverly Hills, CA 902093777
Todd Construction Services
172 W Monterey Ave
Pomona, CA 9'1758
(909) 469-6242
Fee Type
01116002 51604 Alter Vent Sys
01116002 51604 Min Fee Adj
01116002 5160C General Plan Update
01116002 5'1604 lssuance
Qty
1.00
1.00
1.00
1.00
Fee
$45.33
$30.93
$22.9s
$s7.20
Phone
State Lic #: 463296
Lic Type: B, C-8
B!s. Lic #: 37O27O
Workers' Compensation lnsurance:
Carrier: State Compensatiion lnsurance Fund
Policy #: 9050776
Expires: O4lO1l2O2O
Eotchl:31626 - 8/22/2gt? I0r IFINE0A0ffice: CTYH Tronst: lg 2 ot iAccti: Ref+: 4(r13f,865
Rcpfi:0?724260 - 8/22/20t9 y$ ?n
Tronsqct ion Totol t334.41
Todd Construct ion Selvices Inc
6enerol Plon lrpdote Fee(r1Il6(102- 516t100r10-
llechan icol
01116002- 5160{000-
V iso
(:C+ : ********rrr*791 2
Notes: Mechanical for altering duct system.
122.9\
t133.46
$334.4r
Auth+!09272C
Building Use:
Job Type:
Nature of Work
Commercial
Miscellaneous
Enclosure & Pad
Occupancy:
Constr Type
Code:
F-1
III B, SPK
cMc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allassa
Subject to Field:
Buildins Permit #: 10195488
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Evory pemit issuad shall become invalid unless the worr( on tho site
autllgized by such pormil is commoncod within 360 days atlet its
issuance, or if the work authoized on tha site by such pormit is susponded
or abationed tot e peiod of360 days after the timo the wo* is
commenced.
$ 156.4'l
$0.00
s156.41
lnspector MID#: 2017-139831
01116002 51600
01116002 51604
$22.95
$133.46
Fee Total
Paid to Date:
Balance Due:
YA
Amount
45.33
30.93
22.95
57.20
0812212019
Account#
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS o\l N llll Bt ! l-llllR D la l-( ,t R'{ I ( rN
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(n'.r .. t,ior ro irs isni cc. also rqrtri'$nr. ni.. tor su.h l{Nln) nl.i s][n.d eal.nrnl lnal heor ilt is li(d]sed Nr$ia
arplicn ntr,I{n'ii'l,jdlslhc.Ipli.aDlloacnilpennlrvornor.nn.rharli\.ntrndrddoll s($51)0)
I..s oNnn ollh€ n oFnv. or mt c ldqs \nh sir6 N rltt snc conrPaMrion. \iU do rhc \rork dd rh. $nrlre is nol
inrfld<l oroncrqj Io' slc (s( 70.14. llusirs and frolsmnsCodc llraonta.lois l.icc6.LN dos noi applvtoeo$ndol
rhc p'.rhr lvho b ilds or irnF 0(6 lhs(nr. d s h. do6 sx.h \.rt( himself or hs.lfor thmtsh his ot h6 oNn .idor_.6.
u orntd rh.r sucn ill\mvq .nrs e. nor imorddl o olTmn fo! slc. ll h.\ 6$. rrr l{ildin! or i'nFrve cnr is s(nd \rithi" nnc J fl
of.omplsion. rhco\$d &rild6\ill ha\cnEl{rdft oilnorinB rllaI he or dE d n.r lx'ild or iryr 01. thc Imts9 forrlrcpulsscoi
l..so\$.rollhc],op6ly. n6€\.lusiv.lv.ontadnrr \ith liccis.lt co.ta.o6 ro .o trstfl ct rhe pmj<r (sd 1(,1'1. L,usin6\
R.d hDlLasi,n ('ode:1hr( onlrn.rort l-icc.se l-.q do6 nor dpplr lo in o\vns otflnFn) *h. huilds or imp(rvcs rl6c.n
.nd \lro.ontndslorsuchpmjn-ls\ilh{Coftano(s}li.mseiru6umlrorh.(nntadoisl-icsscti\)
-l d.\snpr und6 S<lion- ,. - ,8.&P.C lorlhis,a$n
woRxERs'! coMDallsaTloN
DECIdSAIIO!
I hmby alfim urdd pd!|ry of pEjury onc ofllE follo$inA dcl@lions:
Ih$cnndtrillnrnaira(elificrrc.l('ons.nrtoSclf-lNureftr\o'L!6'cor1pcns.in,n..sr.rnledldb!SL{i.n1700.rrhe
llktr (i,dr, ntr r[r !q nlnwce oflhr ryNk nn \ni.h rhc tsnn is issrd
I hav. and *illnai6rri. sork6 co!np.6 ion i6ursnc., d E!!nd by Sdion 1700 oarlrc tabor Codc. for rhc lqfomanc. of
rh. \ro!k lor which rhh pmnit is is$El My nntratrc€ caFcr dd Pli., numLrr a.e
,'*.-aL/zo
I cgiify rlEl in lh€ psfomanc. oflhc sorl aor whi.h tnk p.flnit is issucd, I shatl not dnPloy any p@. i. lnyhanncr
$ s r. bcsnc subj.n ro rhc *o.t(6' .onp.Eation las s of Calitbmis, Md a8E lhd if I should b..ori. subjel lo fi.
$ort{6 smD.rsrion Dmvilios ofsdion ]TOO of lnc Labor Codc l thall. lonhsilh cooply wnn lho* provisioB
WARNING: Foilw ro surc worl.6' cotpcerion .o!m8. i! unl.Nlul. and stlll subjat sn onplovd lo <dnif,al PoElti6 8nd
cnil fr6 u! ro on. tun.t.d lhoMd dollc ($100 in dddilion lo rhc cosl oa comp.Mlio.. daug6 3 providd for lhc
Code hr6d &d anorEy s'LZ Lol k dJ,
uEcLlaalroN
ot rhc lnNi'i*s.id hoi.ssions (ortr. inai nry liccis. is in li'llii,r.c nlefli!(q8 zqb
Lz Irl C-<ns* nr-fr our sar'VlL<J
AIPI ICANT DECI,/IRATION
I hdlby !fi.tr uide pdalry ofpdjury o!. oa th. lollowing deldllioNl
Dcmlirion Pmt$AsbGlG Nolific.lioi Fcd@l R.eulalioB (Tnk 40, Pen6)
Rqtnn d tmn ot l.lotificorio!
I cqrify rial thc lcddal ftsulalioB rcgsdinS oslElos rfloral d. nol applicablc lo lhis Dbj..l.
-l .diry fid I i.!. @d lhis applicllion &d $al.lhal lhc abot! intotu tion i5 con .l I .grE lo coftplv *hh .ll Cilv afld Counlv
ordinancG od Sral€ l,a\sElnri.Blo btrildin8 rqr6drniv6 ofrht cilyand counlr lo mln upon
abov.
'ndtioncd
popcn, fot
Appli.on or Agot Sigmlnrcl
,---ra d,J
*,"' t ZZ l'l
Appliances
lt4etal 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
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
FINAL Qlt alt I (DtvrpA re)
Notes, Remarks, Etc.,' r r r
n,,., ",.0.r- -?O5ol? ]L
CONSTRUC'I'ION LENDINC ACFNCY
I h@b' anim ndr penalryotpsJu., rh.l $6. is t coNruclhn lqdi.s aeocy for$c psfomocc ofrh.so for tiich lhi. pd,nn t
i':[:l]il::'- ('/r#o
Hood
at