HomeMy WebLinkAbout40131874 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 14], 667 -2738 lnspector Section: (714) 647-5853
Mecha n ica I Permit #: 4fJ131474
Pin #: 97462
Proiect Address: 1330 E Seventeenth St
Assessor'sParcel: 400-231-02 Lot: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: c4
ryUnit:
Block: NA
Phone
Tenant Name: Target
Target Corporation
1000 Nicollet Mall
Minneapolis, MN 55403
(800) 440-0680
01116002 51604
01116002 51604
01116002 51604
01 1 16002 51604
011'16002 5360:
01 1 16002 5'160t
01116002 51604
Fee Type
Heat Pump
VAV Box
O/O Pkg H/C
Condensate Pump
PIC - 65o/o
General Plan Update
lssuance
Owner:
Address
Contractor
Address;
Amount
107.85
44.5.1
113.24
31.99
0.65
22.O4
55.04
Qty
2.O0
2.00
2.00
2.00
573.61
1.00
'1.00
Fe6
$215.70
$89.02
$226.48
$63.98
$372.85
$22.08
$55.04
The Whiting-Turner Contrac
250 Commerce Suite 150
lrvine, CA 92602
(949) 853-0800Phone
State Lic #: 311107
Lic Type: B, A
Bus Lic #: 149779
Workers' Compensation lnsurance;
Carrier: Traveler's lndemnity Company
Policy #: VTC2KUB6B64125917
Expires: 08/01/2018
GOPY
Building Usel
Job Type:
Nalure of Work:
Commercial
Tenant lmprovement
TURoof Mtd Equip
Occupancy;
Constr Type:
Code:
M
V B, SPK
cMc 2016
Notes:
Planning Conditions:
Planning Approval By: Date:
Plan Checked By: CSG Consultants Date: 03t08/2018
Permit lssued By: Hernandez, Kathy Date: 0711712018
Subject to Field: Account#
BuirdinsPermit#: 10195711
Every permit issued shall become invalid unless the wo* on the site
authoized by such parmit is commenced within 1 80 days afte. its
issuance, or if the work authodzed on the site by such pernit is suspended
or abandoned for d peiod of 1 80 days after lhe time the wo* is
commenced.
011 16002 51600
Misc. Receipt: 7066'1
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$650.22
$ 1 ,045.1 5
$372.85
$672.30
lnspector MID#: 2018-141751
01116002 51604
Fee Total
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCAflATION
I hcrcby alfirm utrd( Fndlr, of lerFry th.r I m cx.mfl nrn thc Conracro6 LLIi$ L!* fo. lhc follo*irg lwi (St.70l I t
Blsin.s a P.ofcasion Codc): ary Cny or Counly {ni.h tquter a pcmh lo @n.ltul. <c, inpmv.. (Lmlhh or q!.t dv'
snlcrE. t ior to irs issumc. lko rcquircs lh.,pt het lor su.h Fmil lo lilc a.i8xEd sllrcGnl lh n or sh. ir lkcnscd Iusanl
ro $€ prcvisnrns ot rh. c.ntstols Licened Llw (Ch!pte, 9. Co@min8 wilh Scdion ?O0O ol Divtion 3 of fic Aus's$ a.d'
Ptufcssions Codc) or lhd hc or slr ir excqi rncEamm and rlE bosis ror Oc ,lLgcd cr.nll,thn. Any violsridnotsc&n ?031.5 bv anv'
aDDlicanr lor a lEmll subj.rls rhc aDplicanr h a civil D€nalry or oor mE lhln five hudcd doue. (S5m). I
Lr\ o{.crolrhcJ,n)Jrny.or uc rtloyccs rvIhriAcri\ rhcir v)lc .o'nP.n\arnnr. trillio lltr tr.r[]n,lr,tindft ii n-r
rhc nmt ny NhohtrLLd\.rrnnnN$thc.d)n,Dd\larJoc\{klrtrlrkhnn\.llorhcr\clrorrhR{!hhi\.rhcrowtrt,nlrl,)vcc\-
povi,leJrhrrsurhi'npn{ttnr(rN..n{iJc'klt'l,,niruJlnr!'lcll,ln$ev.trhchuiltliD!ornllPr)rcfnrNv,U*nhinttvttr
-1.
