HomeMy WebLinkAbout40131727 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: 17 1 41 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mechanical Permit #: 40131727
Pin #: 19451
ProiectAddress:2101 E Fourth St
Assessor'sParcel: 400-041-03 Lot: POR 6
unit: 150
Block: NA
Bldg: B
Tract 678
Address Range:
Historac: No
Suite Range:
zoning: P
E
Owner:
Address
Contractor
Address;
MVP Arbors LLC
325 sth Ave #100
tNotALANTtC, Ft 329034226
Siino Construction lnc
125 E 2nd St
Tustin, CA 92780
(714) 734-9393
51604
51604
53603
5't60c
5'1604
Amount
44.51
30.52
0.65
22.08
55.04
Fee Type
VAV Box
Bathroom Fan
PIC - 65Yo
General Plan Update
lssuance
01 1 16002
01 1 16002
01 1 16002
01'!16002
011'16002
Qry
9.00
1.00
415.03
'I.00
1.00
Fee
$400.59
$30.52
$269.77
$22.08
$55.04
/6/24,8
r0n6+: 31
State Lic #: 851254
Lic Type: B
Bus. Lic #: 3699,14
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9040377
Expires: O1lO1l2O19
Rcpti:02319613
TrqnEoct ion lot(
$i ino Con6truct ion Inc.
General PIan lJpdote Fee
(t1I
llei
01r
Ui.
002* 5r6000m-
n ir:ol
002- 5160,t000-
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16
ho
1d
g
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued 8y:
Subject to Field:
Building Permit #:
Commercial
Tenanl lmprovement
TI
West, Glen
Zuniga, Allissa
10195158
01/16/2018
071o6t2018
Account#
Occupanry:
Constr Type:
Code:
B
VB
cMc 2016 Notes
Date:
Date:
Date:
$778.00
$269.77
ss08.23
Every peinit issued shall become invalid unle$ the work on the site
authoized by such pomit is commenced within 1 80 days afrer its
issuance, or if the wo* authotized on lhe site by such pemit is suspended
or abandoned fot d pedod of 1 80 days after the lime the wo* is
commenced.
lnspector MID#: 2017-140620
01 116002 51600
01 1 16002 51604
$22.08
$486.15
Fee Total
Paid to Date:
Balance Due:
Phone:
TenantNams: ThlnkTogether
Phone:
Building Use:
Job Type:
Nature of Work:
Misc. Receipt: 70442
Misc. Receipt:
Misc. Receipt:
Total
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DELC]ARATION
I hcEhy afirm undcr pcnahy ot p.rjlry rhd I m.xcmfl abm fic ContacroN' Lic.Le L3w for lhc follo{ins rasn (S.c.7011.5
Busin.$ a.d Protcsiion Codc)r Ary City or Counly which r.qutcs s rEmit lo clns!rucl. dlr*, imthvc, .hmli*h or rcIEn my
srdclur, lri,I to ns Lssuatuc. also reqrtcs rhc applkdr fi,r s!.h Itml b iL a si8n.d sld.mnl llul lE or sh. is liccnsed |,!rMnr
lo lh. pmvisions of r Conlruior'r Lien*d t w (Chr0lcr 9. CommrcinS wilh S.cli6n 7q)0 of Divisio, I of ll* Ausin.ss ond
PDf.ssions Codc) or th.l lE or sh. is €remfl rheElion snd rhc bosir for Oe alhged .rcrlprion. Ary violalion ofscdhn 7011.5 b, an,
applicanr for a lcnnn slbj(lr rlr al4licanr ro acivil Foahyofnn me rhm 6vc nundrcn dollss ($500).
l. $ owNr of rhc prutEnr, or fl1y cmplorrcs wilh woscs as lhcir $lc comrcnsol ion. will d. rhc eolk 8rn
'h.
srtrtuE is nol
inlcndsj or oltcrcd for slc ( Sa 7014. Btriiic$ tnd E rcsrion{ CGL Thc conr,ciot s Ltlnp llw dcs nol aorly ro ro o*nf oa
rh. tmFny *ho boilds or inlmv$ ihcmtr ud *h..les ssh w.n himsclfo, hcr*ltor rknuSh hii or h.r owncopl.rtcs.
p,ovidcd rt r such iqrermnts m mr inrcd.n or otr r.d roi eh. ll howvcr. rbc trildin8 or itrll,mtmfl ir $u *nhin .m ,er
of.oftplc on, lnc O*n.r auintcr Rill hlw thc l,ur&n of povinS lh{ lE or sh€ dn nor buil] o, inpovc rh. pmtEny for lhc lurlf$ of
-1.
