HomeMy WebLinkAbout40132242 - PermitProiect Address: 2757 N Grand Ave
Assessor's Parcel 390-171-'l l Lot: POR 13
Unit:
Block: O
Bldg: Address Range: 27os-2761
Tracl: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
q
City 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
Mec han ica I Permit #: 40132242
Pin #: 25357
Owner:
Address:
Phone:
Tenanl Name: Buccaneer Pizza
GVD Commercial Properties lnc
1915 E Katella Ave #A
Orange, CA 928675'110
Dano Construction
10101 Edye Dr
Huntington Beach, CA 9264
(714) 5104298
01 't 16002
01116002
011'16002
01116002
01116002
5160{
51604
51604
5160C
51604
Amount
90.19
44.51
56.80
22.O8
55.04
Fee
$180.38
$44.51
$s6.80
$22.08
$55.04
Fee Type
Compressor
Air Handling
Fan Coil
General Plan Update
lssuance
Qty
2.00
1.00
1.00
1.00
1.00
Contractor
Address:
Phone
State Lic #: 986824
Lic Type: B
Bus. Lic #: 366873
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Generol Plon Updote Fee
01116002- s1600000-
llechon icol
01116002- 51604000-
Viss
CCt: r****rrr*rrI6840
Notes: Ok to issue per lnspector S. Derleth.
Eotcttr{5620 - 8/28/2018 loi LRoSALEStlffice! CTYH lrons+: 29 I ol iAcct+! Rel+. 1t-t!82212,
RcptS:02364400 - 8/2$/2(rlB t:09 ptl
Tronsqct ion Totol ilrtltt4.ilOsn Robert s
oono Coostruct ion
_ $22. Crg
s336. 73
$1 r 0lt4.5l
Auth+:t:t7?16{,Building Use:
Job Type:
Nature of Work
A-2
VB
cMc 20't6
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buildins Permit #: 101 9681 1
Commercial Occupancy:
Tenant lmprovement Constr TYPe
Roof Mtd Equip/Walk-ln CooCode:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 116002 51600
01 1 16002 51604
$22.08
$336.73
Fee Total
Paid to Date:
Balance Due:
$358.81
$0.00
$3s8.8'l
Every pemit issued shall become invalid unless the work or, the site
authoi2ed by such permit is commenced within 180 days aflet its
issuance, ot il tho wotk authoized on the site by such pemil is suspended
ot abondoned fot a period of 1 80 days aftet the time lhe wo* is
comrtenced.
lnspector MID#: 2O17-135312
o8123t2014
Account#
MECHANICAL-INSPECTOR RECORD
APPHOVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby lmrm udcr pcMlly (,f p.4ury lfial I m .ren'pl fNr lh. Conlr.lclon Li.ens. kw lor th. followi.8 rc.$n (Se.r031.5
B8incss dd Profcsion Codc): Any Ciry or Couflry which rtuia a F,mir ro onnrud, alr6. improk. dcmliil or r!r& oy
slflcnft. l)nu io h. isrnamc. ,L\o rquircs lhc rpplica.r for skh Fmir lo nh a rigrcn sr .mfl thlt lE or rhe ir lk.tr€d p;rsa
l. lhe Iftvisio.i oa rhe Co tutoas Liccn*d tiw (Cilpicr 9, CommcminS wirh S6rion ?000 of Dilishn I ot rlr. Bw,t ss a.d
Pmf.sions Cod.) or rhar h. or rh. is .r.nFt rlErclrom and rhc boris tor ih. albgcd cxcnpraon. An, vtoLrionotsetbn 7031.5 by ey
applicrnt for ! Fmil subjBts thc applicanl lo a civil pcnalr, or mr mE tha nvc hundEd doues 1$500).
l. ax ouNr oftlE oottny, o, my emnhre.. Dilh wusca !r rhct $k @npcrsll ion. will do rhc wo* ed tE stnllN ic nor
intcrd.n or oltu fo. eL (Se.?044, BuriBs and Prof$sions Cods Th. Conr@rofs Ltcns IlB docs @r amly to an own r of
rhc po!€rly otb ttrilds d inpmts $cmn. ed wfio dc Mh mtt hiDkll or h.tr.lf or thrcugh his or her own €o!lor.s.
provid.d rhir .!ch iqftrftnk e ml iftnd.d n oficEn aor sh. l( howw. dE huildin8 or tr{,tmrEnr is sh wirnin orc )st
or co,tlJlcri6n, ltc OwM auiE6 wiu hoE llE tddcn ol lovin8 lh! tr o. nr did ml boild d inprcw lh. popdy aor th. purpoc of
-1.
