HomeMy WebLinkAbout40132302 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechan ical Permit #: 4lJ1323o2
Pin #: 55795lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2522 S Rita Way Unit:
Block: NA
Bldg:
Tract: 5720
Address Range:
Historic: No
Suite Range:
Zoning: Rl
6r
Assessor'sParcel: 14O-232-Og Lot: 54
Owner:
Address
VICTOR PACHUCA
2522 S RITA WAY
Santa Ana, CA 927045716
Fee Type Amount
01116002 51604 Furnace/Comp Combo 126.90
01116002 51600 General Plan Update 22.O8
0'1116002 51604 lssuance 55.04
Qty
'l.00
't.00
1.00
Fee
$'r 26.90
$22.08
$55.04Phone
Tenant Name:
Contractor:
Address:
Alps A/C & Heating lnc
1000 E Howell Avenue, Unit
Anaheim, CA 92805
(714) 633-8892
Brtch*!44690 - 7/?/?t1t9olt ice: CTYH Trons+:Accti: ftg
ncpt+:0?321661 - 7/q/?
lronsoct ion TotclPhone
Alps A,/(: & Hent ins
6enerql Plon Updste Fee
r11116002- 5160t(rtr0-
ne{hon irol
0111600?- 516040(rtr-
ICL Che,:! 057113
t?2.0S
s lsl .94
$305.93
Single Family Dwelling
Miscellaneous
A,lC Change out
Occupancy:
Constr Type
Code:Notes: A,/C Change out
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Escamilla, l\4anny 07t0912018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chauez,DavVt
Every pernit issued shall become invalid unless the work on the site
authoized by such petmit is commenced within 1 80 d6ys after its
issuance, or if the wo* authotizod on the site by such pemit is suspended
ot abandoned fot a peiod of 180 days after the lime the wo* is
comnenced.
$204.O2
$0.00
$204.02
lnspector MID#: 20'18-144515
01116002 51600
01116002 51604
$22.08
$181.94
Fee Total:
Paid to Date:
Balance Due:
LROSALES2ol 2
132302
3F
5.93
State Lic #: 667953
Lic Type: C-20
Bus. Lic #: 0177939
Workers' Compensation lnsurance:Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY
Policy #: FLA00731700
Expires: 10/19/2018
Building Use:
Job Type:
Nature of Work:
07togt2018
Account#
Date;
Date:
Date:
R-3, U
VB
cMc 2016
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNAR BUILDER DELCAR,ITION
I hcrcby srtrn undcr Fmlr, of Friury rhlr I m cr.hpr fron rh. Conricrm Lk6E trw for lhc foltoqing rcd$, {Se.7oll5
Ausin.ss aid Pmlcssion Codc): Any Ciy o, Cd.ry qhich Equi6 a Fmn lo onsltul. ahq. itllioG d.mlth or Epai My
ir.uchft. Fiq 16 ils L$usq dso Eguircr lh. q,plicanl for sch ltmn lo fiL a signcd sltrmfl tM lI ot slE is lien.cn Pueu.
ro rh. prctsions of rh. C.nr&ror's Lhc.rd Lrw (Chaprc, 9. Co@.Nin8 wnn S.clioi ?000 of Divirion I of rhc Busincs lnd
Professn,n. Codc) or $d hc or snc L, ctcmpl lh.Efron nnd lnc bclis for lhc illes€d denprion, Ary tiolaritn olselion 70.11.5 by lny
appli fl fo. ! ,'.mir snhjccrs rhc sppliclnr ro a civil psmhyofmr mr thm fivc hudrcd dollrs ($J00)
-1.
.s o*Ds of th. IxDtf,ny, or hy cqrlorEs oilh wagca $ fict sh onlcosarion, will do tlf, wk !d tlE stttE i! ml
inrcndd or ofrcrn for slc (56 7044, Buiimss dnd ftoiiisio.s Codq Thc Co.lBlm s Ltcns ljw dcr tul agl,ly ro a .mr of
rhctmp.ny wlF hiikls r ir'Il'or rtc@n. lrd sno des sI sn himlf or h.Elr o. lhrcu8h his o. hct a*o cdplorcg,
providcd rhd suh nnpmEEnls m mr i.rc lcd oro,IcEd aor eh. tf, hoftE, itE bildi,S or inpftmnl issB*nhir6ft tld
of erDlcrio[ rhc Oemr Buih€ will tuvc tlx hmhn ofrrcvinS lhd tr or sh. dh br boild o, iqmw lh. pDFtry for tnc plqre of
l, ^owncr.lrh. nmpcdy. omcxclusilcly contr0clins wirh licctrcd conlract Fb.on{rucr rhu |,(iNr (Se 7044, ts!\itrc\\
ond l,mfc$hn Co.lc: Tnc Conuactr'r Li..ns. h* do.s nor ryply ro atr owncr olprcPtrly*to hoilds.r nnprovci rhctcon.
dnd sho.onra.Nforru.hri{,jccrswithoCo.tncro(r)licctr*-dp!^udhrhcCoiktutr\Liccnstiwl.
