HomeMy WebLinkAbout40130315 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 4Ol3O3{5
Pin #: 39631
Unit: 34
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning
qProject Address: '120 S Pacific Ave
Assessor'sParcel: 007-320-04 Lot: NA
Owner:
Address:
Contractor
Address:
Phone
Tenant Name
011 16002
01116002
011 16002
011 16002
01116002
01116002
01116002
01116002
Qty
1.00
1.00
3.00
1.00
't.00
269.37
1.00
1.00
PAID
IIAY OB 2OIB
Olson Company
120 S Pacific Ave Unit# 34
Seal Beach, CA 92703
(562) 596.4770
Olson Urban Housing L P
3020 Old Ranch Pkwy 11400
Seal Beach, CA 90740
(s62) s964770
51604
51604
51604
51604
51604
53603
51600
51604
Fso Type Amount
Heat Pump 86.82
Clothes Dryer - Residen 38.83
Bathroom Fan 29.38
Laundry Fan Envir. Air 33.54
Range Fan 31.'10
P/C - 65% 0.65
General Plan Update 21.25
lssuance 52.98
Notes: Plan 4c/fees pd on M-
City ot S anta Ana
Fee
$86.82
$38.83
$88.14
$33.54
$31 .10
$175.09
$21.25
$52.98
Phone
State Lic #: 939165
Lic Type: B
Bus. Lic #: 363131
Workers' Compensation lnsurance:Carrier: Cypress lnsurance Company
Policy #r |NWC904693
Expires: 0110112019
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued Byi
Subject to Field:
Condominium
New
Nerv Condo w/garage
West, Glen
Zuniga, Allissa
Date:
Date: O3102J2017
Date: OSl02l2O1A
Account#
Misc. Receipt: 68297
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type
Codel
R-2, S.2
V B, SPK
cMc 2013
Buildins Permit #: 10190458
Ewry permit issued shall become invalid unless lhe work o, the slte
authoized by such permit is commenced within 1 80 days after its
issuance, or if the wo* authoized on the site by such permit is suspended
or abandonod fot a peiod of180 days after the time the wo* is
commenced.
01 1 16002 51600 $527 .75
$242.16
$285.59
lnspector MID#: 2016-'13088't
01116002 51604
$21 25
$264.34
Fee Total:
Paid to Date;
Balance Oue:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ol*G-Blildcr Dc.ldfion
I td.by !flirm unds r.mhy ol pdjury lhal l .m .x.mpl form lh. Conlr&loB LiaG. t!* for $. lollowifir rao. (ia 703 1 .5 16i!63
end Pof6rion Cod.): Any Chy or Counly shich r.quiB . pc@ir ro @Buuct, rlq, imprev., d.@li!h or Ep.n lny nnds.. prio, ro h!
sru!.c...b. E{u6 rhc.ppli@r fo.sucn p@nlo filc r 3igicd sllrdc rhdn or sh. i.licdcd plBom ro rh. psvi.iotu ot $.
Conhcroar Lic.E d L,w (Ch.pld 9, Conm.mins wilt Sdrion ?0o0 ofDivlion, ofrh. ButinBtud Prof6rio6 Cod., o. rh.l lE d
sh. it .i.6p tnftt'om .nd lh. b.!i! lo( lt. .ll.gcd .eftflion .Any vioLrion of Serion 703 L5 by &y lppli6n! for r p6nl subj..n dic
lpDlionr lo . .ivil p. hy ofmt mE lha liv. turl,.d dolla (t300).
I, a owncr of lh. pDp.ny, or my .nployc *ith wry6 ru th.ir solc comFdl ion. will do th. wort tnd lh. rlruc1u. t nol i .odcd
or olls.n for d. ( 36 ?o44, BurBr .nd Prof63ioB Codc Th. conhcror'3 L@6. L.w do6 ml lpply ro rn ow.d of tt. pmp.ny
*ho bril& o. ioprov6 rhdon. ,nrl who do6 ru.h wo.t hitulf or h6.lf or rhrouh tk or hr own .dployd. prorid.d rh.r suct
inprov.m.d. r. m( ilr.ndcd or ollcd for !k. Ir, hov.vd. ih. buildina o. imrbEm..i i. sld whhi. om y.r ol conpLrion. rh.
