HomeMy WebLinkAbout40132119 - Permit (2),l City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #: 4lJ13,2'119
Pin #: 81491lnspection Requests: (7'14) 667-2738 lnspector Section: (714\ 647-5853
Proiect Address: 3233 W Harvard St Unit:
Block: NA
Bldg:
Tract: 3236
Address Range:
Historic: No
Suite Range:
Zoning: Ml
q
Assessor'sParcel: 408-141-01 Lot: 3
Owner:
Address
Oavid Mersereau
3233 W Harvard St
Santa Ana, CA 927043917
(206) 794-1180
Orchid MPS
01116002 51604
01116002 51604
01116002 51600
01116002 51604
Fee Type
Bathroom Fan
Min Fee Adj
General Plan Update
lssuance
Amount
29.38
1'1.88
21.25
52.98
Qty
2.00
'1.00
1.00
't.00
Fee
$58.76
$11.88
$21 .25
$52.98
Phone:
Tenant Name:
Contractor:
Address:
xpress License Schools lnd
500 Bencamp Street
San Gabriel, CA 91776
(626) s51.8112
State Lic #: 1028785
Lic Type: B
Bus. Lic #: 368742
workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9222854
Expires: 1211512018
Building Use:
Job Type:
Nalure of Work
lndustrial
Tenant lmprovement
Upgrade Restrooms
Occupancy:
Constr Type
Code:
Notes
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
ernandez, Kathy
Date
Date
Date 0st2112018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buitdins Permit #: 10195178
Every pennit issued shall become invalid unless the wo* on lhe site
authotized by such pennit is commenced within 1 80 days after its
issuance, ot if the wo* authoized on the site by such pemit is suspended
ot dbandoned tor a peiod of 180 days aftet the time the wotu is
comnenced.
$144.87
$0.00
$1,14.87
lnspector MID#: 2017-140657
011 16002 5'1600
01116002 51604
Fee Total:
Paid to Date:
Balance Due:
Phonel
efl[,:h+:43ggl - :
0lf ire: (:TYH I
C!. I l rrll, 'n Aaitol
;enen(ll Plon upddt
rl I I lnnr- Ct iifll0r'
llechon i,:qI
f-t11 16r:rtrl- 5,4tI-
B
V B, SPK
cMc 2016
$21.2s
$123.62
APPROVALS DATE ID/SIG.
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Igilet Room / Clothes Dryer s-z[-/r tr.Wjol
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Rough Mech.
Final Test
Meter Release A
FINAL r.ro,tb z 7t*+t ,3<!
Notes, Remarks, Etc.
MECHANICAL.INSPECTOR RECORD
OT NEA AUILDER DEL(NRATION
I hcrcby lmrn lndd I'cnlhy of l,cr.iury rhlr I m .r.n$ frcnr thc Conrr..lm Lian* L!* for rlE followitrB M$i (S...7011t
Busimr! un<! Piolcsion Codc): Ary Ciry or Colnry whi.h rcquircs ! rEmit lo consrtu r. 8lrd, in\mw. &elirh or qun dy
slruclw. prbr b ns hsu cc, rl$ rcqunca lhc agpli.rir lor iuch pcrnir ro nh r sigGd sr,lcmnt $ai lE or sh. b lirnpd pursuui
ro lhe rotisions of r C.nra.rois Liccnsd lr{ tchErcr 9, Commncins snh Sedion 7000 of Dilisioo I of rhc Burincsr and
Pmlcasions Codc) o. rhll lr or *hc ii .x.q,t ftcdbn x.d rhc t{sis for rh4 lllcged crcmflion. An, violflioo ot s.oh. 70l l.5 by.ry
appliclnl ior !pcrnil subj.rls llE rrpli.antlorcivilp.naltyofnormr.lh fiv. hundEd doller (3500).
-1.
