HomeMy WebLinkAbout40134380 - Permit (3)Project Address:1257 N Cabrillo Park Dr
Assessor'sParcel: 400-172-15 Lot: 15
U nit:
Block: NA
Bldg:
Tract 9207
Address Range:
Historic: No
Suite Range:
Zoning: R4
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Mechanical
Permit counte. (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 4O134380
Pin #: t"r,qfi
Owner:
Address
Conlractor:
Address:
Tenant Name:
Mark Edwards
1257 Cabrillo Park Dr
Santa Ana, CA 92701
(714) 699-1487
Empire Plumbing Heating &
8349 Katella Avenue
Stanton, CA 90680
(714) 816-5129
Fse Type Amount
01116002 51604 Furnace/Comp Combo 131.87
0'1116002 5160C General Plan Update 22.95
01 116002 51604 lssuance 57.2O
O1116OO25777C Microfilm Records 3.91
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$131.87
$22.95
$57.20
$3.91
Slate Lic #r 794154
Lic Type: C-36, C-10, C42, C-20
Bus. Lic #: 163353
Workers' Compensation lnsurance:Carriel Falls Lake
Policy #: FLA00208602
Expires: 1Ol15l2O2O
IO! NGAR(2ol4t 3438t
ine Plutb ins Heat i
6enenol Plan updote f
1 161:rtt?- 5i 6tl(ltI:t0
Bujlding Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019
ecngn , cu
11160tr2-
icrol i llr
i1604(rtrtr-
,Docunent
i777tr([](r-
t:[:r2399
Single Family Dwelling
Miscellaneous
FAU
Notes: directchangeout
Planning Conditions:
Planning Approval Byr Mccann, Melanie
Every permit issued shall becomo invalid unless the work on the site
authoized by such pemit is commenced within360 days aftet its
issuance, or tf the wo* authorized on lhe site by such permit is suspended
or abandoned for a period o1360 days aftet the time the woh is
commenced.
lnspector MID#: 2020-'157139
01t't6t2020
Account#
01 1 16002 51600
01 1 16002 51604
01116002 57770
Fee Total
Paid to Date:
Balance Due
Date
Date
Date
0'1116t2020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.95
$'r89.07
$3.91
$2'15.93
$0.00
$21s.93
Phone
Phone:
Bqtchi:53946 ' 1/ l6/2lt2u
0tf iret {:TYH Tnone,+3 ;tAcct+: Eef+:
Rcpt+r02966274 - 1i16/2n2n
lrsnsgcL ion ToLcl
PIan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
1$ Hernanoez, ratnv
MECHANICAL-INSPECTOR RECORO
DATE COMMENTS OllNEB BUILDER DELCARAIION
I lErcby d,Irn u..Lr F.rliy oa pcrjury fill I m er.mtl fDn llt Conlra.lm Lt$sc Llr for llE following Ea$n (Sec.ro3l5
Busi.6s and Prolcrsion Codc): Any Cny 6r Cou y *hi.h rcqui$ ! Fnil lo.on( cr. tlt$. inptov., dcdrish or rcpon any
srruclrrc. Fk r ro nr iss!d., {lso rquiB lhc ',plicr for such lcmi lo lilc a .igmd trer.m rhal h. or sh€ i5 laencd purqa
lo rhe pEvisions orfi. Conlrrclols Liensd Llw (Chlpld 9, C.nNBi,g vnh SNlio.7000 of Divhion I ofllr Blsincss and
Prcfcssions Codc) or rhar hc or sh. B.xcnpl lh.r.ftom ed lhc b&sh for lhc alls.d cxen{,rio.. AnyvioldionolS..fionT0ll.5bya.y
,Dplicrm for r Fmi subjers rhc appli.!fl ro , .ivil pcMlry of nor mE rh& lilc hondtd dollds ($500).
-1.
as owE ofttr. IxDItny. or ny .q)loFcs slh qaecs s lh.ir slc @npcnsarion. piu do lh. ool dd dE nB1r h ml
inrutu orolI.nd for sL (56.7044.8lrircs ed ltDf.sioB Cod.: Thc Cn tucld\ Lkt!* Lw &t$ mt ryPly lo d ownct ol
rh.IhFny *L lnikh o irpFB r!@i. .,n wh d(E trh tu* hi@lf or lEBlf d lhreu8i his or her oqn cn9loyees.
previ.tcd tn{ sh inplmEnls m ml inrcdH or oficEd for sh la. hoabq. tE t ining or inprowmnt sld withh ok }w
of conphrb( rlE Oem, Buih( {iU hlw llE t !d.n oflovir8 lhd lE or dr <liil rcl boild 6, iqrcw nE FoFly for tlE Ftpd* of
-1,
ds own.r ofrlE prcpcrry. sm cxchsiv.ly co !&ing snh liccnscd conlrsclc lo cohsltucl llE r.eiEl (Se. 7044. Businc$
ad Pmftssi{ Codc: Thc Conr@rois Lt.nsc ljw dcs nol lpply lo !n owmr o, t'oFny who builds or imimtr $c.6!.
a.d who conrEcls lor sh proixrs eirh a C.mturdrt3) liered I'ununl lo lhc Cor rsclit\ Lkfl* llw).
