HomeMy WebLinkAbout40105105 - PermitPROJ}IT
ADDf,,I]\S.2 518 N. LOUISE ST PERMIT NO. 4oLo5ro5
,
DESCRIPTION FEES
NA
SUITE
ADORESS
RANGE
SUI'E
RANGE
BUIIDINGI lt.r$y ,rm Url.br ,..!iy d Fq(y n l e o6ta to6 !h. co.trcbit'll.rll. lnr lo.llr.lolloiiis n st
_ S..to. IXaA l, G ori. d !..
'r!C..ty,
d 'rrr.drDby... i.tr r.06 r
nar ..L ...i0.,nrto.r, *ill (b nr w( .id lh. .luct'l n iol 'nbiid.d o,
_ S..lid 70aaA, I .. orir ., !r. FEpqry, .6 crilr.ty 6nu&ring irtrlic..tr.l ca.r.cb.. b.onlulJcl th. t'oi.d
OtvNER: DUTCHER, DAN C
^ooREss 2518 N LOUISE ST
SANTA ANA,CA
7 r4 / 358- 297 5PHONE
CONTRiqGTOR:CRYSTAL AIR
655
54
PERMIT SPECIFICATIONS:
GARDEN GROVE,
PHONE
TYPE
cA 92841
STATE
LICENSE '
BI]SNESS LICENSE T
^DoREss
11801 MAC ST
JOA TYPE Rts;S / At
A// C L:UI{T'NATURE
I n oby .fim und., FmrV ol F.iury 06 oa t E iolkrlig O.driiionll
. I h.v! .nd ,ill manhin . C.nifot Ol Co..nt !o S.lr.h.uE lof Wo.r.r!6p.nnLn, .. pr6iir.d bl by S..lio6 37O oa ,1. Lrbo. Co.b. 1o.!t.
,.rior!{lc. oa th. 5t id rt"cl' ,rr P.mn '. i..{.d
((.I ."0 -u ..,,t"," wo.t .r' cdhp.or.t6 rru.r. - Equ,.o t,
S.do.! 37q) ol n L.bq C.d.. b !t D.ridEic. oa lh. F.i lq *lii, th'.p..n{t t i..u.d Uy Wo,t.lr Co.np....to lrurr cMi.r.nd polrcy nomb..
E Wdt6' C6F.E li, co,...!f, i. u.lr*lvl, .ndih.ll rug.cr .n rnplor.r to cnmrn.l Fmn . .nd dl 6M irp to 6. hundrdnsn.d doll.a (11@.@), D .dd'iD b th. 6rl d oo.np.n..td. d.rog.r ..pmid.d to{ in S.cloi 3700 oa th. hbor Cod., int ,t.l ..d .t!om./r t ..ffit#r"r.* vr,l R3/U1@CUPANCY
EUILOING x-0FLOOO
ZONE
APPROVALS:
LL oAtE 08/LO/9eWthrt l.o 1l6..d u.<t t
tr[\cfiEcK EY,in DAIE
JCl.|\--,"
tssuEo DATE 08/Lo/99
_--MAILTNG AI'I'RESS_-
CITY OF SANTA ANA
BUILDING SAFETY DTV. M-I9
P.O. BOX r9da
sa-trrTA ANA. cA" 9l70t
__MAII,ING ADDRESS--
206 W. 4th STREET
2na FllX)R
PHONE NUMBER
ora) 6a7-5ax)
INSTALL A/C COI,IPRESSOR AT REAR
OF BUILDIIVG
n0
EEE TYPE
TOTALPAID TO DATE
AMOUNT DUE
TURNACE
COI.IPRES SOR
I S SUANCE
AUOUNT QTY FEE
oot
1
1
27,oo32.50
2L.OO
27
322t
o@
50
oa
4o.50o.oo80.50
O..Dolilb. Ps!nit}A.!.rt6 tld,ncdb. F.d..rl R.euLtlon (16. aO. P.n a)
_R.quir- Ldn d tlo!'ltc.tlon
lh. Ld.d FauLto.. ogrdrig ..b..to. ..no,.l.l. nole.yi.r.
