HomeMy WebLinkAbout40134396 - Permit (3)Project Address: 2626 N Jacaranda St
Assessor'sParcel; 396-372-36 Lot: SOUTH HALF 3
Unit:
Block: NA
Btdg:
T racl: 7287
Address Range:
Historic: No
Suile Rangel
Zoning: R2
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714') 647-5853
Permit #: 4O134396
Pin #: 9039{\
Owner:
Address
Contractor:
Address:
Phone
Tenant Name
Roger T Lappin
2626 N JACARANDA ST
Santa Ana, CA 927055944
17't4l 532-'t'.t46
Autumn Air lnc
1119 W Collins Ave
Orange, CA 92867
(7141.7444432
01 1 16002 51604
01 116002 51600
01 1 16002 s1604
01116002 57770
Fee
$131.87
$57.20
$3.91
Fee Type Amount
Furnace/CompCombo'131.87
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Phone
Slate Lic #: 1057685
Lic Type: C-20
Bus. Lic #: 374479
Workers' Compensalion lnsurance:Carrier: Compwest lns Co
Policy #: WCV550234601
Expires: 0511612020
gotch+:53996 - L/21/202(r I03 I,IGARCLotfice: (:IYH Tronsi3 32 2 of I
Acct+t Refic 4rrlJ4396
Rcpti!02869329 - l/21/2{r2$ ?t?2 hn
Transocl ion Total t62S.7t'i
Autu,in Air Inc
Building Use:
Job Type:
Nature of Work
Duplex
Alteration
Furnace & a/c
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2019 in a closet.C hangeNotes:Change out furnace located inside
out a/c unit located on roof.
Planning Conditions:
Planning Approval By: Graham, Jeffery
Plan Checked By:
Permit lssued By:
Subject lo Field:
Building Permit #:
sden, Julie
Every peamit issued sha becofie invalid unless lhe lvork or lhe sito
authorized by such permit is commenced within360days aftet ils
issuance, ot if the wo authoized on the site by such permit is suspended
ot abandonod for a peiod of360 days anet he time tho work is
commonced.
lnspector MtD# 2020-157211
0'1 1 16002 51600
01 1 '16002 51604
o1116002 57770
Fee Total:
Paid to Date:
Balance Due:
Date:
Date:
Date:
01t2112020 Misc Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.95
$189.07
$3.91
$0.00
$21s.93
01121t2020
Account#
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUIIDER DELCARATION
I h€Eby amrm lndcr Fnalry of pcrjory thlr I m.rcmpr from rhc ConrEcroR Licn€ Lrw for rh. follo,ire casn (Se.7031.5
Busincss ad Proacsion Cod.): Any City or Counry ehich rqliEs a |-nt lo @n$e[ !16. imprcw. &mlsh o. GFt Dy
suuctuE, prior ro ns isuoE. al$ rcquircs llE ippltd ror sucn p.on b 6k . sigmd slolcmnl lhal tr or shc n li.cnsd puNal
ro rhc Fovisk B of dE Conr@toir Lialsn t,w (Ch.ptcr 9. Con@Eing snh Sftlion 7000 of Divirion 3 of lh. Busimss . ,
Pmfcssions Codc) or rhlr hc or sh. is cx.npr thcrcfiom rnd rhc barh for lhc lllc8sd cr.tr$ion. Anr eioLfion ofs*thn 7031,5 by u,
antlicanr lor ! p.mit iubre.ri rhc lpnlkot ro ! civil n Mltl of ior mB lhu titc hundrd dolbs (1500).
-1,
as ovmr of lh. pmFny. or my cmployccs wilh pl8cs as lhcn et comF€nsllion. wil do llE krk dd lhc slrw'tw ir mr
i .nded or o,tcEd for slc (56 ?044. Busiturs Md Profcssions Codq TIE Co o.roar Lken* llw .lo.s er ,rpl, lo an owNr of
rh. ropcny sho huilds or impmlcs ttEmn,0nd who dB s..h wlk himr.lfor h.Mlf or rhmu8fi tk or hcr own cmfloyccs.
pnrvtd.d dui su.h imFnrftnt m m! ini.nd.d d ofM for elc li ,E$trr. tlE hiilli.g n in+rcftrnr ir sld *iihin oE rar
.l.orplcrion. tlE Own( Auid.r sill hih rhc hnrdcn of tmling (tun hc or *hc dit nnr huild or nnpmvc thc p6Fny for llE lItrpos of
-1.
as owrcr of rhc l(Dcny. am cxcl8iwly conmdi.s wnh li..nsd .o ridor ro on$rud rh. pmjd (SN.7{)44. Busmas
a.d iloissi,rCodciThcConrr.clols Liccns. Law do.s nor rtplylo 0n owncr of rmlcrty who hlildsor im!rcvcs rhcrNn.ind who o.tncis fo, skh tDiirs *nh ! Co dd6(O ltcensd ponud ro rhc C6otra.roa. Liccnsc t w),
-l
am cxcmpt undcr Sclbn- A. & P.C. for l,rG Euson.
