HomeMy WebLinkAbout40132292 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, Cp'92702
lnspection Requests: 1714), 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40132292
Pin #: 86579
Proiect Address: 2274 E Seventeenth St Unit:
Block: NA
Address Range: 2OOO-227A
Historic: No
Suite Range: 2262-2278
Zoning: Cl
E
Assessor'sParcel: 400-121-O1
Owner;
Address:
Phone:
Tenant Name:
Mick Meldrum
2222 E Seventeenth Street,
Santa Ana, CA 92705
17141541-1200
Mediterranean Guy lnc
B Z Construction lncorporal
2556,I AORIANA STREET
Mission Viejo, CA 92691
(949) 3384529
01116002
01116002
01116002
01 1 16002
01 1 16002
01 'l 16002
01 1 '16002
01 1 16002
01 1 16002
51604
51604
51604
51604
51604
51604
5360:
5160C
51604
Fee Type
Repair Vent Sys
Type I Hood
Bathroom Fan
Fan Coil
Evaporative Cooler
Cooking Equip
Ptc - 65%
General Plan Update
lssuance'
Amount Qty
43.62 i.00
113.24 2.00
30.52 1.00
56.80 1.00
65.57 2.00
42.83 5.00
0.65 703.36
22.08 1.00
55.04 ",'rr i. 1.00 i1',',
tiirii; ,irl.j
' ii..r1r: :1,,i
Fee
$43.62
$226.48
$30.52
$56.80
$1 31 .14
$2',t4.15
$457.18
$22.08
$5s.04
Conlractor
Address:
Phone
state Lic #: 836849
Lic Type: B
Bus. Lic #: 349173
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9161554
Expires: 06/2512019
r rncorporo
lote Fee
0otr0-
aotr0-
I
t?,Buildang Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
Tl/change of use
Occupancy:
Constr Type
Code:
rix$277 Auth+: [4
Notes:
{tr
CSG Consultants
Hernandez, Kathy
Date
Date
Date
Misc. Receipt: 71207
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 1 0196906
Every permit issued shall becone invalid unless the wotu on lhe site
authoized by such permit is commenced within 1 80 days afrer its
issudnce, ot it the work authotized on the site by such permit is suspended
ot abandoned for a period of180 days after the time the wo* is
comranced.
$22.08
$757.7s
$1,237.01
$457.18
$779.83
lnspector MID#: 2018-144389
01116002 51600
01'l'16002 51604
Fee Total
Paid to Date:
Balance Due:
A-2
V B, SPK
cMc 2016
Btdg:
Tract MAYBURYLot: 1
I
t"
07 t20t20't8
09t11t2018
Account#
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER I]UII,DER DI.]T,CAR TION
I hcrchy arltnr uodcr n.nnlr, iil rrrjrt rr l d crc ifl tro r rh. c trtrntr( Liccnsc tjs rhr lhe tollo$in8 rca$n (s..70.11;t
ausir.ss aM Pturcssi(,. Cod.): ny Cilt or counry *hi.h rcqutc\ r licnnir lo coonrucr. llrcr. iq,.vc. L!.tu i$ ur rI'Jn Jny
{nr.xtrc. Driorro ns hsurtrcc- il\) rcquirc\ lhc trDplicnrr ior \uchFrnrir b nEa \icncd nsi.mnr rhnt hor (hc ir |ccnscd pn uml
k, rhc F,vi\ion\ .irh. Cunta.tn ( l-i.cn\.'l bq (Chrnr.r 9. Connnch_ir8 'irn Sccln,n 711[ of Divi\i(!r -l ol rhc Bx\incl\ rnd
PtufcssnnrsCodc)or rhd h.or s[c ncxcnrfl lnercnonrud lhc h$is lbrrhclllcacdcrc'nlrion AtrylioltrionofScdiotrTO]l5hyuny
rpplicanrtur!p{m,irrubjcchrh.nprlicrnrt,d.ivilprnaliyolnor !trcrhrn fivc hundrcd doll0n(S5Ur).
