HomeMy WebLinkAbout40127593 - PermitCity of Santa Ana
Permit Counter: (714\ 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section : (7 1 4\ 647 -5853
Mechanical Permit #: 411127593
Pin #: 946,52e
Project Address: 100 E MacArthur Blvd
AssessoasParcel: 411-081-26 Lot: NA
Unit:
Block: NA
Bldg: D
Tract: NA
Address Range: 10G140 E.
MacArthur
Historic: No
Suite Range:
Zoning: SD76
Owner:
Address
Contractor
Address:
Lyon lntegral MacArthur Place, LLc
100 E MacArthur Blvd Bldg# D
Santa Ana, CA 927075779
(949) 252-9101
Slater Builders lnc
3100 Pullman St #B
Costa Mesa, CA 92626
(7141 4344887
Amount Qty Fee
Notes: Change of contractor, replaces rr40l27385 - Revision
lo 140127122 - Commercial kitchen - recreation deck.
Phone
state Lic #: 675832
Lic Type: B
Bus. Lic #: 34A171
Workers' Compensalion lnsurance:Catrier: State Fund lnsur Co
Policy #: 0000294-2010
Expires: 0211612012
Building Use:
Job Type:
Nature of Work
Condominium Occupancy:
Supplemental Constr TYPe:
change of Contraclel - PsUlCode:
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Link, Patricia
Subject to Field:
Buildins Permit #: t 01 79983
Every permit issued shall become invalid unless the wot*
on the site authoized by such pemit is commenced within
180 days after its issuance, or if the wot* authorized on the
site by such pemit is suspended or abandoned for a peiod
d 180 days after the time the wotu is commenced.
Date
Date
Date 09t25t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
MID#: 2013-1 10768
Fee Total:
Paid to Date:
Balance Due:
$0.00
Phone:
Tenant Name:
Fee Type
R-2
III A, SPK
cMc 2013
lnspector
APPROVALS ID/SIG.COMMENTS ONncFBuitd.r Dda6lion
I h.r.ty.firm undd p.@lry olp.lury rh{ I M.x.npt forn lh. ConrscloE Lic€ns. L.* for !h. aollowinB i4oo G* 7OlL5 Bsin6s
od Prolesiotr Codc): Any Chy or Connl, Nhich rcquir6 ! p.rmn ro coErrud. ahF, inpNv.. dcnotirh or ,.pit rny Nclur.. prior ro ils
irsu!ft.. .!ro rquirG fi. lpplicanl for iuci Omn lo fiL a !i8..d slaldcfl thal h. or sn. t [cm.d plBud ro rtc pmei.ioB of thc
Conlrlcloir l-rccns.d Llw (Ch.pl.r9, conmc.cr.s w h Sdrion Too0 of Drvision I of rh. B6rn6s lnd Prof6sions Codc) or rht h. m
rn. is .&np thdcfrom ud rh. bais aor rh. all.*.d 6.6plhn Any viol ion of Sd ior 701 L5 by dy .ppli.!d tbr ! pann eubj.cls th.
aDplic.ntlo. civil p.ulty olnd mor. than livc hundrcd dollm ($500).
l,tsownrofth.piop.ny.ormy.,trployce*irhw.g.!.srh.irsol.compcnsation.willdorh.wo.kandlh.slruclu.a!oorinrnd.d
or olt ..d fo, sl. ( Se 7044, Burn6i rnd Prof6sions Cod. Th. Co.tricrois LiceBe ti* do€ nol apply lo !n owrcr oa rh. prop.rly
rvho builds or inprov.s rh.mn, od Nho docs sucn wort himclaorh.Mlforlhbo*h hi. or h.r oq..nploy..s. provid.d rhol such
impror.d.rls !r. nor inl.ndcd orofi.Ed for slc. Ia howcv.r. th. buildins or impror.m.nr is loB *nhin on. ,cr ofcodpldion. $.
olnn.Buildcrwillhtv.lhcburdcno,p.orinsth.rh.orsh.norbuildoridpbv.forth.Furp$.or3ok).
