HomeMy WebLinkAbout40132829 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA g27oz Mechanical
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 4lJ13.28.29
Pin #: 16759.2
Project Address: 2677 N Main St
Assessor'sParcel: 003-013-18 Lot: MANY, SEE COM
unit: 860
Block: A & B
Bldg:
f .act 7211315
Address Range:
Historic: No
Suite Range:
Zoning: SD31
Owner:
Address
Phone:
Tenanl Name:
Contractor:
Address:
The Muller Company
1100 W. Town & Country Suite 810
Orange, CA 92868
(714) 543-0100 oxt. 202
CoPower
K N R Builders
1470'l Myford Rd fB
Tustin, CA 92780
(714) 259-1700
Fee Type
01116002 51604 Compressor
01'116002 51604 Alter Vent Sys
01116002 51600 General Plan Update
0'1116002 51604 lssuance
Amount
90.'t 9
43.62
22.08
55.04
Qty
1.00
1.00
1.00
1.00
Feo
$90.19
$43.62
$22.08
$55.04
Phone
State Lic #; 773387
Lic Type: B, C-9, C-33
Bus. Lic #: 6843
Workers' Compensalion lnsurance:Carrier: Stato Comp lns
Policy #: 1972863
Expires: 1111112018
K hl R Bu iiders
6enerol; Plon UPdote Fee
01116802- 51600000-
llechon i{41 '
01116rrU2- 51604000-
ICL ihe'l: utr00(r1l-15(11
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
lnterior Tl
Chavez, Dave:-
10197770
Occupancy:
Constr Type
Code:
B
II A, SPK
cMc 2016
Notes:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
a2-1110512014
Account#
Every permit issued shall become invalid unless the wo* on the site
authonzed by such permit is commenced within 1 80 days aftet its
issuance, ot if lhe wofu authoized on the site by such permit is suspended
or abandoned fot a period of 180 days altar the time the work is
commenced.
$210.93
$0.00
$210.93
lnspector MID#: 20'18-'146296
01116002 51600
01116002 51604
$22.08
$188.85
6Y
Fee Total:
Paid to Date;
Balance Due:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hd.by alno urdd poslry olp€jory rhar I @ dcofl toh rh. (bnrEclo4 Licc.* kw for rh. folhwi.s r6;oi (Sc.7011.5
BsinB &d hofsion Cod.)r tuy City or Coui y which .!+t6 ! pqmn b cotr tocl, !lls. inpl!v., &ooli9t or Epd $ystrucluq Fio. lo iG i$u.rc.. rle rcqliB $c appli.dl lor such pdri lo filc r lisn.d st6rodt rhar lt or snc is li.a&d pusdr
ro tn. previsioa offi. Conla.loa! Licci$d Llw (Chafld 9. Commdcins with Scrion 7000 of Division 3 oflh. Buin s ed
Prcfsiod Cod!) or llal h. o, shc i5 q.mpr lhedoe dd lh. bais for lhc all€s.d d@ption. An, viol,rion olsc.lio! 7031 ,5 by uy
applicant lor . Ftrrh subjels lh. .pplic&l lo a cilil poalt, of not 6orc th8, nvc hldrcd dolles (1500).
_1. a olrc olthc Fopdly. or oy .n!lor6 wi$ *ag6 a lh.ir elc conpa&lion, wiu do thc Nolt ed c studm h nori didcd oroltcEd for sal. (Se.?044. BEin6 ed P,obtioNCode Tt. Contra.loir Licft.tlvdo6@rspplytouoM(ol
tn pmrsty who hil& o. inipoG rh@!L &rl who dod Mh w* hinsclf or h6clf or thoush hir or h6 om anplorr.3.
provided lhat sucn inpm\EmIs e mt ir adld oroftr.d lor eL. l[ ho*do. $. hiildiig o. ii{ro6n fi is eld (itni. o.. t@
ofmmplclion, th. O*M Builda w na!.d!.hdrd otFoviislh, h.orslcdid tut hoild oriEp.Dvelh.popqty fortllpir!.sof
-1,
s ownd ofln Fopaty. m .rclBiv.ly .odr.din! *Il li.otsld .onractou ro .oNlrud rn Fojd (Se. 7044. Bun6
ald Profrsb. cod.: T!. Co,k..tols LiccB Law do6 nol apply lo d ownq of propqly who builds or imprcv6 rnr.on.