I. as owM of rl* pmFny, or my cmploF.s ,irh ws8ci $ rhct slc com!.nsdio.. aill .,o tlE wqt dd 0E stL'tE ie ml
inknd.n tr offcEn for st (Sa.7044. Bwircss dd PretcshB Co&r Tne Conrocl.ls Lt B tiw dc! nol lpply lo an owft! of
ilE ptuFny who builds d iq'mc dEmn. {n sho dG uh w* hinsclf o, hcelr or ihrensh his or h.r own .nployccs.
prcvi&d rhar ikh in{,mwmnh m mt t .rxLd ff oltold tor E!.. lt hwEr tlE tlildina or itrpD{cin is eld sirhin oB Fr
oI @nplctbtr rlE Ootu, Buik&. wiU tbw rtE tlrrlcn ol tevir8 rl'n h. or stu dn d build or ir{,mw $e FoF!} 6r da F"F$ of
-L
6 o*B o{ rhc ,hpenr. d.rlliively co rrcl inE wnh !c..$d onrndds lo co[(Ml th€ porccl {Sft ?044. Au\itus
and PDftssion Codc: Thc Cofllrmror's Lkcnsc &w dcs not aptly ro ,n o*ns ol pFFny who builds or imr,rcvcs lhsNn.
md who conrr.k for skn pnrirs wirn , C.nrEdo(s) liensn lusuilr ro rh. Conuacrolr Lirns kel
Ir'n.xc rpr uM.r S..ri.n .ll &PC larlhhrclson
Dat€ Owncr
lra8a!f,liraMfElsAlloN
DECIATAIIIIN
I hcr.by nfirn und( ,.orht of pdjury om ol lhe ,bllosins dcl,raliotrsl
L or Codr. tur rhc Fnnnmn.c ol rlr $ rk li{ wh.lr rh. t^_r trrr i\ i\srui
-l hovcand rillarrinloi. *orkcr'€omp.nsuli6n inslrukc- us rcquned hySc.ri.r:1700orlhc Ltbor Codc, forlhe lcdrtrtuncc of
thc workforwhichlhh pernit is irtucd. M,works codlcnsarion inru6tc ffi$,,td tblicy nlmbct @:
Polic, Numbcr:Jxancs:
I ftnify $ar in rn n rf.rmrc. ol rhc *otk for which rhis Frmir h i$@d. I shall nor cmploy ey rEMo i. ant mnno
s N ro b.<am subj.rr ro llE *olkeB Conq..$lion bws of Cdlifomi& dd $g@ thrr il I 3lbuld 6c.od subrel to llE
wo*sl comFnsolion lmlisions of s<rhn 3?00 of rhc Libor codc. I slull. f(mh*irh onll)l, wirh rhos tmvlsions..
WARNING: Failurc io surc worl.R .omrEnslion ev.Bs. is unhwfol. ard shall .ubj.tr & er.ploFr
'o
dimiml FraLics md
civil fi..s u! ro om hundEn lhousnd dollm (3100.0(D). in lddirion ro thc .od of.on xrelio.. d.nD8!s as ,nvid.d for lhc
Sdion 10?6 olrhc Llnor Cod.. inrcasl ard lnomy s fe\.
UIENITLCANINACIOB
DEIIABAIIgN
I hcehy lffiirnu.dcr lcnalry ol p.rjurr rhlr I om lidnan lndcr rmvi\b. oiChaptd 9l.ornm,.ing wilh Satton ?oOO) o,Dirhb.l
of lh. Busimss lnd Pmr.ssionr Codc. un my licctrr i\ ir full lore Bl rrrccr.
Lkcn*Clr$: O fi4 817
D.,.: 4/t/l I
I hcrcbyafiinnuid.r Fnrhyofp.rlurylhor rhcrc h!con{nrrion b nrs !-qcncy tu rhc pstutuh.c of rhc wdrk fot *hich rhi\ Fnnit is
isslcd 1Sc. .ll)97. Civ C).
-l
cenil, rhd I har Ead fiiq appltcarion ,nd ir c rhor rhc ab.E inaomrion is .oEcl. I l8ru lo on{rly *ilh !I Cn, a.d C6u y
ordinoftcs and St0rc tjws EhtinB ro blildinBco.noct rcl)rsnt tiws of thh Cily and Counly to c.t€r ulDr rlE
$ovc mnriomn tmpeny for inspetio
Ap/i.nnt d A8cnr sie.rurc ?1r/B
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 Range
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.l?-/7-/8 ZtA to)'. t ,v atl/a)
Final Test
Meter Release
FINAL l- r/-r/.J I edilo f?9
Notes, Remarks, Etc.
tr.dcr's Addrc\\l npllrcrnil'rii.rn-tii6F
I lmbyn0innuDdcr Fnnllyofpcrjuly otu ofrhc rblb*in8 delaruri('n\l
Dcmolirirn Pcrmih A\t&{or Norifi.,rn,n Frci|rrl Rc!!l,rions frirh 40, P.n6)
R.+ncd htr(of Ndrirsrbr
_l ccniry rhd rh. rcdd,l rc8ullr ions rcBordin8 &sh.sros rcmvd N mr .ldicablc to $is pDj*r.
I
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