HomeMy WebLinkAbout40132040 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mec han ical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 3321 S Bristol St Bldg:
Tract: NA
AddressRange: 3309-3365
Historic: No
Suite Range:
Zoning: cl
E
Assessor'sParcel: 4'10-222-24 Lot: NA
Owner:
Address:
Big Lots
3321 S Bristol Street
Santa Ana, CA 92704
01116002 51604
01116002 53603
01116002 51600
01116002 51604
Feo Type
Heat Pump
Ptc - 65%
General Plan Update
lssuance
Amount
86.82
0.65
21.25
52.98
Qty
6.00
520.92
'1.00
1.00
Fee
$520.92
$338.60
$2'1.25
$52.98
Phone:
Tenant Name: Big Lotst
Contractor
Addressl gotch+343664 - 1/9/2018
olt ice3 CTYH Trons+3 42Accti: Refi 3
Rcpt*:02260,173 - 5/912018
Tronsoct i on Totol
I0: JGUDIi
2 of
40t3281u
1:50 P[tl 1014.74
Phone
State Lic #: 806737
Lic Type: C-10, C-20, C-38
Bus. Lic #r 340743
Workers' Compensation lnsurance:
Carrier: Travelers
Policy #: 9C57794-1-16
Expires: 0710112018
Art ic n€chon i ctll
GeBerol PloB updqte Fee
r:r1116002- 51600000-
Hechon icol
ru116002- sr604000-
F /C llechan icol
0u16002- 53603000-
ICL Ch€cl: 003550
Building Use:
Job Type:
Nature of Work
Commercial
Alteration
Roof Mtd Equip
M
V B, SPK
cMc 20,t6 Notes:
Planning Conditions: Screening required.
Planning Approval By Date
Date
Date
Misc. Receipt 70896
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked
Permit lssued
Subject to Fie
Building Perm
By ki, Teri
05/01/2018
05/09,2018
Account#
it 0196147 $933.75
$167.12
$766.53
lnspector MID#: 2018-142718
0't 1 16002 51600
01 1 16002 51604
01116002 53603
$21.2s
$s73.90
$171.48
Fee Total:
Paid to Date:
Balance Due:
Permit #: 4O132O4O
Pin #: 89492
Unit:
Block: NA
Artic Mechanical
10440 Trademark St
Rancho Cucamonga, CA 9'l'
(909) 980-2539
Occupancy:
Constr Type:
Code:
Every perfiit issued shall becofie invalid unless lhe work on tho site
authoized by such pemit is commenced within180 days after its
issuance, or if the v'/gtk authoized on the site by such permit is suspended
or abandoned tor a peiod ot 1 80 days atter the time lhe work is
commenced.
MECHANICAL.INSPECTOB RECOHD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes D ryet
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Dro p Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
^.\FINAL -7-7t-tv YJU'11
Notes, Remarks, Etc.
OWNEN BUII"DER DELCAAT{NON
I hnc6y amrm undcr pcorlly of Frjury lhal I m .x.m nDm lh. Conlrs.IoB Liccns tis for lhc following Elmn (Se.?031.5
Bu.hcss aid Prof.ssion Cod.): An, Cir, or Couty *nich Eguirs a Fcdir ro onsltucr. alrci idrrcr. &mlnh or Etlor dy
ddclE, Fnr ro irs Lr.!rre. !l$ mquiEs rhc.polkanr tor sn h r.mi 16 lik r ri8n.d stai.ft.r rhrr lE o. rh. is lien$d pu*uMr
to rhc previsionr of rhc Con,eror.s Lie.s.d Llw (Chlpr€r 9. Commftins snh Scction 7000 of Divirion I ol th. 8uii.c.s ,nd
Prof.ssions Cod.)or thlr hcor sh. k.r.q,l ihcEfmn.rd rhe b6sis for lhc,lbecd€x.rprion. Any violslhn ofSclion ?031.5 by y
arnlkanr for opemir slbjels rhc otDli.rnr to a civil Ftulryof mt mrc rh!, fivc nlndrcd dollds ($500).
-1.