..d *,ho conlBcts for such Fojels wirh ! Co.lmcror{, licmen pmrmt ro th. CoirEctoas Lic@ kw).
-l
@ .reopr urdd S.dion-. B. & P.C. lor rhis r€en.
WORKERSI COMPENSATION
DEgdaaua!
I h@by srm und6 pa.lly ofpEjury oG oflhe following dc.ldrioE:
_l tavc rld will oainlain a cdrificar. of co,hr to s.lf'lNurc for E ldr' @nDa$tion, a Fondcd lor by Sdio! 3700 of rhc
r$or C.dc for rhc pdfolfu@ olrhc wort lor {fiich l! pdnir i. i$u.d.
Xl h6vc dd will Eai .in rcfto @op.66lon iBulmc. ,3 &quid by sedoo lToo of rhc t bor cod., tor $c pafolll@c of
rh. wl for shic[ thh poEn is isu.d My mlta @apdsriiotr iBll!@. @ia 6rd poLicy n@b6 e:
I -z //-//- 2atg
-l
.cniry $al in lhc p6for]Mc. oalhc wort tor which $ie pmn is ia!!.d. I shall nor mploy any p.6on in my mm6
e a lo b6oo. subjd ro rh. qo*6 .oapdsaion las ofcalifonia. dd ssG lnar il I should b6oa. subjer b rlr
wort6' comp.sarion poviioG oa S.dio( 3700 of rhc t hor Cod., I s\!ll fonhwhh onply wirh thoe povisioa..
WARNING: Failur. lo sr€ &rk6' codn trerioa cowr. is unlastul. ..d shall subjd oployq lo giminal FBhi6 d
cilil 6nes up ro odc hundroJ lhoBdd dolld ($ 100.000). in addnion ro lhc con ot conFMrion, dan s6 6 provid.d lor rh.
s(ion 1076 olrhc L.bor Co(lc inrEd d.rorney'
,"*. .l/- 9'24/ n,o,*,,x/*
UCENIEI.CONIBACIAA
DECI4AAI,IAtr
I h6Eby afim und6 ,@aty of pdjury thal I @ lico!.d ondd pr!vi3i@ ofcl'.plq 9 (.oMtuing wnh Scrbr 7000) of Divtion 3
or rh. BBi!B &d P.of.sioB Cod.. @d oy tic@c b i! tull forc &d cff6r
/,<-1 c/)77 3)tr7
,*r, t 1/-r-2o/g c*r*a,x ,h.-t.l^ /2--
CIIIIIBIICUON.IEIDIIG.AGEBSI
I hftby .lIm ud6 F..Iy oa pajury lhn rb@ i5 ! @Dtdctioa kndiag .g@y for th. p6fo@.. of th. wl( tu whEh lh! FDn b
isu.d (Se. 1097, Civ. C.).
t nd6 r Ad(to: _
AIIIJCANI.DECI.AEAIIO!
I hadry .f'rf, urdd poaXy ol pcrjury oi. oilh. following dcbitio8r
D.nolirio. PmteAsb6ros r,roifr..iion Fcddl Rcsul'rioB (Tirl. 40, P.n6)
-R.qun
d Ldlq oatlori6elioD
-l
cqdry rbd t. red6d '.Sulrlio4 r.s&dins ahslos r@ovrl @ nomppliobl. lo this pDj.cl.
rll d iry rhrl I hav. @d lhis 6pplicalion od {rlc lhd th. .hovc infomdion is coner. I asre to .onply wirh dl Cny ad Counly
o.di!ac6 ed St . Lls ckrillg ro bilding .on{Nctior, rDd h4by .utfioriz. rcF6orxtiv6 ofthi3 Ciry ed Couty lo dlq ugon $.
abolr mdrion d prcrfty lor isperion purpos6.
Appli.dr or Asdt Sisnarurc:><4
r*ir**"1p".g,.K Aap Ja.lron
7y_ e_2ots
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes D ryer
Residential Ran ge
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Dam per
Openings
lnstallation
F.D. D Test
--ffi lkzt-/u-./)rJol v-fh
(
Rough Mech.
Final Test
Meter Release
FINAL V2-l/-/l r /r+/*-a"k
Noles, Remarks, Etc.
Above Hard Lid
Above T-Bar
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