HomeMy WebLinkAbout40432876 - Permit (2)Permit#: 4o432476 V
Pin #: 45E37
Proiect Address: 1538 E Seventeenth St Unit:
Block: NA
Btdg:
Tract: NA
Suite Range:
Zoning: C5Assessor'sParcel: 400-251-03
Trinidad Cisneros
1125 E Seventeenth Street, W-'17
Santa Ana, CA 92701
Feo Type
01116002 51604 Alter Vent Sys
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
43.62
22.O8
55.04
Qty
2.OO
1.00
1.00
Contractor
Address:
Owner-Builder
Phone t/l,t/2019 ID: o
'onsi: IRefi: {043- !!/11/2015 t2.State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
,Lol
lt
JpdBte Fe€
0(r00tj-
r60{00u-
10?8
Building Use:
Job Type:
Nature of Work
Commercial
Alteration
lnterior demo - n/v
Occupancy:
Constr Type
Code:
B
VB
cMc 20.t6 Notes Non-structural demo of all interior walls/ceilings
(complete gut of offices,/restrooms) on the 1st & 2nd
floors,5800sf. Letter of auth on file. Fees charged are
to demo all mechanical.Planning Conditions: lnterior demo only
Planning Approval By:Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
msden, Julie 1111412018
Account#
Buildins Permit #: 10498362
Every petmil issued shall becoma invdlid unle$ the wotk on the site
authotized by such pefinit is commenced within 1 80 days after its
issuance, or it the wo* authotized on the site by such permit is suspended
ot abandoned for a pedod of180 days aftet the time the wofu is
commenced-
$164.36
$0.00
$164.36
lnspector MID#: 2018-147302
01116002 51600
01116002 51604
$22.08
$142.28
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: O14) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (7141647-5853
Lot: NA
Address Range:
Historic: No
Owner:
Address:
Phone:
Tenant Name:
Fee
$87 .24
$22.08
$55.04
NOTTCE OF V!O[-AT!ON
Fee Total:
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECORD
APPHOVALS DATE ID/SIG.COMMENTS trlvNnll BULDUll Dt),caRAT()N
I hcr.ht llrnn' rn,l(r Ilrfuht ol p.rjory rhri Irnorcnrd lion rh. (,nrr crnf l-icc rc law hrrhc nilbwins.cr{ rscc70ll5.
Btr\n(\\ rxl Profcs\nr Co(lr)r iy Cnt or Coxhry ahi.h tuqtrrcr r IbN n) c.n!ru.t. rllcr. nnlnnc, dcnvni\h or rc,nn nny
n'!rror., !flor r, i\ i\$riec, rlso rcquircsrlr rpflrntrr tor \u.h tcrnrirtu illc a ngncd {lrdNnr ihrr h:or nr i\ li.rtr{d Nr.un';
ki rhc prcvi\i,,n\ ol rhe C.ntrrr(tr'\ t-itn\rd ljw (Chrtrrr 9. Cotrn cnclng qnh Sc.rio. 7(lxr ol Divnnnr I ol rhc tlu\i',cs ind .
/liirt,..,nrr,,"muur.ut.r.r.rnrJFl,(rnrrni.tr'lncn.,lrirlr{nnr(rr.'l churr' .t,llJ'.'1:o"
Q) ,:..,,,.n,,*,,.,,,,,,r.,,,n,,,,..,*,,n*,r".,,.rh.nn,tu.o,rrrrnttrr.wirdorh.$orkmdrhc(Br,trci\nor
inc..|.d or or.rcd ftr sL (Se.7044. Ausin6s .nd Pmf.ssbn. Codci Thc Oo .ftroas Lietr* L.w dcs nor q,ply Io owmr of
rhc nqEry shd hildr or iqrcE dEE.. dn who dc ckt w!* hims.lf or ltRlfor llmlsh nis o, hd owo .,ployss.
