HomeMy WebLinkAbout40132591 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714], 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40132591
Pin #: 826{5
rl J
Proiect Address: 2522W MacArthur Blvd
Assessor'sParcel; 41246'l-O4 Lot: 1
Unit: C
Block; NA
Btdg:
Tract: 10907
Address Range: 2500-2544
Historic: No
Suite Range:
Zoning: SD6
Owner:
Address
Contraclor
Address:
Jason Hall
2522 W MacArthur Blvd #C
Santa Ana, CA 92704
(714) 391-3858
Treeium lnc
5352 Laurel Canyon Blvd, #1
Valley Village, CA 91607
(8s5) 833-8733
Fee Type
01116002 51604 Bathroom Fan
011 16002 5160c General Plan Update
01116002 51604 lssuance
Amount
30.52
22.O8
55.04
Fee
$30.52
$22.08
$55.04
Qty
'1.00
1.00
1.00Phone
Tenant Name:
Phone
State Lic #: 617148
Lic Type: C-36, B, C-46
Bus. Lic #: 345372
Workers' Compensation lnsurancel
Carrier: CAROLINA CASUALTY INSURANCE COMPANY
Policy #: BNUWC0144084
Expires: 0511812019
Treeiur Inr
Generol Plsn Updote Fee
0t116002- 51600000-
tiechon i co I
01116002- 5160{000-
ICL Check N7?22
Notes: Remodel existing guest bathroom. Fixtures
322.08
t85.36
t556,13
Building Use:
Job Type:
Nature of Work
Condominium
Miscellaneous
Remodel
R-1
VB
cMc 2016
Occupancy:
Conslr Type:
Code:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field
Buirdins Permit #: 10197702
Every permit issuoC shdll become invelid unless the work on the site
authorized by such pemit is commenced within 1 80 days after its
issuance, ot if the wot* authotized on the site by such permit is suspended
ot abandoned for a peiod ol 1 80 days after the time lhe work is
cofimenced.
09t14t2018
Account#
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$85.s6
$107 64
$0 00
$107.64
lnspector MID#: 2018-146099
01 1 '16002 51600
01 1 16002 51604
Fee Total
Paid to Datel
Balance Due:
Eotcht:45930 - 9/U/2nl8 I0: NGARCIAoffice: CTYH Tronei: 6 3 of 4Accti: Ref+: 40132591
Rcpti:(n3&1735 - 9ll1/20t8 ?zl7 An
Tronsoct i on Totol t556.13
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.
Appliances
Metal Fire Place
Ev aporative Cooler
Furnace
Compressor
Misc. E quipment
Duct Work
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
T>lwtz&4ttutr +*il 4,74 )
Hood I IU
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
B.zrrt, r,tcl2g lK',,,u/2.r/
Notes, Remarks, Etc.I Vtu
OWNER BUTLDER DELCARATION
I hftby aflirm unds pcflally of lEdury lhd I m cx.nq fon tlE Conrlc1o6 Li.m* La* for the fouo*ins @sn (Scc.7ol l .t
BuiiBs 8nd Profssion Codc): Any Cily or Counry whth rcquiB ! pcmh ro @nnf,(r. .116. inprot., &mlish or rprt ,ny
$rudm. Jrior ro irs ksum. lls rcquies rl* .pt icur for su.h p.m,l lo lilc a sigicd slarm.t firt lE or slE ii licr*d l,umm .
to lhe povisions of thc Conmcror'. Lhen$d Llw (Chrprcr 9. ComminS with Sccrior ?001, of Division 3 of rh. Busincsr snd .
Prcfqsions Codc) or thal lr or sn h crcepl ihBcfron ud rlE baris lor rht .llc8c<!.rcmplion, Ary violsrion of Scdbn 7011.5 by lny
rpplica for apcmir slbjcrs rhc llPliclnl to ! civil pctrlhy of mt mp rhu five h!.drcd don{s ($500).
-1.
&s oqn( of lhc pmtErly, or my cnplotlrs wiln wogcs !i thcn sL comFnsation. wil do tlr qot ed $. $enre ir mt
inlciden or o$..cd ftr slc (56,7044. Businc$ ud ProfcssioB Cod.r Tnc Cnlr..rols Lior* hp do.s nol +ply ro e owmr of
rlE Fopc y who huil& or iqm6llE6n. lDd who &E trh ft* hintcltor h@lr or ihrouSh his orhqos cnploy..s.
pmvacd thdt such imp,lwmnBGmI hl.nd.d orofrcc<t for ele,Ii lD{ts. dEhliUinsor itrpeEmrr h $Be iinorc Jr,
olmnpblbtr rh. OwM Bri&r eill h& rtE hrn6 ot provir!8 dEr L .r slF dil mr hih tr inrrmrc dE pmFny for rlx l,r4n$ of
-1.