!s owrcr of rhc lto!.ny, am .x.lusivcly onlreting enh lccd\cd co,fuoE lo onslel rlt lnoj{s (Se. ?044. BrsiB
&d Prot sin Cod. 'Ilrc Conrtulois Lic.n* Lle do.e ool .pply lo sn o*nf or pbFny who hilds or inprows ih.6n
rd who otrrncis fd.u.h F.iEls wilt! Conltrto(s) ltcned puFU llolhcao relols Li.cn* tjw)
I rNcxctrrpr und.r sccin)B &PC lbtrhhtcoson.
IlORI(FRSl CONTPFNSATI(IN
PECL/Tf,AI&!
I hcrcby ofinmundcr pcidy of ocrju.y orc oflhc followine deludri.ns
-l
hovc dn wil @inhin aCcfiifralcolcoN to Sdf-lmE for mrt6 @npctsrio...3 prtr1ilcd for bvs6riot 37mof ll*
t bor Co<le. forrlr tEfru.of lt *ori( for whkh llE Fmil b ilsued-
-! h.vc ,nd will @iol,in workEs cotrli \arion i.su6ncc. as equiEd by S€lion l70O 6r llE ljbor tu . lor rh. p.nmc of
IE work for which rhh p.mil is issrd. My *ork6 @nFo{ion insuEe @ie, ald polacy numbcr e:
WARNIIG: Fdil@ ro surc krt.N' @qEn.arion ovcESc n unb*tuL ad rlEll subj.rl m cq,lotcr lo 6ioin l IEEhL5 lnd
c il linB up 16 orc hudEd lholsnd dolls (Sl&.000), in trddition to llE coi ol.onpcNlion. datugct !s povitcd r.r rhc
Sccrion 1076 of rh. ljhor Cdc, iirG$ a.d atbrey i fes.
UIIX$,TCI)NIBA(IOB
D&CLl$ir[a!
ol rhc Bn\itus\ rtrd Pnnissi(rNCid.. nl ry lir.i.c is iri lirll lorlT nnd cllicr
qollI8lq[aB.LENDELilcESCI
I hmby rmrm un&r pcnrhy ofp.rh.y$.1lhdc irr onsltu.lioi hidiig agcmy for ln pdfommc of thc vut for whi.h lhi. Pcmil i!
issx.d (scc.109?, Civ C.)
L.ndd'3 Add,Es'
-
AITLIIANLDIICIASAIION
I LNby lrIfln u ndcr p. rlr, of trtury om ol rlrc lillo*in! d(hor i(nr(
DcnElirioi Pc.nirr^\c\skrs Norifi.trrn,n F.dctul RcBUhrn N fl'ilc.1lr. P!n6)
Rcquncd t licrof Norili.lrirr
-l
enily ttat rh. fcdcrd cgirldions Egsdin8 Nt sros rcm,vtl drc nol apPliclbb l. rhk ln)ir
hirc N)niorcn lrorny l(tr i'i\l'crri(rr t[po{s
Appli.ant or AB.nt SiSnorurc:-
Appliances
lvletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL zlTl tl ,/-.u(41 )
Notes, Remarks, Etc
-l.cniry
rhd in rh. pcrlnrmm€ of rhe wort l'or whi.h lhis p$nrir is hsucd, I shdll tror.mPloy lny Fson in nn, mancr
$ as io hcrom suhj.d ro rhc *uit.u compcnsdion laws of Colifomi!. md 0gN lhal if I stnold bcco'rc subjcd to llE
wo (ns €ompcnern,i rDviliors ofslclion lT0ooflh.litor Codc,l ihall, forlhwiln complr eilh rho$ Provi\ions.
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Pcrmircc nom ( Drinr )
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