HomeMy WebLinkAbout40132139 - Permit (2)City of Santa Ana
Permit Counter: (7'14) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 40132139
Pin #: 63463
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4\ 647 - 58 53
Project Address: 2010 W Eleventh St Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 004]173-22 Lol: 85
O\rvner:
Address:
Hugo Hernandez
2010 w 11th st
Santa Ana, CA 92703
(714) 936-9514
Fee Typ6
01116002 51604 Furnace
0'11 16002 51604 Compressor
01116002 5160C General Plan Update
01116002 51604 lssuance
Amount
63.'14
86.82
2'1.25
52.98
Qty
1 .00
1 .00
1 .00
'1.00
Fee
$63.14
$86.82
$21.25
$52.98
Tenant Name:
Contraclor:
Addressi
Temp Air System
2648 E Workman Avenue, #1
West Covina, CA 91791
(626) 482-3175Phone
State Lic #: 807933
Lic Type: C-20
Bus. Lic #: 335880
Workers' Compensation lnsurance:Cafiier. Norguard lnsurance company
Policy #: TEWC893547
Expires: 09/15/2018
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type:
Code;
R-3
VB
cMc 2013 Notes: Mechanical
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web user v 05t2312018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the work on the site
authoized by such pemit is comnenced within 180 days aftet its
issuance, or if the wo* authoized on the site by such permit is suspended
ot abandoned lor a peiod of180 days aftet the time tho work is
commenced.
$224.19
$224.19
$0.00
lnspector
N/A - No Balance
Btdg:
Tract 1685
Phone:
Building Use:
Job Type:
Nalure of Work:
Date:
Date:
Date:
Fee Total
Paid to Date:
Balance Due:
MID#: 2018-143542
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE COMMENTS OIII\EB EUILDER DELCANATION
I h.Eby .litrm urds petully of F.iury Ual I m ercnlpl tDm lhc ConlrutoE Lictr{ ttw lot ll* folhwinB Een lsft.7ol l 5
Blsin€ss aln Prcfc.sion Cod.): Ary Cily or Counly *hth rcqunc! ! pcmh t! ensltucl, allcr. itrorolc. &mlr\h o. EP&r sy
srrururc. Fior lo irs nsuo.c. rl$ rcquirc. rlE applicd lor such pcmi to nh a siSncd rlalcmfl rM h or shc i\ lianscd pur$unt
r. rhc pmvisio.s of ttE Conrrocrtr\ Liccns.d L$ (Chal,rd 9. CommminS whh Scction ?000 of Divhion 3 of th. Busin.ss lnd
Pof.ssioN Codc) or rhnr lrc tr slE i cx.ftfl rlErclrcm and rlE hcrir aor thc dlcScn cxctrplion. Ao, violarion of S.tlbn ?03!.5lry lny
arpliclnr for ! Fmir slbjdlr rhc qrli.anr 16..ivilp.nlltyofml me lh!. five hun&.d doll&s (5500).
-1,
.s ovncr of rhc !,!Fnr. or ny cmplor.es wirh wdgca rs rrrn $t smpcn*lion, *itt do rh. wo* and $c nrEt@ i\ Nl
inrc(H or oficdn for $h (Se.7oa4, Busimss and Profcsions Codc Ih. Co,t.adols Ltcn* L.w &Es ml arrly ro d owrcr of
irE lop.ny wln tlitls or nrpDt6 fice( tud *h6 dB sh slt hirelf or hcr$la ot lhru8h his or hcr o*n en'ploya..
provucd rhlr such iolrnwmnt e ml inlddcd oro,Ic.rt for sak, li hoswi lt tDiHinEoritrOowtr i, $U witnin onc Jqr
ofodpLlion. tlE O*rcr Blitd sill h.rc tu hrd.f, of pDving thd lE or dt dii mt hrld o ir9ret 0E pmFrty for tlE ruI.$ ot
-1.
as owrcr of the Dron ny. ao .i.lNirly conreling *nh lic.nsd conraclon ro oniM ltE r.mi{l (Scc 7Ot4 auriftsl
nnd Prnfdsir Codc: Thc Conrrslol s Lice.t Lrw d@r hl lptly to u owncr of tftp.ny who huildsor imrmvcs rhc,eon.
rnd who ontocB lor such pElels wnh a ConlEdo(9 licctrsd I,!F@or ro ih. Conlroclols Lia.s lj{).
