HomeMy WebLinkAbout40132485 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 4O13248s
Pin #: 68{86
Proiect Address: 1442 S Bristol St
Assessor'sParcel: 109-266-19 Lot: NA
Unit: 2-F
Block: POR J
Bldg:
Tract WEST
Address Range: 1420-1442
Historic: No
Suite Range:
Zoning: SPI
q
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Khojak Kassabian
429 Santa Monica Blvd #360
Santa Monica, CA 90401
(310) 319-9880
Hathaway Construction
141 N La Salle St
Redlands, CA 92374
(951) 522-4037
01116002
01116002
01116002
01116002
011 't6002
Amount
43.62
43.62
56.80
22.O8
55.04
5160{
5160{
51604
5160C
51604
Foe Typ€
Alter Vent Sys
Vent Fan/Comm
Fan Coil
General Plan Update
lssuance
Qty
'1.00
1.00
1.00
1.00
1.00
Fee
$43.62
$43.62
$s6.80
$22.08
$55.04
Phone
State Lic #: 1033627
Lic Type: B
Bus. Lic #: 370560
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Sotchi:{s?3o - ,llll20l8 IDr NGARCIA
office: CTYH TroniS! 15 3 ol 4Accti: Rafl: {013248t
Rcpti:02383759 - ?l[lmtg ?2$ An
Troosoct ion Totol t896.37
ththssoe Construct ion
Gsrenal Plon UPdote F€e
olr t6qn- 5l6urn0-
llechon i col
01116(B2- 5r60{(m-
Ulsa
0G3:Irrlrrlr*r*r1955
_ *22.08
rl99.0s
i896.37
Authi:185{?l
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type:
Code:
B
VB
cMc 2016
Commercial
Tenant lmprovement
Tl/Combine suites
Notes
Planning conditions:
Plannang Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buildins Permit #: 101 96930
Every permit issued shall become invalid unless the wotk on the site
authorized by such petmit is commenced wilhin 180 days aftar its
issuanco, or if the wo* aulhoized on the site by such permit is suspended
ot abandoned for a peiod of 180 deys altet the time the wo* is
commenced.
09/14/2018
Account#
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.O8
$199.08
$221.16
$0.00
$221.16
lnspector MID#: 2018-144435
01 1 '16002 51600
01 'l 16002 51604
Fee Total
Paid to Date:
Balance Due:
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes D rYer
Residential Ranoe
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.t )-"\{h4l
Final Test I e-l{Pqu4a4u" )(t{lc"tr>)0,1\L
Meter Release 5-l Y v.w1a'
FINAL l(tq 14*#{oz)
Notes, Remarks, Etc.
II
I
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MECHANICAL-INSPECTOR RECORD
OWNER BUILDER DEI,(]ARAIION
I hcrcby rrm uodd p.m!'y of pcijury rhar I m ci.npr toh rhc contElof Licc.* Lra lor rh. followiig rc&en (Ss.7011.5
Busircs ud Prclcsk'n Cod€): Any City o! Counry whi.h Eluircs a ,Hnn to onrru.l. rlld, improrc. d.mlih or Epln My
srdcturc, prim ro irs h.uMe. d$ RtuiEs rlF +plter lor tNh Fmil ro lih 3 siSmd rr{emnr lh.r lE or sh. n licd*d plrodr
lo ihc prcvni.n.6lrlE ConrElotq Liccnsd Llw {Chaprd 9, Coftm.ncing wirh S€.tion 7000.f Divilion I ofllE Busin.ss and
Prefcssions Cod.) o. rhrl lr o3lE ir .xcn{,1 lh4rcton a.d E tesii loi rhc allcScn q.nq,lion. Anyviolarionofscthn?011.5 6ycny
applic0nl for o Frni rubj(ls lhc pplica.l lo a civil pcnally or mr @r. fid fiv. hundRd .louas 1S500).