6 oqmr oalnc pmllny, or my rmplot!€s wiln w!8cs as lher ek @mF,salio.. will do tlr sst lid dt nrul@ ic ml
inicnded or ofiercn fd sh (5(.1044. Busircss and PDft$iotrs Codcr The Conrro.rols Lian$ lj* dod nor lpply ro M 6ve of
lhc prDpcny who hlilds or niprlB lhds( .nd who .kE* sh e* ninsclt o. h.Glf o, rhreu8n ll.s o. hir oetr coploym3.
provaddl lnd su.h irymtrcnts m ml hrcndol or ofr.rd for slc. l( howE. llt hitinS or irg,oEmnt ii sld antin orc y.a
ofotrphlion. tlE Owrcr BuiLld wil tlw E h{d.n oapr$vine UEr lE o shc did d hrikl or iipoE 0E FoFry for lrE plrposof
-1.
os oNEr of rhc r,ot cny, aE crchsivcly omrcrinS wirh licosd .onrtulm ro enirucr th. pllj.rr (SE. 7Or4. Bulifts
a.d EDi..sk'n Cod.r Thc Conkacio." Licc.rc Law docs Mr arpl, |o on osncr of nrolcny who hlilds o, imnrov.i lncrcon,und *no contncrslbr such pmj.lrs wilh a Conh.lo(s) lic.nsd t'trnulnr ro rhlc,ntretols Ltcn* tt{).
I dn.rc'nd x .r S..ri
rQatrE8t-coldfjNsanoN
DISJAAUON
I heeby!flnm undcr,,cnohrof l}crjlryoncof thc folbwin8 dcclnrrlions:
-l
hivc ukl will nri ninrCunificd.olCotrsctrrroSclfINURturworkss.n r|fnw i()n.rr Imvid.dforhrSccrnr3TlDoirhc
Ltrh.r (j)dc,l{tr rh. r.nnnMncc ol rr work fd which rhc Frnrir i\ i\\ucd
_l hrle and sill rointain workers oorcnsarion insurcmc. .s rqlncd by Sdion l?m of ltc La6or Codc. fo, thc pflbrtunc. of
rh. srk lor which tht rrmit is hed. My sorlss ompcnel bn insurucc clEkr and t)olicy nlmbcr sc:
-l
.enity rhlt in rhc l,crforencc of rhc sork ior etkn $h Frmir h nslcd. I shlll mr cdploy any !.Mn in rny Mm,
s a.lo bc&m subirr ro
'he
wol*dc conF.sdrion laws ofcalifornia. und aSr. rhai ifl ithuld b..oft subjcl to llE
eo*cR @n Etr{ion pbvirioB of Serion lTm of ir tibo. Cdde. l stulL tonh*nh mnlly *it ihos lovhiom..
Wl\RNING: Failxm ro $urc trorkns'.onD.ns,rion ihall suhjct an c'nploFr lo aiminrlpcEhics lnd
civil lincs u! ro on. hundicd lhousnd doll&s .o{ ofcoq,.nsarion. dam8cs os rrovidcd for rhc
I hcrchy afi,m undc. n nah y ol ncriury r,ur I am lic!.$n undcr o ol Ch.plcr 9 (.Ioftti.s wnh Sdio. 7uD) ol Divhio. l
of lhc Busincss ud Pmrcssions Code. o,n nry liccnsc h i. tull lorN !n cffsl
t6 CLR r go 673V
I hcrcby lifi rmundcr lcnallyof perjurylhll
tsucd (S.c lo97.Civ. C ).
IcndinB r8cEy nnthc pcrformuicc oarhcwork fin whi.hrhh Fron i\
BSordin8 asbei* rcm,vrl ,rc no' srflkabk b rhis pmj(rr.
utnrc irlonuri,n i\.omcr I ArL{ u 6nDly wnh allCnyotrd Counly
his Ciry and Colnry lo cma qnn tlEhcrcht rulhori^ rcprcs nrivcsoft
o ^, "E /otl(
Polcy Nu $.i_Erftrcs
-
o(0
LtndcisAndr$r-rppr.r<riiiliiffi
I nd$y ,frm undc. p.nalry ol F.jury om of rnc rollowing delior ioosl
Dcmlition Pcrnits'Asb.slos Nolificrlion Ftderol Rcsulaltuns (Tnt ro, P!n6)
R.quicd t kiof Norii.arhn
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