HomeMy WebLinkAbout40132115 - PermitProject Address: 1236 W Civic Center Dr
Assessor'sParcel: 405-081-25 Lot: POR 2
Suite Range;
Zoning: C4
E
City of Santa Ana
Permit Counter: (714), 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit#: Nt132115
Pin #: 64526
Owner:
Address:
Phone:
Tenant Name: Floreria Martinez
Sean
1236 W Civic Center Dr. Unit B
Santa Ana, CA 92703
Famous Amos H.V.A.C
8802 Athens Ct.
Anaheim, CA 92804
(714) 803-9027
Fe6 Type
01116002 51604 Compressor
01116002 5160C General Pian Update
01'l'16002 51604 lssuance
Gener(ll Plon Updote Fee
01116002- 51600t100-
nechon i col
01116002- 51604000-
U iBo
cci: i**rr*r*****??94
Qty
1.00
1.00
1.00
Fee
$86.82
$2',t.25
$52.98
Phone
State Lic #: 1025773
Lic Type: C-20
Bus. Lic #: 369230
Work6rs' Compensation lnsurance:Carrier: NORGUARD INSURANCE COMPANY
Policy #: AMWC850520
Expires: 05115/2018
Eotchi:{3848 - jl L7 l2OlS J0: NGARCI
office: CTYH Trdnei: 50 2 ofAcct+: Refi: 40132115
Rcpti:02265871 - 5/17l?018 2:50 Fl'l
Tronsoct ion Totol $3D5'92
Fsnous Aros H.V.A.C
63r
Auth+:13429.
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Miscellaneous
Walk ln Cooler
B
VB
cMc 2016
Occupancy:
Constr Type:
Code:Notes: lnstall pre-fab walk in cooler for flower business
Orozco, lvan Date:
ar.,nr,or,..ffi:l:'
05/1s/2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
o5l17 t201A
Account#
01116002 5't600
01'116002 51604
$21.25
$139.80
Fee Total
Paid to Date:
Balance Due:
$161.05
$0.00
$161.05
Every permil issued shall becofie invalid unless the wotk on the site
authoized by such permit is commenced within 180 days after its
issuance, ot if the wo* authoizod on the site by such pemit is suspended
or abandoned for a peiod ot 1 80 ddys after the tifie the work is
commencdd.
lnspector MID#: 2018-143374
Unit: B
Blocki NA
Bidg:
Tract 33
Address Range:
Historic: No
Contractor:
Address:
Amount
86.82
21.25
52.98
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEN BUTLDER DALCANATrcN
I hcEby 0fitrm und.r lEnally oa I'erjury thll I m cxEmpl amm lh. C.nlractoN Li..ns L3s tor lhc followhg n&$n (56.703 L5
Busincs ond Proltssion Con.): Aiy Cny or Cout, shich rcquires ! Ftni lo .on{tu r. alro. intmw. &mlhh or Epon ony
slodlrc. priorro ni isslrfte, lko rcqutcs lh. amlkanr aoi slch !.mir ro frlcr si8n.d st.lcm rntrl hcorsnc h [ccnscd puBlml
to rhc pmvisions of lhc Cotrlnctor's l,iccnscd bq (Cho,rtcr 9. A,mftncins *irh Sccrion 7000 of Divtion 3 ot lh. Busincss md
PDfe$ions Codc) or rhar h. o, shc is dcnl9| th€Enom lnd rhc b,ih for lhc allcg.d derprioo. Ary violadon of Sdhn 701l.J by any
applkdt to, r Fmit suhl*r rh. lppli.an' ro a .ivil p.nilry of not mE ihm 6vc hundmd dollas ($5(x)).
-1.
as oetur or rnc pmtEnn or my cntploltts *nh wlgcs ar rhcir ole .odp.ns{io.. wiu .lo rrf, wtrk 0ri lh. stu.tu k m'
inr.ndcd or o,Icrcd f eL (S*.r0,11. Busin.s od Profcssk'ns Cori.r Th. Con{crols Liccnr tiw dcs ior lpDly t d o*mr of
rhe popeny qho h(rilds or inq()6 rhc@n, atd who docs Mh sori tihs.lf or nc.*lf or rhmuSh hi. or hf own cnploy.cs,
providcd lhor such in{,mrcmnls N ml intcndcd or ofi.Rd for elc. Il hopcv6. thc building or infmEm is sU ,ilhio oft Jas
of.onplcrio( rtE Osn( Buiur *ill harc thc hrd6 ot treing lh{l lE o sh. did rcr ldb or i!{mw dc I'opsry for lhc luqrs of
-1.
