HomeMy WebLinkAbout40131373 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Sania Ana, CA92702 Mechan ica I Permit #: 40{ 3{ 373
Pin #: 37691lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 1905 N Poinsettia St L,nit:
Block: SUB 6
Bldg:
Tracl: NOB-HILL
Address Range:
Historic: No
Suite Range:
Zoning: Rl
tr
AssessoisParcel: 003-16,4-04 Lot: NA
Owner:
Address:
Meckenzie Denisha
1906 Poinsetta St.
Santa Ana, CA 92706
(323) 481-6676
Fee
$122.16
$21.25
$52.98Phone
Tenanl Name:
Conlractor
Address:
Ken Starr lnc dba Home Cor
3162 E La Palma Avenue, Sr
Anaheim, CA 92806
(714) 632-8789Phone
Stale Lic #: 974908
Lic Type: C-20
Bus. Lic #: 345086
Workers' Compensation lnsurance:
Cafrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
Policry #: U883258096
Expires: 11lOGl2O17
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
fuC & FAU
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016 Notes: New A/C and furnace
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Mar, Escarlet Date
Dale
Date
o9t0712017 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Alliss "K o91o7 t2017
Account#
Every pemit issuod shall becofie invalid unless the wotu on the site
authoized by such permit is commenced within 180 days aftet its
issuance, ot il the work authodzed on the site by such pefinit is suspended
or abandoned fot a period ol 1 80 days aftet the tifie the work is
commenced.
$196.39
$0.00
s196.39
lnspector MID#: 2017-138473
$21.25
$ 1 75.'14
Fee Tolal:
Paid to Date:
Balance Due:
F€sType Amount
011'16002 51604 Furnace/Comp Combo 122.16
0'11'16002 51600 General Plan Update 21.25
01116002 51604 lssuance 52.s8
Qty
1.00
1.00
1.00
Planning Conditions:
01 1 '16002 51600
011'16002 51604
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENI'S OWI\TER BUILDER DELCARATION
I hd.try alt r uid6 0d!1ry olpqlory thar I e .xopl too tt CotudloB Lic@ L!$ lot tlE followi!8 teer (Se.?oll.t
BE,n* ..d Profeio, cod.) any Cny or Cou,ry whkh r.quic ! Frn lo otE o.1. .lla inprcv., dsmlish or t+rn sy
dDdxrc Fior ro ns islle.. .l!. EquiE lt loplicel for ruch Fni 10 6L r srgtEd slddal lh.I lE or rhc b lic6!.d p@et
ro th. Fovbioc oltl'. Contdbls Lic..!.d L.w (Ch.pl6 9. C.mnd.ing wiltr Setio. 7000 of Divtion I oflh. Buin* &d
PrcfsioB Co&) or rhtr lE or 3h. ie qdpt rlEcFom dd $. b.sa for th. .I.g.d daplion. Any vi'ldion ofselbi 701 I 5 b, 8y
olllicdr ro' a pdnir 3ubjrt rhc .ppli6r lo a ovil p@hy ornor morc rhD fiv. iund'.d dollm (5500)
l. s otr@ oflh. FoFrly, tr ny dplotE with w.86 s th.ir $lc @nposaioc $ill & dt w! .nd fi. ltrud@ h ml
idad.d or ofi6.d lm sl. (56.704.1. Buin6 ed PEfBioB Cod.: Th. Co.$..lc i LtoE kw dre ml ipgly lo D 0*6 oa
lh.FDFry pho hil(l or inErcG tlE@i. &d *to d(E xf,h Ni. hilMlf or h.ellot lhrcush hn or hd om dployc.
pmvid.d rh.l !u.h imDloEE ! m mt i'is'&n orotuld 61 5lc l( how, $. hoilitiry or ttrpm@l i eld wjthii oi. td
of @mplrbil tE ()'*M &ilda witl h6w tlE htrr,.r oaFovirrg d'n lt d lhc did mt hdd m i,qrDE lhc FoFly lor th. p!,Poe oa
L s oMs olth. prDpdy, e ddGivdy co.nd.linB $ith li..s.d .odtuou to co6lru.1 thc Fojccl (Sd 70,14. BNird
&d PDfBrion Co&: Tn. Conlh.ro. s Licd$ L.w doB mr apply ro e ownq olp.opdy*ho builds or impmvBlhson.
md who o E rs lor such Foj.cls wilh ! CoilJiclo($ licd..d p6o,,rt to th. Co rlclois Lic6B lr*)
I e .rcmpl und( S..li.r B & P.C for$is r6on
IABTE8S:COMITXIAIIOB
DECTdBAIIO!
