HomeMy WebLinkAbout40331050 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mecha n ical
lnspection Requests: (7 14], 667-2738 lnspector Section: (714) 647-5853
Project Address: 600 W Warner Ave Unit:
Block: NA
Bldg:
Tracl: NA
Address Range: 600-610
Historic: No
Suite Range:
Zoning: M1
q
Assessor'sParcel: 110-024-11 Lot: NA
Owner:
Address
Robert Rieck
600 W Warner Ave
Santa Ana, CA 927073347
(714) 668-9199
Royal Manufacturing
Owner-Builder
01116002
01 1 16002
01116002
01116002
01116002
51604
51604
51604
51600
5'1604
Fee Type
Alter Vent Sys
Min Fee Adj
Fee Exempt
General Plan Update
lssuance
Amount
41.99
27 .72
-88.90
21.25
52.98
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$41.99
$27 .72
$-88.90
$21.25
$s2.98
Phone:
Tenant Name:
Contractor:
Address;
Phone
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
gdlchi:44101 - 6/20/?A18 I0: HGAftc
office! CTYH Tronsi: ?l I oirAccti: Refi: 4[331050
Rcpti:02299317 - 6/2tJ/2ttl8 11:51 Ai1
Tronsoct ion Totol 12f2.4P.
Robert R ieck
Building Use:
Job Type:
Nature of Work
lndustrial
Tenant lmproYement
TlChge Occ/Racks
Occupancy:
Constr Type
Code:
B, F-l, S-1
III B, SPK
cMc 20't6
GenePol Plon updote Fee
r,'t 116002- 516U0000-
llechon icol
01116002- 51604000-
ICL Checlr 16106
Notes; Re-activate expired permiufees paid n40318308
Planning Conditions:
Planning Approval By:Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Permit lssued By
Subject to Field:
Building Permil #
o6t2012018
Account#
10392845 $55.04
$0.00
$ss.04
Every pemit issued shall become invalid unless the work on the site
authorizod by such pemit is commenced wtthin180 days aftet its
issuance, or if the wotk authorized on the site by such permit is suspended
or abandoned lot a period of180 days aftet the time the wotu is
commenced.
lnspector l\r'llD#: 2017-135887
$21 .25
$33.79
Fee Total:
Paid to Date:
Balance Due:
Permit #: 4033{ O5O
Pin #: 85383
Plan Checked By:
Amsden, Julie
01116002 51600
01116002 51604
MECHANICAL.INSPECTOR RECORD
OWNER BIIILDER DELCARATION
I h.nby ,fftrn undc, Fnally of pcrjury thrr I @ cxcn'fl hon lhc Co ra.h Liene L3v for rlE aolL*
Ausircss lnd Prcfcrsion Code): Atry Cit, or County which rcquircs a Fnil b onsrtu L akd. i'rymvc. d€mlirh or Epdnrny
{ruduc, prior ro iri i.sl@c, aho ..quiEs fic ap!,li.a for such Fmir ro lilc a iigmd {lrcmd rhd lE o. lhc n Ie.Ed Inllu.r
to thc prcvirions of llE Contradols Lianscn Lai (Chapror 9, Comcncing enh Sc.rion 7000 of Divhio. I of th. B!.imss aild
Pmlcirions Codc) or lnar he or sh. k crcnfl thcrctom .nd thc b$h for rhc llhBcd crcqnion. Any violaion of SdIhi 7031 .5 ty rny
#ffi ffi;;;ffiffi ffi;ffiffi-ilJ*'*:il,
lhc p'oFdy *ho ho rs or in{m6lltur !n *fio dm Mi w* himsclf or hcelf or lhrough hii d h* o*n cnpLyc6.
Frcvb.d rhi' su.h inwo8ror3 G mr hrodcn 6r oftrn to, eL, li hosch. rh. building dr itD.owmd h eLt snhin orc lrc&
ofconpktb,L r& Osn6 Buil:ld eill hlr ln. hldcn oaprolins rlEr tc or stu dA tur hiu or inpmr fi. poFry iir dE pnqbe or
l. *owmrof'h. l,roltit. a cxclusivclyconltuc'nr8 snh li.cnscd c.nt0clor lo onslrucl lhc proj.rt (Scc.7014, Bu\ims
d PrDfcxsnn Codc: ThcConrrrcror's l-iccn$ Law docs mr lr'plyroano,ncrotDrupcny*io brilds or ioD.dvcs rh.icon,
{id who 6 sds lor such pmirk wirh a Conrndon I lkcned
DECIdSAIION
I hcEby s,trrm rndcr ,.Mlry of pqjury oft of th. follo{ing dccl&tions:
-l
hrvc md willmi 0i.aCcnifEarcoiconsnrloScll.ltrsurctorsorkcn comrn\arion,as,'mridcdf.rbys(Iioh.r?(xrolrh.
trK-
lar rhc |frfo ntrk..c ul lh. $ uA lor whi.h rh: Bnnir n i\nrcd
willnrlinhin sorkeri conpen\ari,,n in\tr(lcc, a! requird hy S..ri(1n l?(X) ol rhc t-rhor Crdr. tur rhc,'cnoror0.c ol
utri.' rnd |x,li.y u th.r xrc
P.licvNutr Er: Etntur
_l ..nirr lhd in rh. p.rlor@mc ollh. work lor which lh p.rmir il issucd.l shrll nol cq,loy otry pcmn inanymrnncr
s N ro beom slbia' lo lhc wo*e^' con{.nsrion hwr of Califoaria. Md lge fiar if I should bccom rubi(r ro rhe
worksl comp.trslion povisions of SRlion 3?00 ol th. t2tnr Codc. I shall. fonhNilh mmply silh rhoc povhions
\I RNING Frilur. k, r.ur sfik$r .dmp.n\rrion.olcrrBc i\
.N!l lincc ut ro.n. hundrcd rhnu'rnd dullJis r3l0O,l,tlor,
LICINSgI-CltNttdCrc&
DECI/N&IION
I hsrcby r n n un&r Fnully oi t'crrury lhll I am li.cnBl undcr In vision of Chxprcr 9 (conmncin8 unh Sdrbn 7lrn) ol Dirision 11
ol rhc llu\in$s{nd Pmlcssn'nsCodc. o.d nrylicctrs is i,r tullioNmdcfiai
--Lk
N N!n$cr:
rl)!,ualJqllortENuNcAtillLt
I h.rhy ar6.n und.r Folry ol p.rjury rhd rh.rc ir r.o.sfl.tbn lcndin8 aScncy ior lhr I,. {ormncc oirhc work for which 'hi Frdil ii
h\tcd (Scc 3097, Civ. C )
a-Stuc liu2ti(LABrflox
I h.r$y llirnund.r Ntrilr! ol lErtury.nc ol'thc li'll'^\ irE (le.liflri(nr\
Ihmliri,,n l'cnni\ A\hc{o\ N.rilicrri,r Fcdrrrl Rr!ulnrrn,\ rTirlc 10. Pnn6)
Rrquircd l-crr( of Norilirnri)n
iry rhd rhc fcdftal rcgtrl ionr re8ardi.8 rsb.s.s r..n,v0l m not .t/icublc to thh pmicl.
rr rhar I havc rcad rhir aptlta ri{'ndl {rrc rhd rh.nhilc irfoirnrrn ir.oft.r I aEt6losnply wnhlll Cnyand Counry
!bo!c mnliorcd p,ol'.ny lor
Atplicant or ACcnl Si8nnlurc:
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
Vents
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
Rough Mech.
Final Test
Meter Release
FINAL 1/r'5 lr,,)3 lol
Notes, Remarks, Etc.
II
I
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