&s o*rcr ofrhc Fo,cny. !md.llsiv.lyconracrins *irh lac..icd d,n{hdm ro.onshcr inc lm]ccl (SE. ?044. Bo\ift$
.nd Pisrc\st n Cod.r Th. c.nrmrols Lic.nrc Law d@s.or attly!o ano*mr otr.oFny who hnilds or inpmrcs rhcreon.
lid eho ontmcls for slch porccls sirh s C.nhcb(s) Iie.<d lu6@nr ro rhc c.ntra{rols LLtn* L3w)
-l
amcrcmDl lndcr Sedion-, D. & P C. forthh E$on,
Ilof,KEXstrOltPrNiAMN
DECIdEAIIO!
I l.i,rc$y rrirmundc. pcnally oi pcrjury otrc otlhe iollosins dcclarolions:
-l
harc lrn will nuintain r Cenifi.,rd of Conscnr ro srlalnxlrc nr wo*cN cotrrpctrslhtr. as rmvidcd fo! t y S*rion :l7m o r
'h.tirq a!c. n{ rhc rtrbrrumc, f'\c trql lq w\nh rhc nontrr tr tr.u.d
!4hJ\crnJNill'nJ'nr0 wurl rc'tutcd 6ySdi,n l70O oarhc L:bd codc,lor rh. pcrformnccol
thc w.rl n, whicn$ispcrn l is is$cd. My*ortcll compcnslrnr insurah-c o cr a.d p.ticy numh.. ec:4r{e turb
-lccni!
thrl h thcl]c ornuEcoflficwnrktorwhichrhist'crniri\(sucd.lshollnoic,nPloytrirypcroninanyia.ncr
$ d{ ro bc.onf, subi.d ro rhe wortcB compcnrllion l,ws ofCllifonri!. lnd aBrcc thur i,l should trcom subrc.r lo lhc
MAe^.oqr.nMrionprovisio.solSccrion.l7(x)olth.titorCode.Ishlll.fonhwilhcorplywirhrhos,r.visions
WARNIN(;: Failurc ro $curc wortcB shpctrrotion covcmSc h u
ciril nn.r ub 16 om hundrcd r
S..rio. 1076 ofrhc t.lf,o, Codc.
*,.,74//o
hous,nd doll0is l$llro.(xn). in nddit i. JrnrSc\ rt fn,vldcd 1,, rlr
ucltNsElcoNr&[.1a.8
DECT.dNAIIQN
t hercby iinmundcr ncnrlryol pcrjtry rhd I aD liccnscd undcr !ruvnnni ofChr|,cr 9 (comntncin! sirh Sccri{)n 7(XX)) orll,vni(n, l
ol rh. Bu\ifc\srnd Pn,,c\\ or\Corl.. JRI ry l..nsr i\ in lulltnr.c xnd.iirr
clllsralclloNr[NDlNc-f,aElcr
I hdr.hy ntfirn und.r pc ,hy.tt rjury rhd rhcrc t r consrru.rin hndins lscncy nn lhc perlomn c orrh. wo,k nn shich lhis pcrmir is
issuLn lscc 3l)o7, Ci! C)
drtlrsaNlrlil:td&tll1]ti
lllrchynfinuntlcr pcntrlly olp.riury onc orrhc nrll,,sirs d(13r,rnn,\.
l).nrlirion I,cnri* Alh(n.s NorillcrLotr |ldofulRc8uhrior\ ( lirl. Ll0. Prn6)
Rcrtutrcd txrrcr of Nori,i(ri,in
-l
ccnify rhal thc fedcnl r€8lhrions rcseding ast csros rcrmlal ad nor ,pplicdbk io rhls pml.cr
!.tniryrhrr I hrvd ft.d rhis{tli. iotrr q crharthcrtx c inr'o.nmliotr n corccr I lgN x,..nPly Nilh rll City trnd Coutrly
ontinxnr.! rn,l Srrr.lrNs r.hf g aurlbrirc rc,rc*nralits otlft Cny ald
r|i)r mnrnnrd tmpcnt ntr
Apt li.ad or A8cnl Si8nitu
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid I
Above T-Bar .{rt o//T o*>1n)
Rouqh Mech.
Final Test
Meter Release
FINAL /n/tz ),,i
Notes, Remarks, Etc. -( -a
I