HomeMy WebLinkAbout40111088 - PermitfdFh'
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City of Santa Ana
20 Civic Center Plaza (M-'19), Santa Ana, CA92702
Mechanical Permit #: 4Ol t t 088
Permit Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 \N
Project Address: 4 E Hutton Center Dr Suite: 1050
BIock: NA
Suite Range:
Zoning: C2Assesso/sParcel: 411-092-30 Lot: NA
Foe Type
Alter Vent Sys
lssuance
Amount
'15.00
30.00
Qty
3.00
L00
Fee
$45.00
$30.00
Contractor
Address:
HlLBuilderslnc
l5l l2 Jackson St
Midway City, CA 92655
(714) 373-2366Phone:
State Lic #: 425119
Lic Type: B, HIC
Bus. Lic #: 0132428
Workers' Compensation lnsurance:Carrier: State Comp lns Fund
Policy #: 046-OtU00t t0B7
Expires: 1213112004
Building Use:
Type of Work:
Nature of Work
Commsrcial
Tenant lmprovement
TI
Constr Type
Occupancy:
Code:
I FR SPK
B
cMc 2001
Notes:
Planning Conditions:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Plan Checked By
Permil lssued By
Subject to Field:
Building Permit #
Hernandez, Kathy 01t1312004
\p | +a 5a\$75.00
$0.00
$7s.00
This permit shall expie by limitation and become null and void if the wo* authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authoized by this
permit is suspended or abandoned at any time after the wotk is commenced lor a peiod of 180 days.
Betore such work can be recommenced, a new permit shall be first obtained to do so.
Account #: 01 1-01-5915 lnspector
Bldg:
Tract: NA
Address Range:
Historic: No
Owner:
Address:
Phone:
Tonant Name:
CB Richard Ellis
2030 Main #230
lrvino, CA 92614
(949) 5s3-97s7
LandAmerica
Fee Total:
Paid to Date:
Balance Due:
!02 out:
I IUIALi
Planning Approval By:
MECHANICAL-INSPECTOR RECORD
DATE ID/SIG.Own.rBrildd Delrarid
I bftby .lfim undcr Frdty of pcrjur, ln.l I h dmpr fdm ir!. C6rrrd.rs' Li@. bw fs lt. foll@in8 lt&n Gd.?031 .5 BBinqr
dd Profsior Cod.)i Any Ciry d Couly which rcqliB r pmi b @Btrucl. Bllq, improv.. d.molirh tr Eplir ey ilrlclur., prid l., iti
isuecc. also rcqut6 lnc alpli@r ld !!ch parn lo fih t sitr.d lld.tMr lh.r hc o, !h. k li@is.d puBu&r to thc Provtid! of rh6
Conr'c'o* Lien&d L:w (Ch+16 9, Cml@cing wiin Seti@ 7000 of Divirim 3 of lhc Buin6 .nd P.ol6ic Cod.) 6 lh.l hc o,
sh. i5 .x.mfl d'q.fron ud $. b6ir fo 0'. .llc8.d .xnplid .Any violatio of S@tim 70r l 5 by dy rpplimt fq . ,.mit loblec d'c
applicar to a civil F .tt, of not n@ tnu ,lv. hu&cd dollu (1500).
_1, s own.r of tn. Fopcny. tr my .mploy.6 gidr wrg6 d tt.ir tol. .omp.nrarion, will & lllc work dd 0E suucrur. is not i .ndcd
or oll6.d fq s.lc ( 5&.704., Bsin6 e.l Proa6.i@r Cod. Th. Cont&tor's Li.ai. L.* d&s nol .pply to d oyn.r oa ln. ,ror.ny
who buil& or improve th.ffi, ud *ho do.' luch wqt hiftcll or fi6d4 a $roo8h his tr hd own .mtloy€i prorid.d thor suct
ihprov.tu.t dc nol inlddcd u off.Bd fortal..I( horcva. th. blildinSor improvmnr is rold within om y@ of @mphtion. fic
owi.GBuild., will havc th. budc, of povin8 thd h. q sh. nor build d ioprovc for thc prrros. of !alc)
1.6 oM.rof dr rrcp.ny, d dclaiyrly olBtin8 with lims.d @n!'etoE to coGhd rh. prj.d ( S.c. 7044. B6i.6s sd
Prol6io. Co<L Thc Cdlr&lort Lica* Lrw dc nol +dy ro owrd of prcp.ny who b!il& s iBFov6 thdm , 4d yho
conk4ts ror such prcj*Lt witt . Co.r&to(, limr.d plFuut ro tt. Coil'&lors Li..ni. L.* ).
