HomeMy WebLinkAbout40132977 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853 Pin #: 6{46 $
Proiect Address: 2301 N Tustin Ave
Assessor'sParcel: 396-141-01 Lot: NA
Unit:
Block: NA
Bldg: Address Range:
Tract A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
Owner:
Address:
Contractor
Address:
Amount
113.24
0.65
22.O8
55.04
Qty
5.00
566.20
'1.00
1.00
Fee
$566.20
$368.03
$22.08
$55.04
Phone
Tenant Name:
The Rego Group c/O cliffhaven compa
4340 Vo Karmen Ave #110
Newport Beach, CA 92660
(949) 705-0426
P R Construction lnc
1995 Batavia St
Santa Ana, CA 92865
17't41637-7844
Feo Type
01116002 51604 O/D Pkg H/C
0't116002 53603 PIC - 65%
0'1116002 5160C General Plan Update
01116002 51604 lssuance
Bql,:hi:49486 -
off i.e3 CTYH
Acct+:
ncpti;02i9911,{
Tronsact ion Tc
Phone
State Lic #: 573267
Lic Type: B, C-33
Bus. Lic #: 313645
Workers' Compensation lnsurance:
Carrier: Everest National lnsurance Company
Policy #: CAl0002583191
Expires: 0110112020
Building Use:
Job Type:
Nalure of Work:
Commercial
New
New Shell Building
Occupancy:
Constr Type:
Code:
B,M
VB
cMc 2016
Planning Conditions
Planning Approval By: Date:
Plan Checked By: CSG Consultants Date: O1l25l2O19
Permit lssued By: Zuniga, Allissa Date: 0412412019
Subiect to Field: Account#
Buildins Permit #: 1 0198638
Every pemit issued shall become invalid unless llle wor* on tlre sii-.
authorized by such pemit is commenced within 360 days after its
issuance, ot il the work authodzed on the sile by such permit is suspended
ot abandoned fot a period of360 days after the time the wo* is
commenced.
01 116002 51600
Misc. Receiptr 71949
Misc. Receipt:
Misc. Receipt:
Total
s22.08
$621.24
$1,011 .35
$368.03
$643.32
lnspector MID#: 2017-1398'16
01 '116002 51604
Permit #: 4()132977
6enernl Fln
011160U2- 5
llErhon ic(ll
rl11t6g02- 5
ICL Check
li
Notes:
Fee Total
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECORD
DATE IDiSIG.COMMENTS OWNER BUTLDER DELCARATION
I hftby affrm undd p6ahy ol pdjury th l m qchpt frlm rh. Con$acloR Li.ds Lae lor thc lollowine rce! (Ser 7031,5
Brsin6s md Profsion Cod.)r Any Cily o. Cou$y which rcquirG a Fnil lo .oBlrucl, ,llq, improvq damolish or Epan ey
sttucluc, p.ior to irs isuMc., .lso requic lhe applicad for such Ff,ril lo fil€ a sttud stdrddt rhd he or shc b lictucd pcuirn
to rh. Foli5ioB ofrh. Coalrsclois Lic.n*d Llw (Ch.pie I, Co@@cing wit Sdrion 7000 ol Division 3 ofthe BNinds &d
PDf.sions Cod.) or rhal he or shc b €xmd lhdeion.nd fi6 b6ie for rh. allcscd cxdpdon. Any violalion of S6tio! 7031,5 by ey
applic@i for ! Fflnil subjdis lh. appLi@r to a civil p@aty ofnor norc ln& iv. hu.dr.d dollG ($500).
-I.
d osd ofrhe p6perty, or
'ny
€nplorB wilh was6 a rhen sb cotopdaaion. vill do th. wort a4d fic nructrc is .ol
inlod.d or o fI6cd fo. slc (S-.r044. B6inGs ed Pof.ssioB Cod.: Th. Conlr0ciols Li.o* Lrw doe nol apply lo m omd of
th.p,Dp6ly rvho hrilds or inp,ov6 rh@n. dd who do6 su.h wrt( hins€ll or n6ell or lneust his or ho oM oploy.c,
provid.d rhat su€h imprcvmols m nol inlsxt€d u olIqd tur sL. lf, how6, thc buildinr or inptomat ie $ld wilhin one )@
olcorykrion, lh. Otrnn Brildd will lBw lt. hdo of prcvi,! $d hc or sh. did nol btrild d imprcw th. Frpary tur lhc purpoE of
I. a omr oathc prop€ny, an €xclnsively contraclinS wilh lic.ru.d co.trcloE lo conslru.l the pmj6t (S(. ?044. B6in6
ed Proftssion Codc: The conlr.crol s Liccnsc Law do* .ot apply ro & owrd olprop(ly who build! or inprov* lhro4
and who o,nmds lor suct projeG with a C.nir?do(s) Ltdcd pGuMl ro rhe Contracror's Licds. Lsw).