LDcxc'npr uMcr Scc
1lITBtrDINlaufEIl,:/UraN
Dl:ct xaurlti
I hc,rby rlitnru dcr pc.rlr) of p.rFry otu ol rlf tulkr{ing dc.l.rititnrt
I luvc xlwillnri {irrCcnilicdcofCotrs.trrhscllln\urc{otwotkcs conrp.o\dn'n, * F)vidcnlorhySccri(n,:170{rolrh.
Irhr 9J.. ir rh. F'nr Lnrrrr'[. trrrlr,tr ql-ich,h. r, 'irr i+u.d
!(h.trc J.,l willn'., J'tr B"rkc^ rcmpcn\Juri '.!unurc. as rcqunc{ty Sccr i,,n .r?m or rhc Lthor Gde. ti)r rhc PclfonE i.c of
hnmmi isn cJ Mv wor*cBllE L,i k-a
conp.nsrion i.suErc fftr
z /d./i-Lo2)
-l
cenify thar in rhc pcrformnc. orlic work tu which rhis lcrmil is hsucd. I shallnor cnPloy lny Pcson in 4., nr.n$
h ,s b h..ohE subicl t, rhc lorkrl comr.nsar ion laws of Califonia. rd treN lhll if I slnuld tf,cotu subJ..r b rlt
eo*cn'@mp.nsrionpmvnionsofSction1700ofln Lihor Codc. I shall. lonhwilh coq,ly wilh iho$ lmvisions.
WAININC Fliturc ro *uc workcB comFtrslh. svcmgc is u shall subj..r ,n clnploycr lo dmi'hl Fn0kici ond
civil fincs up lo orc fiudrd rh.uend dollns ($l{xJ,(x)o), in addil co$ ofcoqEnsllion. domtgcs !s lrovt.d ror lh.
S(..n 1016 or rhc lltrr Cd.. inrcE{ and
D.r.: l- /l -zu+,-r-;, X
Ih.(hyrfln$rndcrFtralryorr^_rjuryrhirIrmli.cnslu.rn'ovi\6n.rchqrcre(.onnrEocins*irhs.cii( 7(x$)olDi\iion l
ol rhc l!u\ims\aBl Ptr,h\nna Codc, d my licctrrc
^
if lullhr.clRtc,l.ri
(-r o c'4 ? =ntfilox" 7 - i 6. 2 z -s-i*r."""
I hcrcby.lllrmundcr Fnah) oipcrjuryrhrr rhtd h n.o {flcriD lcndirB 4cncy lbr rhc Pcrformtrn.. oirhc "!rt for whict rht Fmir ir
isslcd lScc.l0i)7, Civ C.)
^I&IIINLD}:CIAtsTIIONIh.nby llnnundcrp.rrlryolt,crjuryomolrhcfolhwingdccl rJrrnrs:
Dc Nlirnnr Pcrnrir\ AshL{o\ N.nh. nr Ircdcril RcEulurions ( lill.40. Prn6)
Rcquncd ti(crol Norilicarion
l.cnily'hrIlhc {cdcml rceuht ng .slEsos r.mval m ml arulklbh io lhn t,mls.
landfy th^t t tnr. rctrd this !rhrr rh. !h)rc intuinrn.f ir.un(r. llgre r(' cotr,ply snh rllCiryrnd Counr,
odinrnes lnd Sllrc ti*\ ehr ond hcrcby aurhornc rcrcsnroriws ollhis Cilyand Colnrr ro.nro uPon rhc
/6 z.>z-o
e
Appliances
l/etal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Ducl
Fire Damper
Openings
lnstaliation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Bough Mech.
Final Test
Meter Releasg iFINAL 2 //Y/ Aplb ?)-da/oLl
Notes, Remarks, Etc.
APPROVALS ID/SIG.
Vents
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pzD-15.t laZ
ll DATE 1
-
DATE
REQUIfiED
Replacement: 60kbtu furnace upflow
3 Ton condenser (same spot)
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Owner: Mark Edwards
1257 Cabrillo Park
Santa Ana CA927O1,
(714) 699-1.487
Contractdi: Empire Plutl]biltC, hteaFnC, Air,
Jim Eichman ' o'1 -: .6J,- " i. , j..^*5
8349 Katella Avenue .:i!:: :t!r: ""-.. a..\D cONOtnONl
Stanton CA 90680 .*"
1714J 379-4757 .v \ . srroo,r L^r,o\.
License 794154 r :i.j,^r-s : a er EX STrN.ii r- RLGJ ( -.:.
-,] -;,NT LAAOSCAPE PLANS
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