I M aopt undd Sdioo ,1. & P.C fd $i5 ,!.m.
WORI<ERS COMPf, NSATION DECLARATION
, ha.by .tfm undn pcn.lry of pejury @c ot lhc follwirg rlccl6r.lin:
_l hav. dd will mainllin r Cdrificr. of Conrc.r lo S.lf.lnr@ fd w(t6 compd..rio, a provid.d fr by Seion 3700 oarh.
!.bd Codc, lo ln. p6fd1Me of 6. wo.t fn which ln. Fhit is ii5u.rl.
_l hav. ad willm.inlrin w6k6 compoB.tid insuMcc, a rqund by Sccion 1700 of lh. Labd Codq for tn. ,.rfomoc. ol $.
wor* for which thit p@it is is@d My wcl?R' cmpc.s.rion dorue cdir ed policy .umb., e.
Policy Nmb6:_ElpiBl
(ThL @rie r*n .o! b. @plac.l if $. ,mn ir fd Oi. lM.lrcd dolle {l l0o} 6 la)
_l c.niiylhat in (h. pafomMe of $. wort for ehich tlis p.dith issuc4 l ihsll nor mploy 4y p6on in dym n.r so s to
K-^\t
wARitING Failurc ro wurc sort6 Mpcmario
fin€s up to on. huidrcd $out&d doll6 (l100.000),ii
th. Labo, Codc. intddr sd du6cy i ac6
-
@vfi.sc I ohwful. hd rhdl iubJ*lh mdor/b ohr.l F.lr6 sd.'v,l
lldino to $. c6t of @mFrdrm, dm.s6 $ !'i!ri&d fd $. S*tin 1076 of
LICENSEO CONTRACTORS OECLARATION
I hr.by ailim u.d.r pd.lty olprjury tlat I d lic.n*d undd rrcvilio oaCh.9lr 9 (.mm!n.io8 wilh Scction 7000) olDvision I of
rh. Bu5in6 Dd Prcfsioni Codc. od my liee is in full fre Md.,Lcr
,"" \-\3O4
I nd.b, linm und.r p.ahy of p..Jrry lnat lha. h d conn,uclid tcnding agmcy fs ttq p.rfomrcc I *ort for which rhE p.mir it
isslcd (S@ 1097, Civ. C)
A?PLICA]IT'S DECLAR.ATION
D.molnion PmiB'Aibdos Nodfication F.d.6l RcSrl io.r (Till. 40, Pin 6)
_ R.qutcd Lar6 of Nodfi qrio
_l erdfy rhlr rh. f.dcr.l r.Suldohs rcSdding sb6t6 rmoval &. nor.r9lietl. ro lhis projer
_ I drfy that I h.vc r..d $t appli.rj@ md $ar. tlEr rh. !!ov. infomarion is c(m.r l.8re ro.omply wrrl ali Ci
ordin-6 od Star. L.es cl.ri.s 10 buildin8.orstrucrion, Md rcprcscnl ivd oa rhE Cny ed Coonly ro.ntd upon rhc
.boe. mcnrion.d prcpary
o
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
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.l-11 ,rtlt A4-,,?-
Final Test
Meter Release
FINAL 1.-,f=t q .*t- An-
APPROVALS COMMENTS
lnstallation
I
=