HomeMy WebLinkAbout40132428 - Permit (2)City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 4fJ132424
Pin #: 97946lnspection Requests: (714], 667-2738 lnspector Section: (714) 647-5853
Project Address: 2018 S Woodland P!Unit:
Block: J
Btdg:
Tract 289
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor'sParcel: 015-146-05 Lot: 5
Owner:
Address:
MARHTA RINCON
2018 S. WOODLAND
Santa Ana, CA 92707
171414174935
Fee Type
01116002 5160,( Furnace
01116002 5160C General Plan Update
01116002 5160{ lssuance
Amount
65.59
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$65.59
$22.08
$55.04Phone:
Tenant Name:
Contractor
Address:
lnter-City Energy Systems, I
1175 N DEL PLACE
Ontario, CA 91754
(5621777-1142 PERM]T CANCELLED
\1 co....\r-o,
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensation lnsurance:
Carrier: Zurich American lns Co
Policy #: WC03816460
Expires: O7lO1l2O19
DATE:.5-rq-
llsml:.tA
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2013 Notes: Mechanical
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web_user
Date:
Date:
Date:08,06/2018
Account#
Every peinit issued shall become invalid unless the wod< on the site
authorizod by such pennit is conmenced within 1 80 days aftet its
issuance, ot il the wo* authorized on the site by such permil is suspended
ot abandoned fgt a period of180 days aftor the time the work is
commenced.
$142.71
$142.71
$0.00
lnspector MID#: 2018-145177
N/A - No Balance Fee Total
Paid to Date:
Balance Oue:
Phone;
Single Family Dwelling
Miscellaneous
Mechanical
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
MECHANICAL.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTSDATE
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openinos
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Meter Release
FINAL
Notes, Remarks, Etc.
otvNFiR BUn-Dlti lllil-clRA'lloN
I h.[b]_ nlri'nr undcr Nnrlrt (,r pcrjrry rh,r I m cx.trU rion thc Conrrncnt\ t-i.r \. Lrs lar rh. ir)lhwi.! t
lJu\ircss md Prolcsi,u (inlc): Any Cir, or Conoly *hi.h rcquir.\ r F ir k' coniru.t. ilrcr, n lx,rc. dctrFlish or rcFt nny
nnrhrc. rrnrb irs issunn.c.0l\o r.qutc\ lh. rpplirn r f(n \u.hFnnir r.ljlc a \i8ncd narcnrni rhlr hor shc is licctr*d nor\or r
I. ihc nmvi\nnr\ ot rhc Cotrkr.ktr \ I-i.cn\cd lj* (Chrprc! 9. Cornnrici',9 sirh Sc.lion 70(X) of Oivision .l ol rhc Busirr.r{ nnd
Pnr'csrion\Co(lc).rrhnr hcoi\hc i\cxcm rhurclronr nd r1[ brsis lirlhu rllrs.dcxcn{rion Anyriol0lionofsccrionT0rl5byrny
appliunllnrrr.rmir\!hJccr{rlknfflicrtrrbrcivilp.nrlryolDornxrcrrtMrlvclrfttcddoll!!s(S500).
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us owtur of rh. ,bncny. o, my .mplorecs wilh wls6 ds llEn $lc @nrpcnsaiion. wil do llE wlk !d tlE srurw is ml
inlcdcn 6, otrcr.d for sh (SN.?044. BusiElt sd Ptof€.htri C.dc: Th. Conlt!.ror'3 Litns l-rs dG3 ml ryPly lo u owE ot
rtr pmFny *ho toikt dr inprcE ttr€r {n uho drs sh mrl hirellor lEmlf or ll@!!h hir or lEr own.nplovcci,
tDvidcd rhlr su.h ihpotft s @ ml i4Brcd orolimd lor $L. li ho*rM. dt boiuing or isp,owm issldwilhinomrd
oaonplcriotr rlr OwGr Blild.r sill hrk llr bE&n of FDvinS ihd tp or sl* dil mr hild or itrprow dE p|Dpdly fq th F4.E of
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$ owmr of rh. I!()pcdy. ad .r.lusitclt co.tr.clin8 qith liefl*d .om6do6 to mn(rucr lhc pn,jer (s*. Tol4 Busm$
lnd ADrsrirn Codc: Thc Conrr&tols Liccns Lr* d@s nor lptly to otr owncrofpbp.nywho boilds or impmrcs rh.r.on.
a d sho .o.rnck for su.h proFck wnh o Conlruclo,(s) liccned pnFu{nr h' I hc Conrr.clol s Liccn€ tf,*)
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sn crcmfl undcr Selkh-, B- & P,C, fo. ttir @sn.
