HomeMy WebLinkAbout40132427 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mechan ical Permit #: 40132427
Pin #: 2728Glnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2124 S Ross St Unit:
Block: E
Bldg:
Tract 597
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
AssessoisParcel: 015.115-18 Lot: I
Owner:
Address:
MIGUEL GUILLEN
2124 S. ROSS ST
Sanla Ana, CA 92707
17141 514-1644
Fee Type
01116002 5'1604 Furnace
011'16002 5'160C General Plan Update
01116002 5'1604 lssuance
Amount
65.59
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$65.59
$22.08
$s5.04Phone
Tenant Name:
Contractor
Address:
lnter-City Energy Systems, I
1I75 N DEL PLACE
Ontario, CA 91754
15621777-1142
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2013 Notes: Mechanical
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web user 08/06/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit Bsued shall becone invalid unless the work on the sito
authoized by such permit is commenced within 180 days aftet its
issuance, ot il tha work authorized on the site by such pemit is suspended
ot abandoned fot a peiod ol180 days after the time the wo is
commenc?d.
$142.71
$142.71
$0.00
lnspector
N/A - No Balance
Phone:
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensation lnsurance:Carrier: Zurich American lns Co
Policy #: WC03816460
Expires: O7lO1l2O19
Building Use:
Job Type:
Nature of Work:
Date:
Date:
Date:
Fee Total
Paid to Date:
Balance Due:
MID#: 2018-145175
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDET DELCARATION
I hcrcby slfrn uid6 p.Elr, of periu.y 1llrl I m cx.npl fiDm llE ConEoclor Lkens L,w fot lh. follo*ing r&en {56.7011.5
Businc$ o.d Pmfeslion tu.): Any Cily or Coonry which rcqliti a lrnn to onsltocl, olld. impmrc, d.rctsn ot EPan y
.'ru.lw. I,ior ro ils issulN, .lio rcquits lb. lPpli:trt for sh Fmit b fih tr si8rcd $a,l.fttrl th.r h. o. 3lE is lisred Ptr$ l
ro rlE pmvisions of dr Conlreols Ltcnsd L3w (C1Bpl6 9. Commftins *irh Se.tio. 7m0 of Divhion I of lhc Ausin.ss and
PmfcssionsCodc)orrh$h.orsh.kcrcnplllErcfronlndlhcl.EsisforlhcalLgctl.x.nption.Anyviolodonofsdriotr0SlSbylny
epplicn.t ror s !c@il su6j€trt applkanr ro a.ivil f.elryotnot mE tbm fivc hlndEd doll&3 (5500).
-1.
&r osNr or$. pmpcny. or my c'ntloyss wilh qlscs &s thcn sb .onp.n{lion. sill do rlE so.t and tlE inl'tle ir ml
i.rc,i.n or olIdcd for slc (S( 7(X4. Busirc$ md P,nl.sio.s Codc: Thc Coir@roa r Lie.k hw &.s nol lrply 16 d ole. ol
rhc l,b!.rry who t{ilds or i,qmB rli&d !d wh6 de3 sh st* himsclf or hcelror rhbu8h hh or ho own cqicr.ci.
prcvidcd rhdl su.h inpmrmnls E ml i,lcd.d o.ofiqtn for str. li howowi llE bl ditrE or atglbtBd h sld vilhii dc rr
ofcon!,lcrbn. dt Owrr Build.r vill &rc dE hnd.f, of pmvi.E tllal lE or dE dil ml hild or inpreE thc potEl, for dE Inqbs of
-l-
asownqntrhc popcir. m.rclusiwlyo relinE wilh licened conrmios t,{nsrMl lh Pmixr (56.7044. aunm:s
ri PiDLssbn Codc: Thc Conrrrru\ Liccnre Llw d@s nor applyro snowrcr offiori.ny eho builds or nnPnv.s lhcreDn,
snd $ho snni.ts for ruch ImFG sirh 0 contreto(s) lian*{ I,utrouir ro rhc c.nlreloas LiIn* l,Q}
I mcxcmd undcr Scclion ,B &PC lbrlhsrco{n
Dat Oso.r
vl)&tr[8li:c0MfENlArloN
DECLAXAII!]!
