HomeMy WebLinkAbout40132413 - 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
Mechanical Permit #: 40132413
Pin #: 24611
Proiect Address: 2810 N Flower St
Assessor'sParcel: 002-312.36
Unit:
Block: NA
Bldg: Address Range:
Tract P.,8.,& SIOWELL Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address:
Amy Mccowen
2810 N Flower St
Santa Ana, CA 92706
(949) 436-2593
Mighty Ducts
2075 N Shaffer Street
Orange, CA 92865
(7r4) 998.7879
Fee Type
01116002 51604 Furnace/Comp Combo
01116002 5160C General Plan Updale
01116002 5160,4 lssuance
Amount
126.90
22.O8
55.04
Fee
$126.90
$22.08
$55.04
Qty
1.00
1.00
1.00Phone
Phone
State Lic #: 748387
Lic Type: D-64, C-20, C-33
Bus. Lic #: 347710
Workers' Compensation lnsurance:Carrier: Falls Lake Fire & Casualty
Policy #: FLA001770
Expires; 10fO112O18
Eotchi:4517{ - 8^/ml8 I0! HGARCIAoffi(er CTYH Tron5i: 28 2 of 2Acct+: R.fc: 40132{13
Rcpti:02347207 - 8/3/20tg 10:93 An
Tronsoct ion Totol t301,93
6ene!"ol Plon tlpdote Fee
01116002- sl6000m-
Itechan icol01 6002- 516040ut-
ICL Check 002095
t2?. n8
tl81 .94
3305.93
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 Owelling
Miscellaneous
FAU/Comp
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2016 Notes: c/o
''tt
Date
Date
Date
08/03/2018 Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
Hernandez, Kathy
Every pennit issued shdll become invalid unless the wo* on lhe site
authoized by such pennit is commenced within 1 80 days after its
issuance, ot if the work authoized on tho site by such peftnit is suspended
ot abandoned fo( a pedod of 180 days aftet the time the work is
commenced.
08/03/2018
Account#
$22.O8
$181.94
$2O4.02
$0.00
$204.02
lnspector
0't'116002 51600
01'116002 51604
Lot: POR l3
Tenant Name:
Contractor:
Address:
nishte DuctS
Gomez, Pedro
Fee Totat
Paid to Date:
Balance Due:
MID#: 2018-145'126
MECHANICAL.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNER BUILDER DELCAXATION
I tuEby .ffrm unrhr FMlly of pcriury ll[l t m .r.npl tom rh. Co.rracro LtcNc kw lollnc folld?Fl rce$n (5(7011.5
Bosimss rrn Proltsion Codc): Any Cily or Counry which Eqlircs a Fnn h constdcl, 3116. in{'nvc. &mllrh or qDt ey
strucre, Fio! ro irs issrancc. ds rlliEs rh. q'pli.ant for $.h lcmn h filc a silxrd $dr.ftfl rhlr lE or sh. is lt r*d puEu.ir
to rhc povthns olrhe Corr6tols Lkcnsd Law (Chlprer 9, CommminB vith Sc.rion ?000 of Dilision I of rh. B8incas and
Pmfcxt,ns Cod.) orrhlr hc oslE i! ex.mpt ltErcaom anrl E lE{i. for rhc aucCcd cxcrlprion. Aoyviolrlionofscclion?011.5byony
lpplica ior a p.oir subj.rh thc r,'plic&r ro a.ivilpendryofior mErhu nvc hndrcd doues ($500).
