HomeMy WebLinkAbout40132299 - Permit (2)t 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
Mecha nica I Permit #: 4(J132299
Pin #: 1O4O7
Project Address: 2018 N Cotter St
Assessor'sParcel: 399-091-17 Lot: 108
Unit:
Block: NA
Bldg:
Tract 3834
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Conlractor
Address:
Mlke Ustin
2018 Cotter St
Santa Ana, CA 927062218
(714) 971-3380
Eve ast Home Energy Solut
2921 Daimler Street
Santa Ana, CA 92705
(714) 399-0360
Fee Type
01116002 51604 Compressor
01116002 5160C General Plan Updale
01'116002 51604 lssuance
Amount
90.19
22.08
55.04
Fee
$90.19
$22.08
$55.04
Tenant Name:
Everlost Hore Enerss Solut i on!
gotch+:{4699 - 7 /9 /2t)18olf ice: CTYH Tron5+: 53Arcti: Ref+ 3
Fcpti:023?141(r - 7/9/20t9
Trongoct ion Totol
Genersl Plan l,lpdste Fee
r'Jl 1 16002- 516000011-
nschon irol
trl116002- 5160{000-
ICL Check Ut1440
State Lic #: 863398
Lic Type: A, C-2O, C-17
Bus. Lic #: 338437
Workers' Compensation lnsurance:
Carrier: Employers Compensation lnsurance Company
Policy #; E1c1421768
Expires: O1lO2l2O19
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 DrYelling
Miscellaneous
Comp
l\4ar, Escarlet
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 20r6 Notes:
\0x
Date
Date
Date
07/09/2018 Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every permit issued shall become invalid unless the wo* on the site
authoized by such permil is commenced within 180 days after its
issuance, or il the work duthodzed on the site by such permit is suspended
or abandoned fot a period ol 1 80 days after tha time the wo* is
commenced.
lnspector MID#: 2018-'144504
o7109t2018
Account#
01116002 51600
01'116002 51604
$22.08
$145.23
Fee Total
Paid to Date:
Balance Due:
$ 167.3'r
$0.00
$167.31
"r
Qty
1.00
'1.00
'l.00Phone;
Phone:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS oIYNUR uU ,trER Dtlt,( lRATr()N
i, rh. ni{,vi\i,rn\ oi lhc aotrrrrctr'\ l-ircn\cd hw iChrlrrr 9. Com'n nLiriN wirh Sc.ridr TUxJ ol I)ivi\i,D I ol ihc h'si'x\\ r J
rDplrrrrtrr pcnnirsuhFcrriho rpfl'.rtrrn, arnilp.trrlr)_olmr ntrrcrhrn lirc l[rdrcd dollir\ (S5rxr)
I
I
L as os*r of rhc pml'ny. or my cmplore€s wilh wr8.s 0s rncir sh so{E.$lion. *ill .to rlE qo* .!d 0E rhrrE ( ml
inrcndcd o! o,Icrcd tor slc (Se.?044. ausincss ud P,.fc$ions Cod.; Tl,c Co.rdors Lic.n* t w 6cs rct lpt y lo atr o$ner ol
rhcpmFdy sh.t ikls or hntmEF thcmn. ard who dc srch qfi him$I, or h.tslfor rhotgh hh or h$own cq,loy*s.
proridcd rhar slch impohftnh e nor anr.rd.d or ofieftn ror elc. li howcw, rh. hilding .r irymwE ir eU wilhi, onc ,!tr
oacomplclion. E Ovmr BtriUs *ill haE rn€ hdcn ot F,ving rhar lE or shc dij nn l{ild.r inorcE Ur popdy for lhc pu4ns of
I. as owmr of thc pmrEny. mcrclusirlyconrrdins wirh liens.n onrEro6i(,@6hd tlr l'.iel {S1r. 1044. Businc$
lnd Ptnlcrsion Codc: Thc ContrlcroCr l-i.cnsc kw d6ci nor dpply io ,n owncr ol prcFny who blilds ot imPdv.q ihc..o6.
a.d who 6n!h.N ror .h rrcil1r wirn a Conrtrto(O lienscd pursonr k' rhc Corr6.rr'i Li...s L2w).
_l am .xcnpr ud.r Scdion-, A. & P.C lor this Eason
ItaxrEB5laurEtlarlo!
D&g.AAAIIAN
I h.rchy alfirm undcr Fnolly of,'sjury om oflh. followinS dsldarions:
Lftor (irlo. ln' rlr pcrtu'inN rlrhc q tur qhl.hth.l'cnnir n i\\u.n
-l
h,$ .nd will msinhin wo cG coqr.nsolion insumrcc. 0r r€quircd by S.crion 17m or the hhor Codc, for llE l,cdoMcc 6f
rh. wo* for whkn rhh pcrnir is hn n. My wdtds sq,crsdion insuhnce .@tu 8n |b$cy numb.. @:
_l ccrrifythrr in rhc lerl.rmne or rhc *ork torwhi.hrhh r.rm t nsucd.l shlll rei cq,loy !n, pcNo. ina.,nMrcr
$ N ro 18.ft iubif,i ro rh. mltc( comtcns.rion laws ol Colil'ornia. lnd ogrc rhd it I sh.uld h.om subtrl lo lhc
wo*cn contrn€iio. po*ionsofsclion 37mof$c t t rCod..I shnll. ro.lt*ilh mnPly wnh rho* Pmvisios..
WARNINGT Failnrc t *nf srkc* ompcns.tion co\rm8.
.n'l finc\ ur n' n* hunJi{ rhousnd dollm llluo.olljl.
'nsdion 1076 ofrh. rjlnr Cod.. inlcrc(lnd lllomcy's accs.
domScs is proridcd tq rhc
I ncEby nltirn undff pcnally of pcrjury lh.t I an liNnsn uder Imvhion orchiprq 9 (.ohmmin8 wilh S€lbn ?000) of Divhio, l
or rhc Bu\i.c\\n d Pbrcs\n,N Cod.. md myliccnr t i,rfull lorcc md circcr
t h.rh, drlnn undf FDdlry ol pc'juy rnrl lhcrc isacoNlruclion b insua$cyli,rhcpcrto m.oirhc*orktuwhichrhi\p.nnr i\
i$ucn(Scc .loe?. Civ. C )
_l c.nify rhsl rh. fcdcrll rcSublionr rcBedins asbcsros rcmvsl rc nor aDltnbh ro lhir pmj.rr
-l
enrtyrhlr I heve Eadlhi.applrsrionadsrar.'har thc I rEte ro.orvly sirh rll cny and colnr,
ordi.!rccr lnd Surc lrws rldinB lo bu i ldinS .onstdcl ioo.
rhvc mnii.md pol)cny lo.*
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
l\rlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Helease
FINAL ,L/'qAb )'r.'6cl
Notes, Remarks, Etc.
"-,-"*{
l.odci\ Andrcs
-
Ats,{ rr'ANI DECI..RATION
I h$hy lnlnn u Mcr |)c.ahy of pc,Jlny onc ollhc l'ollowin8 dccharionr:
D.nFlirnr Pcnnir!Asbcstos Norilicarn,n Fcdcrd R.Bulrrions friit ilo. Prn6)
RcquiodL.n.rolNorii. ior
P:z/qff\'
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