HomeMy WebLinkAbout40132271 - PermitProject Address: 2677 N Main St
Assessor'sParcel: 003-013-18 Lot: MANY, SEE COM
unit: 110
Block: A & B
Bldg;
f rud:72113'15
Address Range:
Historic: No
Suite Range:
Zoning: SD31
City 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
Mecha n ica I Permit #: 4(J132271
Pin #: 42025
Owner:
Address:
Phonel
Tenant Name
Muller Company
1100 W Town & Center, Suito 810
Orange, CA 92868
(714) 543-0100 ext. 202
Sanctuary Hospice
01116002 sl604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
Fee
$42.8s
$41.99
$41.99
$2',t.25
$52.98
Fee Type
VAV Box
Alter Vent Sys
Vent Fan/Comm
General Plan Update
lssuance
Contractor
Address:
Phone
State Lic #: 830308
Lic Type: B
Bus. Lic #: 310487
Workers' Compensalion lnsurance:Carrier: EYerest Nat'l lns Co
Policy #: 7600007095
Expires: 0410112019
Eotchi:4{508 - 6/27/?t119 IC
off ice: CTYH Trons+r 4?Arcti! Pef+: 4
Rcpti:0230463S - A1?7 /21:t19 !
fnooEoct ion Totol $l
E1of
t322? I:33 Pn
Bui ldr ite Inc
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
High-Rise Commercial
Tenant lmprovement
TI
eri
Occupancy:
Constr Type
Code:
B
II A, SPK
cMc 2016
Gener(t1 Plon Updote Fr:
0u16002- 516000011-
llechon icol
0r116002- 51604000-
ICL Check 0u0l"r(tl:117 {
$?1.25
$179.
"Q1
$1r7i5.6ir
Date
Date
Date 0612712018
Account#
196586
Every pennit issued shall become invalid unless the wo on lhe site
authorized by such pefinit is commenced within 1 80 days after its
issuance, ot if the wotk authorized on the site by such permit is suspended
or abandoned for a peiod of180 days aftet the time the work is
commenced.
lnspector MID#: 20'18-'143657
01 1 '16002 5'1600
01 't 16002 51604
$21.25
$'179.81
Fee Total:
Paid to Date:
Balance Due:
$201.06
$0.00
$201.06
Buildrite lnc
'1609-D Easl McFadden
Santa Ana, CA 92705
17141s47-7737
Amount
42.85
4't.99
41.99
21.25
52.98
Qty
1 .00
1 .00
1 .00
1 .00
'1 .00
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test I
4nl, I [\n ,
FINAL Il//L/t y 4fu\Al
Notes, Bemarks, Etc /'t i
OTVNER AUII-DER DELCARA ION
I lrcrhy ollirD undcr lcnrlry ,,1IdrJUry rhd I nn cxcnnr lion rh. (hMrckm l,i.ci\c Ljw fd rhc folli,qiry rcusoi (Ss ?lr:ll 5
Bu\inc\s a'xj ,\or.s\n,i codc) ny Ciry or Coutrly shich .cquirc\ r Fm n, .on{rucr, alrcr, irnt'rnvc. dc hli\h o! q'rtr ttry
\ .rur.. pri(rro ir\ irsurtr.c. ulv, rcquircsrhc {pliclnr li'. \u.h pc'.rir nr ilc. risrcd slllcNnl rhtrr hcor shc is licctr$d Plsuanl
lo rhc E.visiinN olrhc Conkn ttr \ Lnrnscd L'N lcnlprq 9. ConrnrNilg wirh scc'ion ?(xD ol Dirision.] orrhc au\inc\s lnd
Phrcsn,n\ Cudc) or th,r hc or sh. is cxcnrrlrhcrcirinnnnd rh.1'!\i\ ror rhd ullcgcn cxcnr|nion ny !n'hrinnorsc.tion?0115 hy ntry
rrplicid lon p.xnn suhj(Isrhc rpplicr h icivilpcnahJ-ornor nrrcrhon lirc hundred dolhs (S5m)
-1,IosMntrh.poFn,ormy.n{,lortsqt*sgcsasfiennbcomFB0tion.sildollE*dk&drl.tdnrrmismla endcn trof.r.d for sh (S€.1X4. Ausires ed ProteiioB Cod.r TlE Conttrlols Lien$ t& dra.or trpply lo anowMof
rh. lnlp.ny *no hril(l3 6, hlproB tFM.. .d who do6 tuh w* timrcll.r h.elf or rhmugh his tr tut oM eryiotlca.
