HomeMy WebLinkAbout40132368 - 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
Mec ha n ical Permit #: 4O132368
Pin #: EO745
Proiect Address: 106 W Fourth St
Assessor'sParcel: 398-254-07 Lot: POR 8, POR 9
Unit:
Block: 'll
Bldg: Address Range: .102-106
Tract TOWN OF SANTA Allistoric: Yes
Suite Range:
Zoning: SD84
E
Owner:
Address:
Contractor
Address;
Phone
Tenant Name:
01116002 51604
01116002 53603
01116002 51600
01116002 51604
Topa Financial Corp
1800 Avenue Of The Stars '1400
Los Angeles, CA 900674216
Christian Bros. Mechanical l
l l l40 Thurston Lane
Mira Loma, CA 91752
(95'tl 361-2247
Fee Type Amount
Heat Pump 90.19
Ptc - 65./o 0.65
General Plan Update 22.08
l"t"n"" Bor.,,h+, 4 i--,gq .51'Pll l irttv,
off ice: CTYH Tronsi: 1?2
Qty
6.00
541.14
1 .00
1,qQ
Fee
$54'l . 14
$351.74
$22.08
i r t,, $-9l.oq
Acctir Refi: 4u132369
RcPt+:0?363512 - 8/27/2018 1.26 Pn
Tronsoct i on Totol t618,26
Phone
State Lic #: 499547
Lic Type: B, C-10, C-20, C-38
Bus. Lic #: 174880
Workers' Compensation lnsurance:Carrier: New Hampshire
Policy #: WC022298170
Expires: 03l24l20la
Chn ist ion Br'os. llechan icsl Ser
Generol Plon Updot€ Fee
r:r1 1 16002- 516110000-
ItPchon i cql
011r6002- 51604000-
ICL Chec& 0211177
t?2.08
tI96.18
t618.26
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Commercial
Tenant lmprovement
Roof Mtd Equip
ann, lvlelanie
Occupancy:
Constr Type
Code:
B
V B, SPK
cMc 2016 Notes. Replace (5) roof top units.
Itants
Permit lssued , Teri
Subject to Field
Building Permit 197140
Every pemit issued shall become invalid unless lhe wort on the slfe
authoized by such permit is cornmenced within 1 80 days after its
issuance, or if the wo* authotized on the sito by such peinit is suspended
ot abandoned for a peiod of180 days after the time the wo* is
commenced
07t24t2018
oat14t201a
o8t2712018
Account#
Misc. Receipt: 71270
Misc. Receipt:
Misc. Receipt:
Total
$970.00
$3s1.74
$618.26
lnspector MID#: 2018-144864
01 1'16002 51600
01 116002 51604
$22.08
$596.18
Fee Total:
Paid to Date:
Balance Due:
Date:
Date:
Date:
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Rough Mech.
Meter Release I
FINAL x/9/-/,4H.;, <t'l /ecr' fl
Notes, Remarks, Etc.2/r-6/+84",/ --*2n/)
OWNER BUILDEf, DELCARATION
I htrcby.ffrm ullder lcfllhy of p.iury rh l m.ieryr ten rhc Co.rracloB Licens L€* for fie folloPi.g E.s. (Sc.?Oll.'
Ausincss sd Pbfssion Cod.): An, Cily o, Counry wtth ElliEs a Fhil lo consltucl. all6. imptorc, d.mlish or rll.n uy
s|fudm, Fior to irs issw.. i&. rqoiEs lhc {ppl,cul for Mh Frmit lo filc ! si8rcd {al.rcnl lltrl lE ot sh. h lkcncd PusuMl
ro rhc povisions of thc ContBctols Li.ersd ko (Charrr 9, Con@Ein8 wilh S.ction ?m0 of Divi.ion 3 of ihc B8incs .nd
PEfcasions Codc) or rhrr h. tr ilr is cx.mDt rh.E6om arn rlE hdsir for llE sltg.d crcmPrion. Ary vioLtiooofSelion ?011.5 by dy
apnlic.nr lor s Fmil iubicds lhe q,r,licant lo s cilil lcnalty ot not turc lhd tivc hundr.d dolb.s ($500).
