HomeMy WebLinkAbout40132393 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mec hanical Permit #: 40{32393
Pin #: l75Og
Proiect Address: 3126 S Rita Wav
Assessor'sParcel: 412-022-06 Lot: 14
Unit:
Block: NA
Bldg:
Tract: 6564
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address:
Contractor
Address:
Alberl L Thomas
3126 S Rita Way
Santa Ana, CA 927046737
(714) 904-0016
Greenstar Home Services ln
l95l N Main Street
Orange, CA 92865
(949) 885.0i02
Fee Type
01116002 51604 Compressor
01'116002 51600 General Plan Update
01116002 51604 lssuance
Amount
90.19
22.O8
55.04
Qty
1.00
1 .00
1 .00Phone
Tenant Name:
Phone &ctchi:45097 - 7 /3t/?o|g I0: J
off iEe: CTYH Trone+: 5gAccti: Ref;: 4l-rlJ
Rcpti:02345492 - 7/31/2018 t2t1
Trsosoct ion Totol 177t.
Greenator Hore Services Inc
Geoerol Plon thdlte Fee
0ll16u0?- 51600000-
llechon icol
r:r1116002- 516S400(l-
ICL Check 10313
Building Use:
Job Type:
Nature of Work:
R-3
VB
cMc 2016
Single Family Dwelling
Miscellaneous
A/C change out
Chavez, Dave
-<7?'
Notes: A/C change out.
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Guevara, Jerry
Every pemit issued shall become invalid unless lhe wolk on the slte
authoized by such pemit is commenced within 1 80 days after its
issuance, ot il the wo* authoized on tl]F- site by such permit is suspended
or abandoned fot a peiod of 180 days after the time the work is
commenced.
07t31t2014
Account#
Date:
Dale:
Date:
0713112018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$167.31
$0.00
s167.31
lnspector MID#: 20'18-14503'1
01 1 16002 51600
01116002 51604
$22.08
$ 145.23
Fee Total: ..
Paid to Date:
Balance Due:
Foe
$90.19
$22.08
ss5.04
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensation lnsurance:Carrier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D508631017
Expires; 1OlO1l2O18
Occupancy:
Conslr Type:
Code:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby &tfrn uodd pc!.lry oa pcrju.y rhm l m ercmfl fion rhc Conlelor Ltccn$ La* fo.lh. followi.g Emn (s€.7011.J
Businc$ sd ftorcssion Codc) An, Cily or Counly which rcquiEs u l,cmil to .onsrrucl, !llc. ihtrovc. &mllrh oi Eprt dt
smdoe. Fkrr ro ns nsure. aho rcluirci rhc applicel for rkh ltrmi ro fih ! signcd shtcmn rhal lE or .hc i! liccnscd l,uBudl
ro rlE Flrision. ofrlE Contr.cbas Lkcned l,w (Chsprn 9, Comcming wirt Scction 7000 ofDivision 3 oflh. Busa.css and
Prefcsions Codc) or rh"r h. tr shc is .rcq,r lficrciion and rlE basir for rhc dlcg.n c*nprion. Ahy viohrionofserbn 70J 1.5 by rny
ag,lionr lor a Fmit $bj61s rh. lPplicer lo a civil ,r.@lry of Nr tur rh.n frve hundr.d dollos (S500)
-1.
ss owncr of lh. prlFny. m ny cmplolNc wilh wagca a rh.t $k omp.nslion, will do [E *ort ui llE $ra1m ic ml
imcidcd dr oficrcd for sL (Se.7Ol4, Auies lnd Profc$ions Codr: Thc Conrrdn r Lkcnk tl* doe. mr ,fl,Iy lo M owncr of
rlE Imp.ny wlE builds tr nrymc llEotr ,rd wno dGs uh m* him*lf or lErslf or lhou8h his or hcr o*n cmployccs,
povi(M lnlt such ihprcErnlse ml inLD(h or ofcr\l for eL. ll l[wcE,lh. boibirg or itrpmwr issld*ithhomy@
ol onpklion. lh. OwEr Buiids wil h!rc ll* hrn . of rmvhS thd h. or sh. di.l mt boild or inpbw rh. pbFny lor lhc p!'F,s or
l. rs owtur orrhc pmpcny, dcxcltrsivcly.oota.ring sirh lien*d c.nr.a.bF ro.on$ru.r rh. rejcd (Sc. 7(}ll4. Busrnc$
!.d Pmftsin Co<le:1tc Conrracrois Liccnse tie docs nol apply ro 0n owncr oiploF ry who builds or anrpn!.r lhcrcon.nnd who.o.hckrorru.hproFdswiln!ConrB.ro(r)liccnsdtur\udtrorh.Cotrtd.tolsLh.nstir)
I ancrcmor undc, S6rion . B & PC fu rhn Eu,n
SIIBf,ESILCOMIEIIAIIIIB
DECLASAIION
I lErcby af,irn unde{cnaly of poju.y om otrhc following dc.lqarions:
-l
havc !d w ill N irrai. r Ccn ilrarc ol Conrnr to Scll-l nsure tu worlicN compeniar ion. !\ pmvidcd l(,, by s{r i,,n .17( ofrh.