-1,
as owmr ol lh. pmFny. or hy cmploy.cs wi{h wa8.i .q r}&i. sL @mpeNlion, will &, rnc wori a ltrnnrl@ is mt
nncBj.n or oticrcd lor elc (S( 70144. Bu.itusi dd Pnac$io6 Cod.: Thc ConrEcror's Ltcnrc tiq do6 not
'l)ply
ro an o*M ol
lhc rmDcny wtF hilds or inq,mws llEltr. ard qho dc iwh rort( hidslf or hcBclf or lhNush his ot ho own.oploycc*,
providcd rhsl su.h inllN\iftna e @l inrcdd, ooficEn tor e]e. U. h.scw. r]E hoildiig or in{,ftrnt is sld wilnii oire Fnr
ot onq,lcliotr. lhc Ovrcr Builds will tErc tlr burd.. ol povinS lhn t! or nrc dn d hild or i,ryrcw lhc propsry for thc l)lqne of
-1.
asowmr.f th. pmpcny. omcrctusirlyco mclin8 wiln lis.sd conlncloN to snslrucr llE pmjccl (S\.-.7Or4. Bllincs
u,i Enfsrbn Codc: Thc Conrr&roar Liccnsc Lr* des frn lnply ro d ownd 6f or.p.ny who bnilds or imomv.s rlrcrcon.
.nd who co rach lor skh tmicts with r Conh.ro(s) licns.d putrua ro rhc Conlrmtols Uccns L!w).
I rn,.rcmd mJrr S(i B & P.C rbrrhis rc!\on.
TAXf,Ef,S:TQMrIISAIITN
DECIAf,AI1ON
I hercby atii.nr undcr penaltyolpsjuryorc ollhc lofi,wins deltralions
-lhive{lwilltuinruinsCcnirratofcon$.lroScltlnsloforeortc.or{Etrsdion.rsr,tuvidcnrorbySalion3?mof$cLlbor C!d.. ibr lhc pcrfl)lmne ot rnc *ork fn whicl rlc Fnnil is i$ued.
_l hav. ond will minrain workcs conp.ns0lion iNur0Nc. dr rcquircd t y Selion 1700 oI lhe ljbor Codc, for lhe !qlo.@cc ol
6c sort ao. whth rhls Fmi is issucd. My work6 oftp.nsdion insurmc. cmtr 0,i Flicy numb.r m:
I c.nify lhar in rhc Fnb.M.cc ot ln work ftr whi.h rhis p.rmii i{ hiucd. I shall nor .mploy any Fr$n in aoy nonrcr
s *lo b..om sb.iccr lo lhe workds'omFnsolion l.w3 ofC.lifomi4 md l8m thol ifl should b..om sll,Fr lo lhc
workal ompcns.lion pmvisions olsdion lr00 of thc t bor tua I shtrll. fonhwnh cotrlrly wiltl lhos pDsirions..
WARNINC F,ilurc ro $.ur. wortcr( c$,npcns0riotr cov.rn8c is unlrwrul. ond shrll sub.jccr on cryloycr to ni.riml Fmht\ lnd
ro om hundrcd rho!$nd dollm (Sl(x),lxx)). ih dddirion ro 'h..osl of conlEnsrnrn. dtrroEes !r lmvid.d for lhc
SNrion:1076 nrrh.I rlry C.n. inr.m(xtr.lrr
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lJof 4e",* q
IIECI,ABAIIIIN
I h.rchy rfltnr undcr pcnrlryofpcrjrrt thar I !m liccns.{t !ndcr polision ol Chaprcr 9lcontuncin! wirh Sc.riotr 7lXJ0) ofDivisi,,n l
ot lhc au\incsr ind Pmtcsionr Codc- lnd nrr liccnsc i( in rull lbrc! lud,ll;er
c o
goNEIAgCIIANI[Nl2lNClr XrI
Ihcrcbyarfiirnudslxnrllyofpcrjurylhllrh.rcGa.otr(ru.rbnlcndir8iscncyfitrrhct^-nnrmMccofrhcsorkrorwhi.hrhis!dnririi
is od (Sc.. lr)9r. Civ C ).
AITUIANfDICIJBAIION
I hcR$y riinn uMrr pcnalry orFrjury.m orrhc nnk'wi'rr dc.lffirion\
Do r,liriun Pcrmir\ ?\tb.d.\ Norili.rrn r ftd.rrl Rctulii(,n\ (Tn[ {. Pd6r
-Rcqutcd
LclicrolNorilic i)n
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ccnify lhlr ihc lcdcrl Eglhlions rc$rning ash.nos rcnnvrl ec nor arpliclblc to rnis pmtrr.
Iccnifyrhu Ih.v.rc thhaptlicario. d sr0rc rh8! th. rtbvc irlorturion is corccr I i8R lo .onDly wnh a Cnyand Cornr,
ordinlnccs,nd Srorc Llss rchrins ro buildan8.onslrucrion. rln h.rcby rurh,d2c rclecnl.ri\ri ofrhis Ciiy a.d Counryto cmd u,rn trE
lhovc mcnrio.cd tmleny lor q-lt
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