HomeMy WebLinkAbout40132272 - Permit (2)Assessor'sParcel: 010-152-10 Lot: 6
U nit:
Block: C
Bldg: Address Range:
Tract; HENINGER'S AOD Historic: No
Suite Range:
Zoning: SDlo
w
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 40132272
Pin #: 36945
Ownerl
Address
Conlractor:
Address:
Belen lbarra
610 S Broadway
Santa Ana, CA 927015642
Quality Air Condition and H(
18375 Ventura Blvd #159
Tarzana, CA 91356
(818) 822-0828
Fee Type
01116002 51604 Furnace/Comp Combo
01116002 51600 General Plan Update
01'116002 51604 lssuance
Amount
122.16
21.25
52.98
Fee
$122.'t6
$2',1.25
$52.98Phone
Tenant Name:
State Lic #: 903052
Lic Type; C-2O
Bus. Lic #: 367385
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9103075
Expires: 06/18/2019
Genenol Plan ljpdote Fee
01116002- 5r600co0-
Fechon icol
01116002- 51604000-
Vi so
CC+: **r*rrrr*r**8120
_ i21 .2t
$175.14
s4s3 ,49
Authi:0034??
Botchi:{{s07 - 6/27 /2018 I0: Cct,Ei.LAR
0ffice: CTYH Tronst: 8g ? of 3Accti: Rpfi: 4tll3?272
Rcpti:02304836 - 6/2? /7018 Stttg Pn
Tron3oct ion Totol t453.49
ouolits Air Condition ond Heot
$196.39
$0.00
$196.39
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Comp
Mar, Escarlet
$lernanoez, xatny
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2016 Notes: c/o
Date
Date
Date
06127120't8 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
06t2712014
Account#
01 1 16002 51600
01116002 51604
$21 25
$t7514
Fee Total:
Paid to Date:
Balance Due:
Evory permit issued shall become invalid unless tho work on lho site
authoized by such permit is commenced within 180 days after its
issuance, or il the wor* authorized on the site by such permit is suspended
or abandoned fot a petiod of180 days aftet lhe time the work is
commenced.
lnspector
Project Address: 610 S Broadway
Qty
1.00
1.00
1.00
Phone:
Building Use:
Job Type;
Nature of Work:
MID#: 2018-144342
APPROVALS DATE ID/SIG.COMMENTS ol!Nillr Btrll-DllR Iral.cARATloN
! hcrchy rllnnr undcr t^-nrlry ()r l.rjrt rhJr I rnrcrcnrPt iron rhc G)ntact,^ Li.ctr\c Lr$ ri)r rh. nll,,trin! rcrv (Ss.7rll5'
tru\irc\\ rDd Ptrnc\si(in Co,lr) Ary Cil, or (i8 y whi.h rcquiru\ r Fnnir r) cotr(rucr. lllcr. i |]s,vc, dctrhlirh ,t rNir uny
{ru.rur.. nri,nn, ir\ is\utr cc. ilso rcquircs rhc apdiu ftn st.hFnnir n) lile! \i3nc{t (rrrntir rh.r hcorshc i\ liccn\cl Pur\u Dr
lo rhc pnvision\ ol rlt c()drr.tr's Liccn$d ltN lchrPr.r t- Gnntfi.i|! wirh S.ction 7(xl) of Diri\i( l olrhc hr\ilc\r anJ
Pn,rrsnnr\ Curlc).r rhd lEor \|rc l\crcmpr rl,cr.frotr1ui rh. hr{i\ li,r th. rllcgctlt\!mP!n)n. ADyviolnhotr.lSccli,)n7(,.11 5byriy
rmli.!nr r r p.mirsuhjccr\ih. arlli., r. r.iril|tnilryolnot nFrcrhrn iirc hundrcddoll{\ l$5(x))
I. at o*tur of rh. pmltny. or my cmtlolcc\ sirh slgt\ $ rhcn {tb co$Pc.$lt,n. sill du rhc solt :trt lhc srr!@ i\ nor
ir.ndcd orolltrcd,nrslc{S(7(x.1,Bu{incsnndPn,ltssionsCodcThcOnnrtror'\t-iccn\cl,!$doc\norJrityk,ttruwndol
rhcpmFny *hu bur[s .r iqr {nc thcron,, u *lx)&ts\rhnb*hi'.scl,orhcrsclfoirhr.tr8hl,i\orhc'otncnlpbvc.s.
prolidcd rhrr su.h nnffrvcm s ar mr irrodcJ or orctod for s lt I( h)Ncvcr. lhc builling dr n\rmvcmnl is sk] + irhitr oic y.u
olcoq,hrhn, rhc O*mr BuiHs will hlk rrr bu.dcn otrrovir8 thlll lEor \hc dil mr hiu or inryovc thc pmpmy for $. pulr.* f
-,.0sosnsotrhclDpcnt.a'n.r.lu\ivcly.otrtldingwirhliccn\cdcona(ttrsr.consruclrhcPmj.crls..70'14
3u!im$
anl Phfs\bn Codd: Ihc Cotrtrctoi \ Liccnsc I !u dod\ ior rtPlyro 0no*ncrolProp.nysho hurldsor inlrcvcs rhcrcon
.trd who $ntrucrs li, ruch p(,rc.rs with d c.nridon9 liccnscd puru!.r t,rh. cbntn.ktr s Liccnsc l;'*)
_l mcxcmfl udcr Sccl
laatrE&r:coMlBsArl!}!
DECIdIAIIO!