providcd rlur such invmrmnl. @ mr im.nd.d ddlT.E{ for $L. lL t$w.w,lh. hilding or uriEEc ii sB qnhin.r J4r
ofcolrphrion. thc Owrcr Slifthr will haE rlE hrd.n of pmvirg $ar lE or sh. dil nol t H or it{mr rhc p6ldy lor itE pu{n* of
L 0s owmr .f ihc pmlEny. !h cxclusivrly .onr&lirg wnh licc.srl conlncloF lo mnrlel llt p,$id {S(. ?044. Br:imrs
ard Pro,tision Codc: Thc Confuroas Liccnsc L.w docs not apply lo 0n ownci ol pmFdy who builds or irymwr lhcmn.
and who conlacc for su(h I'ojccis wilh r Co.r&to(.) li..nkd pusuanl lo rhc C.tu&roi. Liccne hw)
I rmcxcnrpr undcr Sccr
_ Orn.r_
lo8trE8[gl}ll[ENlAtrOX
DECI.AEAI!}!
I hcrcbyaffi rmundcr Fn.hrof li.rjuryonc of rhc lollowing dc.Lntions
lrhtr(i .,ntrilrltrfonhr.flrhc{ork,n.}hic[rh.n!,n,ir i\ n\urd
-l
hNc and will nminraifl qortc( comp.r$rk n i. rarcc,as equimd by Serion ]TOOofrhc Libor Codc.lor lhc,dfor@cc of
lhc qort for wnich lhn pcmir ir i,rucd. My wortdt .omFnsarion insumrc€ cdtt un Flhy numb.r @:
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.eniry rhrr in lhc pcrlbrnEme of rhc work tor phich rhk perml ia LBu.d, I snal not cn loy 4., Fr$n in my 'nrnNr$ as ro bcmln subicct ro rhc $o 6'oop.ndion lnws ofcolifomia. $d rsE lhtr ir I should tr.om su$icl lo llE
wortos conp.nslion tmvhionr of S(liln :l7lx) ol fic btxtr Colc,I shall, fonhwnh conply eirh lhoE prcvision5..
WAnNlN(;: F.,ilum ro surc
civil fincs up
'o
orc hundEd t
.ovci.8c k unlawlul. ond snall \uhrc{r M .ntn,Fr lo sin nd t.Mlrics ond
Im.o00), in addnior ro lnt .osr or.omp.nstion. d,m8.s !s ltovil.d fot .h.
o,tt,,vdB
ult(r,itiaugr
I lEEby,ftrm nod6 Fn y ofp.rjuty thlr I am lieBcd lrd€ proviibn ofclEl,ls 9 (comnca.g *nh sclior ?000) ofDivision l
or thc Rusinc\srid Pturc\\n,r\ codc, od nryliccnrc is in llu
$Jo3o v
F,
I hmby.,Im undc, IEolly of F+ry lhll t
isrucd (Ss. 1097. Ci!. C,).
n Lnding d8ctrcy fu thc ll(rfintullT.lrhc sork for $hich thh Fnrir i!
APPLiCANT Ni'CTIRATI(IN
I nddry !trrn undc, !.rulry oa p.riury orc of lhc followin8 deldarions:
Dcmlirio. Pc.rnik-Asbcslos Noritic,lion Fedcrul Rc8ulrlioN (Tillc 40. Pan6)
rcxrdins alh.nn\ rc'tu,vrl r. nnr,pltli.uhh h rhis pnrjcr
n ald srot th.r rhc 0tnvc inromrio. L\.orer.I {gN lo coq,lysnh rU Cary {nd Counry
trurhorizc rctrc{nrdiv.r orrhk Cnyard Counrr ro cnro uF,n rh.
^,, b/z'l/tW'{:v
Meter Release
Polky N!mbe.: E,'I!ncs:
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