HomeMy WebLinkAbout40132375 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Mechanical Permit #: 4lJ132375
Pin #: 29763
AssessolsParcelr 395-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-G Address Range;
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit C93
Zoning; R4
E
Owner:
Address:
Contractor
Address:
The Bascom Group
26 corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 69s-5s91
Arias General Construction
'17015 Casimir Ave
Torrance, CA 90504
(310) 350-8r98
Fee Type Amount
01'116002 5'1604 Clothes Dryer - Residen 40.34
01116002 51600 General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1 .00
1 .00
1 .00
Fee
$40.34
$22.08
$55.04Phone
Tenant Name:
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 365738
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 921,135817
Expires; 0512612018
Bstchi:{501,1 - 7 /25/?Ola IDr CCIJI-i
oftice: CTYH 11qqsf! 40 lti o
kct9: Refi: 4otJ?SZl
Rcptt:023i11740 ' 7/25/?At& l1:15 At1
Tronsoct i on fotol t2r2tl9'9l
Ar ids Generol C.onstnuct ion In(
G€neral Plon ljedote Fee
011160(r?- 51600000-
llechan icol
ttlt 16(102- 516040@-
ICL Check 01{146
Building Use:
Job Type;
Nature of Work
Planning Condltions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe
w/D (unit 3) Code:
Chavez, Dave
10197130
R-2
VB
cMc 2016 Notes: w/D in unit 3.
o7 t2512014
Account#
Misc, Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$1 17.46
$0.00
$117.46
Every peftnit issued shallbecone invalid unless the wotu on the site
authoized by such permit is commenced within 180 days attet its
issuance, or if the wo* authodzed on the site by such permit is suspended
or abdndoned for a peiod of 180 days aftet the timo the wotk is
lnspector MID#: 2018-144881
011'16002 51600
01 1 16002 51604
Fee Total:
Paid to Date:
Balance Due:
Project Address: 2424 N Tustin Ave
Date:
Date:
Date:
$22.08
$95.38
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARAIION
I lErctry srrm und$ I,eMlry of Frjury rl[l I u crcmFl iiom rhc Conradou Ltcns rjw for Ih. following EMn (Se.?O3l.J'
BlsiBs ard Pfl,fession Codc): An, Ciry or C,u t ehich rcqlircs a p.mn lo constNcl. !116, improrc. d.molish or Eton uy
srrucorc. Fbr lo irs i$uancc, ele rcqur$ thc lpplicMr fo. ruch pcrmil io filc 3 si8*d sm.tu lhd lE ot ihc i! li..ned pusut ,
lo rlE tmvhn,ns of tlE Con|nctoas Liensd L3e (Chrprcr 9, Commmi.E uirh S.ction 7000 of Divirion 3 of lhe Burin.ss and
Prcfessioni Codc) or rhIr h. d lhc is ctcdpl tcrefroo aod rhc hris lor thc .lh8cd .xcn'plion. An, violllion of Sdbn 7011.5 by my
applic!.t ror a p.ml subjNls lhc al'pli.a.l lo acivilpcnallroanot morcthM fivc hundcd doll@ 1!500).
_1. ui ourcr of rhc proFny, r, ny emplorE. pirh Bagcs !* lh.t $h sry,.flslhn, will dd tlr *oit dt 0r slntlw is mr
intcnrLd or ofr.rcd ror elc (SN.?044. Busimss and Pmfcsions Codc Th. Cotrrdcroli Li.cn* Llw docs .or ,rply lo $ owmr ot
rhcpmpcny *ho huilds or impmrs thdsr !d who d{F $ct wlt himsclf or hersltor fircu8h hk or hcr own emplo}rcs.
potklcd rhlr such inp'owmf,c @ mr i.l.rn d orofinrd tur sL ll horcffi.llE t ildiq or inpswmnl is $ld *ithin om r{e
ofmnglcri,n. tlE Owm BuiH.r *ill h,tc dF hnlcn oattuvine $rl lE $ shc did ml itrild or irymlc tnc pmrsly for t,t llrFc of
_1, us owrc. of rh. Fopcny. !n cxclusivcly conr{ring wnh lccn*d conracros ro oniltu.r lhc lhFrr (Sc. 70a4, B!\irc\i
md Phfcssion codcr Thc Cont0clor's Liccn* Lsw do.s nol rrplylo !n oqncr of Im!€ny wh(, bualdi or imnrcvcs lhcrcon.
!trd who ontn.rsfor skh prcirrr wnh a Co @rod9lic€nrd p!^@r brtE Conrrdols Lt.ns tjw).
