HomeMy WebLinkAbout40133196 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa.Ana. C492702 Mechan ica I Permit #: 4O133196
Pin #: 24459lnspection Requesls: (714) 667-2738 lnspector Section: (714\ 647-5853
Project Address: 809 E Catalina Ave Unat:
Block: NA
Bldg:
Tract 1529
pr
Assessor'sParcel: 003-221-33 Lot: 113
O\rvner:
Address:
Gerald E Gould
809 E Catalina Ave
Santa Ana, CA 927063045
(714) 834-0506
Fee Type
01116002 51604 Furnace
01116002 5'1600 General Plan Update
011'16002 51604 lssuance
Amount
65.59
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$65.59
$22.08
$55.04
Tenant Name:8otcii.,i5:i7 - 2/
ull lce; Ll rn
*ccii:
t((Df,; i u.tfl6,| /6
lfon90cl I on r ofqr
iiii{rii lit:iiiinilsnsii i4 i o' t
ftefit 4ui5J r t6
ii iZiiii't 7t ii ;iiiiii.7 t
Contractor
Addressl
Orange County Services dbi
3801 Lenawee Avenue
Culver City, CA 90232
(310) 838-0408
State Lic #: 765436
Lic Type: C-35, G-20
Bus. Lic #: 1 117
workers' Compensation lnsurance:Carrier: Cypress lns Co
Policy #: M1WC022336
Expires: 01lO1l2O2O
teoetol rron upooce ree
tl.l I t6uul- :r.Louu
i 1in.65necnon I col
0ii iiiuuz- 5i 60i
I(L r:heci( 055662
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Mlscellaneous
Furnace
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Notes: Directchange-out
Planning Conditions:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden. Julie o2t12t2019
Account#
Ewry pemit issued shall become invdlid unless the work ol, the slte
authoized by such pemit is commenced within 1 80 days after its
issuance, or if the ,/to* authoized on the site by such peinit is suspended
or abandoned fot d peiod of 1 80 days afiet lhe lime the wo* is
commen@d.
$22.08
$120.63
$'142.71
$0.00
s't42.71
lnspector MID#: 2019-149418
01 l 16002 51600
01116002 51604
Fee Total:
Paid to Date:
Balance Due:
Address Range:
Historic: No
Suite Range:
Zoning: R1
Phone:
Phone:
Planning Approval By:
Plan Checked By:
Permit lssued By: /1
subiect to Fierd: i )-' //
Building Permit #: (7,'
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.. COMMENTS OWNEi BUILDER DEL(ARATION
I hacby rlIm undi p@aty of Fju, $at I e dopl ftom rh. conl .cro6 Li.o3. tlw lor thc folloeing l@n (s*.?0] L5
sGinB &d Problio. Codc)r Ary Cily or Coudy ehkt r.quird d ldnh to constucl, al6, imFoe, .larlnh or Epon ey
3lrucrue Fior ro ils bs@c. .l$ rcquiG rh. ryplic&r lor such p6tut lo fih. srgi.d $6lmt ltn h. or slE i licalol plet n
ro th. FolirioN of tlE ConEactd! Liccned Lsw (Ch!pr6 9. Comocios wilh S<rion ?000 of oiviion I ot lhc BBind dd
ProfdioN Cod.) or rha h. or.h. ir .r.ner thacfom ed th. bsis for ll'G .lks.d snFion. Any lioldion of Sdlion 70!l.J by Dy
appliclnr lor 6 pnnir subjdB rh. i@lic&r ro ! .i!il pcMhy of ool mrc to fiv. tu&.d dolar (1500)
-1,
s omd of lh. FoFty. or my dplo)6 with wrgB B lh.t $1. @mp6tio,! wil do t m* sd fE !fr,l@ i er
indxLd or ofrGld Ior sL {s6.7044, B6i!B dd Pofdio6 cod.: Ii. co, ncld'3 Lic@ L.w dG ml apply lo eotrB of
th. FlFty who buil& or iqroc LIEEE edwlD do6qri m him.lf or hcslfor lteush hi! or lE oM dPk't6,
rrcvidd rh.r $ch inlFlrqclr! e rcr idr&d orofold for eL ll h.\Ba, dE tlilCiig m inproEE ir $ld within orc }f
ofotrpkhd. tlr O*M Builda wil hlvc tE turdo of P.ovil€ rhd hG or slE dlt lFl hj]d ot irtrp.ow lh. poFty 6r tlt Frpot of
l, d omd ofifi. Fop6ry. dn d.lNiv.ly conlraclinB *ilh lictu rl .oilr0c16 16 o6tod
'h. F.ja]l (Sd 7044, BEin6
&d F$isbn Co& Th. Conk.crolr Licmk tl* d6 rel .p!ly lo ownd ofp.opGrywho builds or inpovd ih6@..