_l m cxmrt @dd Setion . B. & P.C. forrLi! l@$o.
Drr.:_ Ond6:_
WORI(ERS' COIIPENSATION
DECITEAIION
I idely aflim !.do Fnalry ollsjliy olc ofthc lollowiie dcleaioB:
_I h.ve dd wi I I naintai. a C.ni fical e of Co nsdr to Sell- Insurc fo. workeB conrp.Nalion, a prolid.d for by S el ion 3 700 o I lh.
Libor Cndc forlheprlom ccof thervort for which dre pmil is isucd
I ha!. md will nai6rai. work..s co,np@alion i6dance, a reqrned by S(rion 3700 of lh. tjhor Codc. lor lh€ psfomdce of
th. work tor which this pmir i! islued. My wortm codp@erio, iEuoc€ cdie dd policy nmbs m.i
Policy Nmba: Eipir€
I c€rlify thal ir {h. psfornMc. ofthcwork for $'hich this lnnn is issu.d.I sh,ll nol mploy any pmn h any nund
$ 6 to b€.o@ subjd lo rhc srtd' eop..srion las ofcalilomia, dd agrc rhd ifl should bdomc ,ubj4r to rt
wort6' .onp.Mlion pbvisiod ofsdtion 3700 ol th. L.bor Codq I str.ll fodhwnh omply sith rnoF provlsioa..
WARNINC: Failur€ ro su. yorL6' coftp€sation o!@s€ t unlawtul dd shall s!bje.1 &
civil fin6 up ro otr€ huidr.d rhousd doll$ (t100.000). in addirion ro the cd! ol conpdsario
Seson 10?6 ofihe kbor Code hlffiedlhomcy'
o,,". q/rr/y'? n*u*",.
ucEtt!Dlla-t-B{_ra"B!.ug ltrll1
I hreby allm unda p€o.ll, ofpdjury lhal I m [eB.d udn Flvisioo ofcbaptr 9 (com€ncins with Sdioi 7000) ol Divhion ]
oa thc Bui.d ed PoldioB Codc, ed ny lic@. i3 in tull hE. &d .fid'.
CAISIAUCII9IItrNDUCAGENCI
I hdcby am.n unde pcnalryolpqurynEl rh6e ii a coishrction kodirr agen.y lor rhc pnaoanan.. oarhe work aor \ehich this pa:nn is
isiEd (Sd.1097, Civ. C.)
ATTUCANfDECI.ASAIION
I hfrib, sIlm undd pmat! oapcrjory onc oa lh. lollosins docldalions:
Dc,nolirion Psnnrs-Asbetos Norifi carion Fedcral R€sulalions (Tirle 40, Pea6)
-Requted
tdr€r olNotifi calion
:/
-lcdin
inar rh€ lcdd.lreul.rrcN r.,:edinc dbesros r.movrl ee nor opplrable ro rhB protd.
I coriaylh.t I hav.,odihh applicalion a stale rllltl tlratDlc inlonnarion is I a8!e to omplywnh all Cityand Coury
ordinanc6 dd Slale t!* Eldins ro buildine coosrruclion, &d hercby -::."'^1,:)y';:*^"
above hdlioned prorErly lor insrection '7?-^'
Applica o, Agerl Silnalure (
Pm k nrnP rFinr,
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. E quipment
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
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
ll
Roush Mech. @DWt 1l/fuyya c t/0{/? -?/fe
Final Test
Meter Release A\
FINAL 0-79
tes Re arks, Etc.\V
(&b era"d .uf e 8Z obr ivsulc.(oq . t/4(l hth
ot4c A ,al a.dc *'tt. b'"tc, ba 1.1*..v
APPROVALS
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