_1. c osn.roffi. prop.ny. !m .xcldiv.ly contdcrins wirh lic.flFd.onlnclos ro coBrru.r rh. p@j.d ( Se 7044, Bulin6s and
Prcf.srbn cod. Th. conlr.crofs Lic.N. rrw do6 nol .pply to an ostur ot prop.ny wno builds or improv6 lhcon . md who
conrad3lor !!.h prord( wnhr conmdo(s) hc.B.druBu lo th. conhc{ol3 Lrc.ns. h* )
q.4.1r-
WORI(ERS COMPENSATION DECLARATION
I hd.by rmm lndr pcMly of tnjuD-, on. oi th. folloq in* d(l.ratioB:
I h!v. ed v ill nrinllin t C.nifiol. of atBor ro S.lf.l isur. fo r Nrk.c .omp.Mtion,c prolidd aor b, Setion3700ofd!
L.tor Cod.. for rn plrloruBc offt. worl tor which rlr !.dh ir bsucd.
I h!v.md *rll frr,ntrin $orkeB @mpcMnon rs!6nce. .s r.qlird by Sfttun u 70O ol th. L.bor Cod., lor rhe pcrforrun.. of thc
uod aotwhich ihi.p.rm B arued My wo,k.B comp.nsrion inslEnc.6rEr.nd pol'.y nunb...r.:
PolicyNunbd:Ertncs
(ftn saliofl n .d f,or b. compld.d irlhcFnnit is tor On. hundr.d dolh6l$l00l.rl.$)
l .cnif, th.t in th. pcrfomnc. oalt vork aorwhichihis p.rmn is i!s!.d,I shrll nor .hploy lnt pdon inlnym.nn(so6lo
b.can.3ubr.cr ro rh! workes @mp.nelion b*s ofcalifornn, rnd.src rh8l 'll should b..oo. subred to dr. wort.c
&:r 70Oofih. kbor Cod..l sh.ll. fodhwht,
_ _ ,ADplic. l
.omrl' *irh rhosc pDvisions
WARNING E rlurc lo seuc workss. comp.nsto. cov.ns. h unla*lul, !d stull slbJd .n .mplot{ ro oininrl ,. lti6 lnd civil
6nq up to on. hudr.d fioc.nd doll6 (S100,000),in addnion rolhc.on ofconp.ns{ion. d.m.n* s Drovid.d fo, rhc S.crion 3076 oa
lh. htor Cod., ini.r6t and atror..y's f6
LICEITSED CONIXACIORS DECLAI'AIION
I hd.by llfirm undd pcdhy ofp.rjury lhar I u lic.ns.d lndo povision ofch!flo 9 konn.n.ins wnh S(tion ?000) ofDivision 3 of
th. BBin.s lrd Pro&.rioB Codc. md ny lic.e is i. tull ao(r 6d.ffer.
t.r.tu ctr*,?2 _ LE.e Nuob6 u1D472
(!!i!:8.!cllQtr!!i!p!xclc.E!cY
I hcrcby trmrfl und.r pcmll! ofp.rtrryth.l lhcr. t ac.n tu.rion l..di.B 3g.ncy rar th. pcrfon@ncc olrh.work lor$hichrhh p.rinit is
i!s!.d (Sn. 3097. Ci!. c.).
Lcnd.a3 Nlne _
Lnd.is Addrqr
at[Ltca!.IssEclAaarqN
D.nolirion P@iB-A.b.sros Nori,i.dion F.dol R.suldionr (Tnk 40, Prn 6)
RcquiBd tlrrc, of Notifiqrion
I c.nifyth.rrhc acddrl r.tularions r.srrding asb.stos r.dovalarc not.ppli.5bl. ro this proj*t
I.cnify6al I havc r.ad 6G.Dplictrtion and 3t.t. that th..b.!. inforntlion k.o(..1 I igr.. to conply wirh all Cily and Counry
horizc r€p(s.nratits otlht Cily and Counly rocnr.! upon rh.
,,^,,at"Q't4
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings r
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL
M 1\Permil lnspe.tion Foms\Mechanica -lnspe.lor Recorddoc 03 31 06
MECHANICAL.INSPECTOR RECORD
OATE
Other
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