HomeMy WebLinkAbout40132473 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 411132473
Pin #: 33430
Project Address: 3750 S Bristol St
Assesso/sParcel: 412-131-12 Lot: NA
Unit;
Block: NA
Bldg:
Tract: NA
AddressRange: 3600-3798
Historic: No
Suite Range:
Zoning: C2
E
Owner:
Address:
Phone
Tenant Name:
Metro Town Square
3719 S Plaza Drive
Santa Ana, CA 92704
(7'14) 5464255
Spruce Grove lnc
3719 S. Plaza Dr
Santa Ana, CA 92704
(714) 5464255
01116002
01 'l 16002
01116002
01116002
011'16002
51604
51604
5'1604
51600
51604
Amount
30.52
42.86
-150.50
22.O8
55.04
Feo
$30.52
$42.86
$-150.50
$22.08
$55.04
Fee Type
Bathroom Fan
Min Fee Adj
Fee Exempt
General Plan Update
lssuance
Qty
'l.00
'1.00
'1.00
1.00
1.00
Phone
State Lic #: 229077
Lic Type: B, C-12
Bus. Lic #: 136426
Workers' Compensation lnsurance:Carrier: Safoty First lnsur
Policy #: FCL4058142
Expires: O1lO1l2O19
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By
Permil lssued By:
B
V B, SPK
cMc 2016 NOTES: CHANGE OF CONTRACTOR/LETTER ON FILE/AUTH.
FILED.
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Teri
Subject to Field:
Building Permit #:197372
Every pemit issued shall become invalid unless the wo* on the sita
authorized by such pemit is commencod within 1 80 days aftet its
issuance, or if the wod< authorized on the site by such permit is suspended
ot abandoned lot a peiod o1180 days after the time the wotu is
commenced.
o411512018
Account#
$0.00
$0.00
t0.00
lnspector MID#: 2018-143695
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Conlractor:
Address:
Commercial Occupancy:
Tenant lmprovement Constr TYPe:
Change of Contractor-Tt/Netcode:
APPROVALS DATE ID/SIG.COMMENTS
pliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents /^
Toilet Room / Clothes Dryer 1-Z'.t1g xt4"1,0
Residential Ranoe V
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Meter Release ,A
FINAL t0-il-lg
Notes, Remarks, Etc.
OWNER EI,ILDER DAI,CARATION
I hcEby afltrn undr I,c llyof rEdury lnd I e' cxca'pl tEm rh. Co.rEm Lt.ns ljw for ltc following Earcn (Ss.?0J1.5
Blsinc$ atd Prot siotr Codc): Any Cily ot Cou' y *hth rcqliEs a pcdir lo conntud. .lld. inErorc. &Nlirh or E!,r My
srudurc. fii,to irs is$mc..l$ rcqoiEs rh€ lrplkdl for shFmir lo lile. iigrcd arcmt rhrr horshe t liercd pw r
lo ln pmvisions of tlE ConBrols Licnsn Lsw (Cllrprd 9. Collmmi.g *ili Serion 70m of Dilisiotr I of rtE Ausin.$ lnd
Pmacssions Cod€) or thll n or dE is cxcmpr rl*rcfrcm and rn b6sir for llE llLgcd .ktrprion. Any vhhlhn oa S..rb. 701 L5 by tny
applic,nt for s pcmil $bjccls llE st plicant lo a civil p.mlly of nol mrc thu fivc hundEd doll&s (5500).
l. a( o*trcr oih$ l)a)|)cny. or nr! cnrdotccs wirh sneN is rhcrr nir..onl|xn\d()n. Niiido rhc lnrk and rtE srrucrucn nor
inicndclt oroflcrLat tor {lc lSN.7(sr. Bu\ims lnd P.olc$ions Code:'lhc O'ntucxtr \ l,iccnsc l.r* does nor aitly t, rn owtur ol
rtu|n)jEny who hurlds .r nnDnncs rhcN . r'tl qlx) dd: suh qo hnn\cll.rh.,a.l{. hn)ughhis.rhsrownctrrpl.y(c\.
