HomeMy WebLinkAbout40132429 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Mechan ical Permit #: 40132429
Pin #: 4{99{
Proiect Address: 2526 S Shelton St
Assessor'sParcel: 140-134-07 Lol: 7
Unat:
Block: NA
Bldg:
Tract 2461
Suite Range:
Zoning: Rl
Contractor:
Address:
Maria Tochihuitl
2525 S. Shelton St
Santa Ana, CA 92707
17141241-9637
lnter-City Energy Systems, I
1175 N DEL PLACE
Ontario, CA 91764
(562l.777-'.l142
Fee Type
011'16002 51604 Furnace
01116002 5160C General Plan Update
01116002 51604 lssuance
Amount
65.59
22.08
55.04
Fee
$6s.59
$22.08
$55.04
Qty
1 .00
'1 .00
'1 .00Phone
Tenant Name:
Phone
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensalion lnsurance:
Carrier: Zurich American lns Co
Policy #: WC03815460
Expires: O7lO1l2O19
PERMIT CANCELLED
\ co-itcc-c-*oc
DATE:b/x/a
INITIAL:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By;
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Mechanical
R-3
VB
cMc 2013 Notes: Mechanical
08/06/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
web_user
Every pemit issued shall become invalid unless the wo* on the site
authorized by such permit is conmenced within180 days aftet its
i$uance, or if the wo* authorized on the sito by such permit is suspended
or dbandoned lot a peiod ot 1 80 days after the time the work is
commenced.
$142.71
$142.71
$0.00
j lnspector
N/A - No Balance Fee Total
Paid lo Date:
Balance Due:
Address Range:
Historic: No
Owner:
Address:
Occupancy:
Constr Type:
Code:
Date:
Date:
Dale:
I
MID#: 2018-145179
MECHANICAL.INSPECTOR RECORD
ID/SIG.OWNER IUII,DER DELCAR TION
I hcrcby .mrm undcr penrlry of Frjury lh{ I m cxcmpl f,tm lh. C.ntEclos Lkc.sc L.* for lnc follo*ing dsn (Ss7011.5
Blsimrs a'n Profes{., Cod.): Any Cily or Coonly which r.{uies o Fmir ro.on(dcl. !lrs. in mw, .hmlkh or EIat any
smcr@. prior lo ns n!um. !l$ EauiB lh. srrlicut for ikh Fmii b 6lc . si8tud slltcm.l lh!! hc or slE ie liensd PtNanl
ro ttE t'ovisions of rhc Co.lo.lols Lic.nscd L{w (Chcrlcr L Connrncitg enh Seclio, ?0o0 of Divhion I .lrh. Busincs lnd
Pofc*ions Codc) or rh0t lE or slE n crcmpr rh.Efromdd th. b{rh for rh. allcScd crcmplio.. Any violtrio. of S..liotr l0ll.5 hy any
aptlicanr lor ! p.mir subjccts tnc amlicdi roa.irilpcElly.fnol mrclhafivc hunlrcd dollas ($500).
-1.
,s oem. ol $e preF.ly' (, 6y cmplotts wilh wrycs s ltEn eb @n{E.salion. *ill {,o dx *n* ud dE lltudr b @l
inHd€d d ofcr.d for slc (Se.?044. Busire$ dd ftofc$ionr cod.r The Co r*rd s Lkck Llw doct mt +Ply 10 & oftr oa
rlE prolEry eto hoilds or trfmB 086n. .,n who dH Mh w* hielt o. h..slf or lhDus! hh or h( osn.nlloyccs
providcd ihd such in{mEr $ e er inlcid.<i or ofcEd rq $k. l{. k *lc. lt! hildiog q inproEmil k $td wilhii ore )Er
ofonpbriorl rtE Owr Au*hr wil hlE tlt bldcn of Foving lhd tE or she dn d hoild d inIrbf dE P'lpdly fo. tlt P{4Ds of
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s osF of thc poFny. .n cicltsitly conE&ing vnh lened codra.loN to onsrrud rh. FDj.cl (sc. ,044. Dusirc$
ond holcriion Codc: The Conr.&lor'i Lic.ns. lxp d6s tul rpply to M osmr ol ptoFny *ho boilds 6r inprcEs lfiercot.
aid who @flBcls for sh pDjcc& piln a Co.rrdcli) lie.!.d puEtul lo lhc Co r.dois LiccM Lrw).