Os.6.Buildr *iI nrr. O. blrd.n ol provins rhll h. or rh. mr blild o, i6proG fo, th. p.rror of ul.),
$1, s o*ffi orrh. prop.nr. m .rchlivcly.onr.crins vnh fi.cc.<t conrturoB ro.odrrucr rlE prcjer ( s* 70.1,1. Bcin6s snd
Prefdrion Codc Th. Conrrdor'. Lic.@ Us doB mr lpply ro u ow6 orpropor, sho bdldr or in rev6 tho@. , od who
co.t..( lor such lrold3 *nh ! co..6don, li..G.<l Dui.4m ro rh. Conth.roas Li*N. Lr* )
I o.&npr undc.Serio._.8. & P.C. foithar6on.
IOAtsEBS.CAI4TEISAIIaI-uEEIAB4]IO!
I hcr.byafinmu cr p.nnllyolpcrj'tryoncofrhcaollouinsdeclararioB:
I hlvc dd will naintiin . C.ni,lc.r. ofcoM loS.lf-lNurelorrc.k.E.ohp.netion,s! provd.dfo,byS*tioil?00ofrh.
Lrbor Codc. aoi lhc p.rformncc oallE work for whict th. ,.mil ie i$ud.
I h.ve and will m.,.hrn work.,i @mp.nslio, rsuonce,0s r.q!n.d byS{lionlT00oalh.Libor Cod.. aorlh.p. ormnccollhc
wolk lor whrch lhis p.rm i '$u.d My wo*.s coftp.n5non insunlc. oris lnd poli.y nunb( &.1
l.cnirylh in th. pdromahc.oarh. rvork roruhich lhis r.mil is issu.d.l st&ll.or c'nploy.ny r.Ron i. a., hanncr $ s ro
b.clnc aubj*l lo lhcwrkas @nD.nslpn lrus ofC.Lao,n{, lnd lsr€lhat
.oftp..stio. provisioro olS..lion 1700 oaih. Llbor C.ne I shrll
f-E - ts
WARNINC F 'lu4lo *ur.work.c onp.dlrDn co!.6g. rr unLwful, and shlllsubjNr !n.mploy.r to c.immlp.on6.nd c,!il
fin6 up ro o.c hmdr.d rho@d dollm (l100,000).in .d<tnbn ro rh. cofl olcoop..$rion, dimgca 6 provid.d for rh. Scrion 1076 of
rh€ kbd Cod., inr..d .nd .norn.y r les
!!CE!I!D.(9NIBASIQAiD!EI4B{I!()a
Ihcr.byrfirhund.rp.nalryolpcrjuryth3rIamIic.nscdund.!prevhionolChaprs9(on'ncning*irhS(lion7000)orDivilionIol
rh. aBincssand Prof6sioc Cod.. and my liccns. h in fullforc. and.fcct
*,., 9-g- td
CONSTRUCTION LENDING AGENCY
I hd.by aliinn und.rp.nalryolp.iuryrhar rhcrch.consrrucrion l.ndins oscnc, ior th. p.rionnAnccofrhc\vork tushichrht p.rmit is
iss'.d(S( 1,097. Civ. C )
arltlc^{llplcuaarpN
D.molilio. Pmils-kh.$os Nolific.lion F.d6al Rr8uhlioB (TnG 40, Pon 6)
R.qun d kr.rof Nolificalion
I.difr rhar I tu!. r..d
'his
applic ion
ordidncB rnd Skrc Lrwr rcl inglo oarhi5 Cily.nd Colnly lo.ntd npon rhc
abov. nEnrioncd propcny for
^*, C- B-rs
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled ,./-2.
Rough Ductwork 16.{ l- tB a
/rZo,,,,"*?1
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.ll'27-tt /-<52 Z -)
Final Test
Meter Release
FINAL r 2-J-tg t '-r-2C 2 ,.)at/-c.-,&
t hspecuon Forms\Mechanicaunsp6clor Record doc 03.31.06
C.rtr:
PolicrNudb.r: Erpn s:
(Tnis sdion n.cd mt h< complct.d iath. p.mn is aor On hu.dr.ddoll6lll00lorl.ss)
( t!rir(!
lcnde, 5 ^dd'.s
I c.nify lhll lh. rcddt Esul'lio6 agedirS abdd rdovdl lrc rcl.ppliclbL ro rhis proidr.
I lsre to conply *nh lll Cily lnd County
I