I r rkcnrtr utrd$ Sccr B. & P.C. furhn rcamn
wolxFRs' c(ltrtpFNsArI0N
PECI.ASAIION
I h.rchy alfirm undcr Fnolty of ldj!ry onc ot rh. follo{in8 d(hrrrionsl
lhvrnnd*rllnrinrd$rCunill.nt.olCutrcdbSclllnuctor$orkcrr.onrFnsrri({,r\fntidcdIr'rhtSccli,,nlT{xrollh.
L{bor (lxlc. lhr lhc lcrfo unccolrhl sorkh)rwhi.hrhcp.nnirn nsucd
ralhr.rx,ir'llmx'nrJn$'{\cr. r{ nc \.8{'trFurincc.J1 rcqutcd h} Smiion 37(xrofnr LnhorCodc. htrhc |En. nnrce.i
rh. $ ork ktr whth rh^ F,nnn rs il$dl M y *or[c6 conrFnsnli insurlncc crris d B)lk) nun$(r atcFat-s L*<g'
I
-l
ccrliiirhot in rfic p.rr.hdmc of.hc wor* ror whi.hrhis pc,mil k hsucd.l shall.or cddoyanrrcmon h lnynunmt
so Nro tE onE subicl ro lhc wo*qs compcnsarion L$s ofciliaofri& and 4r.c rhtrl if I should bccom subjd to rtr
workc( om!.nsolion pmvisionsot56lioo l?00 otthc Lalhr Cqlc.I rhdu. fonhqilhcompl, vith thos Povnbn.
WARNING: Failure ro su. *orkerl mmFnsari.n .ovcmec is lnbwtul. lod shall suhit! r. coplorcr ro aiminll t'cMlris ajd
civil fi.cs ut ro o* tuft!.d rhouend dollrs ($100.000). in .ddiln,n lo tlE osr o, coot .qrion. dalMgcs ar Pmvitn for rhc:::1ffr,i*:
ulENlELllJ)N]3.AerAts
ITECLASAIIAN
I kEb, rmrtu!nd( p.Mlryorp$jury nd I !fl lia.$d undcr ln,visnnr alChrtrcrt) c\'nrkn.in! Rirh Sccrion 7tu)) ofDili\ion l
ol rh,- Bu\ir.$atrd Prcicsn'nxCod., dhd nr! li..n\. ir i rullr(,.tnndcriccr.
calsmlcll()li.LlllrllCrllI .CI
isruo{l (sN :r097, crv. c.)
-l
*nify rhar lhe t dml E8lrlsriof,s rc8.dinB sbcslos rce,val urc mr qDlklblc io rhlr lot{!.
-l
ccnify thar I h.r erd ftis applb.lio. &n shlc lh.l th. 0bovc informlioo is .orel. I a8c ro con{,ly eilh lll Ciry &d Coufl,
ordimo.c\ ann Sllrc Lr*sEhri g io huildine c.nsrudn'n.8rl hcrchytrurhtrize rcfre{nhriv.s o
trho\( rBnri,,ncd pn'ncdy f,tr in.r^_uii,n f urDietr.:7\t.-
\rn'(rrr,i Ar(d S,slJru( I
-Pcnnnc nom (I,inr):-
lrhis Ciry.nd Coutrr, t{, cnrs ulx,n rlr
"'"zrf / s
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
[/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Besidential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL ,e 4 R/fi urr{?,qlh ,1)
Notes, Remarks, Etc -ll I \r \
COMMENTS
6/-7 a{3
.-.<._-
trndca\ ddr.ssr
-
,tpprrciiiliEii ailnoF
I hmby dtim undr ltomlry of pcrjlry .ic o( rhc touoR in8 dcc ldurn rs:
Dcmolirnr Permirs Asl,c{os Norin ion FcdcdlR.Sulati.ns(tirlc 40. Pan6)
Rrqut d t lrcrofNorifrolion
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