HomeMy WebLinkAbout40132629 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, C492702 Mecha n ica I Permit #: 401326.29
Pin #: 394E{
l nspection Req uests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Proiect Address: 2038112 S Main St Unit:
Block: 1
Bldg:
Tract: 517
Address Range: 2034-2O3a
Historic: No
Suite Range:
Zoning: CSM
q
Assessor'sParcel: 015-074-17 Lot: 5, 6, 7
Owner:
Address:
Fee Type
01'116002 51604 O/O Pkg H/C
01116002 51600 General Plan Update
0'1116002 51604 lssuance
Amount
113.24
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$1 13.24
$22.08
$5s.04Phone:
Tenant Name:
Owner-Builder
Phone sqtch+:46098 - 9/25/2fi19 ID: JGUD
0ffice3 CTYH Trsnsi: 75 I o
Accti: R€fi: {013262
Rcpti:02391198 - 9/25/2gtg 4.31 ?fl
Trqnsoct ion Totol tI64.3E
State Lic #;
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance;
Carrier:
Policy #:
Expires:
On rool top. Less than '100 lbs.
Building Use:
Job Type:
Nature of Work:
Commercial
Miscellaneous
HVAC
Occupancy:
Constr Type
Code:
B
VB
cMc 2015 Notes
Planning Conditions:
Mccann, lvlelanie Date: 0912512018 Misc. Receipt:
iilisc. Receipt:
lvlisc. Receipt:
Total
ate:
ro ki Date:ogt25t2014
Account#
Every permit issued shall become invalid unless the wotu on the site
authoized by such pemit is commoncad within 180 days aftet its
issuance, or if the wotu authorized on the sito by such permit is suspended
or abandoned fot a peiod of180 days aftet the time tho wotk is
conmenced.
$22.08
$'r 68.28
$190.36
$0.00
$190.36
lnspector MID#: 2018-144151
01116002 51600
0'1116002 5'1604
Fee Total:
Paid to Date:
Balance Due:
Veronica M Jimenez
53 Setan Road
lrvine, CA 92612
(949) 981-6290
Contractor:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above T-Bar
Rouqh Mech.
Final Test
Meter Release I
FINAL lollt fi{ .d 44
Notes, Remarks, Etc.I r
OWNER BUILDER DELCARAIION
I hftby sllirn lndcr p.nrlr, of Fduy lnar I @ .xcopt t$m rhc Co.lnclo^ Licnsc t w for lhe followi4 rc{en 1Se.701 1.5
Businc.r 8n Prolcsion CodcJ: a.y Ciry or C.unry which rcquiEs ! rErmn to mGrtod. all6. i6proE. &rcthh o; rcI,ln y
slrucrurc, prbr lo ns isulne, sko rcquircs rhc appliclnr tor such pclnir lo lilc s .iB*d sr.r.c th.l lE .r shc i\ lien*d puBuanl
$ ilE ,rov\tuns 6I d. Conlmlols Lic.n*d liw (Chlpid 9, Commmin8 *ith Sdlion ?OOO of Divisio. I of thc Susiic$ a.dr
Pmf.sbns Codc) or rhrr hc or sh. is .xcmtr rhcrciion md rh. blsis aor lhc lllcgcd erca,prion. Ai, violirion6lSetb. ?01,1.5 by lny
atDliconr aor a p.mir subr€{ts lhc lpplicaor b ! citil Fmlry ot nor mE rhu nvc huded douae (S50o).
-1.
r. owe. of rh. pmFny. or my enployes wilh vrScs ss lhcn sb comp€trstioi. *ill do th. strt &td rhc snr1m h nor
inlcn&d or oficrcd for $h (Se.704t. Blsifts\ and Ptotcssions Codq Th. Conha.ror'3 Lic..* Lae d{Es ml a,ply to m oqrcr of
rhc lmFfly who blilds o inpmks
'h@n,ond
who dm $ch wolk hinsclfor h$*lforlhmugn his orherown.mpbyccs.
