HomeMy WebLinkAbout40132286 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (N4-19), Santa Ana, CA92702
lnspection Requests: (7 14], 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 4O13228,G
Pin #: 38061
R?Proiect Address: 2222 N Freeman St Unit:
Block: NAAssessor'sParcelr 00l1a2-22 Lot: 32
Bldg:
Tract: 3012
Address Range:
Historic: No
Suite Range:
Zoning: Rt
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Celia Soto & Carmen Torres
2222 N Freeman St
Santa Ana, CA 927061908
(714) 303-9791
Home Remodeling
24932 Wells Fargo Dr
Laguna Hills, CA 92653
(714) 343-3880
011 16002
01116002
011't6002
01 1 't6002
011 16002
01116002
51604
5160{
5160{
51604
5160C
51604
Fee Type Amount
Clothes Dryer - Residen 40.34
Bathroom Fan 30.52
Laundry Fan Envir. Air 34.84
Range Fan 32.30
General Plan Update 22.08
lssuance 55.04
Qty
1.00
2.00
1.00
1.00
1.00
1.00
Fee
$40.34
$61.04
$34.84
$32.30
$22.O8
$55.04
P hone
State Lic #: 708894
Lic Type: B
Bus. Lic #: 369909
Workers' Compensalion lnsurance:Carrier: Exempt
Policy #:
Expires:
Botch9;{4593 - ?/3/2$t8 I0! t-RosALEs0ffice: CTYH Trone+r 101 5 of 3Accto: Ref+! 4r-tt3?Zg6
Rcptt:03318437 - 7/3 /?trlg I:r'9 Pll
Transoct ion Totol $1,565.95
Horie Rerodel ins
6enePol Plon Updote
01116002- s1600000-
llechon ical
01116002- 51604000-
ICL Cherk 00931
!
$1 r IC'i. BiBuilding Use:
Job Type:
Nalure of Work:
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2016
Single Family Dwelling
Alteration
Kitchen Remodel
Notes
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 10196932
Every pemit issued shall become invalid unlessthe wo* on lhe site
authorized by such permit is commenced within 1 80 days after its
issuance, or it the wotu authoized on the site by such perfiit is suspended
or abandoned fot a peiod of 1A0 deys aflet the time tho wotk is
commenced.
\)4,n"n0",, ^",nr
Date:
Date:
Date:
MID#: 2018-144438
01116002 51600
01 1 16002 51604
Fee Total
Paid to Date:
Balance Due:
Planning Conditions:
07103t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$223.56
$245.64
$0.00
$245.64
lnspector
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hercb, sftirn urdc, p.nally of Fdury rhot I m cxchpl frcm lh. C.nlrrctoN Liccn* Llw to. fic followin8 tcasr {Scl ?O3l 5
SNincss md Prof.sion Cod.): Any Ciry or Cou y which Equircs c Imn lo 6nsld.L !116. imgrolc. &mlhh or Gpait ey
srmrurc Fior ro ns kslame. ,ls EqliEs rhc spplh,ir for sxh Fmir ro fih a sigmd .rd.Bnl thlr lE or dE h licco$d t)UN.iI
lo $e pNvhioni of rlE Conlrcctols Liccn*d L.q (Chanlq 9. ComrcinS wilh Sftliotr 7000 of Division 3 ol tlrc Businc* Nnd
Pmf$sions Codc) orltul hc or ehc is cxcflPt lheftom&d rhc hLiis for thc lllcsed crcmprion Any viohlion of Sdioo 7031.5 byany
opplicanl for ! pcmir bicrs rh. .rplicrnl to ! civil pcMlly of ml turc rhin livc hundt d doll6 (5500)
-1.
as owmr oa rhc IrctEny. o, ny c.nploys wilh w08cs as lhct $lc onl,cn'alio.. will do ltf, vst uld lh. smlrlw is ml
inrcnd.d or o,Icrcd fo, el. {56.7044, Busimss ,nd Ptufcsions Code: Thc C.nrmclols Liccn$ Llw does nol lpPly ro !n o*i4 ot
ihc Ftrpcny who tdlds or inr,m6 dE6n. dd sho de. sh m* himlf or h€rclf or lhough hir q h.r own cmploret
,myiLd rhd iuch in{meG.B e mt id.idd tr ofidql rm sb. li how6. rlE hildinS or itrgmwnEnl is sld *nhin om }sr
olonplcrbn. rlE Owmr BuiILr oill h,k tlE b{nkn olpmving $d lE or nE dii ml lnad ot inprcw 0E FDFny tm tlE purpoc of
-1.