IIoIIKI'IS' CoMPENSATTON
I'ICLAAAIIIJN
I hcrcby lffirn und$ ,.Mlty or,'njury om ol rhc lolh*ing dcchorions
I htr$ nkl uillnrinr naccdio.ar.ofcon\cmtus.lrlnsurc,rsorkN.onD.\.tiotr.r(povidcdlorhyS<ion37OOoirh.
blhr Cud..lnr rlte Fnntumc uf rh. so* frn whi.hrh. Ptrnrir k i\srd
Z6vc lnd will m!i.rtrin $()ik16 $nlEDsal i{nr nNurrtrcc. rs rcqutcd by Sccr io :l?U) ol rhc lih.r cinlc, ror rhc p. anmncc ol
- rhc work iorwhi.hlhn pcrmir h issw, Myworksl co.U.nsoli(,n insuroncc odcr drnicynun'bcr c.
G>w,e U,r* t-
,ttcur90234Ll 9ltr" / z--
-l
ccnilrrhar inrhcpcrfonmnccofrhc worl for whichrhixpc.mir is tsucd,I rhrlr oor.nl,loy,ny lcrsn in&y munmr
s sro bdonE subrc.l to lh. wolkdc snqFnslhn bws of Catifomia. ond s8E lhal if I should tE{om $brc{r to llt
wollsl conD.nsllion pmvhions of Scclion 1700 of lh. titrr Codc. I slBll. aonhsirh comlly wilh rho$ |)nrvnions.
WARNINC Failurc to $orc rorkcrj
.ivil lincs uI lo om hlndred thouend
Sr.rio. 1016.artu litr.C.'d. inrcE(
coq,cn$l6n covemg! k unla*tu|. und sh.ll sbrccr .n cmplorq ro dnirl Fuhi6.rdr jpir h rhc (( nr srlpcn\u,ion. lton[rc. r\ Fovi{
7o",, tlulzo
ut[tistDloNlna(.roa
DIrCLISIIION
or ,h. rlu{ncs\ 3 Prdclsi,)ns (i)dc- ud n,rll.cfsc i\ i'r nnlr,,.. nlcll.cr
to 37G8'
TAIIIf,IJCIIAtr.LENDINC.ACENI:T
I hcrcby nafinn und.r Dcn,lrt dr r.rju.y rhur rhcE is d..n{tucri.n lcrding,g.n.y Lr l}rc r.rfonMn.c olrhc work nr which rhis ps'nir ir
hsucd (Ss 1097, Civ. C.)
AIILTCANI,!&CI/BA.IION
I tlrby dfiinn xnd$ Nnrhy.fp.riury ok ofrhc Llbwi.B d(ldnrknrs:
D.mlirion PcrmnlAsbcsros Norlication lc{tcral Rc8ukrio.s (l irlc 40. Pd6)
Rcqui'ql L!(c, ol Notifrrrhn
l..nilirhd thr L{cnl nguhrotrs oS0rdiig r$.{o( rc )vrlrrc nor mliclhlc rorhn pnjccr
lEl.rn'l) rh. rhr\rru,lrh^Jnnl'!,trtr,:url{ r rhJ h. rh)rr i'nnn dnr n..nNl I rsra lo conDly sirrr nll Ciry inn Counry
ordiNncs an.l srarc lj*a rclariiE ro huildin8 .onnMrion- and hcrct'y rlD'izc rcprcEnrdi!.s {)rrhi\ Ciry d coun'y b cnrd upotr rhe
Ctet,r .'r. -/"",.,-tlztlru
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Pre-lnsulation
lnsulation
smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer (
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release / /F|NAL // K/&- 4 ';ron"/
Notes, Remar(s, E{c.
)
Duct Work
Dale: Orrcr:
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