HomeMy WebLinkAbout40132263 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mecha n ical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2409 N Forest Ave Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 001-063-04 Lot; 147
Owner:
Address
FRANK MARTINEZ
2409 N FOREST AV
Santa Ana, CA 92706
(503) s104426
A}\e, t'^Fe6 Typ6
> 011'16002 51604 Envir. Air Other
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
33.89
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$33.89
$21.25
$s2.98Phone
Tenant Name:
Contractor:
Address:
GM Remodeling & Roofing I
434 S Broadway
Santa Ana, CA 92701
(503) 510-4426
Botchi:{{466 - 6/25/2OLB I0! CCUEI-I-AR
offic€: CTYX Trons+! l5,l ? ol 3Acct+: Refi: 4r.1132263
Fcpti:02303396 - 6/21/2ttg 1|2tt Pn
Trorsoct ion Totol t58?.?7Phone
Slate Lic #: 1033221
Lic Type: B
Bus. Lic #: 369227
Workers' Compensation Insurance:Canier: Accredlted Surety & C83ualty
Policy #: 1WTCCAl70,t235t56
Expires: 04/1612019
Gn Rerodelinq & Roofins InE
Generol Plon updote FEe
01116002- 516000(10-
llechon icol
0111@02- 5160400(r-
V iso
CC?: *r{**r*r**ir2248
_ 921 .2$
_ t86.87
$ts9.97
Auth+!01321.1
Building Use:
Job Type:
Nature of Work:
Single Family DrYelling
Miscellaneous
Vent fan
R-3, U
VB
cMc 2016 Notes: Vent fan
Planning Conditions:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued Amsden, Julie o6t2512018
Account#Subject to Field:
Building Permit #:$108.12
$0.00
$108.12
Every permit issued shall become invalid unlessthe wo* on the site
authorized by such pemit is commenc1d within 180 da$ after its
issuance, ot il the wor* authoized on the site by such pemit is suspended
ot abandoned for 6 peiod o1180 days aftot tho time the wotu is
commenced.
01 1 16002 51600
01 1 't6002 51604
$21.25
$86.87
Fee Total:
Paid to Date:
Balance Due:
Permit #: 4lJ132263
Pin #: 96665
Bldg:
Tract: 1608
Planning Approval By:
Occupancy:
Constr Type:
Code:
lnspector MID#: 2018-144295
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
It/etal Fire Place
Evaporative Cooler
Furnace
Compressor
lt/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Meter Release
FINAL ,)v(^>7//t /<
^cnNotes, Remarks, Etc.
ot/Y,t
OWNER BUILDER DELCARATION
I hcr.l,y lJtm uids Foally ot F{ury lhat I m cxcft fiom fic Co.rtem^'Lt.n* Li{ for lhc followi.S lwn (ser03,5
Busirc* rld Prcfcision Codc): Any Ciry or Counry ehth EquiEs a Fmh lo €oBrod. alt6. inPtorc. d.mli.h ot q'en any
srruclm. pri,r to ils bruft.. lho rquircs thc q!,rt..i lo. sh Fmit lo file s si8ftn sl3r.m.t lhal h. or sh. ii lics@d plmain
ro Oe prcvirioB of lnc Conrslmt Lic.n*d Liw (chq,lcr 9. conmcncin8 {irh setio. 7000 of Dilhion I of rhc B8ir.ss and
PDlc$iois Cod.)or.h.l lE orshe is.xcqll lhcrcfromald llr b4\i.lot rn dh8.d cxcq,lion. Anrvioblio.ofs..riotr?03l.5byany
orplicarr for { p.mir subjcrs rh. applica lo a civil p..dry of Nr mE lhln nre hundrcd dollrs (Stoo).
-1.
tri owmr of rtE prnFdy. or ny €ng oy(s wi$ {asB !s rhcn ob .oq,cn$lion. will do rhc h* ad rlE eMrE is ml
inrcftl.t u offcr.{ for sh (S(.1X4. Bu.ifts. .nd P,nfcsions Codc Ahc C.nlra.loai Lienc tjw d@s nol 4ply lo d o*ftr of
rh. peicn, who blilds n inpEws tltec !d whD do.s skh slk hintllor heMlror fimugn nis or hcr oq.n loyes.
