HomeMy WebLinkAbout40132503 - 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
Mechanica I Permit #: 40{32503
Pin #: 74fi14
Project Address: 809 E TwenW-First St Unit:
Block: NA
Btdg:
Tract: 5282
Address Range:
Historic: No
Suite Range:
Zoning: R1
q
AssessoisParcelr 396.081-08 Lot: 8
Owner:
Address:
Conlractor
Address:
Andrea Scharlz
809 E 2IST ST
Santa Ana, CA 927063022
(714) 8s2-1150
Rightime Home Services
1451 Edinger Avenue, #D
Tustin, CA 92780
(714) 9984300
Fee Type
01116002 51604 Furnace/Comp Combo
01'116002 5160c General Plan Update
0'11't6002 51604 lssuance
Amount
126.90
22.08
55.04
Fee
$126.90
$22.08
$55.04
Qty
1.00
1.00
'1.00Phone
Tenant Name:
Phone
Botchi:45541 - 8122/2018 I0: CCUELLAfi0ffi(e: CTYH TPon6;: 26 1 of 2Ac,:ti: R€fi: 40132503
Rcpt?:02360383 - 8/?21?018 l1:45 All
Tronsoct i on Totol t305.93
Rieht ire Hore Serv icesState Lic #: 765074
Lic Type: C-36, C-10, C-20
Bus. Lic #: 351300
Workers' Compensation lnsurance:Carrier: Liberty lnsurance
' Poliry #: WA763D508631017
Ei{pires: 10/01/2018
6enerol Plan Updote Fee
01116002- 51600000-
llechon icql
rr1116002- 51684080-
llosfen Cord
CCi: r**r**ir*rt*67{6
_ t?2.r18
t 181 .94
T305.9J
Auth+:02[:i38
Planning Conditions
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Single Family Owelling
Miscellaneous
A/C & FAU
Orozco, lvan
Occupancy:
Constr Type
Code:Notesr Change out
.*v
04t22t2018
oal22t201a
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Alli
Every permit issued shall becofie invalid unlessthe wotu on the site
authonzed by such pernit is commenced within 180 days allet its
issuance, ot il the wo* authoized on the site by such pennil is suspended
ot abandoned for a period of 1 80 days aftet the time the wo* is
commenced.
$204.O2
$0.00
$204.02
lnspector MID#: 2018-145576
01 '1 16002 51600
01 1 16002 51604
$22.08
$181.94
Fee Total
Paid to Date:
Balance Due:
Building Use:
Job Type:
Nature of Work:
Date:
Date:
Date:
R-3, U
VB
cMc 2016
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCIRATION
I h.rcby arrm ud( pcDriy of p.rj'r, rhar I m c&trv,r 6!n rh Co .&16 Liene Liw for rhc loll6*j,8 r.s. (S...701L5 r
Businc$ sd Pof.$ion Cod.): Any Cily or Cdnly whih rluirc3 r p.rmn lo onstrucl. dls. improvc. d?mlilh or ErEir ey
rrocru€. lrior to ns issraftr, als rcqliEs tne applicrnt tor such Fmir to f c o .igtud n cmnl rhar hc or sh. B liencd lnBu{or '
lo lhc pmvisiom of OE Conloclols Liccrscd tlw (Ch.flcr 9, Comn ncilg eilh Sccrion 7000 of Division 3 oithc Blsitrcss and
Pmfcsions Codc) or lh.l l{ or shc h cxcn{l lhercliom et thc bash for th. alhgcd g.oplion AnyviololionofSdlion?03l.5byany:
eplicanl for tr pcmil subjels lnc opplicmt lo , .ivil pcully of ior mrc lhe liv. hundrcd doll&s ($500).
-1.
as ownr of rhc tmFdy. ft ny cnlploylg wnh qoSci sr rhcn sb @mp.Bdion. qi! do the sdt and th. nMW is ml
inlcndad or orcrcd for elc (5e.?044. Susims rnd EDfcssion. Codc Tlrc Conlr(lor's LianF tiw do.s nol amly lo !n owe. of
rhc I'mFty wlD hr,lcs or inumws rh.,$n, a,n wh. .la sh trlk him\clf o. hd.clf.r rhDxsh his or hs ow. cntloy.ca.
pr6lided Ihd su.h im0o*mnls @ ml htcidcd oroffcRd lor sL lt hoM. thc ttrildiu o. trytum h sld silhin otre ,ee
ofomrh*,n.lh. owmr Buitld w h,r ltE budcn of pmving td h. o, sh. did nn build tr ir{,.rc llE poFdy lor ltI puFos of
-1.
