HomeMy WebLinkAbout40132362 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mecha n ical Permit #: 4lJ1323G2
Pin #: 27299
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: 17 1 4) 647 -5853
Proiect Address: 607 E Russell Ave Unit:
Block: NA
Btdg:
Tract: 2483
Address Range:
Hisloric: No
Suite Range:
Zoning: RlAssessor'sParcel: 014-231-05 Lotr 64
Cindy Rafter
607 E Russell Ave
Santa Ana, CA 92707'141'l
(562) 412-9140
Fee Type
011 16002 51604 Furnace/Comp Combo
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
126.90
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$126.90
$22.08
$55.04Phone
Tenant Name
Contraclor:
Address:
WCHeating&Air
41085 Golden Gate Cir
Murrieta, CA 92562
(951) 600-0700
EotEhi:44914 - 7/2fi/2ttl8 ID: LR0SALESoffice: CTYH Trons+: 15 2 ot 2Acctlr Refi: 4013?.j62
Rcpti:02328703 - 7./20,/201S 3:05 Pn
Trcnsoct i on Total l4i6.llP hone
ly'CHeatinetAir
Generol Plon Urdote Fee
01116002- $1600000-
Itechon icol
01116002- 51604000-
ICL Check 058461
i2?. (r8
tlsl .94
9.'t56.11
Building Use:
Job Type:
Nature of Work:
Single Family Owelling
Miscellaneous
HVAC
Occupancy:
Constr Type
Code;
R.3, U
VB
cMc 2016 Notes: Direct changeout of furnace & lst time installation of
alc
Planning Conditions:
Planning Approval By: Guevara, Jerry Date
Dale
Date
07 t2012014 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field;
Building Permit #
msden, Julie 07120t2018
Account#
Every pemit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 180 days afret its
issuance, or if the wotk authorized on the site by such pemit is suspended
or abandoned lor a period of180 days afler the time the work is
commenced.
s204.o2
$0.00
s204.02
lnspector MID#: 2O18-144823
01 1 16002 51600
01 1 16002 51604
$22.08
$181 .94
I
Owner:
Address:
State Lic #: 779604
Lic Type: C-36, B, C-20
Bus. Lic #: 345089
Workers' Compensalion lnsurancelCarrier: Cypross lnaurancG
Policy #: WCWC907593
Expires: 0110112019
Fee Total:
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECORD
ID/SIG.COMMENTS otvNtR atrtLDER DtiLcAt{A'l.loN
I hcrchy rllirm uftlcr I'Cnllry i,t pcrJury rl r I ir crcnrnl liTnr lhc Codrr(tr\' I-iccn* lis itr rhc lnlk,wnt rcrrnr (Sc..70.11 5 !
Bu\ir.\s an ltofcsi,'n C tr): An, Ciry or cou rt whi.h mitrnc\ n ti..nnir b .on{ru(r. rlrcr. irnlnrvc. d.nmlnh ,{ rq'rn . ry Infl(ur.. prinn) ir\ n\urnc.. dln' ruquirc\ rhr 4rli.rnr for \x.h Frnrn b ilcn sSncd {rr.nEnr lhrr hcoi ft is liccn{'l nuNr '
r, rhr r{,ri!i,in\ ol rht Cotrrrr.tn ! l.i..n*d ljw rCirpicr 9. (imnrici'r! wirh Sr.ri.n 7lX)O ol Divisnn! :l of !hr ltu\inc\s rnd
rpfli.rtrrttrr|xnnir$hJ.dhrhc.tllicrnrhrcivilNlrlrtornrrn*rh0nlivchundrcndolllrslS5ix)).
-1.
a$ owrr of $c FDtEdy, or my emplorr.s with wag.1 {s rhcir $k sn,..sarion. will do lhc wo* .nd tlE slr*!@ is mr
intcdcd m oficEn for sk (Sa.7044. Businc$ snd Prcfcasions Cds: Th. Conmclor's Licensc lls docr mr alpl, ro oercr or
rhc pDfdry wh. tril& or in mB rh.6r. rld stn &a su.h wlk him$ll o. hcNlt or lhou8h his m h.r osn edFlores.
pmvacd lh.l such impmrcmnlsmnori c'i.i or off.Ei lor sh. Ir, how.w, rh. bilding m inprDmnl is sh Nitl , onc try
orcorpLrir,.. rhc Owtrr Buildg will h,rc th. hlrhn df prDving fid tE or {E di! Ft hru or iq'or U* pEp6r, for tlE l!ryb€ or
-1.
as owmr ol rh. pmpcdy. m .rctusiEly conlreling virh lieD*d conlraclou lo snsrNcl ttf, prci(l (Se. 7044. 8!\ircs
dnd Ph6$sim Cod.: Tnc Conk!.rols Lircnrc Lls des mr !!rly ro u osocr of Oropcny who buildi or iotmvcs rhercon.
