HomeMy WebLinkAbout40132136 - PermitProject Address: 201W Dyer Rd
Lot: NA
Unit: A
Block: NA
Bldg:
Tract: NA
Address Range: 111401 .
Historic: No
Suite Range:
Zoning: Ml
ry
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
Mechanical Permit #: 4lJ132136
Pin #: 83586
Owner:
Address
Mayer Johnson
214 Main St #361
El Segundo, CA 90245
JoYen Lactaoen
10925 South Broadway Ave.
Los Angeles, CA 90061
(323) 757-3161
Fee Type
0'1116002 51604 Clothes Dryer - Comme
01116002 51604 Min Fee Adj
01116002 51600 General Plan Update
0'1116002 51604 lssuance
Amount
52.46
18.18
21.25
52.98
Qty
1 .00
1.00
1.00
1.00
Fee
$52.46
$18.18
$21.25
$52.98
Contractor:
Address:
Phone
Slate Lic #: 752965
Lic Type: C-36, B, C.4, C-10
Bus. Lic #: 369444
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Fkffbi*g per occupancy notice to correct work.
ilarlq,;ul
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
Mechanical
B
VB
cMc 2016
Occupancy;
Constr Type
Code:
Notes:
Date
Date
Date
Misc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
:a'
05t2312018
Account#
01 1 16002 51600
01 1 16002 51604
$z',t.25
$123.62
Fee Total:
Paid to Date:
Balance Due:
Every pemit issued shall becoma invalid unless the work on the site
authorized by such perfiit is commenced within 180 days after its
issuance, ot if the wo* authoized on the site by such pemit is suspended
ot abandoned for a peiod of 1 80 days after the time the wo* is
lnspector MID#: 2018-143534
$144.87
$0.00
$144.87
Assessor'sParcel: 932-910-78
Phone:
Tenant Name: British Cleaners
MECHANICAL-INSPECTOR RECORD
APPBOVALS DATE ID/SIG.COMMENTS
Appliances
lvletal Fire Place
Evaporative Cooler
Furnace
Compressor
It/isc. Equipment
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Rough Mech.
Final Test
Meter Release
FINAL 't'1''t'1 1
Notes, Remarks, Etc.
--t
OWNER BUILDEI DELCTRATION
I hcEby rmd ondd pcMlry (,r Friury rld I m .r.rTt fion ll* Co't66o6 LeM kw fo. lhc follo*ine llen lsc..mll.5
alsin s 0,n Prof.ssion Cod€): Any Ciry ot Coury shich rcqut* . Fmn lo @Bmci .h6, improE &mlish o. rr{n uy
snu$rc. rior lo irs hsure. abo cqutcs rh. .pplicml for sucn pcmi lo lih . siSmd slllcmnt thd h. or .h. ii licctred Pursul
ro rh. Foltio.! ol tlE conrkrols Lie.sd trw (chrlrd 9. Co@mint *ilh sccliln 7000 ol Diviii.tr 3 of llE Businc$ .nd
Pblcsions Codc) or rnlr hc d shc ir cxcnlll rlr.cho6 d th. ha\is for lte allcSed ctcnqtion- Ary viohlion of Selbn r0l l 5 by my
appliclnr for ! pcrnit rubj6l. lhc amlicant lo r civil p.nally of not mt $d nvc hi.hn do0ds (S5001
-1,
&s o*rcr of rhc lhlEny. o, Ey cnplorBs wilh wagcs s ltrt elc omFnelion, will .lo th. wort ud It slllrl@ h mr
inknd.d or oflcr.d for slc (Sc.r()4]l. Blshcss and Pinfesions Code Thc Conlraclols Liensc Laq &cs .or alply b e oqrcr of
rlE prbtdy who btrilds or inFm6 thae( old wtb dc au.h w* himsclfot hcmllor llrugh his ot lE own cmPloycca.
polAcd lhlr such imploEB.rs s ml inlcnd.d or otu for sb.If. horM. th. hildin8 or itprowmnl is $ld *trnin orc Jur
ofoqrhrhn. tlE Owncr BuiEcr will have rlE bo.dm of Fovin8 th.l lrc or shc did nol build fr imtmw tn. PmFtty for tlE plrlDs or
-1.
a$ own.r of the rror.ny, er ex.lusiv.ly .onlacrins wilh licc.sd conrBcto$ lo conntud thc ,tolYr (scc ?044. Busims
lnd Elfcssim Codq ThcConro.ior's Lic.nsc L.w do.s nor.nplylo dovrcr orDmr.rly *ho builds or inprov.s lhcrmn.
ud who onhcr3 for slch lmlc.h shh ! C. 6rod,ltc.sd pu6u lollrconfdoa. Licnt t u).
