HomeMy WebLinkAbout40132279 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #: 4lJ132279
Pin #: 73194
l nspection Req uests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Project Address: 2109 N Millwood St Unit:
Block: NA
Bldg:
Tract: 3902
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 396-041-30 Lot: 75
Owner:
Address
Lorena Panighetli
2109 N Millwood Street
Santa Ana, CA 92705
(7141547-9142
Fee Type
01116002 51604 Furnace/Comp Combo
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
126.90
22.O8
55.04
Qty
1.00
1.00
't.00
Fee
$126.90
$22.08
$5s.04Phone
Tenant Name:
Contractor
Address;
Greenstar Home Services ln
'1951 N Main Street
Orange, CA 92865
(949) 885-0102
Eotchir+4575 - 7/2/?il8 I0: JG0ffice: C'IYH Trons+: 121 7AccL+: ft€fi: {0132
Fcpti:02317514 - 7/?/2019 314+ t
Tronsoct ion Totol $3t15.9State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensation lnsurance:Canier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D508631017
Expires: 1010112018
Greengtar iore ServiceB Inc
Generol Plon Updot€ Fee
01115002- 51600000-
nechoo i coI
(1116002- 51604000-
ICL Check 10131
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
HVAC
R.3, U
VB
cMc 2016
Planning conditions
Oate:
Date:
Date:
071o212018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Amsden, Julie 07t0212018
Account#
Every permit issued shall bacome invalid unless the wod< on the site
authoiz1d by such pemit is commenced within 180 days aftet its
issuance, ot if the wo* authoized on tha site by such petmit is suspended
or abandoned fot a period o1180 days after the tima the work is
commanced.
$204.O2
$0.00
$204.02
MID#: 2018-144413
01116002 51600
01 't '1 6002 5 1 604
$22.O8
$181.94
Fee Total:
Paid to Date:
Balance Due:
Phone:
Occupancy:
Constr Type:
Code:
Planning Approval By: Mar, Escarlet
Notes: Directchange-out
lnspector
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DELCAIIATION
I hcEby darm und.r pcnalry of Friury fiar I m.rcnq ADm llrc ConErclc Lkttr{ l3s fo.lh. folowing rct$n (Se7011.5
Blsincss rn Profc$ioo Codc): A.y Ciry or Counly *hth nquiEs . rtmn ro @Blruct. !lts. ihprotc. &mlislt ot EPln my
$rucrm, rior r. ih Lsumc. oLro rcqlircs rk lpnlka for s!.h Fmit io lih a si8f,cd slal€ftfl rh,l lE ot sh. is li.ctrEn ,juruanl
ro rhc pmvnioff ot rlE Conrerofs Lkcned br (Chrptcr 9. Conmfting wirh S.clion ?m0 of Divi.ion 3 of$c Busincs lnd
Pmfes.ions Cod.) or thll tr tr sh. h eicmfl rhcrcfom Md ,E bdrir lo, lh. !lh8.d eicn{rion. Any vhhtion of Sdlbo 701 1 5 bv rnv
alpLcrdl for ! Fmjr suhicds thc rgplicanr io a .ivil Fmny of nol mrc lhd fiv. hu(tt.d dolbB (1J00).
t, ns owmr ol lh. PlDFny. or ny emplorr.s wilh w!8.s 6 rh.ir elc ompcnsrion. wiu d. lrr wt a,t lhc sm.rN i! mr
inrcndcd or otrced ror eh lse.7o44. Busimss snd Pmfcssions Codc Thc Conracbls Liccnse Li* .tocs trr apll, lo o oener of
ih. pmFny *ho huilds or nnpoB rrt6n. 8n pho &.s sch eir hidrctf or h.r*lf or rhrcush hh 6r lEr ow..mployccs.
nrcridcd rhar slch in0m\€rds e mt i'neftH do,tdtd for sL.lf. hokM.ln hildiflg or inpmwE issdvnhinoRrs
of@,pLtl,tr, dE Owmr Blildr lill h.rc fic hd.n of povitrg rhll tE ot sh. dA m| hrld or iqmE UE pmFny for tlr puqn* ot
l. ds.wncr oirrE 0opcny. am cic lusi v.l, .onrELl ing *irh li.ctrsd .ontto.lds r. 6n{,acr ltl nmjat (Scc 704a. BKi..c
anl Eofcssio. Codc: Thc Conrhcrols Liccnsc L!* doss nor llply ro anownct oftmFny*ho buil& ot imlmvcs theron.
and vho.onrncrsfors.hpmF.rswnhaContEcrontliccnsdpuBumttorheConlEcloisLkcns.tis).