-1,
as owmr of lh. pmtEny, or m, .n{'loyes wilh wrScs .s lrEir $lc $mp.nsrhr. siu &, llE w[ ed orc srtule ir mr
inre{H or otrcr.d for slc (Sa.7044, Ausircss ud Pmacssions Codc Thc Conlsrtr x Liccns ljw d.cs nol aptl, |6 !n oenn of
lh. pbFny *h) hrildr o, iqrc$ tlE@tr Md sho d.rs slch hr[ hid{.!f o, hc*ell or thrclgh ht o, her ow. emplor!6.
lrovidcd rh such impmlc.Enls m ml inlc Ldoronmdro.sh.IlhoecE the hoihin8 o. inpmwE issh*ilhinmrrs
of.oq,lclhn. lh. ot"rcr Builrcr wil hrw llE buntn or pmvinS thd tr or sh. dd ml h{ild or irtmw lh. pmFny lor llr puqns of
-1,
N owrcr of lhe Imp.ny. sm orctusivcly conlrsr in8 wnfi fien*d c.nlmloN lo conslrucl llE l,mj..l (Sc.. 7044, Bur4*
,,ld h.f:rsi{ Codc: Thc Cdnro.roda Lk.nsc Llw dci nor {'rly ro d owr6 of nropeny *ho buil& o. innbvcs rh.ao..
und who conlE ls for suh pmjccrs qitn ! Conrfl.to(9 [c.Md punuanr b th. Conhclols Llrtr{ Liw).
I mcx.md u.d6 Setron , B. & P.C. for Lhs r{sn.
]la.f,4!&:laMfErtAraN
IIEIIAXAIION
I hcrchy aflnn undcr I'cMlty of !sju', onc ol rhc followinS dalarutions:
-l
hrrc ut *ill miniain t C.nili.arc oacoMnr ro SrlfiBurc fo. work * comFnstion. G prcvidcd for by Sc.tbn 1700 of rhc
ltb., Codc. for rh. petotu otrh. wort for whkh rhc,,cmi b isru.d.
I harc and will nBinhin *orkcrl coqxnsarion insuram.. as ftqun d by Scclion 3?OJ of lhe t bor Code. lb, thc l,crfortuec of
$c *ori f.r ohich fii! r.rn ir iqsx.d. My workcr' comp.nsarion insurdncc cmhr and plicy numbcr ml
-l
ccnilyfill ir thc pcrfoi,u.cc oftlrc *ork for {hich thh pcntril is isslcd.l shull mr crnploy lny IcNrn in,ny mnmr
$ d( ro l*cdm subjcr rb
'hc
wo&6* co.{rn$io.laB ofcalilbrni!. and rSrc hot af l *hould h..om subjd lo
'tE*ork.r! compcnq ion Imviskrnc ol S*ti.n :l7m of rhc t!h.r Codc.l rhsll.Ionhwnh smpl, wirh lh.s provisioos..
WARNINC: Fdlurc to scure wortcF comp€nsalnrn colcmsc k unh*f!l- and shdl subicr an.mplortr tu dimlbtl p.Mllirs ,nd
civil 6ncs o! ro orc hlndrcn rhou$nd dolLrs (S1m.000). in rlrc ro\r .f comp.n\arion. danrscs.s ptuv cd li,r'hc
:'wrcny"
uicl,nSauQti
ol rlt llu\irc\rftl It lr\si,!r\(iidr. rnlnr,- li.cn\c n i',lill lq.crrklcll..r
-
co r.clor:
i\{ulis.. 10i)7 ( ir c I
AITIICANLDECLAAA.IION
llanbvarlinnunJcr|Itrrlryolpcrjtrryoicof rlrft'lk,8i't!dc.h iion\
Dcnn)liridr Pcnnirs \h({os Norilic[idr l.cdc.rl Rc8uldi({r (litlc J0, Prn6)
-lcquncd
Lcrler oiNorin.ari0n
-l
ccnilyrhal rhc fcdsol r.Bulathns rcEddiaB asbestos rcmrol arc not ryplicohlc ro tht DDjcr
-l
ctnify lhor I harc Md lhir uppli.arion ,tn {ar. rha' th. drv. info(Etion is colRt. I n8e lo comtly wnh rI City a.d Colnly
ot rhir Ciry r.d Couly lo ..tft
{,"-/3/1
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meler Release
FINAL 4?3hr >\?5x
Notes, Remarks, Etc.
DATE
Grease Duct
lnstallation
Drle: Omcr
L iJ '\ N,.rtr
Lc!&r'r AddBr
-
I
I
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