s own6 of rfic l,^rpcny, oocxclusivcly cootr.clins silh liccnrcdconrr!.i.rro s.sdcr lhc poid (S* 7(N.a ausNsi
and Pt)lssircodc Th. Conlmclor's Liccnsc Llw d@s nor lptly rd an orncr of [npcn y sho buildr ot imtrovcs thcten
lnd who conrEcrs for rlch 06j.ck wi$ , Conhcions) licn$d punu.r ro rh. cont0cbls Liue li*).
-l
amcxchfl undc, Sccr
l),le: O*mr:
SOB8If,IIj;AMTENSAIIO!
OECLAEAIIQ!
I hcEby urtrm lnder pcnalty dr pcjury orc of thc follosing dela"llions:
lhrvc0rxlsillmrinlainrCeniaEarcofConsc bSclf-ltrsDrclnr*orkc(omP.d{diotr.nsf)rirlcdforhyScctn,n.lTmolrhc
Irtxf Cudc. nr rhc pcnirrnrncc oarhc *ork lor vhi.h rhc Fnnir N issucJ.
-l ll!rc !fld *ill tuinhin sortmt con{Ens0rion insErc, ss rcquncd lry Seiion 3?m ol llE Lrboi Codc. lot lh. FrfolrlMc of
lhc wrt for vni:h rhh lErnn Li ilsrd. My wo.kds' oqrn$lhn inMftc .mi.. {d policy numb.r @:
Poli.yNudb.E ExpiEs
-l
ccrrifr rhur in rhc lledomlmc.fthc vork ior qhich lhn F$nir h h{ucd, I shtrll tr,I cmployany pcen
'n
rny n'anN,
$ as!d h..om sub.,ccr ro lhc wortcn clnt4n{tion bes ofcnlirorni0. snd a8rcc thot if I shJlH it om subicl lo llr
workss osp.nsrion pmvilions or Sccrion l?00 ol rlE tf,hor Cod.. l sh.ll. fnlhlirh snply qilh il[s Prevhions.
WARNINC frilurc k' $curc workcr( conU{n\Jrion ll slbiNr an cnlllotcr k, oi[iorl Fuxac ,nd
cilil lincs ut io onc hu rcd tholssnd dolld\ (tlfl).fix)
sftrio. 1076 ol rh. titn Cidc, inrcrc{ and aflomy * fes.
.onD.nsarion. daroses ss proridcd tbr thc
o*", -?-?- ( 7 nrru*,,,
IhcEby,lItr6u.dcryxnrllyoflcrjuryfilrI@lictr d undr pmvtion of ClEprd 9 (d,nffimirg wilh Scdion TlnOJ oaDivisi.n l
ol r lrl\ n!$ xr'lllfl.\\rr\( rrl.. xkln'v lr. N n i',
,*.,1 -3 -\
I h.rh, nrtu UDdcr lEn{llyofDcrjlryrh, rhcn is r.u'{ru.ri r
krucd rscc :l(D?. Civ C ).
.p.n.y for rhc p..lomuncc oi lhc sork lo. which rhis P€nnit ^
AIETCANI.DECLABAII9tr
I hcr$, linnuMcr Fnnlryol pcrjury om orrhc followi.S dcclarllions
Dcml nnr Pcrmik A\tlt(os N.rin.lrion lcdcral Rc8ulnl ion\ fr b 4n, Pad6l
-Rcqutcd
lrlr.r ol Noiif{rtiotr
-l
ccnify $a1 rh. fcdcEr r.8lhlions EBEding lsh.sloi tomvil e nor otplk blc lo lhis pbixr
-l
ccnifr rhlI I ftavc @d rhh abovc infomrin is.orccl I llgrcc ro conDly wirh allCiryand Counl,
ordinan.c\ ind Sraic LiBs Ehling h.rcbyauthori?e rqv.snrarircs oflhh C'tyond Couni, k, cnlcr q{n rhc
,,,",1'" - l0
(o
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.-9019
Meter Release
FINAL tr(t I u^d.qfir/
Notes, Remarks, Etc.
Other
Final Test
t
knd.i\llnE
-
db.vc mmiomd prelcny for
I
: