HomeMy WebLinkAbout40132414 - 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: (7'14) 647-5853
Mechanical Permit #: 40132414
Pin #: 63853
Project Address: 5416 W Silver Dr
Assessor'sParcel 099-21346 Lot: POR 5
Unit:
Block: B
Bldg:
Tract: 366
AddressRange: 5414-5416
Historic: No
Suite Range:
Zoningr R2
E
Owner:
Address
Contractor
Address:
Free Energy Savings Co. db
4751 Arro$/ Hrryy
Montclair, CA 91763
(909) 445-0450
Fee Type Amount
011'16002 51604 Wall Heater/Floor Furna 65.57
01116002 5160C General Plan Update 22.08
0'1116002 51604 lssuance 55.04
Fee
$65.57
$22.08
$55.04Phone
Tenant Name:
Phone
State Lic #: 1034739
Lic Type: C-35, B, C-20, D-65
Bus. Lic #: 330814
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9216466
Expires: OBl14l2O1A
Botcht345l82 - 8/3/7018
0ff ice: ITYH Trons+: 26Acct+i Refi:
Kcpti:02347399 - 8/3/2At8
Tnonsoct ion TotuI
IO: J(
i
4013:
t:35 F
t381 , t
FPee Enere-, Sovings Co. dbn tiu
Generol Plon Uodote Fee
116802- 31600000-
Itechon icol
01116002- 51604000-
ICL Cherk 2836
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Wall Heater
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Notes: c/o
\,\
Date:
Date.
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Hernandez, Kathy
Every pernit issued shall become invalid unless the work on the site
authoized by such pennit is commenced within 1 80 days after its
issuance, or if the wo* authoized on the site by such pefilit is suspended
ot abandoned for a pedod of180 days after tho time the work is
commenced.
08/03/2018
Account#
$142.69
$0.00
$142.69
lnspector MID#: 2018-145136
01 116002 51600
01 1 16002 5'1604
$22.08
$120.61
Fee Total
Paid to Date:
Balance Due:
Rany Angot
5416 W Silver Dr
Santa Ana, CA 92703
(657) 247-9999
Qty
1.00
't.00
1.00
Planning Conditions:
MECHANICAL.INSPECTOB RECORD
APPROVALS DATE lD/stG.COMMENTS OWNEB BUILDER DELCARATION
I hcrcby !fim und.r p.Elly of pcrjury lhat I m .x.nq ton lh. Contclou Liens Llw for llE lolhwinS rclsn (S.c.70l l J
au.incsr and Prcfcssio. Codc): Any City or Co! y *hkn Eauncs ! tEnit b onsMr dr6. intov.. &mllrh or cpon ey
stddue. prio .6 ir. L*!@.. .l$ rcquils rhc arpli.d lor su.h |trdl ro ,ib ! saged .mlcm lhar lr or slE b lienFd puM.r
ro thr Dnrvisiois ol rlr Conr(rolr Lians.il bp (Chprcr 9. Com'mrcing wirh Sccrion 70m of Division I ol rlE Businc$ and
P,EfcsiioB C.dcl or lhlr t! or chc is.rcnpr rhcrerion ud rhe besis for rhc alh$d .rcnorior. Any violdior of&.ri,n 7031.5 by a.y
lpplic&l for . Fmil subj.rts llr ippliqnl lo 3 civi! p.uliy of rcl m.. rhrn fivc hudEd dolbrs ($50o).
_1. &{ owr otrh. leltdy. or ny cmtlo}rs *nh s.g.s as rnct $lc dnwnsrion. eill & dr qqk ad ln. nndr n mt
inleaLd o.ofc,cd fd sb (Se,?044. BusiBs a.d PtofsioaCo<!s Thc Co 1816r'. Lkr@ llw d@r ml lpply lo s owB oa
rhc Fbltny eho hilds or ir+o6 d.en, un *ho d(E sh w* tirelf ot h.Elf or rlhl8n hit or hd o*n .mpl6rrc!.
lmvn.d rhll such inp,ownls e ml hlodcd orofmd ror sL. ll h.*wi tlE hiildin8 or inpmEmnl t $ld qhftin or Fa
of@aplxio,L tlE OwB Builkr *ill hlr 0r hrdo of Flviit rlEr h. 01 sl* dn er bild o irTiM 0r poFny for ltr purpos of
-1.