I hcrcbt uffirm un&r pctrllry of p6j!ry orc .r U. follor in8 d(la.lions:
I hav.:drlqill nun rir.Cc iti.r,c otCo {nr b Scli t.surc lor q orkc^ 6mpcn{drion, $ pn}vidcd r'o'btS.criotr]Tmofrhc
lltxn Culc, r(tr rhc p.{omDnc. ofllrc work lor qhih rhc,,cnnl is tsucd.
I hivc ond will Minllin *orkers .oo!.ns.rion insurarcc. N rcqlirc{ hy s*ri.n ltu of th. btor Cod.. for rh. P.rfomre ot
inc wo* for *hict lhis limit is iseEd. My wort6' onpcnsolion in{ramc cmicr sln poli.y tumt d @l
PdicyNrn,hlr
-Lxlnc\:
I Nniry rhd in rhc rcriorrone oa rhc work ror which rhn pcrm n hsled. I rh{ll nor cnlloy any |lc*on in any mdrct
s s ro b.co'E slbFr ro rhe uolknc mn!.nsalion hss of Calitumia. ud t8@ lh.l if I should lxcom subid lo llt
workcr comtcnsarion Imlisi.nsofScdion 3?00 ofthc titnr Codc.l shtrll, fonhwilh mnPly wnh rtn€pmvrions..
WARNING: Fsiiurc ro surc workcn co.{Enn iotr orcms€ is unlnwfui. and sholl suhicr ,n copk,}!r ro aiminll lcdlrir and
ciril fin$ up ro onc hundrcd lhols0nd dolltrs (SI00.0OO). in lddilion to rh. cosl olsmr*n$ln'i. dotr8cs as pmlil.d t rhc
LIcENSFDC()Nrll (1',ftlll
Dr:cLr.[aIIqN
I tudhy im n uM.r ri.ntrliy ol pcrjry rhrr I Mr li..n{d u.d$ f)risirr ol ChaPro 9 (.omnEncnrg 'irh Sccrk,n 70(x) r .r D'viion 1
of rh. Bdsi.r*md Pr,fc\snnls Codc. Md nrylircnv i\ rullro.crtrdcltcr
a7-o 'lo \o Sz
I
PPI ICAN'T DF(:I ARATION
I lBrh, rfim undrr l]ctrrlryofp.rjury onc olrht lalhsnrg d.cl.rrrions
D.nNlirion Pc nir\ Asb.io\ Norifiurion tr.dcrulRcaulari.trs ('lirlc40, Pd6)
_Rcquircd I.(d.f Nollrr.tiotr
-l
.cnify rh,r rhc fcdcml rc8uhliofls rcgodirg a{Bros rcn,,al arc nol aP[,lkab!: lo rhk pmia1.
-l
csrity rhar I hrv. ,.dd rhk appltarion .!n shle filr rh. ihovc inlormlion is .odl. I .gG lo comPly wilh lll cnv and coulv
ordiMtrccs ond Srare ljsr ebrirg ro hoihi.S construclior ad hcrchy nurho.izc Elmsc arivcs ofthh Cny and Colnlv ro c.to Won thc
lhrw mntioEt pot,cdy lor insp..r
Applicanr or &cnr Siguru,c
.:ry o 6lt+ I 4
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
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
Meler Release fi^
FINAL -7/t7,/t{/rf-\-t^
Notes, Remarks, Etc AJ (,(./
MECHANICAL-INSPECTOR RECORD
SNdon 1076 of lfie l,tnr C.dc. i.lcrcel ond sllomy\ tes.
o,,,,oC/L+l 1g nor,-,, (
caNir8llquNrEruxli-&GE!.cl
I hcrby lfir undcr lEnrlly o f perjury rh,l rhcru is a consruclbn Lndine ulc,ky for rh. ,'sfomEncc 6f rh. sork for whkh thn lamn h
hsucd (Scc 1097. Civ. C.).
GnJcis N!'m:
-
Smoke Detectors lnstalled
\
,}
.
\'
.
i
r,
;-
:
.:
i
.l
IIqDul
Fotr2oJora.
)
')oct
)
UJ
l>
oZa
o
o
o6(.
]
)
()
lr
i
@.LFoTI
J
::
J
II
i5
I
ut
o-
i-l:EEl!
IL
.Y
LU=i
1r)
::
)
r.
l
l,
l
,
UoJ4
(r
E
C)
F8x
o6
F=TE
Ll
J
I
ii
:l
II,IIt*
,
is
ECJ
r!
ll
Jc]oc.
l:
l
C)
()
N\'s'
:\
(&L/
)$v
s\
c-
.NSI,.
.
cJC
C-i'.
,
{sc
)
-J
-
i>c(-
6
o,tfiZ{J(L
5"):L{
-\q-J
Jq
\
-t
'i
l
-J
i
'-
,
'l
?&-ulFU)
L\
Fi
)
n
rt
lt
ll
li
.,
"
'1
1
'
ozaUJ
(5Zo
@J0_
oct
\..
.
,
1
\aaL1
\i
\)
\
('
-Nl\J
c.J
,tF,
rlJ
.\f-
.a
)
5a)c\
;il,
)J
.))
ul
ILFx.EIJ
J
tL
Y
t)
ad7oL)?
ot2fz.
{Jo-
5i)*"
'L
eJq
;L1
l
1
,}t<
t)
,t
al.1
:
a;
,l
r
ii2
\
,(
t
t-
L
l
\s
,,
c)
-
\
f.
t
-
5
\-
\
:i
V
*l
.:
{
'l
,
t
lr
'
..
.
1
{i
J
(f
t
:
V.
.
s
..
9
IJ
i-
r
'
l