ed *ho .otur.r' for iucn F.i.ll wnh . Cobira.lo4s) lk6.d pusurn lo rhc Conlnclrt Li.aB Lrw),
I an ex.mpl und6 Serion . ll. & l'.C. lor r hs r.Eon
Drr€ Onnr raar!8fcaurrltaua!
DECldEAUqtr
I h6.hy 8lrm und6 p.oly oapoJury o.. oath. followtrr ddlerrioG:
-l
halc and wiu tuill.in . Cdiff,ar. ol Colht ro SclllBu. fo. wrk.ro' conrr..slion, s prDvid.d for by Sclio. 1700 oa$.
t bor Code for lhc lcfotrMc. of lht port lor *nich lh. Fnil is isucd
-l
h.E dd sill oai !i. work.G conp.Barioi iGor&.c E Equn.d by Sdtion 1700 ol lh. Iibo, Cod., for it pGfolMc of
lzcsf
-l
cdily thll in $. pofommcc of rh. eorl fo. *hict thi. Fmh L isu.4 I allml@ployeyrd$ninDymffi
e B ro hdoft. tubj€r lo tlE m*6'ompcosirio. bH orcdironia ad.sE th, if I should bqonc aubr4r ro rh.
sorl6' odF*rio. prcvirioB ols..iion 3?00 oflh. Llbor Code LEll, funhunh omply *ilh llDs pmvilioN..
w,tRNtNCr F6iluc ro s6. worl6' comF.lltion .o!da8. is url.wtul. mJ shlll subjd e dploF lo onintl FBhi6 Md
.ivil fin6 u, lo on hddr.d fio,sd dolbB (1100.000), i! addniod lo llE cosl of conp6rlioG da@96 a provid.d aor rlE
S6lion 1076 ofrh.libo, CorL, iot6.c dd.tra*) r fd
x.,"zln lttt/- 7
I nd.t'y rIIm udq podiy of Fjury lnn I 6 licdr.d uds Flvirion of Chlpld 9 (@Mi.8 wio Serion ?000) of Divilion 3
of rh. BuinB od ElDldio6 Co&. ed my lic@ is in tull f.e.ri.,I*i
3t
x""-"x-
arfttc&1ll)I]cLalaua!
I lErb, a1lm uid( p.nalry o f ldjury orc of th. aollo* in8 deleat ions
D.nolitioo Fmils-Asb.sl6 Noxticario. rcddal Rqular io6 (Tirl. ,10. Pd6)
-Rqtunel
lnts of Noi6cdF.
-l
6dry thd ftc &da.l .elrdioB Egadile abdor r@vrl e @l lrpliccbk lo lhit Poiai
D?.-,ry,-,*,-,*@pl,. ioiedsri.rhdt.bov.ilro@rioni.corrdr.I.irero@od,enhdlcny&ttcoury
ordimncG md Sral. L.ss Elains Io hoi
,b.vc monon.d propdy lor icp..rion
and hftby rurhort. rcF*r5riv6 of thi! Cny sd Couty ro 616 uFo $.
Applicml or A86t SigMrurc:t\
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
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.zlzsltl //n{D
Final Test
Meter Release I
FINAL ?le/tt I A/)l,/ea/e d/r,4 J+{ F,*l
Notes, Remarks, Etc // t/ t7 ///fLr(-
Pre-lnsulation
Other
elz tl I
(aNirau0ra!r[tDt!ic-ac!!.c]
I h(ehy omrm undq r.naltyotpsjur,lhn lhdc 6 t co[druction lodins a!d.y forrh. fslomarcc ollhc\ork ror Nhi.hrnB pdril b
isstrcd (Sc l0'r7. civ C l.
tetrJn 5 Ni e
Pmitc .&n. (prii0 a;;r/F
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