&\ ownr or ttE piDpcny. o, n, cr{rlorrcs wnh wag.s &i rlEn eb comFBdion, wiu .lo the w6t aid dE surEiw i! ml
intcndcd or ofie6d for eh (5(.7044. Blsimss and Pmfc$ions Codc TIE ConlEcltr's Li..nsc l,w docs nol al,ply to an owr of
ltu pmpny who blilti or iiy'mks tlE6n, 3d who &Es rch slk himsclf or hs*laor $eugh hh or h$ ow. enplorrB,
trovidcd thar slch impmwnls m ml inrcn&d trofrd.d ror sh It how.B.lhe hoildin8 or i,pmwEnl h sld *idin orc }le
ofcoophio[ rlE Oee, 8!ild6 will haw 0E h!ib. 6f Flving rhd lE oBlE dij m| taild or h!rcr [E pFtfiy lo dE p!4b* ol
-1,
{sowffiofih. pmFnr. m.rclusivcly.onr&ring sirh lian*d.onraro6 ro onnod E,rej.cl (Se.7014, Burirc$
and hnfssi.n Codc: ThcConx&roas Li.cnrc Ii{ dGs ror apllyro an osn6 ofpropcdywno buildsor imporc. rh(co..
snd who onhcls aor such pmicls wilh r Conlfldons) Iftnsc{ l)unulnl to lhe Conhctol! Lims trw)
uof,f,E8s:cQMPjlsarlott
PECI,TAAIIIIN
I hcrcby aftirm undcr pctr.lty.l pcrjury orc orlhc folbwi,E delarclions:
l-rhtr ( dlc, nrrhc t^-rhirnnic. of rhc sork nn trhirh rhc lcnnn i\ t\ucJ
-l
bavcund will m,inluin worlc6 conlpcn\lriniasu,ah-^c.rs,cquns]sySdion:l7ll()orrhcl,b.rCodc,forrhcttjrrormnccot
rhr Norl ro *hictliispcrmir is isled niy sorkcs @hpenqtion irsuruncc cnrtr and Plicy huohc. dc:
I,(,li.y Nur$cr: Exp
_l ccniti rhnr in rlE Frforturc. orth. work for whici rtis pcrmir is h$cd. I rhall nor.rq,loydny I'cr$! i. an, mntr
v, &s lo txsB suhtrl lo lrE wo*s{ ohl,.nelhn lavs or Calilomi!, lnd .88 rh.t if I slnuld tEcom sobrcl lo lL
wo*cr'omtcnsolionl,ovisioNofSclionlT00ofth.tjtxrCod!,lslEll.fodhwnhomplywhhlhspmvisions..
WARNINC. F0ilu,c r. surc *itrkc* .o'rycniiri(,n covcogc i\ tnla*tu1. md shrlr \ub,*r nn .nrplo)$ ro nlnriml !...lths and
.ivil fi cs ut ro oM hurdrcd rhouqnd dolh^ ($l(x),Ixx]) ir/.i{ilr,n h, rhc (,N or..nrFnqrr'nn, driugcs n\ noridcd ior lhc
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*
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,,a* n,rtir a,rnr*a'r,r* '
DECLAA.A.IIO
or rh. h'\i',cs r Pdus\tnrcodc. nnJ trrv lic.n\c i\ i'r hlll,r(c rn.lrrricr
,r", (
ralslf,lEllaN.LljlDlx(i-a{i.ENcr
lltrbyrllirmund.rp.n,lryufFrjuryth.'rhLrci\r.uniru.rtunkndingdSctuyrorrhcprrfomsnccoflhcsortntrshichlhta.oiris
i(sr.d lsc. :1(197, Civ. C )
A8I].ICANLDEII,AEAIIAN
Ilxrhy nmuMcrpctr!hyolpcrjuryon.otlhclollowirSd(lamrions:
Dcmnili,'n Pcrmils A\lE(os NorifEation LdcrnlRcEulation\ (.| nlc 40. Pfi6)
-R.quncd
ktrc. rt N.tiftrlrion
I.cnifyrlrarrhrlidcfulREuLrnrNNgrdin8Nh.iosrcnxrMlrrc iorloplicibl.brhi\fl,1..r
_l ccnily Ihat I holc rcad rhh alplication srrl srorc rhot rhc dnlc inrbrnmrion h cord.I aeN rocomplyqirh rll Ciry anrl Coun'y
o^linln .s a.d srarc kw. Ehrin! ro bu
ohov.
'mntiomd
pmlcny lo. irsF.lion
Apt'li.unt o. AE€nl SiBnrlu,c K
r.soflhisCily d Cou y lo .nl6 upon dE
_^,", {/-,(rtr
COMMENTS
Above T-Bar
I lmcicmDt undcr S(uon .8 &PC lorrhhEa{n.
D.le Orn.r:
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