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$rcxcnD' undcr SNI B. & P.C. fttrrhk rcNor
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ccnify rhlr in rhc pcrlor@ftc ol rhc {ork lor whi.h lhis p.rmn t isru.ir.l shollnoi cfrploy otry pcr$n in ony@mr
s as ro tEoft rlbjer ro thc vortc*'.orrlEnsalion lsws of Califom tnd a8@ lh.l if I stnold lx.otr sh.i(r lo lit
{orkcrs.ooDcneri.npmisionsofScctionlT(lOoflteLitnrC.dc,lshnll.fonhsithcomply*irhrhoslmvhions..
WARNtr{G: FsnuE lo surc mrlcB' comFnsuion sveBlc is u.bwtul. and sh3ll slhjccr an onplortr lo sifrirul pcmhks tnd
civil lin s ut, ro oB hundrcn rhole.d doll s (Slm.Ooo). in rddition lo tnc .on ol conpcos,lion, damgcs as povidcd fo. th.
sccrion 3016 of rhc Labor CDdc. anrcrcs ed sllor y'sfes.
Llttx$rD_!:0NI&lcMB
DECIr$^IIA!
I hcrebrrllnnundcr Nn yofPcrtorylhal I n li..nsl unicr pn,!i\nr ol Chrfld , lcomntic'ns wirh su.r 70([, oll)ilirn,n.r
oi llN llu{irc$ r Pmf.$n,nr (hdc. trrxl nry liccn{c is h tuLlldreu cflt.r
COIEBIIqUAN',ENDNG.ACDNCI
I llrbya,Imuodcr fcralryolpcdrylhd th€rc ier oislro.tbt hidine !S!Ey forlt pdforljrc of lh. sd* lor which lhis FrnI i,e
Bsu.n {Se. 309?, Civ. C.),
a.8fucinlDr:claxAulrN
IllNhyxnnnrntlcr 0r]ry or lrrjury onc ol'rhc f(,lli,wi'r! dNhrr'idNl
Dc dir tu tr l,cnnils.A \hc(.\ Notificrti({ Fdd.fll Rc8ul.r nnrs ( l iilc 4lr. t'fi()
-Rcquircd
llicrolM ifi.nri,'
I .diii rhrl lhc lcdcrrl rcSularions rcsardios rttios rc,mvil ,r. nor nPplt lcloihir,mj*t
-l
enify rhd I hlve rad lhis rrplication ad shlc lhlr th. al,r info.nuion ir corecr. t s8c lo onplt willl all Cily and Counly
.dinrexr ord Srorc Laws Ehriis ro hdildine connn.ta.tr lrt h.eby Nlhorit tticenl.riEs ofihis Cil, sd Counl,lo c r up.n dE
ovc cnrioncd topcrry for inspedio. purpo*s.
Arplicrni or AScnr Sienhrurc:
I
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
lvlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release
FINAL
Notes, Remarks, Etc
APPROVALS DATE COMMENTS
EAatrEIN:.CAM8EISAIIQN
D[CtdSAu!]N
I hcGbr rfirnundn lcnally of ricrjory o.c orrhc follovinS dcclardions:
l h.vc d will neirrain ! Ccn inclrc ol c.nstrr b s.lr.lnsur. f(tr wo,kcN mn{E.\alion, N ,novidcd lor by S(ri.n l70l) ol rhc
htitr Qilc. for rh. lcribrmncc olthc sorl ftn whi.h thc p.rnir is issucd.
I hrvc lnd will flDinr0i. workcF c.hposdion i.sunncc. as rcquircd by Sccr i(,n l7m .f rhc Lahor C.dc, for lhc perfottutuc of
rhc {ork LrwhkhIhn prnnil is nst. My$orkcA cof,n nrorion insummc c!tricr,.d p.lky numb.r rc
Cricr
Appliont:
tridcr'! N&m
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