HomeMy WebLinkAbout40130135 - PermitCity of Santa Ana
Permit Counter: (714) 647_5il00
20 Civic Center plaza (M_1g), Santa Ana, CA 92702 Mechanical
lnspector Section: (214) 642-5g53
-^/Permit #: 4Oi3O{35
Pin #: gSt2T
Assessor's parcel: 430-221-13
Project Address:1951 E Dyer Rd
Lot:
Heritage Viilage OC LLC
450 Newport Center Dr #5S0
Newport Beach, CA 92660
(949) 706-8487
Alliance Residential Builden
450 Newport Center Dr #5S0xewport Beach, CA 92660(949) 706-8460
897318
B
362720
Other
New
lnspection Requests: (T 1 4) 667_27 3g
Unit:
Block:
Btdg:
Tract:
Address Range: 19Sl-2OOl g Suite Range:
Dyer RdHistoric: No -
Owner:
Address:
Phone:
Tenant Name:
Contracior;
Address:
Phone:
state Lic #:
Lic Type:
Bus. Lic #:
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
subject to Fietd;
Zoning.
Fee Type
01116002 51604 Heat pump
0't 116002 51604 Ctothes Dryer _ Residen
01116002 51604 Bathroom Fan
01 1 16002 51604 Range Fan
01116002 81604 Vent Fan/Comm
01116002 51604 Fan Coit
01116002 51604 Fire Damper
0111600253603 P/C_65%
01116002 51600 General plan Update
01'l 16002 51604 lssuance
Amount
86.82
38.83
29.38
31.10
41.99
u.67
63.12
0.65
21.25
52.98
aty
335.00
335.00
335.00
64.00
50.00
335.00
167.00
82,123.60
1.00
1.00
Fee
$29,084.7e
$13,008.05
$9,842.30
$1,990.40
$2,099.50
818,314.45
i10,541.O4
$s3,380.34
$21.25
$52.98
Workers' Compensation lnsurance;uarner: Travelers property Casualty Company of AmericaPolicy #: TRJUB4245BI87Expires: Ogt1Sl2O17
Occupancy:
Constr Type
Code;
R-2
IIIA, SPK
cMC 2013 Notes: fees pd on M_70S24
Apartments-Building A
West, Glen
Hernandez, Kathy
Date;
Date:
Date;
01124t2017
01125t2018
Account#
Misc. Receipt: 6g369
Misc. Receipt: 10524
Misc. Receipt:
Total: Buitdins permn #: 10190037
Every permit issued shall be-come invalid unless the work on the site?!!:!1?a oy.:uch permit is commencea witniirCo iiys aner its:j"#fr {:t,t7:;*H':ii;3t:;,zz::{:t#iriirii,:i^'t,,,*0,,commenced.
lnspector MID#: 2016_129gg0
Fee Total:
Paid to Date:
Balance Due:
$138,335.01
$138,335.01
$0.00
N/A - No Balance
MECHANICAL.!NSPECTOR R ECORD
APPROVALS DATE !D/SIG,COMMENTS
Appliances
lVetal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
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
Rouqh Mech.
FinalTest
Meter Release
F!NAL ?2€-?2 J*8iilD<b
Notes, Remarks, Etc.
otvNt;R Bt;lt,t)uR t)Il,( ARA'iloN
npl)licrrl li)r r Nnnil snhjccls lhc ll)plicnrl l(l a civil pcilillly ol'nol nx,rc lhrn livc huf(lrc(l (l()lhrs lS5lx))
l. xs otr ncr ol lhc Iroltily. or my cmployccs with wagcs as l hcit s()lc corrrpcil\ilt ion. will do t hc work lml thc slnrcturc i\ nol
lhcp[)pcrly whobuildsorimprovcstlrcKnr.rtrdwhodoc\suchurtrkhinl\clforhcr\cll()rlhrnrghhirorhrrowncrnpkrYccs.
snlc ).
-1.
as owncr of thc pmpcny. am exclusively contracting with licenscd conlraclon lo construct thc Fmject (Scc. 7(X4. Business
and ProfssirnCode:TheContractor'sLiccnsclrwd@snolspplylosnownerofpropcrtywhobuildsorimpmveslhcreoo.
and who contmcls for such projecls wilh a Contmcto(s) liccnsed pursuanl to thc Conlractor's Liccnsc Law).
-l
mexempt under Selion-, B. & P,C. for this rctmn.
lVORKERS' COTI PENSATION
DECLARA'TION
I hcrcby affirm undcr pnalty of perjury one of the following dcclarations:
_lhaveuxlwill mintainaCertificaleofConsnttoSclf-lnsurcforworkcrs'com;rcnration.&s pmvidcdforbySection3T0Oofthc
Labor Codc. for the lErformncc of the work for which lhe Fmit Ls issucd.
_l havc and will mainlain workcrs' comJrcnsalion insurarcc. os rcquired by Seclion 37fi) of thc talnr Code. for lhc fBforroncc of
lhc work for which lhis frcrmit is issucd. My workcrs' compcnsation insurarce caricr and F)licy numbcr ec:
Policv Numhcr: Exnires:
_l ccnify lhilt in thc pcrfortnance of thc work for which this pcrrnit is issucd. I shsll not employ any pcrson in any mrnncr
so as to hccom subject lo the workcrs' compcnsat ion laws of California. and agrcc thal if I should hccomc suhjcct to thc
workcrs'compcnsalionprovisionsofScction3T0OoflhcLahr(ode.lshall.forthwithcornplywilhlho$provisions..
WARNING: Failure to sccurc workers'comfEnsalkrn covcr8gc is ulhwt'ul. and shall subjccl an crnployer to oiminsl xn(t
civil tlnes up k)huilJrcd thr)usilrd d('llur\ ($llo.(xx)). itr bl cosl oI compcnsation.li)r lhc
Scclion 3076 of iflercst and atfurncy's fees.
I hcrcby aflirm under penally ofFrjury lhat I am prevision ol Chaptcr 9 (cornf,rcncin8 with Scction 7Um) of Divisk)n -l
of the Busincss and Profcssions Codc. and my torce and effcct rffi73r
Licensc
I hcrcby affirm urxlcr pnahy ofpcrjury thal lherc lcnding agcncy for lhc pcrformncc of thc work for which this Jrcmit is
issucd (Scc. 1097, Civ. C.).
kndcr's Namc:
Lndcr's Addrcss:
APPLICANT DECI ARA'NON
I lmhy allim undcr pcnalty of pcrjury onc ol lhc [ollowing dcclar{tt)ns:
Dcnn,lilion Pcrrrits-Asbeslos Nolificalion Fcdcral Rcgulati(nrs ('titlc 40, l'!46)
-Rcquircd
Lctter of Notification
_l ccrtify lhal lhc federalrcgulalions rcgarding astEstos rcnx)v{larc not applicablc to lhis pmjccl.
_l ccnify that I have rcad this application eKl stalc that thc rtnvc infomalk)n is wilh all City {nd Co!nty
ordiilanccs ilnd Stntc Laws rclating
above renlioned pmpcny for
Applicilnl or Agcilt
l)crilrilcc nnnrc
I
l)ntc:
anrl lo upon lhc
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