-l
dn.xc6pr urdd S€tion- B. & P.C lor lhir ltM.
Drle:
-_
Om
lr]atrE8l-goMtlNsAro!
DEq,ABAIII}N
I hcrcby afiirm undcr pcMltyofpcrjuryon. otlhc following d*ld.rions:
lhr\.n' rlllnridniruCcniltrrlcolG'n\cnrbScllln\trrctrqolkcr{conDct\rri{n,.r\In!lnhdnthySccri{nr.l7(x).lrhr
lrt$(irfu.,nrrhcFrlt' rnic. oirhc von( klr whi.h rh. lcnnit i\ i\\ucd
t hav. lnd *ill nuinrrin *orkc^ .orqrnetiot insursmc. .s rcquirn by S*r ion :!70o ot lh. tihor Cod., for $e pt,folitl!re of
rlE work for whkh lhis l,cmil i3 iisEn My work6 compcnsdion iNuratue.ei.r ari Plb, nunbcr e:
-l
ccnily rhal in rhc p..forerc oftlE *ork tor which rhis p.,nil k tsucd. I shsll ml cnPloy.ny P.@n in lny mnmr
s I to b.rom subiccr ro tlE el}oi con{E.srion lows.f Califoni!, ! a€te rhar ifI *hould 6ccom suhtct to rhc
worksl orrp.nsarion prcll\ion! of Sdtion 370() of lhe tibor Cdq I shrll. aonhwith @mply wirh thos l,mvisioni.
WARNINC: Ftrilurc ro sN *ork *' @nr.n$iion owdE is unL*tul, snd shall subiil o coFloFr lo qimind !.Mlrica..d
civil nn.r up ro om hudnd lhoo$nd dollm (CIOO.OOO). in.ddilioD lo llE Nsl ol con{4nslion, d.m8.s ss prova.d fo,lhc
Sarion 3076 of lhc kbor Codc. inlcrcsl dd lltomy\ l*(
Dale: - Apruenl:
Llsltr5ErlcaM&lcrca
uist ASAM!i
I h.rchy alirm uMcr ll..ollyofpcrjury rhdr I m li{trtd undd r$lision (lChrprg I (tnnrcncin8 wirh Ssrio. T(xx)) orDivi\ion I
of rhc B!\irc*6d Polissiors Codc.0rrl nryli.cr{ n ii llllfttr.c utdclfNr
Licnsc Class:-Licns. Nunhcr
CANEIBI]CI:IONIENDIIGAGENCI
I h.eby amm undcr rnrlty ol pcrjury rhlr $@ is a ondrucr ion lcdins uscncy rdr rh. pdfonmncc ol the Mrl lor which lhis Fflril i3
isiucd (s*, J0r7. civ. c,).
APTLIIANI.D&CTASAIII.IN
I riftby dnmundcr pcn.lly of pcljury om ofrhr folhwnrg d.cL$riotrs
Dcnxnnion PeirnnsAshcsros Nori,l.arion Fcdual R.Eul,ri.ns (Tirlca0,l'!n6)
-Rcq!ircd
l,cn.r o, N.ri,l.ili.n
-lc.nilirh
rhc firlnllregularions rcsudi.s 6lt no\Etuvdldc nor.Pplic lelolhnPtu.tr
-l
cerlify rhar I haw rcld rhk sDplicilion !d slalc ltll lt lhot i.fomurion is coffil. l a€@ lo onply tirh trll Cily lnd Counlv
odimm.s ed Srllc L.*s Ehring ro buiuine @nit@rio.. aid h.r.by auttsri4 eft*.ralitcs of lhis Cny and Coufl, ro .nlf trPon llE
abor ftiliorcd popeny for insp.rlio. plrposs.
Pcrmile nlnE (prinl):_
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release
FINAL 9/6he ,(,(,/il1'/
Notes, Remarks, Etc
ID/SIG.
Smoke Detectors lnstalled
Other
, ('onlr.dor
Applicdr or A!!ot Si8mrurc:-
-
Drl.:-
-T
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