HomeMy WebLinkAbout40130318 - PermitCity of Santa Ana
Permil Counler: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (7 1 41 667 -2738 lnspector Section: (714) 647-5853
Mec han ical
Project Address: 120 S Pacific Ave
Assessor'sParcel: 007-320-04 Lot: NA
Unit: 37
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning
q
Contractor
Address:
Phone
Tenant Name:
0'1 1 16002
01 1 16002
01 1 'r 6002
01116002
01 1 16002
01 1 16002
01116002
01'1 16002
Qty
't.00
'1.00
3.00
1.00
1.00
269.37
'1.00
1.00
PAID
llAY OB 2018
Olson Company
120 S Paciflc Ave Unit 34
Seal Beach, CA 92703
(s62) s96.4770
Olson Urban Housing L P
3020 Old Ranch Pkrrvy ,1400
Seal Beach, CA 90740
(s62) 5954770
51604
51604
51604
51604
51604
s3603
51600
51604
Fee Typo Amount
Heat Pump 86.82
Clothes Dryer - Residen 38.83
Bathroom Fan 29.38
Laundry Fan Envir. Air 33.54
Range Fan 31.10
PIC - 650/o 0.65
General Plan Update 2'l.25
lssuance 52.98
Notes: Plan 4B/fees pd on M-
Fec
$86.82
$38.83
$88.14
$33.s4
$31 .10
$175.09
$21 .25
$52.98
Phone
State Lic #: 939166
Lic Type: B
Bus. Lic #: 363131
Workers' Compensation lnsurance:Carrier: Cypress ln3urance Company
Poli61#: tNwc904693
Expires: 01l0'll2019
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
New
New Condo vv/garage
West, Glen
Zuniga, Allissa
City of Santa Ana
$527 .75
$242.16
$285.59
R-2, S-2
V B, SPK
cMc 2013
Date:
Date:
Date:
0310212017
o5to2t201a
Account#
10190461
Every petmit issued shall become invalid unless the wo* on the site
authoized by such pemit is commenced v/ithin 180 days after its
issuance, or if lhe wo* authorized on the site by such pefinit is suspended
or abdndoned lot a peiod of180 days aftet the time the work is
commenced.
lnspector MID#: 2016-13095't
01 1'16002 51600
01116002 51604
$2',1.25
$264.34
Fee Total:
Paid to Date:
Balance Due:
Permit #: 4Ol 3O3l E
Pin #: 24125
Owner:
Address:
Building Use:
Job Type:
Nature of Work:
Misc. Receipt: 68297
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
APPROVALS ID/SIG.COMMENTS (nYn.FBuilder l)alaraliotr
I hd.by rttrrm undd p.dhyofFrjury lh,l I rm.x.mpl forn th. Cont.do6 Lic.n* L,w fo. rk follo*i.g llen(s7011.5 Buin6t
ed Profosion Codc): Any City or County which r.qun6 r pomir ro co6m.r, .lr.r, io o!., &mlllh or r.pai. &y lttude. prior lo ils
i5!uac. !]!o r.quir6 th. rppliar for ruch p.mil lo 61. ! 3isn d 3lrrd. thrr h. or 3h. i5 li..Bcd psurl ro rh. ptuviiiod ofln.
Conrr.cro.s LieB.d Lrw (Ch.prd 9. Cof,morcins wnh Sdion ?00o oaDiri!@n 3 ofih.Bqi.B3 a.d P.of.lrioB Cod.) orthlt h. o,
3hc i! ci.mpr dEr.ioo 8ndrh. bai! for$. rllce.d €x.mprion.Any viol ion oaSdion ?031.5 by dy.pplici for. p.mn lubj.clJ th.
rppli@l ro a civil FDlry of.ol noB the liv. hldr.d dollrG (1500).
