HomeMy WebLinkAbout40132065 - PermitProiect Address: 200 E Sandoointe Ave
Assesso/sParcel: 411-'111-07 Lot: NA
unit: 700
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: SD76
E
City 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{32065
Pin #: 46.214
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
PM Realty Group
201 E Sandpointe Ave #470
Santa Ana, CA 92707
(714) 540-56s5
Ducommun lnc
Select Heating And Air Con(
767 N Main Street
Orange, CA 92868
(714) 516-9970
01 1 16002 51604
01 't 't6002 51604
01 't 16002 53603
01 1 16002 5160C
0 1 1 '1 6002 5'1 604
Amount
86.82
4,t.99
0.65
21.25
52.98
Feo Type
Heat Pump
Alter Vent Sys
PIC - 650/o
General Plan Update
lssuance
Fee
$173.64
$209.9s
$249.33
$2',t.25
$s2.98
Phone
State Lic #: 4452Os
Lic Typa C-20
Bus. Lic #; 127504
Workers' Compensation lnsurance:Carrier: lnsur Co of the West
Policy #: WSD5006958
Expires: 1010112018
B0[chi:.(382{ - 5tl6/l,1t9 I0: JGU0I0ffice! CTYH TPonsi: 23 1 olAcct+: Refii 4u132rl6i
Rcpt+!0?265031 - 1/t6/2ttlg ltl!37 An
TronEsct ion Totol t537.85
$elect Heoting And Air (:onditi
Geneiql PI6n usdote Fee
U!116002- 51600000-
Ilechon i col
rrl116002- 5160{000-
P/C flechon icol
r11116002- 53603000-
ICL Check 041528Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildinq Permit #:
Commercial
Tenant lmprovement
TI
West, Glen
Zuniga, Allissa
Date
Date
Date
05/15/2018
05/16/2018
Account#
Misc. Receipt: 70947
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type
Code:
B
II A, SPK
cMc 2016 Notes:
Every permit issued shall become invalid unless the wo* on lhe sit6
authoized by such pernit is commenced within180 days after its
issuance, ot il the wod< authoized on the sile by such pemit is suspended
or abandoned lor a peiod ot180 days aftet the time lhe wo* is
commenced.
lnspector MID#: 2018-141473
01116002 51600
01116002 51604
01116002 53603
Fee Total
Paid !o Date:
Balance Due
$21.25
$436.57
$80.03
$707.15
$169.30
$537.85
Qty
2.00
5.00
383.59
1.00
1 .00
MECHANICAL-INSPECTOR RECORD
OWNER IUILDER DELCARATION
I ncElry o,Irm undn p.naty or Frjury thot I m cxrmpr tum rh. con@ro6 Lienc Lru ror rhc rolbudt!\:!$n (scc.lo3 I 5
Blsinc$ and Pofcrsion Codc): Any Cny or C@nry which EquR! , rEnr ro m.{dd. ells. inpmv.. dctulnh or rcp* uy
3tructurc, prior ro ir hsar., oho rqliEr thc .pplhdnr fo, such Fffii lo nh ! siemd slll.mnt fia,t L or shc i! li.msd puNa
h lnc pmvisions of tlE Conlrslor's LicnEd Llw (Ch!,rlcr 9. Commncing wnh SNlion 70OJ of Division J of lhc Blsincss and
Pmtcssions Co&) or rhar lt or rhc is.rehfl thsriiom dd the busir for lh. !lh!.d .x.trplion. AnyviolationofSNtb.T03l.Sbyany
appliclnt for a ,..nir llbiEls UE applicanl lo r .ivil pcmly ol nol mE lhan fivc hu lrcd dollas (5500).
-1,
ds owr( of rhc popcny. or 6y .nploylci *nh w0gcs rs their $h oqEnstion. *ill & ll* $ftk &d $e ilnrnE i\ mr
intcdcd or oilcrcd for elc (Se.7(M. Ausims &d PtDfcssiom Codo Thc Conr.eroca Licns ljw docs tror srply ro an owrct ol
!h. peFny who hilt\ or nq,oB thc6n. lrxl who d6 Mh wli nin\.lf o, hcrclf or lhtouSh his or tut own ci{Lyccs.
nrovidcd rhsr such nnpmEr.E e tur hrcn lcd or .lIqd fo. sb. lf. hofts. th. ti{ildiry o. iqrwmtn is eB withii dc tlt
ofcomplcrbtr lhc Owrcr Build* will harc 0E h!d.n otFwi.s Er lE 6 shc did mr blild m o'pmrc lnc pmDcly for tlf Plrfn* of
-1.
