HomeMy WebLinkAbout40432291 - PermitProiect Address: 3605 W MacArthur Blvd
Assessor'sParcel: 414-221-09 Lot: POR 1/POR 3
Bldg: Address Range: 36oi-3633
Tract: 1013rWlLLlAMS Historic: No
Suite Range:
Zoning: Ml
Eunit: 704
Block: NA
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mec han ical Permit #: 4O43225i
Pin #: 50098
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Cushman & Wakefield
2770 S. Harbor Blvd Ste H
Santa Ana, cA 92704
(637) 9004446
DTGBuilders, lnc
8992 Sunflower Street
Alta Loma, CA 91701
(909) 948-1887
01116002 51604
01116002 s1604
01'116002 51604
01116002 51600
011'16002 51604
Amount
43.62
96.78
243.16
22.O8
55.04
Fee Type
Alter Vent Sys
lnvestigation
Penalty
General Plan Update
lssuance
Qty
1 .00
1 .00
1 .00
1 .00
1 .00
Fee
$43.62
$96.78
$243.16
$22.08
$55.04
Eotchi:{{815 - 7 ll$/2o18
olf ice: CTYH Tnonei: ,15Acct+! Refi:
Rcpti:02325421 - 7/16/2018
Trsnsocl ion TotolPl,lB gontroctor
DTGBuildersrloc
ID: J6
+t)4si
10:59llr664
State Lic #: 550204
Lic Type: B
Bus. Lic #: 370014
Workers' Compensation lnsurance:Carrier: State Comp lns Fund
Policy #: 9044560
Expires: 0110112019
General Plon Updote Fee
01116002- 51600000-
llechon i(ol
rll I l60ll?- 5160,t000-
ICL Check ttl28?7
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Commercial
Demolition
N/vlllegal MMD/Demo
Occupancy:
Constr Type
Code:
B
VB
cMc 2016
sden, Julie
Subject to Field:
Building Permit #496940
Every permit issued shall become invalid unlessthe work on tho sita
authoized by such permil is commenced within180 days after ils
issuance, or if the wo* authotized on the site by such permit is suspended
ot abandoned lor a period of180 days aftet the lime lhe work is
commenced.
lnspector MID#: 2018-144464
07t16t2014
Account#
011 16002 51600
01'1 't6002 51604
$22.O8
$438.60
Fee Total:
Paid to Date:
Balanc€ Due:
$460.68
$0.00
$460.68
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Phonel
NOTES: **TOK TO ISSUE PERMIT w/ SITE/FLOOR PLAN DEMO
unpermitted alterations and return back to original
use.
MECHANICAL.INSPECTOH RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEf, BUILDER DELCARATION
I hcr.by sftum und., Fmlry of F.iury ihai I m c&mfl fiom rhe Co.leroR La.cM h* fo, 6e followi.8 rc.sn (Sc.?03 1.5,
Businc$ !d Pmfcssioo Codc): tuy Cily or Counly wnich rcquiEs a Frmn lo onsltud. allci imprct d.mlish nr qun d!
stocrur. I,ior ro irs i$!are. rlso r.quies rhc $plhanr for xlch Fnnit ro fiL a siSn d slal.m rMr lE o.3lr ir ljccnqd puNusr.
lo ltu pmvhnrns of lhc Conlrlclols Liccn*d l,w (Chetlcr 9. CommcEing wnh Scction ?000 of Divisiotr I oflhc Busincss lnd
Prcfcrsn,ns Codc) or lhal lE or slE h.rcmpt lhcEiiom lnd $. h,.h for th. dlcScd crcmplion. Any vk lalion ofs6lion 7011.5 b, an,
{l,nlkanr for a !.mn bj*rs rlr .!pli.. ro . civil fcnalry of mr mE tha, fivc hlndrd dolldr ($500).
-1.
ss oprcr ol lhc potErly, or my cmploFes qilh wlgcs &s lhct $lc onpcnsal ion. will do llt qnk dl tlE $ntr@ i. nn
inicided d oncrcd for sL (Se.1X4. Busirc.s od Prolcssions CdIc, Th. co.hdols LitrF riw d@s ml lpPly lo on .Md ol
rhe tftrEny wlF hlilds or iIltftri rh(otr a.d who dei sh @rti nie.llo. h.Blr or rkou8! hk or lEr ovn crylorca,
pmvidcd rhll sh inpmwmnrs m nor i,lcndcd or otu for $k. l( howcE. dE buildinB tr inprorctunl h $ld lilllin om yw
oforpkion. tL olrncr Blibs wiu haw rhc htd.i oal,oling rhar lE tr shc did tror tdld or itrpbw th. t'bpciy for lhc p!4ixc of
_l- s\ o*rcrofihr Inop.ny, dn.klxsiv.lycinraciihg $nh liccnscd c. tacb6 ro..trsrucl lhc Imj.ct lscc. ?014. Bunncss
$d Eof$sioo Codc l hc C.nrraciols Liccnsc Lrw das not aFply b M o*mr of prol'cn, *ho blilds or imrrovc\ fi*con,
ud uho contrucrs for soch poj€c( vir[a Co ntractod sJ I iccnsd Dusuonr ro rh.Co"rBcrols Ltcne t!s).