-1.
as opM of rhe ,'er.ny. o my enlploFr sith wag.s s rhcn sb omrctudion. *iu iki th. wk trid 0E nmrE i5 mt
intod.d or olT.ci lor eh (se.7044. Business ond Prcfcslions cod.: Thc co.hd('r Uc.ns Lr* do.s ml .plly m e owmr 6f
rh. pmFrty who hrird! m i,Fos rhd@n. od who ds sh hrt hi6..lf or hs*lfor llhlgh hir or ho own enPloyccs.
potided thll srch irlrov@nl3s ml htcndcd or of.r.d for src. If. hoM. d. l,uilding ot inP,@r.l t sld wtlhinoft Fa
ofotr{,hlbn, rlr O*M Buit r wiu leE 0E trr&n ofpmvioe dd lE or shc dn d tlilt or inP ot ,E n qdy for l,r PortEs oa
-t.
m owmr of rhe ropcny, an.r.lusirly contE rins wirh liccnsd ontndon ro .onsntrci llI pmjccl ls(. ?o44. Blrinss
a.d EDhsb. Codc:Ihc Conklclor\ Liccnsc Lsw doer not dpnlyto,novnct of DrcI.ny who huilds or ihpinvcs rhcr.on.
r qho snlmcrs for slch p(rirk witl a Co .a.ro(s) lic..sn l'ucutrl lo thc Coflreroi\ LieM llw).
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amcxcfrfl lndf Serio B &PC lbrlnhrclw,n
IOXAESESIMTENIAITON
DECI.AEAITQN
I hcrcny omih un&r pcMlty of lcrjury orc of rh. fouoeinE dekErk,Bl
I hrvc n wr ll nrinhin r Ccn ifrorc oa C.n{nr tJ scll ln$r tur sorkcr\' .o.rlEnslrio.. as pmlidcdforbrsccriotrlr0oollhc
uhJr C.dc. lir rhc p.rf.rrroDcc o, lhc uork tur wh ich I h. Firni n i\suRt
-t hrw lnd eill minl,i. sork6 .or{Emalion insommc. as Equned b, Ssrion 1700 of rhc l,hor Codc. lor lhc lc.ionMrcc of
ID work for ehi.h rhh Fmir i! Lrsrcd. My wort6 onpcnsalion inslrane cdic. .rt p.li.y numb.r ac:
Policy Nunrtcr:-Eil
-l
ccniry rhar in rhc r.rforrore ofthc wort for which lhh pcrmit ir L\lkd. ! shall nol c'nPloy any Pcron in aoy n,nmr
s N ro h..om $tjccl to tlr worterr @6p€n$rion !a*. of C{liloni!. {nd tr8rec thlt it I should trtoiE subixl lo lh.
workcs comp.nsalion Imvisio.s of S.crioo l7(r0 6f lhc tln r Cdlc, I shaU. fonh*nh conq y wirh llx,* pmvbions
WARNINC Failurc b scurc *olkcrl mnrp€trsri.n .ovcrusc i\ unlawtul. ,trd shall suhj$t in cnplorrr ro dninnl lEmkts md
cNil li.ca u! ro one hundEd lhousrd dollaB 100.000). in sddnion ro rh. cost of cohl,cretion. dln[lcs as Pruvid.d for ln
S..rn'n 1076ofrhc Lrh, C'dic. irrcrcsllnd
t lzzl.t8'
I hcrch, umm uRL, pcnalryoll.llury rhd I rd liensn und.t Pn)virion olChlplct 9lcomfttuinB *irh S(rir ?0lO) ol Diri\iir l
ol rhc 3!rircs{ md Pn tsio.\Codc.dnd nylicrn* i\ in full fi .t $dcllc.l
2 t17a I t t ?
€/r z )tv-
I lErby llttrm undcr p.nrlly ot rcrjory
kstr.d (Se. 3097. Cir. C.).
fl.rhn LndinB r8cnc, ror thc p$forn@c of rhc work for *nich rhis Fmn iq
L.ndcai N3ft
-
l.cnifyrhd rhc fcdcnl rcsuhtion\ rcsudin! !!tt{osrcnr,vddc nor lPplictblc h this Po,ccr
MECHANICAL-INSPECTOR RECORD
Grease Duct
Above T-Bar
Final Test bndcls Addrc$:
-
r pt't-tcrfr iiiiliip,rixrn
I rly.$, alltnr undcr Ntrilry.fpcrjury.nc otrhc tollosins dc.l rdn,ns:
Dcmnii,,n Pcnnirs {h.no\ Norifi.ari,rn F.rlcrnlRcsuldi,rn\ (Tirlc l0.l'an6)
R.quir.d Lcncr olNotili.diur
T
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