-l
am.x.nfl undc, S.crion- B. & P.C. aor rnt rdso.
D.l.r O*R.
IIIBTE8S:.qQMTJNIAITON
DECI.AEAII!]N
I trrcby rrrirm und.r p.naxy of t njury om of lhc follo*in8 ddLrllions:
I hlk and will tuinrzio a Ctnifi.d. of Conscnr b s.l| lrsurc ntr workcs onrE.srrion. c\ I,(,lidcd for b! s..rid ]?00 of rhc
ljhtr Gnq l'or lhc Il(rforuocc ot ihc sor* tor $hich ihc ptdir n i\sucd
Ih.v.andwill Einrlin *orkcN cotrpcnsatio. nrurrrcc. as E'qutcd hy SLtr ion l?fi) d, rh. tr&r Codc. for lh. ,)crl'olmrcc of
thc work foi whi.hlhi\ Nrni is isud Myqorkcs co$pcnsrrh insurorcccnoicr uxl B,licy nudho dc
1),c.F,c, Jrr1E t-t,r-rC/
f.)q,ztl358t)6,i2 hl
WARNINC: ltilure ro s!rc *ork€r $op.nsattun cov.hgc is unllwtuL lnd {tull sutjd 0n cnrlk,}tr ro onin,l Fmlris and
civil fiics !p ro one huidrd rhousrnd doure (S100.fix)). i. ddirn,n ro thc cosl ofconf.nrdrion, d!tuses as prolidcd i(t thc
S..rnrn ll)76ofrhc tjbr Codc. inlcrc otrd.irorrcy\ ies
l/t
LrCINSllLCOXInlrell)I
Df,CLA&TIOI
I h.r.by rlftn unner pcmlryol p.rJnry rhrr Idr li(t{d undcr lr* si( ofChnDr.rq(con mnci.gnirhSr..rion7fX)JofDir'norl
ol rlE llulims\rnd Prcti\\ion\ Codc. arxl n,tlt.n\r i\ in llllnftratrdrffLtr
lbt'7 ? 3 L
7lz9 l)A,u/a alfut)
r!,lsr&lJcuoNlENl2lNcll;[Nlr
I hcrchy aninr!i cr n nrlryorp.rjury rh.r IhLrc is r consrfl.liotr lcnilirs nscnc, iq
'hl
pcr'ninm.. orrhc wor* tur u'hi.n lhis rnnit is
nsucd (Scc.3097-Civ C )
AIILICANIILCLABTIIOX
Ilf,n{,yrl! und.r Ntrilryol tErlury.nc oithc l,n[,*i']!&.1 'rri{,x
l)!nmliri,!r Pcrn,ir\ A\t"\ro\ NorilicrLoi li.d.rrl RcFulnrtr,n\ ( l irlc.10. t'in6r
kcqtrncd lrrrorolMnificrriofl
l.cnilyrhor ihc L'dcril rcSullrions Egordin8 r\hc(os lemul r. norlppliclhlc tu rhi\ tn,jc.r
_;1:r
ccnili rhr Ihtr\.rc rhi\ ?mli.dbn rd{.i.thnt rhcrhr\c inloirurn'n n corcd Irtrek,.onrply*irhlllCir)anrl(ou.ry
odimtrccs md St.rc Lnrvs rulxrins k, huildins.onntu.rion. uxl hcrcbl,ulhdrir lcrr.scnlurircs r,{rhis Cir} rnd C.unryro ctrrcr ul)on rhc
l}iNc nrtrridrcd lii'tx ) for i,r\tEcl ion I'Urlmscs.
Aptlic"nr or Aldnr Signirurc Wa;i--'
Zvn lV e-
Appliances
Ir/etal Fire Place
Evaporative Cooler
Furnace
Compressor
tl4isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.fll/ts tb 6-6
Meter Release
FINAL {h(/t't 5$\<(
Notes, Remarks, Etc.
Final Test
-l
cenifylhlt in lhc !.nbrmnc. of lh€ *ort for*nicnlhir pcrmir i( is$.d.1sh,ll nol.mtloy a.y !c6on in lny munncr
$ as ro h.@D suhjccr ro rhc *0*6 .omt!.nsdion laus ofcrlifomi., and a8rcc thlt it I slnuld tnoft iubixr ro th.
w.&s'conFn\arionpmvirions{lScdionlTfiroflhctltrrCodc-lshlll.fonhwirhomplywilhrho*p(,!irions..
L.ndcis NrnE:
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