tihor (lic. hr lhc lrnanM,rc oithc work lor which rhc lBmn ir hnrcd.
_l hale lnd uillnlintri. wo cs conlrcnsor ion insunrcc. os Equircd l, SNrion 3700 ol rhc Laho, C.de, for $c pcrlorM. ol
rhc *o for alth thic p.rmit is issucd. My workds ompcns.lion insurlmc ffi( ad ,.!icy nlmbet @l
9Lz
-l
ccn ify lhol in fi. p.rrormna of fic work for whth lnis !.rnil n GsEd. I shall rcl cq,loy !fly p€m. in an, nn.r
s as ro h..om slbrc.r to the qort6 .on{rnsdrion ldws of Cllifoni!. md og@
'hrr
ir I stFuld t com subiet lo tlr
worlcn conpcnsrrio. povkionr ol Sdrion 3700 of rhc tllior C6dc, I *hru. fdhwnh.onq y wilh rhos pmrbions .
WAnNING: F,ilurc lo suc workcn compcnsotion cov$n8c k unlastuL ahd shdl rubicl an cnrplo}f! ro ri'ninal Fndtix md
civil fincs ut ro orc tundrcd tholsld dollan (1100.60). in addnion lo rhc co( otcotrqrnsalion. da@les Lr providcd 16r thc
Scrn,n 3076 ofrhc tilDr Cod.. intcrc( and lllorrcy's x /tb*n.1.3r-\l
LJCINiTILCONI&ISIAB
DIS.II.BAIIOI
ol rlrc lttr\in(s rni lt lrsi,ni\Colo. rn(t n,! li.ctr\. i\ i',lnllturc. rtulrllc.r
a -79 s55L
f<P
C(TNSTRU(ITIoN I F-NDIN(; AGENCT'
I hcrcby rflnmudcr ltmhy otr--rjury lhd rh.rc h n con{ru.li,n bnnirs rscn.y n, rhc FrfonMncc orrhc *ork hr $hi.i
'hN lEirnir ir
r!\urd (Sd. :1097. Civ C r
A.ITLI(:IIITLI)}JII.AAAIO!
I lrr$y rinnr trn(lcr r(rrlry olncriury onc oi'hc inlhq ifa dcclirrr .n.
DrnxilIi,r Fcnnir\ Ash.no\ Norilicrri,,n I:.drrxl RcEUIri(ntr (Tirlc lo. Pd6r
Rcqunrd L.lrcrol Nohli.di,
-l
.cnify rhlr rh. fcdcml rcBul,rions Egsding sb.stos rcmwl m mr uPl,liqbb Io rhis pejecr
l cniiy rhdr l hNr r.,J rhis ,tplk.tion oi sr,rc th,r lho $ovc inroamriotr is conccr , .Brc to comt'ly *irh rll Cir y and Counr,
ordina cc\rid Srrrc ljw! rclnrin! b buikling rcr*scdhiivcs ol rhk Cny md County lo cnlcr upon ltE
nh,vc mnrnrncd F)p.ny rur
Aftlir rorA8cfr sigtrdu 1- 7r-l
Pmiree ratu (Itriir){I ., t-
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.4/4//?rt/nbrlL 167--
Final Test
FINAL 4///rq A/llMfil /n)
Notes, Remarks, Etc
-+
Grease Duct
Meler Release
' ,o-t-)8
arnnv'<
o"',,'7'31-I* c*r.*r..{ 6 r, *" -
-=-
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