t()vnhd rhar \uch i'nnmrcfttrrsrfx, ifrcndcdorollcrd ft\ lc ll lx$!vc', rhc hriklir! or nqn&itd ir$lds{hhot! tur
oi conlt)lcrbn. lhc Osmr hrildcr wiil hrvc itE hur dctr ol fmving rh hc.r\hcdtl mr buildor improrc rhc pDpcn, nx$.N!-{ol
-1,
.s owncrotrnc nmlxny. !ncrclusivclyconhcring *irh liccnrd conradoF ro consrtuct rh.,,mj(r (S*.71x4, Busift\\
dnd hbi6si{C.dc: Thc Co.ko.loar Liccnsc tie doer nor apply 16 6wnr ofpri'pcny uho builds or inFrovcs lhcrcon.
.od vho snla.G for such Imjds with ! Conrmdo(, liccned pusuur ro thc Co Bcror's Lkcnc l-lw)
-lmcxcmfl
undr Setio a. & P.C. forfiis rcawn.
_l havrsxtNill nni.rii', rCcnilic rc ol (i,n{nr h Sclfl n\ur. br wo' kcn' conrlt \rii(tri. r\ trovidcd r'or hySccriotr l7(x)ol
'hcLrlxn G{lc. rarrhc n rntrn NcornrMrk nrshtnrhcttnnn isi\Nrcn.
I l[vc andwill noinrrnr *o rtfiJ .. nrf.nsrr tr n iNuruncc. as r.quied b, Scction l71X) orrhc hhor Codc,lor lhe perforroncc of
'hc
sork for which rhh !.mil is issud. My workcr' smp.nsdn insuron c cmicr fll Fli.y nunrti.r us:
Ic.nifyrh.'inrh.Frfoir:EnccofrhcworkforshahrhisF.rmir nsu.d.I shallno' c iployany pc6on in any mn.cr$ us ro h€@m qhjEr ro thc wo.tc6 c.drnsltion laws ol Califomia. !ft| !s@ rhai i, I .hoold lE om subFr ro lttr
sorhcrs .onlli(.\urionnDvNi{,n\oiScrri,'n.l7lX)of rhcbhrC.dc.l \ltll. lnnhsirh.o
covlrgc i\ rihqiil, r ,l nhll
cieil itrc1up L, onc hunnrcl rlroutrtl dollrr irion b rhc.on of.odlttreriotr. drmgcs-:"""w'!'t'g'\Y"
D!!L Arlllll]
I h.Ehy aififln undcr pcn.lly ol lien$d und$ p$vnio. ofChr,rts 9 (co'nmming wirh Sccln,n 7O0o) olDivi{,n:l
of rhc Bu\inc\\and Pn, f.\t ions Cod., md mr li.cn\c ( in full fo(c dnd cllcd.
0 7?
I hcEby a,Itrm undcr pcnrlty of Ic ju.y
hsud (S(.1097. Civ C ).
rucrion hnding 0C(rcy for rlE Isfomtuc of rlc wk for which rhi. Fmir ir
d.tt[tcal|Dlrc].a-BAlt0N
I ItFhynltnrun(l.r ricul', oi,'tr iurr onc ollhc li,ll.$nrA dc.lirri,) I:
Drnx,lirn'n Pci'nirs Ash!no\ Norilicrrid, Fcdcrrl R.gularion\ (Tilc,l1r. l)rnh)
R..tuircd L.ncr ol Norili.rii(
i. crllrc[tldi,,nsrc8udirr rsh(io\rcnn,vr1rr.nor rfplilJhlck,rhi\I,RI.cr
rcrd rhi\Jpplicrri('hdxlndcrhr rh. *x*t infitrmlrtr,n ncofrcr la8r.lb.omllyBirh.llCiryrndCounlt
s
'Y
lding con(tucrion. and ncrcbtnur
III
III
)rufrt4
MECHANICAL.INSPECTOH RECORD
Final Test
O*..c
IIIBtrEIN:.GOMTBIAIIQN
DECLABA.UA!
I h.rchy afllrm und.r p.nalry ol pcrjury om olrh. folbwing ddludrions:
WARNING: ti iLurc h scu.c work.^'
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