,nd f,ho 6 mk lor sEh I'oids wirh r Co mdorls) ILtnsd putru!trr ro rh. Conrrlcrols LtcnE Lr*).
lxtrrcrcnrtn urld S..ri{rr .B &P( ntrrhi\r.r*[
lA8trE8S:CAlIlENT6IlA
DECl,1tf,A[OX
I hcrcby nfilrm undf pcndry oa p.riury oB old. followin8 del,frlions:
l.rh, (,rl.. nn r[c Ix o'numr of rtu sork lnr \hich rlr tLn r n'\{[d
x hlvc and will mrinloiD sorkcr' comFnrllion insummc, al rcquircd by S*l ion :170{ of rhc Labor Codc, fo. ih. pdfo,rlmc of
*ork for whrn lhis Frmil is is\ucd. My worken comFnsal ion itrsuEmc cMid oid ,blk, n!6ber e:?%s5.qDZ93 q
7
",K K,", ",,,,:.,,,,",,,,,,",-l
enify rhll in $c !.rtormftc ol rlr sork fo, ehth rht p.ml i3$ a lo t.om subirr io ihc *oltm'omFnsarion |rws of C.liromir.m*s' 6n{a$ado. pmvisioBof Sslion 3Tmolrhc tjhor Codc. I
snd u8.c lhal if I stntuld b.com suhjecr ro rh.
shn[ ronhuilt @nrply qnh tk,s pdvhions
WARNINC: Fsilurc ro surc wrl(crs oopcnsjrio. covc6B. is unlawtul. and sh{ll slbjcd 0n cmplorrr lo aimin(l ttMhtl and
.ivil nncs ut, ro oft nundr.d rtsnsnn dolles ($l(x),(xlo), in rddilion ro ihc cosl ofcompcnsation, dotuscs !s rmvidcd for rhc
LICIILTDDI;ONIAACIAB
IIIiIIAEAIION
I hercby annnlndcr rEnahy ol rBrjury rhnr I d licciEl ond.t Foviriun otchaprcr 9(.omnEncins *irn Sclhn ?(xrc) ol'Division l
oi thc Busircss 8nd PK,fcssio ns Codc. od nryliccnsc h in aul, {ffcc ind.frNr
o ry
a
COIEIf,IJqIIANII;NDINC.AIiENEI
I hc.ch, !finm undcr pcnallyolFrjury rhlr lhcrc is a consrdcrion k dins a!.ncy ftr rh. pcrrannrncc ollhc work aor *hich lhi\ Iictnril i\
issu.d(Sc. 1097.Civ C )
1IIIUTANUISCIAX{ AN
I tr', linnundcr r.llry otp.rjury onc orlnc t)lbq,inr dcchrnrion\:
Dcnrnitr Pc.nrih A\trios Norilicrio. Fcd.tul Rcgulxrion\(Tirt 10. Prn6)
-Rcqutcd
lr cr of NorincJ,nnr
-l
ccnit that lhe tcdcral rcsnllrilns Egddins u\hc os ,cd,!al dc nor lpt'li$lc b thh liojct.
I sdify lhd I h,vc rcod thk trprlic0iion o,n st0rc rh0r rhc ohrc informrion iscotur.l !!re h.onlJ)ly uilh,ll Cilyand Counly
ordinaR-c\ !nd Sr!rc Ii*srcl ins h huilding .onstudbn- nl hceby JUrh,rn. rcEc*nlal ims
ubovc nEntiotrcd pmrcn, for insl(lion
Applicunt or A8c.l Sisnaturc:4_s
.::v:/;-
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
It/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Delectors lnstalled
Rough Ductwork
Venls
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Ducl
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL
Notes, Remarks, Etc.
APPROVALS DATE
lnstallation
L.ndcr'r N.E:
-
I
fI