pbvidcd rhar rkh inlormds N ml inlcndod oroficr.d for slc.lL hose8. tlt tdillirg ot itprowmr i3$ldwhhinorcJEd
of co.tDlctio.. r,E Owtur AuiLto wi! h,vc $c ttrrdd ol Fbving rld h. or slE dt ml h d or inlprct 0r tmrfiy rot 1tE l,ur]Is ol
L ds owncr ol rh. prupcny, !m.xch\ivclyconrdcrin! with li.cnscd ronhdou ro onsrtucr Itt poj.cr (s(.7014. Busirc$
and,\.r.*irC.dcrTh.Cont0clolsliccn*Lowdocsmrolplylo!nowncroiptuFflyehohuildsotimprctsrhcEon,
and wno coorrrcl\ for suchrrejdk wnh ! C{,n!6do(\) lkcnscd ru^unl to rhc Conrrador's Lien{ Llw)
I imcrcmo udcr Sccl
IIOXf,EIN:COMTINSAIIOU
DECIABATq!
I hercby dfirm !nd.r pcnally of pcriury orc or lhc follo*ing d*lqarionrl
-l
haw dd pill mi.tsin { Ccnificrlc of Cons.nl to Sclf-ln$rc for klldi onpcnserion. d pm{idcn for by Sccrio. l7(D of ln
lahor Codc. for rhe Frfolr]@c of rh. mrt for whhh $e pmn i! ku.d.
-l haie rnd will mainrdin wort .6 comr.nslt ion iNuramc. es rcquircd by 56l hn 3700 ol tne bbor Codc. lbr lh. Il6fom@ of
rh. tr.rk lar {hich rhn !rnnir My workns comtEnsation in\u,lncc .ari dld Flic, numbcr sc:
el oq.H4ua',g
Cc.-
I.cdiry rh.i in th. pcrfoinEmc ofrhc sork tu shich rhh t'c,n h hsucrl.I shlll nol en{,loy an, I'cBon inanymon.cr
s as to tEom subj.lr x, ric {o c( .on{rnsarion l.wi or Califo,nir, .nd osE fiar it I rh,uld bc.om subitl lo rtE
sodcrs oiFnetioo povi,ions orscction 3?00ofthc titpr C(lc.I shrll, Ionh*irh snply wilh lhos pmlist nr
WARNINGT Flilurc lo surc workcs' d,mrcnsarion owBgc Lr unlaw6il. a.d shall subixr o .rploFr lo aiminol lEnaltics lod
civil ,i.cs up lo one hundrcd thousnd dollds ($100,000), in lddiiaon lo rlE cosl of conwn$ri61 damgcs !s provited lor lh.
LlcllrEllcoNraacraa
DDCLABA.II!}N
I hcEby !fiinn undq p(nxlry ofrcrjury Ih,r I nn li..n$d undcr pmvhion ofChapr.r 9 (coFmtuin8 wnh SL{rbn 7(D0) o! Dilkion l
o, rhc Busirrcssond Pmltsionsc{dc, and !,y lkcn{ n in fullnraaldclid.
Z:Z-I
CONS']IIIICTI(IN I FNDIN(; A(;IiNCY
I hcrcby,lltm undcr p.nalryofncrjrryrhd rhdrc n,cotrirucrinr lcMinsoscmy tor rhc Pcrfornrmc oflhc wo f( which rhis !.rnrir il
issucdiSc.. :l097,Civ C.).
I ccnilith.l rltLdcrrlrcsululions rcBuding a\h.{.\rc xrhltc nor ,lllicnblc Io lhis pojccr
-l
anify lh, I havc ,cad rhis lppli.arion and i,rc rhal dE abovc infortulion h .or.cr I tr88lo corrtil, wilh allCny rnd County
otrtinorccs urd Srarc l,ws rcbrins I{, blildins.dn{ddion, d h.rcby aurhoriz rcprcse triE\6llhhCnymd Countylocnlq utDn lhc
.bov. mnrhnol pmFny fo!
Amlicanr.r Ag. SiBml (o
EI
Grease Duct
Final Test
t n<Lr'3 Nmr
-
LrndcfsAddrc{i
-
rpu rc,r-iiiiiiiirnor-
I hdxt'y rffim undcr Fnahy .f pcriury onc ol rh. t lb*ing d(lnral ions:
Dcmnnion Pcrmirr Ast $os No icdion Fcdsal Rquhl bns I rnt ,r0. Pd6)
Rcquircd L.ltcr of Nolifntion
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