ds owN,.r rhu ,epqry, o.x.lusiv.ly.ontB.li.8 wnh li.aEd.o ndoBlo oislto.r lhc leirr (Se.7044, Burims
ord hD,tsshn Codc: Ths Coirturof s Lic.nsc Llw d6cs mr otply ro u oencr of prcpcny who builds or imprctcs lhoen.
dnd who 6nrh.k tor such pmirrs wirh a Conrrero(9 lk.Md pullur lo rhe Coolndor'3 Liccn* Llw),
!.n cr.mt undrr sc(rnr
]rcBKEBL!AMPENSAIION
DECI.AMII!]N
, hcrcby rlfirm undcr pc.ahy of pcrjury one ofth. folL$ing dshnlionF:
-l
haw dn will minllin r CcnifEatc oacon$ to S.lf-lnsure for *orkc6 .o.rpc.siioo. 6 povidcd for hy S..lion 3?m of Inc
lr!o. Codc. for 6e pcdoMcc ol UE wolt for whkh llE F.mil is i*ucd.
-l hav. and will mainlsin wortcts srycisarior ins!runcc, 6 rciutcd by SGlion 1700 of 0E Llhor Cod., for llE psfolmne of
rhc worl for ehich rhi Fmrit is is$cd. My wor&d .oqrcnrdion insuee @i.. .rd policy nnnbd @:
cort, - [^1,'8G.3 aq r ? *',^.r. c'rJeS t
L\, s tDo i.. o/fe,
-l
cnitylhat itr rhc FrfornEncc ofrhc wo,k for $hth rhis Frnir h irsucd. I shall mr cmploy ony Pcrstr in lny oanncr
$ 0sro tE o'ft suhtcr ro lhc w ciscom!.nsrionlawsofcaliforni4!trdcsNrharifIsholldh.co@cubj.cltoltE
workm omr.nsorion pmtisionsofSction ITOO oflhc Llhor Codc.I shdl aonhwnh Nnply wirh rhns tmvkions..
WARNING, Faitur. t, {.nrc *r,*.rL $nD.nsdioh covc',!c i\ u.lrRlnl. ond shrll suhF_t an cmploycr kr qihnr Jrtuhi.s rnd
civil fincs up k' otu hutrdrcd rhousd*l d.lles (s|fi),O(x)), in rddniotr ro lhe co( ofcompcnsrrion. datug$ d\ lford.d ir rh.
scrion 1076olth. bhor Cod.._^-^,[^[;%.--f llo
LICDASEDJONISAETOA
IIEIIIBAIION
I hcrchy rfinnundn pcnaxy of rrjury lh.t I am liansd !trdc. rmvhion ofChuprct 9(..mftn.in! wkh sdion luD) olDi{ision l
ot $c ausin.\r ,nd Prurc$ions codc. ld ny lic.ns ir ir lull rorc otl .ifsr
C7-o Llqa2of
t
AIILICANLDECLAM]IA!
I lxr$yarlinnundcr ncnrlry ofp.rjuryonc or rhc n,lhsins dc.hrarn,ns
Dc hliri. Pc nni^sh.ros Norificdion lrcdcralRqultrrions aInh40. Pani)
-Rcquncd
brrcr ol Noli,lcalion
I ccnifyrh,t rfu fcdrJl r.Bulorions Egarding rstEsros rcmval,rc nor amlklhle ro rhn ntoFt
-l
ccnif, that I har rcad rhh apnlitri.n ud (ar. rhal rhc ah,r. informrion is oncd I a8r ro smply
ud Counry ro cnrd ulnn rlrctr{rur(nn,. rn(l h.r.hyrurh.ril. rcJtr$rnrJrrr
APPBOVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Irlisc. Equipment
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Rough Mech.
Meter Release
FINAL +71-A -lldrtafr /)
Notes, Remarks, Etc.
ei,r,+S*<a_
Duct Work
Other
Above T-Bar
Final Test
I
CI)NSTRUCTmN LFNDINC AGIiNCY
IhcrcbyarijrnundcrlcMlryoltcrturyth lhc,c h a onslrucriotr lendins alcnc, nt rhc Prrfr,mn.. ofrhc *ork lbr whichltis Pcrmi n
isucd (Sc..1097. Civ C.).
I cnl '\ Nnn,..
ordinances and Shlc Lrws
ah)vc mnriomd pmpcny hr r/ula
I
I
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