HomeMy WebLinkAbout40132472 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mechanical Permit #; 4O1t2472
Pin #: 782E1lnspection Requests: (714) 667-2738 inspector Section: (7'14) 647-5853
Proiect Address: 3779 S Plaza Dr Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning
E
AssessoisParcel: 412-131-12 Lot
Metro Town Square LLC
37'19 S Plaza Orive
Santa Ana, CA 92704
(71415464255
01 1 16002 51604
01 1 16002 51604
01 1 '16002 51604
01 1 16002 51600
01 1 '16002 51604
Fee Type
Bathroom Fan
Min Fee Adj
Fee Exempt
General Plan Update
lssuance
Amount
30.52
42.86
-1s0.50
22.08
55.04
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$30.52
$42.86
$-150.50
$22.08
$s5.04
Phone
Tenant Name
Contraclor
Address:
Spruce Grove lnc
3719 S. Plaza Dr
Santa Ana, CA 92704
(714) s46425sPhone
State Lic #: 229077
Lic Type: B, C-12
Bus. Lic #: 136426
Workers' Compensation lnsurance:Carrier: Safety First lnsu?
Policy #: FCL4058142
Expires: O1lOll2O19
Building Use:
Job Type:
Nature of Work
Commercial
Tenant lmprovement
Change of Contractor-T.1.
Occupancy:
Conslr Type
Code:
M
V B, SPK
cMc 2016
NOTES: CHANGE OF CONTRACTORYLETTER ON FILE/AUTH.
FILEO.
Planning Conditions:
Planning Approval By
Plan Checked By:
Date: Misc. Receipt:
Date: Misc. Receipt:
Oate: 08/15/2018 Misc. Receipt:
Account# Total
Permit lssued By eri
Subject to Field:
Building Permit 97368 $0.00
$0.00
$0.00
Every pemit issued shall become invalid unless lhe work on the site
authoized by such pemit is commenced within 180 days after its
issuance, or if the work authoized on the site by such permil is suspended
or abandoned fgt a peiod of 1 80 days dfter tha time the wod< is
commenced.
lnspector MID#: 2018-144079
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Bldg:
Tract: NA
Owner:
Address:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Itrlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents j\
Toilet Room / Clothes D ryer 1-254y 9-v{tu
Residential Ranqe
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Meter Release
FINAL l0-il-ly KWJO
Notes, Remarks, Etc.IJ
OWNER BUILDER DELCARATION
I h.,eby afrrn urd.r Fnahy of Frjury rhll I M d.nfl lion rh. Co r&16 l-Lt.e tjw lor $< tollosiig rceo (&c.loll.5
Busi..si o.d Pror.sion C.dc): Ary Ciry or Counly whbh rcquics r Fmir lo coos'ruct, 1116, irwovc. &mlish or EFn my
suuclurc. I,ior ro irs issuaftc, ols rcquirrs lhc applku' f6r su.h Fmh ro nh a sigmd sl.rcrc.' rh.l tr or shc is licmsd Furslnl
lo lhc pmvhioni of rtE Coo!.,croas l.iccns.d Lrs (Chdnrer 9, Comtrrcing wilh Sccrion 7(xD of Diriiion 3 ol lhc Busincs a.d
Pmfcsions Codc) or lhll hc or rhc i3 cxcqrl lhcrcfrom md lhc btrsh for lh. allc8cd cxcq,lion. Any violalion olS..tion mll.5 by any
npplicad fo. a p€mn subirrs rhc lptlaca ro a ciril t'.Mlryofnor mcrhan lirc hundrcddollds (5500).
-1.