&rosrrof rhc,rol)c y. ao cxclusircly q,nteins enh li.cnsd co.r&roF io @nsrrEt rlx prcr.d (S(. ?o41. Bu$ncs
3d h!n:*sir Codc: Thc C.nlBclols Lic.n* Lrw do.s dn +pl, b e owf,cr ofrrclcny who blilds or im,rows thdon,
lnd who ontmrs for slch por.rtr wnh a Conmdo(o liccnEd !!6u.r ro rhc Contt&rort Liccne Law).
-l
an *cmPl lndn S(tiotr-. A. & P.C. tor th* rcr$n
LVOttO.rts, CoMPENSATTON
IECI.ASAIION
I h.rcby aru'n undcr p.nally of Frjury onc of thc follouing dcclaBlions:
-l
navc &rd will mi.tlh s CenifEarc of Consnl ro Sclf-lnsuE fm {or*es omrcnrarion. a Fovid.d for by Sario, 1700 ol lhc
L,bor Cod., fn Oc Frlolrj1mc of lh. so* for whth thc !6mii ir issucd.
_l havc and *ill mainr.in worleB c.mpcnsaraon ansu.@., &c r.{uir.d by Sdion 3l0o of lhc l,hor Cod.. aor llE Pcrfom. of
rh. wort ro, which rhis pcmjr is ksun. My wmlrds sr{xnsiion iosurftc oEicr un F,lky nunb.r re:
PolicyNrf,bdrJxliEr
_l eflify rhll in ihc pcrformm of rhe so* for which lhis pe,6ir is irsu.d. I shrll ml emlloy.ny r.mn in any mnftr
s N to bcom subicd ro llE wo*cs' comlEnsalion hws of Califomi!. .nd lEN lhal if I slFuld bctom iubjer io rlt
workcs' .onp.nsalk,n pro sions of Seln,n l?00 of lhc L{b.r Codc. I $rll. fonhvilh odply wilh rh,s ,evishB..
WARNING: F,ilur. ro *.nrc wo,Ic^ .omFnsalion ovcruBc is unhqtul. and shBll slbj.rl u cnplnltr lo dinirrn Fodri.. dd
civil nn.s up ro oft hundrcd rhousand dollus (Sl 0m). ir lddnion to rhc c.\r otcodp.nsdnrn. damgcs as tovidcd fo. thr
SNrion 1076 ofrhc Libor Codc, inl.rcs &d
DIiCLAB|IION
I hcrhy Jmnnrndrr Ffulryol txrury rhrr I rnr liccn*l riddr pn)vi\i{n ofChnfr$ 9lconmrmirg wirh S..lion 7{xD) ol l)nnnn,.l
o, lhc !l,\irr.\s nl l'roti$i,,.\ Codr. x'nl nrylir.Dsr r\ i'r ltll la'( rxl rfic.i
SNIIAIJ!:IX]NIINIIIIC.IGIXCI
I hcnby nlnrnr undd IxndtyolF.lury thlt lhsc is aconqrudhn hndinS rscmy for rh. ncrlortumc oflhc wort ror *hich rhil pqnft ic
hsucdiS( :1097. Ci!, C ).
AIELICANLDE(IABAIIAN
I rrnib, anm und.r F.axy olp.rrury on. olrhc folk,wnrS dc.larutions:
Dc'relilbnPcnnils-AsbcsrosNoli'i.lrionltdcrrl,ac8ullrions(lnh,t0.Pilra,
Rcqriod tincr of Norifi cotiotr
l.dilirhd rh. r.dcral rcgulrrions E83rdin8 nsbc(os lcrmval arc rnl npllical,h lo rht pmj.cr.
n !fiI\rar. thar rhc &hrt! inlnrmrion ic corNt. I .8rc Io.omplywnh rll Ciryood Coul,
iry consrrucrion.ond hercbyouthoriz rprcEnrariEr ofthn Ciryand Counry k, cnr.r utbn th.-l.drily
rhar I haw rad rhh
ordiMnccs ond Srolc liws
ah,vc mnrioncd pruFny for
,,," st7-Za/o
Appliances
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
lnsulation
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Bough Mech.I ll'tt tltl @44W ta--.,
Final Test 'l 'Y l,-
Meter Release _t
FINAL '4D,ttroltl 'irlt,zn .to-
Notes, Remarks, Etc.' lt-
Metal Fire Place
Pre-lnsulation
Smoke Detectors lnstalled
Liccnsc cluss:------Liccnsc Nuober:
-
Drlc Conrrr.lor.
azi',,1?'>
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