!s owmr of lh. ,,mFny. am .x.lusivcl, conkrin8 eirh liceis! conradoF |o ons,tocr tlE ,roirt (Ss 7Or4 turi*s
and Pinft$bo Co<lc: Thc C.nrturol s Liccnsc L!* des mr lpply ro m owncr of ,,mpdy wno bit& or impo!.s rh.rs...id sho .o.lr!.ls fu scn l,mj.rls wirh r Co.rEcro(i) liccn*d p!6@r ro rhc Conrlcbr's Licensc lj*).
linrcx.nuu crscdio .B &rlc turr[\'({tr,
uo8f,E8S:COMPtiNSATIaN
DECL$AI]AN
I hcrcby.fti.n und.r pculry ot pcriury orc otlhc tollowins d(laErioni:
I havc a.d sill mainrain *ortcrl amn€n\ ion i.Nramc. { rdtli€d b, s*'ion !70o of rhc ltbo. Codc, tor tht p.rforroRc of
thc work tor which
'lln
pcmit ii hslcd My soricc' .onwnsrion i.summc csicr and lDlty nunber m
'co ro I ia61 1^s q,, ,/*
-Ri/uu)cot L,u aa h . / U//c
-l
ccnify rhnl in lh! p.rao,mnc oflh. sork lor whth rhh FrnI h issucn- I shull nor cnll,Ly{ny ocretr in my manft.
e at ro li$m {bj$l lo lh. wo*m conr.nslion Lws of Cariromi,. rnd 0Br rhd il I should tEom shj.ir ro rh.
*0*6.onpcn{donDnljshnsofSdion3700oflh.titnrCodc.Ish,ll.fonhwiincomplywirh$o$pmvisio.s..
WARNINC: Failurc ro sm m.k N cor4.n$rion .ovcnsc h unb*ful. and shall subjcct atr cmplols to cimiml pcnahts lnd
civil 6ncs up ro onc hundr.d rh.u$nd dollm (ilm,rcO). in addition to lnc coxt of compcnstion. dumscs as [ovidcn aor rlE
Sccrion 110?6 ol rhc Libor Codc, irrcrc( ond
--*
utElt[DtoNrt allaB
IIECLASIIIAN
I hcEby rliir und$ ptMxy or p.rjxry ihar I am liensd lnrlcr pmvhion oI Cniflq 9 (conrmrcinc with Ser ion 7$0) of Oiv(ion l
ol rh. arsin.s{ Md Pft,f.$irnr Code. lid nry liccn{ h in tull forc ond cltt{l
h o,t7-/4(q//, /lr
CONSTRUCT(IN I FNDIN(: A(IFN(:V
I hcrcbyofllmundcr pcndlrydrFrJu,!rh,r
'hcrc
t!L\,n\'ruclion hndinsoscncylnr rlN p6l nurne olthcuork tu qhich lni\ ncnnir is
irsrd rS.. :1097. Civ C L
A,PILICANI.IIEIIdMfIT'!
I )*tby lflid und( f,ci!h, ofpcriurtonc.arhc lollopins d.clrroriotrs:
DenDlili Pcnnn$Ashnos Nolili.lri.n Fcdcr.l R.sohrnn,s (Tirlc40, Pd6)
R.quncd lxrrcr nl Norifi cdion
I .cnif, rhar rnc &dcral rcslhrions rcBuiiins .stEstos Emvll e Rn 0plliclbk lo this pojccr.
I .orafy rhar I hrvc .cad this alpltarion ud srarc rhar rnc .horc i,fo@ion is $Br. I lEc ro mody *irh .ll Ciry dnd Coumy
ordironcc\ und Starc I iws rclll i.e ro b!toprc\cdraiiv.\ olihis CiryrJ (i'utrrt t,.nrcr uFn, rh.
ahrw nf,nriorcil popcny lor
^,, c/h/ld
'o;lald (ri,'1
Yl<xEt
COMMENTS
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Other
lnstallation
FINAL
-l
hlvc &d willmirtd!. Ccnil*ltcof Cone ro Sclf-ltrilE for rorl6 onpeBothn. &s Flvikn for ly S(lbn 1700 oftlE
L3hor tuc. lo, thc D..folrMe ol rhc erl fo qhth rh. ,shir is hsEd.
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