HomeMy WebLinkAbout40130730 - Permit\
City of Santa Ana
Permit Counter: (714) 647-5800
I
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
lnspection Requests: (7 14) 667-2738 lnspector Section. (7 14) 647-5853 fl Permit #t 4O13O73O
Pin #: 65121
Project Address: 1665 N Sycamore St
Assessor'sParcel: 005-153-19 Lot:
Unit:
Block:NA
Bldg: 1
Tract: NA
Address Range: Bldg 1&2
Historic: No
Suite Range:
Zoning
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
EN OSTENDO HOLOING CORP
3 PARK PLZ gTH
lrvine, CA 926148505
Westport Construction lnc.
125 W.Maple Avenue
Monrovia, CA 91016
(6261447-2448
01116002 51604
01116002 51604
01 1 1 6002 51 604
01116002 51604
01116002 51604
01 1 16002 53603
01116002 51600
01 1 16002 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
Qty
14.00
14.00
7.00
7.00
10.00
2,765.51
1.00
1.00
Fee
$1 ,215.48
$411.32
$217.70
$382.69
$631.20
$1,797.58
$21.2s
$52.98
$?1.25
32 r911 . 37
tin:,rte.ss
State Lic #: 712732
Lic Type: B
Bus. Lic #: 12345
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Co.
Policy #: 2600015708
Expires: '1110112017
Eqtcht:39556 - 7/26/2ttl7 l0! LRoSALES
tlf'f ice: CTYH Tronsi: 59 4 of 12Acct,i: Ref *: {tr138730
F:,:pbi:01?5892{ - 7/26/2fr17 1!52 PII
lrtrnsoct ion Totol 11031515.35
Llesbport Construction Inc.
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 unl Occupancy:
New Constr Type
Townhomes-Building 1 Code:
R-2
V B, SPK
cMc 2013
{i*rrerol Plon Updote Fee
rt1 116002- 51600000-
Electn icol
r-t I t 16(t02- 516030t'0-It:L Check 0fl1:100r1203
CSG Consultants
Link, Patricia
04t17t2017
07t26t2017
Account#
Misc. Receipt: 69004
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Date:
Date:
Date:
011't6002 51600
011't6002 5't604
$21.25
$2,911.37
$4,730.20
$1,797.58
$2,932.62
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days afier its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2016-133706
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork 18-ta Lc?-1
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
fype I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.#IH
Final Test
Meter Release
FINAL {-Ra)l?,€t< t )otlB ( z-t7
Notes, Remarks, Etc.
_1, n oms of thc prop€rty. or my employe with wag6 s thcir sle compemation. will do the work md the struclue is not
int@dol or offqcd for slc (56.7044, Busin* md hof*ioN Code: The Contractor's Licme law do6 not apply to o owns of
the propqty who builds or imprcrc thqorl. md who dm such rcrl himself or hmlf or thrcugh his or ha om mployc.
providcd that such improv@ts m rct iolqdod or offqed for sle. lf, howryq. thc building or inFovcmt is sH within one )q
ofcompleion, thc Owno Buildq will havc thc hrdq ofproving lhd hc or she did not build or imprcve the prcpqly br thc purpoe of
salc).
_1. o orvns of thc prcpety, m exclusivcly contracting with licGed contractoBto coNtruct the project (Sc. 7044. BBins
md Proftsion Code: The Contractor's License Law do6 not apply to il ownq ofprop(rty who builds or improvc thsmn.
and rvho contncls for such projsrs with I Contmcto(s) licmed pmwl to the Contractor's Licffi Law).
I en e\crnpl under sccli(rn for this re6on.
I hoeby aflim unde penalty ofpojury onc ofthe following
_l havc md will maintain a Ccrtificatc of CoNot to Self-lNurc for workas' comproation, o provided for by Setion 3700 of thc
Lrbor Codc, for thc pEfotlrucc of thc wort for which the psnit b issucd.
_l have and will maintain rvorkos' comperoation iNurancc. a requircd by Sction 3700 of thc Labor Codc. for the pqfomuce of
thc work for which thi! pflnil ir bsued. My workm' compwtion imurmcc cuiq od policy numbs se:
c*:*,ZldeSl /U,o.kona l Tnsvrar<c- oo.
poricyNumb': ? bOoO I s1o?lLrl ,,or*, llltltT
-l
ceniry thal in the pqfomance of the rvork for which this psmit is issued. I shall not
m uto become subjet to the work6'comp$ation laws of Califomia and agree lhat if I
otploy any pmon in any mmner
should become subjat to thc
work6' compcrution prcvisios of Setion 3700 of thc t bor Codq I shall, forthwith comply with thoe prcvisioru..
\ilARNING: Failure to suc worke' compcroation covoagc is unlawful, md shall subjct m oploye to qimioal pqdti€s ed
civil fmo up to one hundrcd thoMd dollm ($100.000). in addition to thc cost of compemlion, daroge as provided for thc
SBtion 3076 of thc l"rbor Codc hlq6t md sdtomey's fG.
DI]CTltRA'I'ION
I hueby aflim under psalty of pejury that I an liccnsed undo provision ofChapltr 9 (comnrencing rvith Selion 7000) of Division 3
of the Business and Profosions Code. od my licerse is in full forcc md eff(tl.
Liccmc
Drte:
I hoeby affim undo penalty of pqjury thal th6e is a construction lending agocy for the pdfommcc of the work for which this p6mit is
issued (Sc. 3097, Civ. C.).
Lendq's Nmc:
tgrder's Addre:
AEPJ.ICANLDECI.ABAIION
I hatby atrrn uctcr pcnalty of pajury onc of thc following dclamtioDs:
Danolitioo PmitgAsb6tor Notificrrion Fed@l Rcgularione (Thlc 40. Put6)
-Rcquirod
trttq of Nolificalion
_l cqtify thst the fedoal rcgulatiore regrding 6b6tos r@oval tre not applicablc to this project.
-l
cgliry that I havc @d this application od slatethat the above infomation is corst. I agre to comply with all City and County
ordinoco ud Slatc kws rclating to building conslructio& ild hseby aulhorize reprGotalivG of lhis City ild CounIy ro at6 ufpn the
above motioned pmpcny for iGpedion purpos6.
Applicot or Agmt
Pmnite nanc
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MECHANICAL-INSPECTOR RECORD ,O
I
Ir
OWNER BUILDER DELCARATION
I hocby affim unda pcnalty of po-jury thar I m cxcmpt ftam thc CootractoB' Licruc taw for thc following
Buincs and Prof*ion Codc): Any City or Couty which rcqufs a pornh to constsct, alt6. improvc, danolish or
structua prior to its irsumce. also rcquirc thc spplicet for such pcmit to filc a siSncd ststmat thar h€ or she b liccoscd
Professions Code) or lhat hc or she is crcmpt thseftom md lhe beis for the alleged cxmption.
applicant for a pmit subjets the applicant to a civil pcnalty of not morc thm five hundred dollus ($500).
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