HomeMy WebLinkAbout40120293 - Permit (2)Project Address: 2502 N Poinsettia St
Assessor'sParcel: 396-422-09 Lot: 'l
Unit:
Block: NA
Bldg:
Tract: 1658
Address Range:
Historic: No
Suite Range:
Zoning: R'l
E
City of Santa Ana 20 Civic center Plaza (Nil-19), Santa Ana, c492702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Mechanical Permit#: 4lJ,120293
lnspectofs Section: (714) 647-5853
Owner:
Address
Conlractor:
Address:
Jesse Trice
2502 N Poinsettia
Santa Ana, CA 927061725
(714) 345-2858
Service Champions
22911 Savi Ranch Parkway
Yorba Linda, CA 92887
17141777-7777
Amount
54.20
18.25
45.50
Fee
$54.20
$ 18.25
$45.50
Qty
1 .00
1 .00
1 .00Phone
Tenant Name:
Phone
State Lic #: 799170
Lic Type: C-36, C-20
Bus. Lic #: 136430
Workers' Compensation lnsurance:Carrier: Tower lnsurance co
Policy #: WCPBCl028011
Expires: 03122120'12
e'oi,-hi:16144 - 11/rl3/11 I0: CLnlfi.e; CTYH Trrn5+: 6! 1 ofA{dti: Refi: 41112t"t?93iirpli 1t10747214 Ll/3/2[fl 11:I All
Tronsocl ion Tolol 91 17 ,9li
Sarv ice CholtP igng
Generol P1(tn l.Jpdnbe Fee
r:rl 1 1,51102- 51 6r:rtrt[]D-
ne(irin icql
r-r1I I6r:rBf - 516r:14{r8r:l-(:he,:k 1i 617
91S.25
t99.70
s 117. ?5
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 Dwelling
Miscellaneous
FAU
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2010 Notes: c/o
c
Date:
Date:
Date:
l\ilisc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every permit issued shall become invalid unless the wofu
an the site authoized by such pemit is commenced within
184 days after its issuance, or ifthe wofu authorized on the
site by such permit is suspended or abandoned for a period
d 180 days after the time the work is commenced.
lnspector MID#: 2011-99925
11t03t2011
Account#
0'l '116002 51600
01116002 51604
$ 18.25
$99.70
Fee Total:
Paid to Date:
Balance Due:
$1 17.95
$0.00
$117.95
Fee Type
01 116002 51604 Furnace
01 116002 5'1600 General Plan Update
0l1 16002 51604 lssuance
MECHANICAL.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Rough Ductwork
Vents
T oilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper --,-raED
Openings tsAr"-'
lnstallation .,,c t\2 20\[
F.D. Drop Test |\u- -
-^-*s.667 Z\,^$c#'7'l -t'TtllAbove Hard Lid t tl[ / :r4 ll
Above T-Bar ll ll/7-
Rough Mech.
Final Test
Meter Release
FINAL N17 )
OM.FauiU.r Dehr.tion
I h.rcby lftu6 und.r p.Dlry of pajury tn.r I .m q.mpr form E Conr.aoB L@s. Llw for $. follo-tr9 r6on (G 7031 t Buind!
.nd Pof€rioi Cod.) tuy Cny or County which rcqui.6 ! pann to @Nrrud" .hs, inprov., d.mlBh or rcprn .ny l duc, pnor ro $
i!3u.c., tlso r.qut6 tn! lppliq.t for trch pcmu to filc. si8ned rhtffi lhIhc orth. is lic.Eld pusu lo Oc p.ovi.ioB ofrh.
