HomeMy WebLinkAbout40132454 - Permit (2)City of Santa Ana
Permit Counter; (7141 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical
AssessofsParcel: 101-532-05 Lol: 22
Unit:
Block: NA
Bldg:
Tract 2887
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address;
Contractor:
Address;
Phone
Tenant Name:
Veronica Berber
1712 Mcevoy Ln
Santa Ana, CA 927061333
(7141 454-3944
Alps A/C & Heating lnc
'1000 E Howell Avenue, unit
Anaheim, CA 92805
(714) 633-8892
01116002
0'1116002
01115002
01116002
01'116002
51604
51604
51604
5160C
51604
Fee Type Amount
Furnace/CompCombo 126.90
Air Handling 44.51
Alter Vent Sys 43.62
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$126.90
$44.51
$43.62
$22.O8
$s5.04
Phone
State Lic #: 667953
Lic Type: C-20
Bus. Lic #: 0177939
Workers' Compensation lnsurance:
Carrier: FALLS LAKE FIREAND CASUALTY COMPANY
Policy #: FLA00731700
Expires: '1011912018
Botchi:45343 - 3/13/2018 ID: CCUEL
office: CTYH Tnons+: 104 1 olAcct+: Refi: 40132{54
Rcpti:0235346F - 8/13/7918 11:37 All
Tnansoct ion Totsl t{66.17
Alps A./C & Heotins Inc
!
\
Genernl Plqn ljpdote FeE
trl11600?- 516(100(10-
llechcn icol
(r1116(102- 5160{000-
ICL Check 0000001672
$l?.rlt
l27n ,t1;
t466.t',
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
A/C FAU
Occupancy:
Constr Type:
Codel
R-3, U
VB
cMc 2016
Orozco, lvan
Zuniga, Allissa
Every permit issued shall become invalid unless the wgtk on the site
authoized by such permil is commonced within180 days aftet its
issuance, ot if the wo* authoized on the site by such pemit is suspended
ot abandoned for a peiod of 180 days aftet the time the work is
commenced.
Date
Date
Date
o811312018
08/13/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$292.15
$0.00
$292.15
MID#: 2018-145321
01 I 16002 51600
01116002 5'1604
$22.08
$27O.O7
Permit #: 40132454
Pin #: 24835
Project Address: 1712 W McEvoy Ln
Notes. New A/C unit and furance replacement
Fee Total
Paid to Date:
Balance Due:
lnspector
MECHANICAL.INSPECTOR RECORD
OWNI]R IIUILDER DEI,CARA'IION
I hercny rrltnr undcr p.nrily,)i pcriry rl{r I rcxcn n. lhc (inrrrr.nn l.iccn\.l-,w ntrrl[nnhqirtrcrv (Scc.7Bl5
Buntu\\ trd PdaN r (inlc) Art (iry.r Couny qh.h rcqun.\ r tf,nnir k) c.trnrucr. .r. ltr{rove. dcmoli\n.r rcpln My
ntucrur.. priqr. ir\ i\\urn c. rlso rcquncs rh. xppli.$r lor \uch llcnn nr il.r \isncn irrcknn rhd hror\hc I h(urrJ Puhurn;
ro thc nntri\i'nN ol rhc Cotr,rrcrors l-i.cned Lr* {Chrpr.r e. Connncncirs }ilh Sccltr,n ?(xl) .l l)i!ni(f -l or rhc Btrsinc*.rnd
rypli.rtrrturiNnn[suhjc.hrh.pf]ritrrror.i!ilprfulryofiorntrrcrhmfi\chtrndrcdd.llirs(i5(X))
-1.
&s owftr of rhe pmFnr. or my cmoloyrcs wirh waBcs as rheir slc cohFnslrion. will do thc wdl 3!n dE sME ! m!
i.rended o, oFcEd fo. eb (Sd.70.14. BuriBr od Eotctraotu Code: Tnc Coohdols Lhqe &w dc3 fl +ply lo an osnr of
rhc lxorEny *ho trilds or in4m6llEmr and vto &{s sh w,tr hiDsclf or ncmlf o. rhtuugh hi. or rE oen cmt,.t€.s,
provided rh.r such inpmv.nEnll m mr inr. k trofcFd itrsL.ll howEr, ttE huildiry or impmrmir ii $U wirhi. oN )et
ofonq)Lrion. rtr O*nd Boitir will haw rlE hd.n of pmving lhd lE or rh. dil nor briu or inprcw thc pEFoty for lh. pu4rs. ol
-1.