0r owrcr of lhr pmpcnr. or my .q,lotBs snh w!8.s s rhrn $h mmp.nsdion. vil rlo tlE qot 3rd llE n.Ele is mt
inrcnd.n or olTcrcd for sle (Se.?044. Blsincs end Profcssions Codq TL Conrn roas Liccn* Liw d@r nor rt'Ily ro an owrr ol
lhc lmFny wh. boiLls or inomws llEMn, .id who dB Mh w* hims.lr or hcMlf or limu8t ih or hs o*n .iq,loyes.
l)roridd rhar ruch inDrovcmok @ mr inr.nded or 6rcrn fo, eb, lf. hde6. rhe huilding or iqmEmnl is $h *ilhin orc )re
ofotrphthn. llE ol,nor Buildcr will haw lhc budcn oaproving lhat h. or shc dil ml blild or iq,ow ths pmFly for iE pwf.c of
-1.
s 6wnc. ot rh. roFn, m .x.lusi!.ly contBcring warh li.cn*d .oorlcro* to snnBt tE proFl (S.c. ?044. Burims
ond Eotsioo Codc: Tnc Conlroctor's Lic€nsc L.w des mr !ppl, lo an owncr of,rorcny sho blilds or imfiov8 rh.Mn.
and who $nrr{ck ror such psisk wnh r Conhcro(9 licn*d puuusr io (h. Co md.ls Lic.ns L.w).
-l
!h cxcmpl undcr Sclion- B. & P.C. for rhn rcason.
Drte O*ner
woR(nfs. c(|nf Fr\isAatoN
D}:CI.AXAIION
I hcmby alnrnund.r p.nrllyolt6juryoft ofthe follo*ing d..ld iotrs:
l-ih,tr(i{lc.lirlrltrl!tr rtr.(olrh.tr!r(nr sh].Irhrtu trr nr\uc
I hav. rnrl will minrrin workcrs .o'nlcndion nrsldtuc. ar rcquir.d hy Scdi.n ilTm of rhc hb.r cl)dc, for rhc ,'cr,ornEncc o,
c work for whi.h rhk l).mh ir is{.d. M, work.^ .omp.n\dion in\urdcc .nicr rnd loli.y numbcr m:
-lccnifyrhu!
irrhc pcrfooElcc o[hc*o r nr wnich rhis pcnnir is t{ucd.I \hill nor employ ony pchon i,ronym0nncr
$ as lo bcem subjNr to lhc vorkcrJ.onD.nsrl ion laws orc0liromin.,nd +N lhal ifl sl$uld bccom subjcd td rhc
*0lt6.onpcn$lionpmvhionsotSdion]T(]OoflhcLaborCodc.lshall,fonhwilhcoq)ly
IIARNIN(;: Fdilrr k, r.ud tro'kc^ .o rtr .ovcBlc is unlawtul. and shdll
irion ro rh..o ofcon{Enerion. dlmgs rs
DEClitXAllllN
t hcEhy !r'!n m und.r lcn.llyoipcrjury rhd I !m li.cnst undd ,m!i\nr of Chrpts 9 (ommEin8 *irh S(rbn Tuxlr of Oi{{i{,n .l
of lhu Burnr\srftl PmLlsn,nsCdc, xlnr]lf,cns.it i,rfullf{tr. d cfLrrL/
I hcrcby antn undcr Fnllly of pedory
isscd (Se. 3017. Civ. C.).
snsrdctiofl lcndifls rscic, for rhc Frfortunc. of rhc work t shth rhh Ffir is
A.TEIIIAIfDI:CLA.BAI]ON
Ilrtr{rrrllnnu .rlr.orlr,olp.!ur}.rcof lh.rbllo\insn..lir r6nr
Drfrrl1i,r Plnnlh A\tldo! Noriri. ri'r I:. orJl Rrguhrnnn l'l irl.10. Prn6)
Rcqrncd hrrcrol Norill(nrid
not aprlicat k to lhis pn*rl.
ll8re lo onqJly *nh oI Cnylnd Counly
Other
Hood
Final Test Ladr's Ad&Bi
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{^nu,'thi p,,lharion rnd sr,tc rhar $c atbvc
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