HomeMy WebLinkAbout40132636 - 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 #: 40{32635
Pin #: 8755$
Project Address:1212S,ristol St
AssessofsParcel: 109-071-07 Lot: NA
unit: l8
Block: POR I
Bldg:
Tract: WEST
Address Range:
Historic: No
Suite Rangel
Zoning: Cl
Owner:
Address
Phone;
Tenant Name:
Contractor:
Address:
Roman Construction
P.O. Box '1146
Walnut, CA 91788
(909) 229-2099
F€e Typo
01116002 53603 Revision
Amount
222.16
Fee
$222.16
Qty
1.00
Phone
State Lic #: 971274
Lic Type: B
Bus. Lic #: 353031
Workers' Compensation lnsurance:Carrier: Amguard lnsurance Company
Policy #: ROWC827054
Expires: 09/16/2018
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Commercial
Revision
Revision
B
VB
cMc 2016
Occupancy:
Constr Type
Code:
Notes: Revision to 40128699. Location of vents.
B
Date
Date
Date
1011812018
10123t2018
Account#
Misc. Receipt: 71582
Misc. Receipt:
Misc. Receipt:
Total
Building Permit #:8s999
Every permit issued shall bocome invalid unless the wo* on the site
authoized by such perfiit is commenced within 180 days aftet its
issuance, ot if the wotk authoized on the site by such permit is suspended
or abandoned for a peiod of 180 days aftet the time the wo* is
commenced
$222.16
$222.16
$o.oo
lnspector MID#: 2015-'123084
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
lnvesto/a Property Service
15707 Rockfield Blvd. Ste. 225
lrvine, CA 92618
(949) 900-6160
Flor De Mexicali Tortilleria
Building Use;
Job Type:
Nature of Work:
Subject to Field:
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Venls
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.
Final Test
Meter Release
FINAL 2-11-2'r' Jr'c't f?%
Notes, Remarks, Etc.
OWNI'R BU!LDI'N DOI,CARATION
I hcrcby rffiln und.r p.nnlry of p.ijuiy rh ldcxcr0r fio6 rhr G r r,N Liccnsc Liw turhc f(rloaing rcrv (S.rl0ll5
Bu\ircss nnd Pnna$rn Onlc) Atry airy or chnry shi.h r.quircs 0 linnn ro .oistrucr. rhq. inuovc. dcnnnnh .r Enrn uny
{rucnrc- pri,trh irs is{ n c. il\o tuluncl lhc rfl'li.rnr l'.'r {rh Frnril t, fi1. ! \i8ncd (llcnrnt thrr hcor shc i\ licfl\cd pursurnr
ro thc frcvisions of rhc Cotrtrr.lois I-(ctrscd Lr{ (Chilrcr 9. ComnrncinE $irh Scdion ?fix) ol Divhion .] .f rhc BusnN$ rnd
tr'fcsionsGde)or lhartEorsh. i\ crcnrl rh.rclnnn Md rh. sn tur rhc rllcscd cxemption A.yviohrionofscdi'n70ll5brrny
rrplicant fd antmn \!bj\.'r\rhc amlicani h nci!ilpcnrlrtoinor frnc rhrn lii hundrddollr\ (5500)
-1.
a owrcr o,Ih€ FlFny. d my.n hyes wilh slgcs a llEn $h anpemaliofl, wil do tlE *orl Ed lL strarE is Dl
iftnded 6r o,tccd fd sb (Se.7Ol4. B$iftis end P,of.isbns Cod.: Th. Conrturois Li6n€ tr* dra rcr qDly Io e .sM ol
rlE poFny wln hoildi or itrp.ohs tltoi, .td who .Ld sh mlt hiNlf or bcElaor lhou8h his or hd o*n c'nplortcs.
prcvid.n thll such inprcwmnB I mt inrorh oroffcEd 16r sL.Il no*k.0E boiHr8 m inptulmr b sld f,ihh oft )qt
6r6n9brhr rtc OeM Buit er sill hsr tlE hrdd ot Fsvin8 rh3r lt or slE di, mr h(iiu or in@rc df, po,gi, ior lh. porln* 6l
l. !s ow8r or rtE t b,!cny, o rxctur,rcly .onrri.rane sirh lienln .om6.roF to conod rlE poj.d lsa. 7044. ausrffi
and Eoeasir Codcr TIE Conlr..lols Liccns. Llw docs nol q,ply lo M o*nd ol I'rorcny *to builds or nryrolrr lhed,n,
od eho ontE lr for such ,roj.<lr Bnh . Conu!.1o(3) lien*t poma ro rh. Co rr.ior's Lhens tiw).
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am .xenfl urdfi Scdion- B. & P.C, for rhi. rcen,
I rhor Co,l.. lar rhc !.'liinnrr(c ol rlt "o l(tr shi.[ rl'd ,tr'N l i\ \{i.(l
rhc \rcrk ktr whi.hrlrs t). n i\ i\nrctl Nlyqorkc* (o ll)c \I otr ltr\ur r.c..iirr rtrxl Nlicy nunk\r rc
P.li.yNumbcr Exfncs:
-l
ccnifythll in lhc Frformmcof ltc wort l stth lnis p.rmil is i$ucd. I sholl not cnfloy an, pc6on in any mmr$ qs ro lEd,ft subFcr ro rhc wo*6 compci{thn laqs .a Crliaornie and aFcc rh,r ifI shduld lE om 3ubi.r ro ltf,
*ortcB ohl,cn*rionl)n*ions otSecrio.l70Oofrie ljhtr Codc,I shlll. fonhwirh.on'ply wirh rtb{ povisi.ns..
WARNINC: FailuN lo KUR workctr s'ulEnslion .owmgc is utrtlwlnl. and shall $bjcl !n cmlloyer lo aimiMl rtMtis sn<!
civil 6ncs !p to orc htndrcd lhoustrd dollaB ($10:r.0o0), in oddilhn
'o
lhc cost ol onrperstion. damses as tmvidcd for lhc
Sction 3076 of rh. Lator Codc. inr€rcsr ud artomy\ fes.
u(JlLsliD_!!)NrxJ1:roa
DECLA&II]ON
ot ihc n!\inc\srnd l)rotus\in\ Codc. riJ my li.cn\r n in lullk,( rnd.llccr
(aNglar](rlaNt[ltltNc-6c[lcr
I hcrby rlli nuMorltnrlirol p{rjur} rh{r rhcrc h i.otr{ru.ri,,n lcndirer8cn.} for rhc FcrlonMrcc olthcwork iorsnichrnis pcnnit i(
i$ucd ( s\.'. .1097. Civ. C )
acta loomply wirh allCilrlnd Counry
ir6 or$h Cirr.nd Counlylo cnrs u,rn
'lE
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MECHANICAL-INSPECTOR RECORD
IABf,IBS:.COMEESAIIIIN
DECIdSAIIAN
I tceby afEm und.. rcnrlry of p€jury om onhc followhs deldlriori:
tridcr'\ Addrrss:
-
lppr rt:,rtrtr trrrr rrn r:rto.',t
I hcR.by ultinn u nl.r licDrlry ol t'rrjury oN oarhc lnlniwint dcclmrnnr\:
Dcnn'lirbn l,clnils.Ashcdos Norili.arion lcdcrulRcrullrion\ ( litlc,l0. t'rno
R.quncd b(cr of Nori[.{i.n
I
ihc rcd(al e8uhrioN Eg8rdi.8 lstEsros rcfr)vll lrc nor lpplic.hl. lo lhls poj.rl.