HomeMy WebLinkAbout40134286 - PermitPin #: 59664
Unit
Blockr NA
Bldg
Tract: SECCOMBE
Address Range: 3220-3250
Historic: No
Suite Range:
Zoning: M1
@ city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg?702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 4O13424G
Owner:
Address
Contractor
Addressl
01116002
01116002
01116002
011 16002
01116002
01116002
01116002
s1604
51604
51604
s1604
51600
51604
57770
Phone
Tenant Name: Tesla Motors
Oarin Gilchriese
673 E Young Street
Santa Ana, CA 92706
(714) 556-0408
Lakeview Construction lnc (
10505 Corporate Dr #200
Pleasant Prairie, Wl 53158
(850) 699-0459
Fee
$56.63
$45.33
$59.03
$33.24
$22.95
$57.20
$3.91
Phone
State Lic #: 671201
Lic Type: B
Bus. Lic #: 7722
Workers' Compensation lnsuranceiCarrier: National Union Fire lnsurance Company of Pitts
Policy #: 5082945268
Expires: OglO'll2O2O
Botchi:S3886 - l/14/2i20 ID! C(:IJELLAR
Office: CTYH lrons+: 12 4 ol 4Accti: Refi: 40134286
Rcpt+!0?865395 - 1/1{/?(l?(t ?:33 Pl1
Tronsoct ion Totol t715. ?1
Lflkev iel, Construction Inc db0
G€nerol Plon LrDdote Fee
tr1116002- 516000(10-
llechon i col
01116tr02- 51604000-
ll icrof i ln & OocurenLsBuilding Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approva
Plan Checked By:
Permat lssued By:
Subject to Field:
Building Permil #:
lBy
lndustrial
Tenant lmprovement
T.t.
t22 .91
$?51 .43
13. ?1
Occupancy:
Constr Type
Code:
B, S-1
VB
cMc 20't6
Notes rue*r{tfitf iurrn ffi aa]|fi [59t.
(:(l5h
Chsnse
i 715.89
$0,?5
1 99, t 11)
ri
Date:
Date:
Date; O1l14l2O2O
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
100549
Every permit issued shall become invalid unless lhe work or, the site
authoizod by such pemit is commenced within360 days aftet its
issuance, ot if the wo* authoized on the si|r- by such pemit is suspended
ot abandgned for a poriod ot360 days aftet the tifie lhe wo* is
commenced.
lnspector MID#: 2019-152449
01 1 16002 51600
01 1 16002 51604
01116002 57770
Fee Tolal:
Paid to Date:
Balance Due:
$22.95
$251.43
$3.91
$278.29
$0.00
$278.29
Project Address :, P!!Q$$!sssl49L1$
Assessor's Parcel: 411-152-OG Lot: POR 3 & POR 4
FeeType Amount
Clothes Dryer - Comme 56.63
Vent Fan/Comm 45.33
Fan Coil 59.03
Condensate Pump 33.24
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
L00
1.00
1 .00
1 .00
1 .00
1 .00
1.00
MECHANICAL.INSPECTOB RECORD
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PT.qLAMIIi'N
onc otrhc nnn'win8 dccl&B'ions:
ri'na r (-cdiricircol(lnr\cnr ro Scll:lfsrrc fn {ork.r\mmpcnstion, as pDvilcd for by selion 1r0o of lhc
ror rhe pdrrommcc ofltu mrt for whkh $c pcrmir is isrtcd.
havc and will moinrain -olkcn conpc.qrio. insurdmc. "s rcquiBd hy Sdion l70o otrh. tihor Codc. for lhc Frfomn.c ol
th. Nork for *ni.h rhis Fmit is hs.n. My mrtss ompcns,lhn insmrcc orir .od policy ,unbcr 6c:
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$ {s ro b.sm subjd ro th. *orkc6' cotrq..sarion hws of Cslifomi., Md !8N lhal if I slDuld b.com lubjecl lo lnc
qot*cB L$nFnstion povisions of Selion 1700 ol ilE tibor C.dc. I shall. fontwilt soPly wirh rlb* Pbvisions.
WARNINCT Fdlurc ro suc qorkcc'comncn\arion covcmar is unldwrul..nd shall suhjcr un cmpl6y$ ro aiDinrl tEMlries ond
.ivil ,lne. ulr ro on. hundrcd thousond dollds (ll ii ddiri{'n ro rh. cosr oa coMp.n n,n, drm8.s .s [ovidcd nx lhc
Sccrn'n 1076 oirhc ti&rr Codc, intcrcst B.d b.{\^-J
D[!!r&ul()r
I h.rchy offinnlndcr FnrlryorFrjur! rhdr I m lic.,rtd uftlcr,,x,ri\n,n orChi|,8 9 (L$mtncin8 qirh S(ri.n 7fiD) oroivisi(nr.]
ol rhc Businc$und Prorc\liorN Cod.,,nd nrr li.cnr is i,r lilli,tra ul cfli{r
bltCol
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I h@by alrrm !nd.r Fndry of pcrj!ry rhar lhft is r
isslcd {S.c. 1097. Civ. C.).
i.n hndin8 0gcncy for lhc pcr{ordEc ollh. work aor sfi thlhis r6nit i\
t ndcr's Nrnr
-
APPLICAITT IIf, CI,ARAIION
I hoEh, afiim undcr !.n.lty of Frp.y o* of llE foUo*ing dNl,orions:
D.mliriotr Ps'trih'Asb.dos Noriicition tucnl R.SuLtir.s [rnb 40. Pan6)
rnc fcdcrd rcgrlalio.s Eg,rding lsbcsos rcmvol mc nol arplicdble to rhir pmhd
buildinpsnnoction. dd hcrby axrhori2c rcorcscnlolivcs ofrhis Cny and Cou.lylo cnrcr ulsn llt
ID/SIG.COMMENTS
Appliances
It/etal Fire Place
Evaporative Cooler
Furnace
Compressor
lVlisc. 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
Rough Mech.
Final Test
Meler Release l_ tTlunJt DIhl\r7;L WYLIFINAL
Notes, Remarks, Etc.|,r t
vt-
APPROVALS DATE
l) lr
u )5 p..{5__-)
riis {'plkarnrn ad rarc rhnr rh..horc infonerion t cotrrcr. I aBrcc b.omply wilh lllCir, trtrd Counry
_^. t f sfauo