HomeMy WebLinkAbout40130731 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 1 4) 667 -27 38 lnspector Section: (7 1 4) 647 -5853
Mechanical Permit #:4O13O73{
Pin #: 35894
Project Address: 1665 N Sycamore St
Assessor'sParcel: 005-153-09 Lot:
Unit:
Block: NA
Bldg: 2
Tract: NA
Address Range: Bldgs 1&2
Historic: No
Suite Range:
Zoning
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
EN OSTENDO HOLDING CORP
3 PARK PLZ gTH
lrvine, CA 926148505
Westport Construction I nc.
125 W.Maple Avenue
Monrovia, CA 9'1016
(6261 447-2448
01116002 51604
01116002 51604
01116002 51604
01116002 51604
01 't 1 6002 51604
01116002 53603
01 1 16002 51600
01 1 't 6002 51604
Fee Type
Heat Pump
Bathroom Fan
Range Fan
Fan Coil
Fire Damper
PIC - 650/o
General Plan Update
lssuance
Amount
86.82
29.38
31.10
54.67
63.12
0.65
21.25
52.98
Qry
6.00
3.00
3.00
3.00
6.00
1,204.65
1.00
1.00
Fee
$520.92
$88.14
$93.30
$164.01
$378.72
$783.02
$21.25
$52.98
t21. :iz5
t1r298.l-t7
tir.rs, rre . ss
State Lic #: 712732
Lic Type: B
Bus. Lic #: 12345
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Co.
Policy #: 7600015708
Expires: 1'll01l2017
Ettl;,:h*:39556 - 7/2&/2017 I0: LRosAL
Ofi icel CTYH Trons*: 55 $ ofAc(t+: Refi: 1013fi731
Iicpti:01958928' 7/26/?tJt7 l:52 PH'fransoction lotol f103r51S.3
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
New ConstrTYPe:
Townhomes-Building 2 Code:
R-2
V B, SPK
cMc 2013
Lport Construction Inc
Gerrerol Plan Updste Fee
rl t16002- 51600000-
llechon icslll I l6(102- 51604utr0-
It:L Check 0001100203
CSG Consultants
Link, Patricia
04t17t2017
07126t2017
Account#
Misc. Receipt: 69004
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Date:
Date:
Date:
01 1 16002 51600
01 1 16002 51604
$21.25
$1,298.07
$2,102.34
$783.02
$1,319.32
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authoized on the site by such permit ls suspended
or abandoned for a peiod of 1 80 days after the time the wo* is
commenced.
lnspector MID#: 2016-133708
a
Fee Total:
Paid to Date:
Balance Due:
OWNER BUILDER Df, LCARATION
I heeby affm undo poalty of pcrjury that I m cxmpt fiom thc Contracto6' Lic@ Law for the following l@n (Sd.7031.5
Buias and Profsion Codc): Any City or County which rcquirG a psmit to construcl. alta. improve dcmolish or rcpeir my
structuq prior ro hs issumcc. also require thc applicdt for such pmit to ftle a signcd statm@t thal hc or shc is licoscd punuut
to thc fovisioru of thc Contractor's Licoscd trw (Ch8pt6 9. Comencing wilh Sfttion 7000 of Division 3 of thc Bwincs and
ProfessiomCodc)orthathcorshciscxcmptthscfrommdthebasisfortheallegcdexmption. AnyviolationofScrrionT03l.5byany
applicant for a pmit subjfrts thc applicmt to a civil pcnalty of not more thu fivc hundred dollus ($500).
_1, re oms of the prcpcny, or my employe with waga a their sle compffialion, will do thc work ud thc structuc is not
intodcd or olTqcd for $lc (5€.7044. Businos md hofasioro Codc: Thc Contractor's Licm. L€w do6 not apply to d omq of
the propsly who builds or impove th@n. md who do6 such work himself or hmelf or thrcugh tis or ha own cmployco,
provided that such itnprovmts rc mt intodcd or ofTqcd for sle. lf. howwo. the tuilding or imlrcvoot is sld whhin onc )q
ofcomplction. the Owna Builds will havc thc budco ofproviru thd he or she did oot huild or improvc thc pmpo'ty for thc purpos of
sle).
_1, o ounq of thc propsty. m exclusivcly contracting with licffi€d contactoG to coEtruct lhc poj6l (Sc. 7044. Bsins
md Prokbn Codc: Thc Contmclor's Licssc Law doe not apply to u own6 of propcrty who builds or improvB thtron.
and who conttacls for such projcls with a Contmcto(s) licsed pE@t to the Contrsctor's LiccM lrw).
_l have md will mainlain a Certilicate of Consent to Sclf-lnsure for Norkqs' compmsation. a provided for by Sslion -1700 of the
Labor Code. for the peftrnnoce of thc rvork for rvhich the pmit is isued.
I have and will naintoin rvorken' compensalion insurance. as required by Srction 3700 ofthe t,abor Code. for the prforuance of
the work for rvhich this pemit is issued. My workos' conrpcnsation insurance canier md policy numbe ae:
Policy
_l certiry that in thc poformce of the work for which this psmit is issucd. I shall not mploy eny person in any mmno
rc m to become subjct lo thc work6' compcnstion laws of Califomia. od agE that if I should b.comc subjsl to lhe
workm' compc$ation prcvisioB of Sc<lion 3700 of thc Lsbor Code I shall. fonhwith comply with tho$ prcvisioN..
WARNING: Failurc to suc mrk6' compcrualion cov@ge is unlawful. md shall subjd u mploys to qiminal pernltis md
civil fina up to onc hundred thoMd dollm ($100.000), in addition to the cost of compcmtion, damaga u provided for thc
Setion 3076 of thc Labor Codc int6€t md attomcy's fe.
I hwby affm undo pcnalty of pcrjury that I m licoscd undq 9 (comocing rvith Setion 7000) of Division 3
of thc Buins md Prcfcssioro Code, md my licw is in fult forco 8nd effet.
r,*r.,, ?L,OCO15?O?llot e-nr,*, ll/ r/ r-l
Liceree
Applicdr or Agflt
Pfinite nane
_Licmc Number: 717--, aL
( onlraclor:
aeL
..n.r*I,*zur*o"^."
I hereby aflirrn undo poally ofperjury that thtre is a construction lending agmcy for the pqfonnmce ofthc rvork lor rvhich this pcnnit is
issued (Sec. 3097. Civ. C.).
Lendcr's Nanre:
landq's Ad&m:
APPLTCANT DECLARATION
I hetby aIEm u ndq penalty o f psj ury one o f the fo I lowing de laat ions:
Demolition Pmirs-Asb6tos Notificalion Fedgal ReSulalions (Title 40. Pd6)
-Rquired
Lf,tlq of Nolification
-l
cqtiry that thc lidoal rcgulatioro rcgarding mbctos rmoval rc not pplicable to this prcjcr.
-t
cqriry thd I havc red this applicstion dd statc thd the abovc bformation is corcct. I agr to @mply with all City md County
ordimcB dd Statc lrw rclating to building coNiructioD" dd hqcby adhorizc rcFe@tEtivc of this City md County to 6t6 upon thc
above motioncd propcny for
"",, 1 lzL l11
APPROVALS DATE ID/SIG.COMMENTS
Appliances
I\Ietal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork q-- J-l'l {Lczl
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release - --'t
FINAL 54r /L(a|t ve-71# a /
Notes, Remarks, Etc.
MECHANICAL.INSPECTOR RECORD
I m cxmd ud6 S6tion
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