I amcrc'npr undcr Scctio
wot(Ells' coMpE{salroN
DECI,AIANOX
I h.rcb, lffrn undB pcnah, ot psiu,, ore of lhc follosinS ddmlionr:
-l
h!rc !d will minrain s C.nifraie of Cor*nr lo S.lfins!rc fd *ort6 @nltB.tion. Proriled for by Setion 37m ofthc
L$o. Cod.. for th. Frfornl!re of lhc ert fd sh!:h th. prnir i! isx.d.
-l haklnd willdtrinr.in w.rkcs conD.nsalioo insu.lncc. as squtcdbys.crion1700orrhclrbo.Cod. for lh. pcdomncc or .
hich $ic pcmi L is$cd. My workcs @'ry..3dbn inrur"ncc cMiq e'd gnicy nuntrr m
/K
l.cniryrhd in lh. pcriomunceoflhc work ror whhh rhis p.rmil is hslql.I ihlll nor .mploy tny IEMI in ymmftr
s ns to hcco'rc suhj<tlo rhc wo*m'onpc.salbn laws olcllifornia. und o!rcc lhor ifI sh.lld bc.om lubj.d t th.
eorlcn'comricnsstio.povisionsofSccriotr3?00ofrncbtnrCoilc.lih,ll.fonh*ilhconDly{irhlhoepmvhions..
WARNTNG: Failurc lo wulo *o .^ .o'np.orlrion covcrNgc is unhwtirl. Md shrll subie! un mplo,€r lo oioiodl Fndl.I and
.ivil finc* up l. otrc hundrci lhouend dollu( ($lm,o0o), in 0ddirtuD lo rhc .osl ot comp.nsalion, danEges N l,rov .d r'or rbc
L{br Codc, i.t6csr rnd alrormy s fes.
LT{:ENSED C(INTIIACT(}R
DECLAEA.IION
I hcEhyofln'nundcrpcnrltrorpcrjuryrhd I n li.!D*d u rr noyi\n, of Chlpr$ 9 (com'Encins *irh sccrio. 7(xn ) o{ Division .l
of rhi Busirc$ 0nd Pmlc$t'nsCodc. rnd nry liccnsc h ir lnll folcc nd cnccr'
tlt
AL c1-
I rq'Lt, o:--dr,,n iL* s-Cri-
sNsIElcuoN.&ENDNA.AGElqL
I htrby arrm on<Lr F.alry ol p.dury th.l thtr ir . onntulhn k.rling lgcEy for fic F folrl1lm of rlE wtk for which this Frnit ir
itsued (Se. 3097. Civ. C.).
APPt.I(:AN r DI.:CL lLlI'!ON
I kNby nnnxtrlcr |Imlry or l)$jury om olrhc tullowin8 ncchrurion\l
l)rnxniri,m l'cnnir\ A\h.loi Norili.rri.n l:cd.rrl Rr!ulf,tion\ (Tirlc.{1, Pln6)
Rcquicd Irrtct ol Norili.rrhn
-l
ccnify th.t rhe fcdcral csllarioB Ea0riins ashcslos rcnFval !,c nor otplicablc ro rhk proj.<t
_l cdiryrhnr I hnvc rcad lnis lmlicarion rnd ritrhar rh. abv. inlomlion is cotrc{. t rgrE ro.onrly qi$ allCiryand Counry
)nsrtocrion, eS hcr.by rnrhonzc E,r.snhlivcs of'his Ciryand Countylo cirfillhnrtEorlimNc\ 3trJ SrJrclrN\rtLr
)*,"*,)
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
l\4isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Deteclors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release n.
FINAL ?/ /0t '/Y /afl1 f/
Notes, Bemarks, Etc.
t
lnstallation
1?Cc<("
L nJ.''\ N 'i\_
-
llnlr*
I
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