I h6.b, Iim und6 podly ofFjury orc otth. lollowins d..ldatioB:
I hrE ari will mi.tro r Cqtiarai. of consl l. s.lf-tBuE for *ut6 conpdBaiotr s Fovid.d for hy sction 1700 of lh.
Lrbor Codc for fi. p6h!l@e ollhc wrt t r s'tth rn Fnn i! bu.d.
Xn vc md will isiilaio wortd omFMlbn iBllluc s rlquicd by S..lior l?OO of lhc Llbor Cottc, for $. Flmu.. oa
rh. wrt fm $hkh rhir Dcnir ir iscd My erl6 @mp.B6rion iNurM. 6id rd polky ndbd &c
-- I cditllbt in rh. p6fol1r@. oldE *orl for shich thi. F6n n isru.d.l3h!llmt oploy &y Fen i, oyn.jE
s s ro b*on rubjei ro th. w*d' coEFldion bws of Cdilodir. dd rgE tha if I Jrutl b..o,n€ subj*l to llE
worta' onpalrion FDvisioB of Sdbn l?00 ofrh. l$d Co&, I dull, fonh*irfi Nnply with lho* pbvnioN.
WARNINC: Fail!rc lo suc rort6 .osFNlrio. svdrsc is unlaBful 6d rhlll subjEl & dploF lo onit l Ftshi6.nd
civil fin* up to onc hunEd thou&d doll4 ll0o,oo!*ir .ddnion to rh. coi of compcelior. drna86 6 prcvid.d for th.
S.n'on 1076 oarh. ldor Cod4 im.d r.d
?- 7-TZ
Llc[!$aroNraAcraallclaSallo!
! h{.by .mm und6 pd.lty ot psjury lhll I @ licots d und6 pr.rision oach.pE 9 (ommdcins \rnh S.cln. 7000) of Division l
of rh. Bri.d ed PrcfsioB Cod.. od my liccM is u tuU forcc ed.lfdr
codirBt L(ltoNtElDltcAcllcr
I ha.by amm undd pcnally of FrJUry rhn lhd. L a.onsltudion Lnding 486.y lorihc Florrucc of Ih. rt'L lor *hichrhi. Fmi k
isEn (sN lL97, aiv c.)
AfTI,ICANLDTSAAAIIA!
I h.6 a!'m undd pdally of pdjury on. ol rh. aollowinS d*lrarions:
Dcdolirio. Pmns-Asb6rG Nolincarion F.ndal RcSuLtio.s (l ill. 40. tdr6l
Rcqun.d L.l16 of Notifi otior
_ . I csrit fid thc l.d6d rcgularioB rcradin! 6b616 rmo!.1 d. nor .pplkobL to lhn pFicl
I cslily Ihar I ha!. rad $is arpli€rion od si'i.rhar Lh. abovc infomolion is cora1. I lsle lo coddysnh tllCilyed Co!m,
ordinancd Md Stal. L,ws Ehlina buiHing conslrucr ion. ed hqcby adhori2. rcIr6otdiv6 of lhl3 aily 6d Cou ylo Gnl6 upon llE
!bo!. holio..d prorqly aor
,\ftl'!anr .r ,43ur SignrnE *", ?-7-/7
Appliances
Iriletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Duclwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL v./l:lli+r. la tfrar*1
" . A/2cd
"",,",*" J Z 4 c1) O /Z fZf.llO
-*r*'.LQ7
Notes, Remarks, Etc.j
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