Co.mdol. Li@E.n Lrw (Chrprd 9, Cono..dng eilh S.clion ?OO0 ofDivirioD , of rh. BuiiD6! .nd Pof6rioB Cod.) o, ll|.r h. d
sh. n d.Epr tlsciom rnd rh. b$i for thc tll.g.d d.nprioo Any viohrion of 56rion 70] I t by my rpph@ lor ! plmit tubjc.E,tc
.ppli6or to a civil p.uhy of not mor. rh.n f&. hundr.<l dolLB (S500)
I, a oha of thc prop.ny, or my .ftployd wilh sgB .! thcn !ol. @mp.nslio'\ will do rh. worl lnd rn. rhdu. ir nor int.d.{t
oi ofr.rd lor sl. ( S* ?044, 8u663.!d Prefdrio Codq Th.Conhoor's Li..@ tlw do6 nor.pply ro u osd ofrhc pop.ny
who build! or inproB ds6r\.trd who do6 sud wort hiru.lf or hssclfor $rouBh his or hd oM.mployd, provid.d tuta.h
improvcm. s.rc ml intendcd or ofd.d lor lrk lf, howrvE rh. buildus ot inpDrcndr ir lold wnnir on. ya. ol @nplciio'\ lhc
Ou.rBuildq w l h.v. rhc burdcn of provi,S lhfl hc or rh. nor bIild or improv. fo. lh. purpo* ol eL)
I, uoMsof rn prop.ny, !n dcluiiv.ly conrhdinB wnh liGB.d @.k!do^ ro oBhd rh. Foj..l ( S*.7044, Bqii6i.nd
Prcfq.ion Cod. Tn Conr.dor's Lib.. he do6 rcl ipply ro tn oM6 of proldy who buildt or iiprovd rhq@n . .rd wno
onhd ror ru.h projdr wnh. conhcro(, li6.d puEu,r io rhc Coflrlcoa3 Lk .!c lre )
_l m q@9l lda S@rioa .S &PC forrhis 160.
WON(Tf, S COMPENSATTON DECLARATTON
I hseby.flirn rndq p.uhy of p.rjury okolrh. fouowi.s daLdioG:
I hiv. and will mintcin r C.difiar. ol Coc.nt lo SclHnsur. for ert.B' @nprMrion. s proud.d for by Sdion l?00 of rh.
lrtor Cod., for fi. p€.for neolth. worL fo, *tich dE psB( is Gs!.4
Il hrvcmd will@i rin vorhqs' @mp.Mrion insuEncc. 6 r.qun.n by S.crion r7m of$. bbor Cod., for th. pdfom.a offic
worl fo, whi.i Oi! pcmit a i$Gd My work.6' omp.nsr ion iBu.rne qricr od policy .umb.r uc
canEr //r/ J'- +tt,- '1
L)CP6<. G L jzz g.
(Tti! 6..;tion @d ml b. @hpLr.d ifrh. p.rmn i! aor On. hundr.d.lolhB lllm) or les)
I .diry th.t in tlE pcrform.@ oathl wolt tor sni.h rhi. p€nn is mploy a.y pcreon in lny nanner so 6 ro
b.c.n. lubjdr ro !h. wo*.R ' omp.Mrion bws olCllifomi!, rnd
D.1. _Applio.t
WARNINC Fsilure to i.curc wor[c6' compcNario. ov.ag. is u.h$'tll,m cmploycr to oiooll pctulriB lndciv,l
fiaa up !o on. hurdrcd thound dolL4 (1100,000),i! .ddnio. to tlE @n of @hgcetDq drdg6 s prova.d for rh. Setion 30?6 of
dE Ltor Cod.. inrad .nd .tlom.y't f6.
LICENSED CONTRACTORS DECLARATION
I hci.b, .mrm undcr p.Mlry oa paju.y thsr I M li..G.d uidd povnion of Chlprd 9 (@nm.ncir8 win Setion ?ooo) ol Diviion 3 of
lh. B$ircsr rnd ProfdsioN Cod., .nd hy l(re E itr tull fore rn l .tr a
(r1o
Zvu z
und.r pculty of perjlry rh:r rher. i5 . .oGrucbon le.do8 !s..cy lor rh. p.rforru.@ of
( tna "^17 t,tt./
tlE wort for vhich rnn p.d[ i!
tssu.d(SE r09?, Ci! C)
APPLICANT'S DECLAIATION
D.mohion Pmn!-A!b€l6 Norifiqrioi rqdol Rc8uhlioM Onk 40. Prn 6)
_ R4unld Llrq of Notinflioi
I ccniry rhar rh. f.dsrl r.8ulltioM regrrdhs rc mr lppliqbh ro 6t proi*r
I c.drry
'har
I hrv.rqd lhBrppli@ton is co(dl I !gr* ro comply wilh lll Ctry .nd C.unry
ordiumg .nd Star. I iB rclarinAb
.boE h.d6*d Prces$t iaDdion
ADplitut or lsot Brs / -)L>il
(A
/44^f Drk:__l-I
Rocord doc 03.31 06
DATE
Smoke Detectors lnstalled
D.ic ____ _O@r
6hpc@tio, provilioN oaSdrio! r?00 ofrh. r,bor Cod., I .h.ll,
D.,. c."-"-(
lull'oia r.pr6cDr.riv.r ol $is City .nd CounIy lo 6ts upon 6.i--