-l
rmercqr udo S6tion- B, & P.C. for rhb .c&r
WOR(r,RS' CoIIIPFNSATKTN
DICI./IIAIION
t hcrcby rflnn undc. r..0lr, ol'l)crjury onc ollhc followirS d.cl,.irions:
-l
haE rrd will einl.in a C.nifrd. of CoM m S.lttn$E fo. srkd @np.ndio!, ar prcvid.d fo. by sRlior 1700 oa llE
Libor Code for lhc p.rfomtuc of lhc *ori for which llE Frmil h irslcd.
-l
hrvc ,nd *ill nriordi. eor*cB co,np.nsarion i.snhocc, trs rquirdd by Sd ion 3'l0o of ihc bhor Codc. for thc ,rslbrtunc. of
lhc wrk lor whkh this lcrmil is ksr.d. My Nortcn ompcnsario. insururc caFicr an Flicy Nnbcr @:
S'la4e Fuud.
t,q 4o'ao I Uo
-l
ccnify rhlr in rh. psaoirmfla of rhc wo aor pti.h rhis l'c.mir h iss!.n,I shllln cmtloy.ny pc66n in rny memr
s s ro h..$,rc subiir io rlE eort6 .orIp.flsorion hes otcalifomir. and a81E rhli ilI stnuld t$om subjel lo lh.
mrtcm .onFnr ion povisiorls oiscction lT00oflhc Lllhr Cndc.l slull.lonhsiln omplywilhrhos pmvhions..
WARNING: Faihe lo sac w.,k n .otlcnsarjon covcdgc is u.hwtul. nd sh0ll subjet .n.nplorr lo aiminrl p€dlhs und
civil firer np ro.rc hrndrcd rhousnd doll06 (llm.ooo). in rddirion b rhc o$ of compcnsalion, damBcs as porid.d for rhc
Scclion 30?6 or rh. tjbor Codc, inlcEs a.d brrcy\
ucllllllcaNuacllr3
DECIIIIAIIIJN
I turch, afilr undcr!(.,lryolp.rjurythat I anr licnayl u.dc. Eovnion of Ctuflq 9 (.ommmins *irhSdb!?fi,)of Divhionl
oi rhc Busincsl aod Ptrrirsions Codc. r ny liccn* h in full l(re od .lfNr
€foao f
tL DT6 i3*,'Ic!e tr Tpc,
C!}!I.1I&J(:U9II.IIiNDINC.AGIIICI
I hcrchy dlftm u.d.i F.,lryoltrrjmy thlt lh.!. is d $n{fl.rn)n hndinC,Bcncy for
'hc lr_dnrmne or lh. work aor shi.hrhis t*rn'n i\
iss& (SN.:ll)97.Civ C.)
-l
6lify rhar I h!v. rcad rhi$ppli.rdon ad l|tle rh.l dE sbovc infomrion t c6rE l. I .8c to o,ply ailfi all Cily !d Couty
ord'mM ud Surc trm Ellrin! ro b ildios oNrrudbn. od heElyourl'od4 Gp.c* ,livB of rh! Cny od Coun'y lo mld uron dt.-6;;---" ^ U
^,",*,",.,^*",,*,*,,..(l-227-*X &h,"..z/r6/(t
"^,,***r*,,,. Dntt"L T' G,lsv'a ' '
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room i Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL tol/11/,AWfl-/b-
Notes, Remarks, Etc
D{re. o}n.r:
o*., '7 /
trnd.li N.m:-
lxndci\ ddr.\\:
-
ATTLICANI.III;IIAAAIION
llmh! {frnmunlcr Ntrrlry oifcrltrry otrc n! itu Lln,wrS dcc[r nnr:
D.'nolin,n Pcrnir Ashcsros Nori6cr'i(r FcdcrrlRcg!hli,nrs (lnlc 10. Pr(,
Rrquifu d lxncr ol Norili.di,rr
-l
cdify rhdt $c fcd.rdl E8ulalkrs RA&ding rsh.sros EnDval d. .or apllic.blc ro lhis ,mirt.
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