\-lqnhtrr .rld.t't ihn tha.boa hlo.mrto. a
.nd C@ily sd'n..l6 .nd Srt lrr
WORXERS COMPENSATIO'{ DECLARATION
APPLICANT'S OECLARATION
Thls polmi shall etpr,6 by limilatlon and b€cornc null and voad d lho uvorl eulhorz.<l
by lhrs p€rmrl is not commonced w hin 180 d.F f.om lhe dala ol lhls pe.mrl. or th6
work aulhor2€d by lhis p€rmil is susp€nd€d or ebendonod lor 180 days. al any lim6aiff v,/ort v.as comrrGnc€d, ln EUch case a n6/v pormrl shall liaBl be ob{ain€d bofore
such u/o.l cen be rocommenced
CS 618CL
anlun %fi*. $l:t fir.I
- INSPECTOR COPY -ACCOUNT NO. 011.01.5915 .- PEBMIT VALIDATION il rt6f
MECHANICAL
PERMIT
OWNER€UILOER DECLARATION
n, ro .. to bGom. &bj&t lo th. Wdt B
I
,l. rcrt ln *n.h ihE p.rmn ir i*u.d, I
LICENSED CONTRACTORS DECLARATION
Address UniUSuite
MECHANICAL ..- INSPECTION RECORD
- Building -
Venls - Furnace
- . Wall l{eater
Ev.p.coobt d!E{ wort
Plplng: Condansrr ratat
' :c.W.-H.W,
Notes, Remarks, elc.:
OWNERAUILOER TION
I h€reby allim und.r p.nafiy ol p.4ury lhel I .m cIcmpl lrotn lh. Conlr.ctors' Llca.L. L.w tor lhc tollowine r.e.oo
(S.c. 7031.5 Bulin.3..nd ProL..ioo. Codc): &ry City o. Cosnly whirl r.quir6 a p.rmll to coo.irucl,.llcl,
improve, domolirh, o. rcaei. .nt.tn clur€. pri, to ll. btu.nct. .ko ,tquir.. th. .PPlic.t{ fo..udl p.rmh to liL r
.iorEd 6ral.m.nt th.l h. o. .h6 is lb.i..d puruanl io th. Fovidrl. o( lh. Contr.61o..' Llc.ns. L.w (Ch.pl6r 9,
comfi|onciog wilh hio.! 7(m ol Oivi.ion 3 o{ th. Aosin6! .ii Pror...iro. Codc) o. lh.t h. or .h. h lEmpl
lh.r.from .nd lh€ t6si! for th. .llcg.d rxamplion. Any vioa.lhn of Sc$oh TOOi.5 by .ny .ppllc.d lor . p.rmil
!ub,.ct6 lho .pplic.nt lo s civil pon.lly o{ nol mor.lh.n flv! hundr.d doll.6 O5o0).
-1,
ar own r of lh€ p.opcrt, or my .mployca yrtlh t!,.0.3 .s th.ir toL comparBallon. will do lh.9o.t. .td th.
rlrrrclurc b nol inldrd.d or olt6r.d lo. ..L (Sc. 7ota. Bu.irt ..id H-tixL Cod.l Th. Co.ttr..rdr' Lb.o..
L.w doc nol .pply lo .n orrn r of th. P.opcd, r lo bdl& d lmFDt- tll.rd!. .rd Yrio do6 .udl rErt him..f d
h.rsslt o. throogh hi. o. hor ow|r .mploy.6, provid.d lh.t .uch lmp.oY€rtt.rtt3 .r! noa lnlddcd o. o{Ltnd to. ..L. ll.
howlwr, tho building or imptov.m.nl i! 6old wllhln onc F.r o{ cornPl6llon, lho O/vn t_&.Ildd willh.rr lh. bt idcn
of pmvin! th.l h. or 3hc did nol build or Improvo lo. lhc purpG. of..lc).
-1.
.3 6{r|.r ol lh. Fop.7ty, .m @luliv.ly colll.etl.rg ltilrl lktn .d codlido.r lo con.lnrd th. P.oicd (S.c
7(*1. B6in .r .nd Pro ..sirn Corr.r Th. Co.dr.doar' Lk rl. L.w dG tlol aPptr lo .n otttGr o( p.oP..ly ttio
b.rild. or improy6 lh.r.o.r. .nd ntto co.nr.ci. to. luch p.oi.d3 vrilh . Cor r.clo(.) llc.i..d Frtruenl lo lh.
Contraclorr' Llccna. L.vr.).
_l .m Gxarnpl undar Saclion
Remarks Oate I Signatu;o I l.o.
Rough Ouclwrt
Fh. Dampar(rl op.llings
Flrc D p.r{d lnrl.llcd
Remarks Date s ig ir aiu re
!E!--!994'sc44E!
OrG.IG Ducl ln th.fl
Rcaldcr l.l R.ngc Crhlud
ROUGH MECHANICAL
FINAL PRESSURE TEST
tr/rKtuecxoncatAM
. B. a P.C. tor lhia rco3on
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