I, a o*tur ol rh. prcpdy, or ny .nploy*, wnh *r8d a lt.n lok conpcMrion. B ill do rn wort ud $. .rMldc d nor inrdd.d
or offcr.d aor sl. ( S.c ?otl4. Busi63 lnd Proa.ssions Cod. Th. Cont6.lor ! Lrc..!.Lawd6B notlpply lo in o*nn otlh. php.ny
who builds or inprovB thcrco.. &d who do6 such Nort him*laor h.elf or llroush his or hcr ow..mploy.6. prcvid.d thll such
mpmv.m..a &. .or int.ndcd or orId.d fo. elc. lf. how.vcr. rh. buildins or imprcvcm. is rold wilhin orc y.,r oacomplclion. lhc
olrffi- Blildcr will hrvc rh. b!rd.. of poviry thlt t orsh.nol buid orimprov. for ih. nupos. oa3.k).r(a ow6 of rhc propdy. a.n .icl$ivcly .oilradiig wilh li.ced .oir6.ro6 ro o81tu 1 rhc projd ( s€. ?0,44, BainBs dd
Profdr'on Cod. Th. Conrr.doi. LGG. t , d6 .or .pply ro & orffi ofpropaiy who build. o. ioprov6 tt6on , lrd {bo
6nhd3 lor $.h projd3 ,irh r conr..lo(, lrc.ned guBuinl lo rh. coriidoi. Lienr. lrv )
I dn.xcmpl undtr Scdion
IABEEATCAUIIIIAIIqIIDICIAAAII9!
I h4by !{ljm !.da p..rly ofFrjury oG ofth. folloei.s dcl@rioc:
_l h.v. and sill m.inhin r C€rrificdc ofcoc.nt ro S.laJclr. for wort.B @mp.Mr6n sr provid.dforbyser6nr?oooarh.
L.bor Cod.. for ltc pdfo, n . of tt work aor uhi.h thc Fmi( i! i!!!.d.
I h!v..nd willmlhtlin mrkds onp.Nrion insurn@,a r<urod by S.cr6n 3700ofrh. tthor Codc, for rh. Fraormnc. ol th.
wort aor which thE p.rm
's
irsu.d Mywort.6 comp.r*tb. imur.,@ ori.r.nd policy tumbcr el
('Ini! scrio. n .d not b. coepl.r.d irrh.p.mir i! for On. hundcd dollaB l$100) or k$)
I c.nily rhal in rh. pftforfrrnc. of $. wod( aorshichrhir pdnit is
b..am.subjdrorh.*orl€rs en]pen$r'ohbwsofCsl'rorn'd,nhd
comp.nsalion provirioE of S.clion 1700 orlhc tihor Cod., I
5'g- \9
WARNINC: Frilurc lo s6!r. vorkcs con,p.@lEtr covsase s unhwlul, lnd shlll sub6r !n .n,pl,ry.r ro cn i.t! p.Mln* and c'v'l
aod up ro o.. hu.dr.d fiousrnd dolhB (ll 00,000),in addition ro rh. cdr of conpdsrion. drmagc! a provid.d lor th. Setion 1016 of
rh. &bor Cod., inr.r6l &d alloh.y s f.6
LICENSED CONTRACTORS DECLARATTON
I ha.by .tfim und6 p.uhy of pnju., rhlt I m lic.ns.d undd poviiion otchlFd 9 (@@dci.! wi$ saion 7000) ol Divbion ! of
rh. BBitr s !.d PnfdlioB Cod., ud ny 1i..6. is in tuU lo!.c.nd .,Ier.
t.
-,l celilythar thc f.!@lEsulations r.sardinr asb6ros rdnovalar. nor applicabl. to rhis proJd
lc.nily rhar I hrvc r.ad thisrpplicrrion ir.oGl I a!r.c ro.omply withallCiryand Cou.r,
o.dinancB .nd Sl.l. L3*s r.l,lirylo aurhoruc r.prd.nkrnrs of rhirCilta.dCounryto.ntduponrn.
6bov. n.nrion.d prcpcny for
f=3- r g
Appliances
Ir,4etal Fire Place
EVap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork lo-t(-rB 7e 11 r-7
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL /24-1.8,'42:l /h Q-rJ-t Oz
r-lnspeclor Re6o.d doc 03 31.m
MECHANICAL.INSPECTOR RECORD
DATE
*", 5-0- 19 ****,
ca!fla!eralrElullc-acErtv
I hs.by rltrm und.r p.mlly ofr.rjorr rhnt drrc ir r coBkucrion l.ndins aa.nr, aor
'h.
p.rfominc. ofrfi. work forNhich rhis pcrhir is
bsued(S.c. 309?,Ci!. C )
L.nd.''s N.nE
L.ndc''r Add'6!
ATEUSAILIBIC!,68AIIAN
Dc@lnion PmieAlb.sror No fr. ion F.d.6l R.Bularion! (Tirk 40. Prn 6)
R.quircd trll6 of Notificdo.
Pdm(r.. ndm. iplr!,:
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