!s owrcr of lhc ,mpcly. !m cxclusiv.ly conrraclin8 with li.cnscd .onlracloF lo onslMt lhc ,rnic.l (Scc. t044. Bu\ims
.nd ftohssiin Code lhc Co.keror's Lic.n$ trw docr mr rrplr to !n owrcr ofpmFny sho builds or imFows thcm(
lnd who sflrm.ls for soch lmrEts wirh a Co mclo(O liccnsd putrunr ro rlE Conrraclois UNn* L!v),
I dncxctrrl, xDdcr S..r
IA8EIBII-COIIIINSAIXTN
DEIIASAIIA
I tErcby &til.n ! ndcr pcnalty o I pojury orc of &e follow iog decleodo.s I
Ihrv.rtrdwilliridrhrCcnifi.drcolC.trscirhSclrln\urcn)r*orkr...nr|{n{ri({,r\ Frvnbd tr hy Sccri(r.17(x)ol lhc
hlxn Gnl..lbrrhc t^-nnrnEncc oI lhc {orh t,*hich rh. pcnnir i\ irsuc'l
udi 3id eillDrintain s.rkc '.omp.nsartrn in\urunc., rs mqoncd htSrrn)n.r7(x)ofrhc Lahor(od..lbrthc lcrlo mrcc.l
rd whi.hrhi\ ncnli i( n$.d My wo rkns' .l,.rj ^-n\rr ion in\urni.. .ari.r d F,li.ytrurhcrml
Dnu-.u-r-@-uw7 r
-l
enity rhar in rh. ncrform@ ottr w6,k tor $,i.h thh pcrmn is issrcd.l rh.ll mr crFhyony FMn in {ny mnrcr
s !s l. bcom s!br..r lo rrE sst6r .onp.nsrion hws of Cdiromaa aid s8r rnd if I should tE om subidt to tlt
mrt$ onp.nsri.n pmviio.s of Selion 3Tm of rh. tab.r C.dc, l dEll. Iorlhvilh sht ly silh ll$$ tmvirions..
WARNINC: FailuE lo s.uc *orlcn' .onwnsal ion orcm8c is unhwtul snd shall $bifl an cmploylr !. 6i'ni.tl ltMhis ,rd
cilil fincs u, ro om hudrcd rfiousond dollss (S100.000), in oddilion r. ric.!sr ot.ompcnsdt,n, damgcs.r p..vidcd for rhc
"".,(-=-r( a
Ltg:!s.Etr-l!)r13]l1:ll)tt
D]]II"A.BAIIAN
oi rhc lltr\irr.\\ n(r11 r!\\i,)n\ (in[. rrlryliccnsc i\ in [,] hrcc ra]crlicr
-)d
3--/L,A A-{, d')
CANiIBIETII)NIENI)I!!.ACI'II:I
I herchyrllnDu.dcr rrnlltyolFrluryrhir ltcr. isroagrucli,tr lc nlsllacftyntrlh.tE nnrorc .l rh. {.rk l{tr *hi.h rhir,tmir is
N\u.d (scc 1097. civ c.)
AfILTANLIIIII.AIAIION
I hcirt, .irm undc. p.n0ll, of lErjury onc of lh. followinS {kcl,{alions:
DcnDlilion Pcrnrik-Asb.slos Nolification F€dcrd Rcsul,lions (Tith.lO. Pan6)
-Requirld
tr .rofNo fraion
c.ni,ythd rh.l.d.ral meulrton! ESudrnE rsb.qo! r.'m\Jln i.t.tIl'(ohk ro thr fmFct.
-qtilcn-iry rrrur r uw rcua rr* !p k.rion I sl,|e rhir rh. Dvc i.r'ormrion ii corccr, I dcre lo @oply wirh all cily and coumy
ordinnn(cs lnd Srulc Lrws rclor ins ro buildinsc.nnrdion. md hc rchyrurkxizc,c!rcs.Dhrivcs ofrhn C y lnd Counry ro cnrd upon rh.
(lx,!c mnlii,ncd pmpcny lnr
Atplicanl or AScnt SiSndu
Pcn,ircc nrm (lrinl)l uA9 *,.,K3-/tr
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. E quipment
Duct Work
Pre-lnsulation
lnsulation
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
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
7^rt-16 6e/z .-7 /
Meter Release
FINAL r-2t-/9,/4//'Z2')
Notes, Remarks, Etc.I
O L (Z C*,Jau Dt u w*l.-L lrl>c*+L tra/-&to-kE;1q-tt-lt trz'7,I
Smoke Detectors lnstalled
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