providcd rh.r such nnprokm s c nor hrcnded or otu for sL, lf. lbu.Er, fte hualdin8 or irpsEm.l h $ld ehhin onc ,Es
6f@rmLtio!. {E O*M Boiltr will hlrc tlx tuda ofFovi.e 0d hc d dE dil ml hil tr inprDE dE |'tliny fot dE pupo$ of
_1. sr o*m, of rhc l)tul.ny, am .rclusiRly con[scrin8 wnh li.cnscd contncr.r ro onsrtucr rh. ptoif,r (S&. 7044. Bu\ir{e
Md Profssitr Codc Tnc Contmctol s Liccn* l"a* docs nor Drrly lo un oon.r ol lrcpcny who builds or impovcs lhcrcofl,
rnd *h. $rrrdcrs for iuch ltr+.k wirha 9li.cn$d txnu0hr b rhcCont.clois Licensc L3N).
DECI.AMIION
I hcrcby afirn uMcr ,.mlly of p.rjury om of lhc follo*ing dcclellions:
I hrrc md sill nri'nrhnCcdill.rtcol C.n\rtrrlo S.lilr\urc lur Lc rkcF coarn.nsri,,n. J\ pnrvid.dturbySccrro..l7(xrolrhc
Lrkn Cldc. f(trrtu FnnnnM.c ollfu work iir whi.h thc ltnnir i\ isskd
-l h.E and will msinloin wo&cu Nmpensalhn insrrsrce. s rcquircn B S.crion 1700 orlh. Llhor Codc. for lh. pcafmrce of
thc Nork for *hich $n pmil is k$cd. My vortes smpcnstrlion inslnftc ceicr drd polky nomb.r ael
P.li.vx mlE: Erdl,..
-l
cdiry fiar in rhc p..fornErc of lhc wort for whichrhk pcmil n hslcd,l rnD! ndr.ntloy dny FNn in lny mmmr
s &sro t$om subicr lo rhc wolt6 orpcnslridn hws ofcdiaomid, add aSEc rhlt if I snout tE om subjNl lo thc
wo cs o'npensariotr pNvisionr.r S.dio. 1700.r rh. l-rh.r Gdq I shall. ibnh*ith omply eith ltFrc pmrisionr
WARNNG: FailuE b surc *orke^ omrEnstio c.vcFsc is lnlastul. n.d shall subF.i m .mllortr lo aiminal Il.eltis aftd
civil fincs up lo om hutrdrcd lhousnd dollus (5100
Ss_rion 1016 ol rhc Lltor Con€. i.rcred snd afloftr\
o rh..6i orcomr.relion, da'Egcs as providcd for rhe
6
uc}:lsEutoNrBrttlln
DErlA.U IA!
I h.rhlalllr und.r lcnrkyofpcrjuryrhd Iinr lir.{d urdfi lmvirion olChilncr g (conrmrcing qirh Sccrion T[XX)) dfOirilon.l
of rh. Bu\im$and PdisnnrCodc, rxl my licn\r i\ i full tnr.r i'kltflc.r.
l,i.cn\c CIJ\S LNnlc Nutr$rr
I)Bte Conlrs.lor
COXiIf,UCIITNIENDINGIGENq
I hcreby aflirm undcr Fnoh, of pcdury thar rh.rc h a .onsrGrion hoding .8cncy aor lhc pcrfortuncc of rhc work for shich tht lxmil i!
Gsucd lse. .t(]97- Civ. C.)
APIJ.ICANLIIECI,AMIIO!
I h'rny Iimundcr |xfuhy orp.rjDry onc oithc lol,owinS d(lr,rions:
DcnDlirion Pcrnis.Ash.(os Norili.urnD rtdcftlRcsuhlions (lirlc 40. Pa 6)
-Rcqutcd
l,crrc. ot Norifi.ari,tr'
mllt wirh nllCiryand Counr,
nhrvr ir ri,tri.d tmprny i(tr
Atllicanl or Agcnt SiSmrurc
Cny dd Couoryro cnls ulbn rh.
Appliances
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
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.
Final Tesl
Meter Release
FINAL vn '/// a*rydl
Notes, Remarks, Etc.
Metal Fire Place
"""12./472
:
----f--
II
t-
=