I hcrcby arfirmundcr lcnollyof rrjrryoN of rhc followin! dcbrarionsl
Ihrv.anl*illartrn rin,C.ni,i.arcolcon{ k, Scll l n\rc ritr *orkcrr coml.nsari(nr' r( fovidcdltrbys..rion:rTuJollhc
Ijllu Cidc. hr rlr Frlinnan(c ol rhc w.rk f{tr shich rht Frnnf ir irsucd
-l
harc and will minrain vor*cB conFnsulk n insurumc, ds rcqoncd by secrion J?c, of th. Ld,or Cod.. ttr lh. Frloirmtrcc o{
thc $olk for stich rhis p.ftit is tscd. My worl6 oml,c.salion insurrn.c ori.r Md lolicy nlnb€r el
l.cnifylh,l in thc p.rfolmncc oflhc wor* foi which $k p.rmn n isrucd, I shlllnor.nll.y any P.son in lny ndft,
$ aslo tEcoft subjcd lo lhc woltc6 snp.r$lior hvs ofcalifomis. a.d !!@ rh ifI should bccom sut'j<l lo rll
*ortc6 coq,.ns ionpmvhionsofScdion 3100ofl6e titor Codc.l shall. fdnhwirh.om0ly *ilh tln* pmlisions.
WAXNINO: Flihrc ro sN mrl6 smpenssliotr co*Bgc h lnlastul. od shall subjc.l u cqttor!.lo djmiial IE Xi6 and
civil fircs ry loor hudt n th.usad d.llm (t100.000). in addilior ro lhe .osl of.onpcf,stion. d.tugcs a provildl a.r rlE
Sccthn 3076 of thc lltD, C.dc, i.lc6.l and lomrt accs,
-
APPlor:
ucElsl:[caNr&(raa
DNCIASTIION
I hcichyrfll nundcrpctrrlryofpcrjuryrhlrInmlicci{dund.rpi.visiooiChrPrsI(.rnn'tun.nrB!irhSLrrio.?00t)olDilni t.l
ol rh. Br\irc\\rnd Pn,fcssn)n( (bdc. trnd n'yli(en{ i\ in ,ull ,,tr( ,ixi c,l(
clrlrmuclroli,.ElDldolcEll.lt
I h@by (mrn lndei Fnally of p.rj!ry Inal rh.rc h s consmdbn boding s8cry for thc pcrfomn.c of thc mrt for qhth rhir lHni! ir
issucd (Ss. 1097, Civ.C.),
-l
ccnil, rhar rlr f.d$.I rcgllariotrs rcSading &sbcsros rcd,vd src not .,,plic.bh lo thh Projcd
rll,!c nr Luncd !,rolxnv l,{ ir\tf,.ri{in purExds
ppli.rnr or gcm SiBn ur.
Pmile nam (Finl):-
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
lt/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Rouqh Ductwork
Vents
Toilet Room i 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
Rough Mech.srt/tfl nrW,)
Final Test
Meter Release I
FINAL /O/r</tlt 44{J rJt \
Notes, Remarks, Etc.
Smoke Detectors lnstalled
Ltnd.r'i Nm:
-
ktrd..t ddrc\r
-
an'r-rc,rnr otc:r-,ltt,trttl,'r
Ihcr.$yannur cryr.MlrtoiFrjurr_otrcoilhciolhtrirslc(lurJln,n\:
D. n,lirn'n Pci,nirr \bcrlos Noliti.rri{nr F.ddful R.Suluri('h (Tillc.g). Pan6)
llcquircd lt .rol Norifi.rrh
tt
I