WORXT'RS''OMPF\SATIoN
DES.AEAIION
I hcrcbyatfi rmhdd p.nalryotFrjuryoncof lh. followirg dshr idns:
-l
h.vc {t willminllin & ccaaficirc of Conmr io S.lI.lnsw aor wo 6 otrrrcrs.lion. s Fovidcd for bysc.tho ]700 oflh.
kbor Codc. l{ thc Frfo.nlm. of lh. e for *hi.h lhc pemil i. irsu.d.
-l
hatr and will minrain wortc* .onF.sllion i.$mBc.as Etlncd b, S6riod lrm of rtc L3bor Codc. fo, th. Ffolrwc of
rhc {o ror which rhis rcmil is irMd. My workdl comrcnslion i.sudcc .odtr atd polky nlmb.r a.i
P,ni.y Nui$cr
-f:inircs:
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ccnily rhar in rhc p.rformn.c of lhc *ork for whicn this ncrnrir i, issued.l shullflol cnDloy unyF^oh in any ronrcr
s ns b bcsm suhixt k,lhc so s\'.ont*nsdio. laus ofcalifomi!. lnd ose lhar ill should b..om sut'j.tl to rh.
wo.lcN' loqEnsstion lmvisions of Sdrion l7m of ihc kbor Codc. I shlll. tonhwiln con ly wiln lh.$ ntovisio.s
WARNINO: Fiil!rc ro scurc mrte.s' comlcnsrlion colcn8c is lolawtuL lnd shtrll subject d .n{lo}e! ro eininal Fmllts aod
civil fiics !p to oE h!ftlrcd lhousa.d don&s (1100.(x)0), in oddnion lo lhc .osl of comrErelion. d!e8p3 a Provad r.r rtE
S<tion 3076 of thc Libor C6dc. i.lcrc( 3nd lllorrcy's fes.
LlllilJl:9_cl)xISacloa
DticlllB^uar
Ihrr.hyrfln'nundcrlttilyolt{rjurlilHrItrlicoi*duiJcrtt.\1\i()n iChlplcr9(connrfnc ! airhScdi'n?(x[))orr)'!ni(r' I
oi rhc ll'trim$ ond l}orr\\i(u\ Chlc, Jmyliccn$i\i'rtulllaEcxRltlfu.l
coNsl !lU(:r'l(lN I trrtDlN(; A(;ENCY
IhrEhy.ltirmu.rFntllyofpcrjdryrhxrrhcthr.onifl.rktrlcndirA!8cm,fitrrhcl.rfffmkcoirhcsorkitr*hichrhir,snri!is
is\ucd(Sc. l097.Civ C )
APPLICANT NF(II {RATI(TN
I hcd,y ifiim undcr pctrrhy ot pcrJury onc oarhc r.llowingdccld nnN:
Dcnmlirion PcmnlAsl,esros Norifi. ion F.d.rdlRcSul ions(Tillc 40. ta,r6r
_Rcquncd ktr.i ot Norilic.lion
l ..d ity rhd rh. fdlcral rcsulili()n{ Esddins s\h.$o\ rcm)vnl arc not opdicar'b ro thi\ nmj.ct.
-l
cedif, rhd I ltav. E.d lhi rprlkalion sd $arc lhal rhc lhow inforNiion k .ml. I ae@ ro @nply sith lll Citv a.d Courlv
odinan(.s Md Srorc L!s! rclaring lo hnildin8 consnudion. ed hcrchy authotiz. rcpr.$ntalivcs of lhis Cny ud Counly lo cnl6 q,o. rhc
ahok m ion.{ noFny for ins}*tion purrrss.
,\l)t)li.rir,tr Au. rsrlfrnrr l)rc
r
Vents
Grease Duct
lnstallation
Final Test
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