$ ownd of rh. rmperry. am crclusilcl, contr.clin3 wirh li.nscd .onrmros ro snsrrcr tlr pDjet (Scc. 7044, Bu{irs\
and ADtsim C.dc: Thc C.nhcror's Liccn* tls d*s mr 0pnly 16 a ow,f or nmpcny who huilds or nnpmEs thcr$..
and who conrn ls for wi lroic.rs wirh r Cnntftro(9 lixn*i purMr ro rhc Conlmclols Licens L!*).
I 3 crcnr undcr S.cr B. & PC l rhk msn.
W(}RXF{S' C(IMPF.NSATION
IIEIIAXA.IION
I hceb,aflndu er penrlryollcduryom olrhc lollowirs daluarn,ns
hhtr (ixl.- rnr r [c Nri.r.u ncc ollh. "ork lar shi.hlhc lrnrii i\ i$u.d.
rhc sork ntr shrh rhistcrfrir i\ n{tJ Mysorkdr compcnv'innr in\urrn.c cfirr ndlolirynun$.r dc:
-L Ie-t-rI
I ccnify thar in rh. Frfo.mR. of$. wort fm which rhis pdmii ir i$ucd.l shall nor .mploy .ny Ftro. in any mnmr
$ as lo tE om $btrl lo lhc aorlc6'compcnsli,n lovs of Glifomh. nd trgN lhll if I stnold lEcom slbr.cl lo lhc
wodcs coryxnsalionprovhionsofScclionlT00oflh.t tbr Cod.,l shall. fonhwilh.on\aly wilh lhos imvirions.
wARNIN(; Frlilurc lo ycurc so'kcr.ontpctr\rri,nr corc[gc is urhwlul. rd shr]l{rlrccr , cnrrl.ycr ro.dni'xn "rmltics nnd
kr on. hutrdrcd rlhu\ri{l dolLrs (ll(X},lxxr). ir liri('n n, rhc .o{ ol ..nD..stion, damScs r d"vidcd for Ihc
lqz6 ot rlr trh)r C.<L. mrcrc#'*ll-r I _c(-
D}:!LAMIIOIi
I hcrchy rlrtflrunlcr pemlryolpcrjury rhrl I !m licctr!'d trn1lcr tmvisio oIChll)r.r 9lconnncncins $ilh Secrt,n 71xx)) ofDivtion:l
ol rhc Busi'rcs\ Jtrd Ptuf.\\n \ Cl)dc. nryli.cnsc is ni rrlln,Rrd cffc.r.
r€'i074Cto c,-o
o." 7*ll - lt'il;t^e-
CANIIIjJEII!)NTINDIII;rICIN!I
isucd (Scc. :t0i)7. Civ C.)
A.8ELI!:ANLIIESAAAIION
I hcrcty rltnm u.dcr pcn0lry oiperjury onc oflhc lolnrwnr8 dc.l0r0rions:
D.nn,lilion Pcrnrils AstEslos Norlficutioo rcdcolRcs!htions(Iirlc 40. Pan6)
-R.qtrncd
htr$.lNori,iolifl
-l
c.dify th,l th. f.dml Eguhriotu E8.Jdin8 ah.sros rmral @ nor .pplklbk ro rhis Ioirr.
l.ddityrhar I hn\c rad rhk i{,i a'rl nrrcrhrr rh.itxn. n,lnrnrrion ncom.r I !Sr( h conltll, *irhnllCiryind Cou.ry
ivc\ dfrhi\ Cir, rtul C.u ryhcnrn ul-nrh..Rlirrr cc\r {l Strrc Lnv\ rchring I
rtr'vc trrnri{,ncd frcpcny io! i
,". f')).^tiAptrlic!.l or AEctrr Signolurc
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes D ryer
Residential Ranqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release tl
FINAL // ht/l {4*7q)
Notes, Remarks, Etc
Other
r [10f4'
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