-l
an.xempt lndcr S(lio B &PC inrrhistc*on.
trQBr[x.tjiouPiltarraN
DECI.ASA:IAN
I h.rcby olfid undo p.ulry ol rdiury om of lhc foll.o ii8 dclqali.ngl
-l
h3u n! uill nrinrdh tr Ccn ili. c oi (rr{nl to Sclfl tr\urc tur qorkcA conrFn\ar ion. r Polidcd tui by Sccrion l'7(X) ol rhc
Llhtr Codc- for lhc perf{n tudorrhc{ork ri,whi.hlicFn.ir i\ n\ud.l
-l hlvc ond sill m6inlnin sotken conpcnsarion insurtrc. s rcquicd by Scclion :lT00 of rhc Labor Cdc. for lhc rqio.runcc of
rl* &rk foi whhh rhir F nil is is$cd. M, *o 6 orlrtns io insur.re caicr ed Flicy numbq m:
Poli.yNumb.r: ' Er/rcl
1l ccrrify rhar in lhe llcrfo@m. oflh. worl for whi.h lhis Ddni h jssued.I shrll ml cn{,loy !.y tEMf, in my Mn*.
$ I ro bc.o@ slbi.t ro llE &*m on xndion l,M oaclliaomi.. snd !88 lhrI if I slx d h.om subi(t to llc
workcc on{Ensllion polisions ot Sc<1ion l70O otthc t b.r Cd..I snall fonhsilh oq,ly wilh ltbs Pmvisio.e..
WARNING: FaituE b se M*cs onqEnslion swE8c Lr lnh*tul o.d $ill .ubirl u ctlploF lo oimiotl F lrts dnd
civil rincs up lo o.c hundrcd thouend dolls ($1(x),m0). in
Sc.ri,r.1,'76 or rhc Lrbry C,dc. inrcrc.r and Jtonrr\ f.c.
iotr. damses !s providcd for lhc
-.". . (-2n-lSro,rr*r
I h.rchy rfiirm uid.r tr. rlrr.tr.ri'ry rhnl l0m lienscd undcr l,o 6lChaplcr 9 (ommftinE wirh Sc.rb.7000) of Division l
or th. Eusincss and Pmfcssioos Codc. srrl ny 1i..,* is in lull r.rcc uxl cfl&l
at, c4 el/1 74b'
I h.rh, dfijrn undfi FMxyofpcrjurylhal lhcrc n ! c.nerucrion hndinS o$ncy for fic pof.nMn.c ollnc *ork for whichrhis,tc.mil n
A.ETId.NI"PECLAXAIION
, h.rcby nfijnn und$ pclllry or pcrlury onc ofrhc folbwnrs dNhlaiionsl
tknk,lirtJn Pcrmik.Ash.stos Norificalion redqal RcSrhrn,ns (Tirlc.1O. Pnd6)
-Rcqutcd
L.lrcr.a Noria'cdio.
I c.nify rhar thc fedcrll rcsuhrturs EEardins $h.slos rcm)vol rc nor lpplkahh
'o
rhis l)lolccl.
}(ccn r rhd rh!\c rcrd,hnupnl
ii,rin;n!c\rftl srorc bw. ELrnsro
agmroomtlysirtdll Cirysnd cou.ry
iv.! or$t Cn, atrd Counly ro cmd ulbn rtr
athve n*nrbncn I'lopcny fo. in\!6iion
rxr., r 5'2n
o,,/,t 14
-a
Duct Work
Above T-Bar
/..-..'
Drr.: t
--
C.nrodo.E
hsd (S(, 3097. Cit, C.).t nd.lrN!m:-
ApplicMl or Agcnl SiSnatuE:
Pdhit@ nanr (rrio:-L
Y
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