as owrcr ofthc,m!.ny. amcr.hsirclyconrrrcrinB *irh li.cns.n conrraclBloconsm.l rh. pmj€.r lse. 7044, Busincs
Md B.assi,r Codc: Thc contnc'or's Liccns. Lnw docs nor rpplr ro r. owncr of l(,'.ny uno builds or inprcvc! ihcrc.n.
rnd who conrrocrs rbr \!ch pmFcrs wirh s Co mck,( s ) l iccnscd pu^uu ro rhcG,nkd.ktr\ Li.cnsc tnw)
-l
am.xcmfl udc. Secrk,
TOAf,EBa.COIIIENSAITON
DECI,AM:IIqN
I h.rby lmm und.r p.ndry of !6jury onc of th. lolloeim d.ile{rions:
I hr\( xiil*'lltruinrrhtr (..n iii.rrc ol C, urtrr k, Sclf li\urc ntr to'kcN con{rn\rr( . r( prnidci ir 6y Sccrion.l7lx) oirhc
khor(-(xL. nnrk p.rlon ncc of rh. work ktrwhi.hihc |[.rnir \ i\sucd
a/** "* *r,*ao" *.rt rs conrp. ssrior insurm., !s rcqui'.d by sc.rion r?oo orl
rlEq rorwhrhrhB Fmir is i!$cd. V,soAs onlFMion inrutue mmr ad lllt
cm, Fnus 4.Ke
rh. L3bor Corle. lor rhc Frfolr1r.m of
I ccnify rhar in rh. Frlorntrm oflh. wolk for which
'hh
p.rmil h issucd, I sh.ll not crploy any,Econ in any ddm,
$ N to bc.om s!l,j.rr ro llr e*m'sq,ctrsrion laws of Califoni!, !d dEm lhd il t sholld lx<om subirl ro lh.
*orkcrl $mpctrsotion pmvhions ofScclion 37OO ofthc Lohor Codc- I snrll.loahwirhd,6pl, whh rlh* Pmvis
WARNIN(;] F,ilxr tr {rur. work.6 con,,.nsaitun orcmgc iq unlostul. and shall suhir! 0. cmFlorr lo ::r'illrir4,',.ivil finc\ ul, ro on. h!.drcd rhou$nd doll{s (5100,(XlO), in rddir
:::s;#?-& lpprronr,
LII:EAIiEDJONI&ICrcA
DECI.AIAIION
Ihcrcb,alnmunderp..allyoiperjurylh l !d lien*\l undc! provisi(,. ofchnpr.i 9(.omnM.inB wirh sG-rion ?UD) olDivhion I
of rhc Drsincss nnd Pnn'c\sions Conc. urd flry Iiccnsc is ir Iull lnrcc ind cr'rc(l
cz0
re
SIII,IIBUCIIANIEIIINCJ(iINEI
Itunhydrfinnudcr tE.,lltofpcrjuryrh0r Ih$c iracotriru.rirtr hndin8rrcncylorrncpc ormncc ol rhe $o* tor ehich rhi\ peoln n
h\rcn lscc.1007. Civ. C )
AETLUANLIECI,ITBAIIA!
I tlnhy nfiim undd pcnrlry orpcrjoryonc ollhc lolbwnr8 dc.lur nnrs:
Llcmhion PurnirsArttsror Norili.ortnr !.dcrul Rcruhti.ns (Tirlc 40. I'rd6)
Rcquncd hrl.r of NolrRdnn
-l
rcniiyrhd thc ndcrolrcsuhlion\ rcsmdin8 $b.\los rcnnv0l urc mlqrplic$lc lo rhispn,jccr,
I cdiiyrha' I hNc nad rhir 8tlliarkrn aftl sarclh rh.at v. inrorroltun kcord ,o8re
odi.amcs and Shrc tiws rchri4 ro hlildins ons|tut ion. rd hcrcby aurlFrirr en c*.idr irci o
APPROVALS DATE IDiSIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Delectors lnstalled
Rough Ductwork
Vents
Toilet Room i Clothes Dryer
Residential Ranoe
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.
Final Test
Meter Release l
'1\u5l t g )Wt iq)
Notes, Remarks, Etc
htrc nrfri(itr.i Jirr|{ny
Amli. lur AgctrrSiBhr ***,L
ro enply *hh a[ Cny.nd Cor.ry':""8W;;'-
FINAL
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