rmvidcd rhlI iu.h impEwmnls @ ml hlold€d oroilcrql for {L.li hoker r,x t{ixina o. i,lomEmnr h$l'lviltitroE Ja$
ofomlhtion. th. Owmr BuitLi s l nat $c hudcn or rmviry ttal hc or shc did Nl hild or inproh ln€ pmFnt for lrE IUIDE ol
-1,
!s o$rcr or rh. rDpcny, on cxcluriv.ly conrtucrnrg wirh li.cnscd conr{.los lo onsl ct thc Imjst (S.c, 7014. Buirs
ard Profssin Cod.r Thc Conlr.crols Liccnrc Llw docs mr lpply ro m own( ollmrcnyaho builds o. impovcs thcrcon,
lnd qho contncrs lor $ch pmjcrs qnh a ContBcro(s) li.cnsed !uR@m ro ih. Conhdols Liccnsc L{w).
I rn ercmDr und.r S.ctio
-,. oq/i: lra
DUCT.AR,\ l]ON
I hm.by nmm und.r Fnrhyoirr(iu
Ihaw{.dwillmi .in r C.nifmr. ofconscnr Io S.lf.Insur. fo. srl€s ofiErsarion. &r prcdi.d for by Setion lr00 oltlE
bbor Cndc. fo lhc FrlollMc€ ol thc aort lor which lh. Fmir i irsu.d
-l
horc and will nri,l.in w{rkc6 compsnsalion insurarcc. as rcqlicd by Sc.rion:1700 ol rhc tibor Codc. for thc l)crfommc of
rhc *ork lor which thir pcnni is hsued My workcs oq)cn$rion insnrue c@tr !d l[lky numh.r ac:
Poli.vNnmh.r: ErDiE!
-l
anifyltal in rlrc r.rformrc of lhc wort fq which lhh pcmn t issmn, I shtll mr cnploy a., Pcson i. lny tuntur
so air. becom subi(r ro rhc work.B .orpcn*rion hes oacalilomia, &d aSEc th8t ifl sholld ficroft sutjd lorrr
wortc^ .on{rcoslri.n 0Dvirions ol Scdio. l T00 of fic Lrk'r Cdh,l siEll. foah'ithconlly * nlhoerroririonr
WARNING: Frilurc lo $curc *orkcd comp.ion cowEsc is lnlarfirl. url lhuU {bier !n cn'plo}r. ro dini..l Fullis and
.ivil finc\ !p b onc hu rcd rhousnd ). in addirion ro thc cost ofomrcnslrion. drruec. ar poridcd fd lhc
"",..
qlz
I hc(bt aii,'nrndcr p(ulryorn rjury rhrr I N I .dn ,,mvtion ol Chrfls 9 (ommmins
ol rh. h'! N\\ i Prol.\ri,rr (itrlc. rnd nD l..n\. i\ i, lnll l,tr.c r .llirr
codn roi
(OIjSIBIJCIIONIINIIINCJJiIM:I
I hcrcby alU undcr lf,nllry ol FrJUry rhi rhcrc i\ r .onnflcrir L dinF aeci.y fitr lhc |Edornnn.c oi rhc rqlt in *hi.h rhis lfrmn i\
issucd (Scc.1097, Civ C.)
l-.n .r\ Nr r:
APPLIC,\N'I DECt IL\ I'ION
lllnhy rliirnurrlcr troalr) olt^-'rlurr_om o, rhc r,) k,{tr,! J..lJJrnnr
l)cni'l'rdr l,rn \ Ashnrs N.rirlc[tr lrcd.r.l Rclul 0]r ( Iirle Jo. I'd6r
-kcqun.(l
Lcrrs oi N.rllicrrk,n
li{cral rcglllri.n\ dgadnr! e\bc\k,\ rm,valarc nor jpplicrblclo lhis pmjccl.
Md rl'is amlictrrion ond nurc rhrr thc rh,vc intbrmatbn iscomcr I lsN k,.omplywirhall Cilyand Counr,
-I are Lrws rclarinB ro huildi.C c.intucrior. atd hcrcby !trrhoriz epr.*ntariv.s olthis ";;r;i;;i;;"-fr t- tp l-,
-ilc F---z-
Above Hard Lid
a. & P.C. torrhh re!\o.
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