I opftr 6f lhc pmFny. 06.rclusiv.ly coorracling sirh liccn*d conr&bN 16 consmcl rh. ,rojcd (56, 7044, Bu\ir$
Md F,Dftishn Codc: Thc Conlr.clols Liccnsc L{w docs nol apDly lo on ownn ofprop.rlywho builds or impmr.s lhcrsn.
ond who @nhll lor su.h pDi.clr wirh { Co.ra.t{{T) lie.cd nGsu rorhcCo turoas Liccns L!w),
-l
3n cx.mpt lndd S6ion- B. & Pc- for fih esn
WO{l(F{(' COMPf,\SATION
DECI,IBA.IIO!
I h.rcby .firo udc, pcralry oa pcrjury orc o( rhc lolloehB d(lsarions:
-l
haw ai'd will minllh r CcnifElle of Consnl lo Scli-l.r@ for wortcC .ohpcnsdiotr. !s lmvidcd for by Scfion 3700 of lhc
t hor Codc, rbr lh. !e.for.1l@ of lhc mrt lor shich th. tdnit ir isiucd.
_l hole ond will moinlsin wortcn cohtensalion insuroncc. xs rcquircd bySdio.1700 ollhc tihor Cadc. for lhs lcrformm of
lhc qork for which lhis Frnil is ksn- My workds onpcndion i.sn@. cMtr Drn Flty nunb.r m:
Policy Numhcr lrxttrc:
l..nityrhar in rhe Frlormancc otlte work for which Inn pcrmil t issucn. I shlllnor cnplo, lny Itron in ao, Mn(
so os to h.cotr subicr lo lhc worLcrs ompcnsrhn hws dtCllirndia. rnd aarc. ih,i itI \hould tE onE \ubF.r lo rlr
workctr .omp.nsariotr pmv^ions or sedion lTtD of fi. hlsr Codc, I \nall. tunhwirh .o l],ly wirh rh.e provhions..
WARNING: Foilurc lo scurc workcE s@.nsalion mv.agc is unl.stul. lnd sh.U cnrplorcr lo sinrinoll€noltts 8nd
civil fincs u, lo orc hundE{ lhousnd dollm (llm.ooo). in .ddirion lo tn. o
S<ion 1076 ur'hc L.hI Codc. ikrcn Md
"""*,,/a7//-6 A7'ucErsurcQrtBtgrots
D}]CLAEIIION
I hcEbyaffirmunlcr IEn lyolr.rjurylhsl I an liccnsd undcr pmvhion or chnrld 9 (conmrcin8 wirh ss'ion 7filo)ofDivision l
{
CONEIAIC]IONIENDIIIIIiENCT
lhcreby!fttmuldcrFnahyorrcriurylhr'lhdchaoniru.ri,nLnding,Bcftylorlhclnloi,unccoflhcworiforwhichrhisrcrmilis
i$u.d (scc lm7, Ci!. C )
AITIICANLI,IECIABAIIAN
I Imb, onim undu pcn.lly oiFrjuryone olrtu hl[,wii8 dc.lrariois:
Dcn!,lirtun Pcnnir\ AstEsro\ Norificlrion FcdcdlRcBulnti(nr (lirlc 40. Pnnl'r
Rcauncd tltr.r ot Norif&ari,n
I cdify ihd rhc fcdcral ,.gularion4 egddint h6xx rcn,yal lrc nor lpplicablc ro rhi\ p,ojccr
_l ccnifrrhll I nlve rcld rhis lppliclrion lnd sralcth0r lhc
ordinarccs lnd Slaro tiws El.rin8 ro buildinE onsiru.r
6hovc nrcnriomd pfl,Fny for iNFcrionpu
is.oftcr.l a8rfr rocomply*irnlll Ciryad Counry
Epr.*nrdtr.! 6l rhi! Ci!, d4 counry ro cnrd upon rlf,
^,".=/s-s/zr
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
FINAL 7//o/rw .r't.,6/
Notes, Remarks, Etc.
Pre-lnsulation
Grease Duct
Meter Release
daDl8cs as lrovidcd tu lhc
ol rhc autinc\\ Md PNrcsi.ns Cod.. alxl 6y liccn\c n in lull tuN ad c(ccr
I
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