HomeMy WebLinkAbout40132909 - Permit (2)Permit #: 4O
Pin #:
g-ry
'*to-tz
Project Address: 814 N Pacific Ave Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel; 405-13l-30 Lot: NA
Owner:
Address:
ESTANISLAO VEGA
814 N PACIFIC AVE
Santa Ana, CA 927032946
(714) 392-6535
Qty
1.00
'1.00
1.00
Fee
$65.57
$22.08
$55.04Phone
Tenant Name:
Contractor
Address:
Econo-west lnc
42332 112 10th Street West
Lancaster, CA 93534
(651) 947-2653
State Lic #: 71'1937
Lic Type: C-36, C-20
Bus. Lic #: 371188
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: WSA503271802
Expires: 0l/06/2019
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Wall furnace
Occupancy:
Constr Type
Codel
R-3
VB
cMc 2016
Planning Conditions:
Planning Approval By:Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie 111261201A
Account#
Every parmit issued shall become invelid unloss the wod< on the site
authotized by such pemit is commenced within 1 80 days after its
issuance, ot il the wotu authoized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced.
$142.69
$0.00
$142.69
lnspector MID#: 2018-147880
01 116002 51600
01 1 16002 51604
$22.08
$120.61
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714).647-5853
FeeType Amount
011'16002 51604 Wall Heater/Floor Furna 65.57
01116002 51600 General Plan Update 22.08
01116002 51604 lssuance 55.04
L/26t2918
'Bns+! 33
Ref*:
'11/26/2QPhone:
Noles:
Fee Total:
Paid to Date:
Balance Due:
Date:
Date:
Date:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oIINI]R BUII-DDR DI:LCARATIoN
I hrtuhy rfln r ! dcr p(m ry ol Frjwy rhnr l an cxcnfl ftum lhc (innrrrtrr l,i.rnsc ll$ nn rhr folloqi.S rcasrn lscc To:11 5
Eusi|c\s ,rrl ltrris\i Cod.): Any Cily or (-(trnrry *hirh rcq tr\ x ncirn i' .oi{nr.i. rhcr. inuorc. d.rnoli\h ot rcnaia rny
{flr.iu..- pritr ti irs is{'rn.c. rlso rq!rc\rhc pplicrnr ntr \uch n ann k' filc r silrcd {nl$rcnr that hcor shc is liccn\cd Pur\u nr
n, rtu t,n)rnnnN ol rlr (i'nrn.roas l-i.cn*d t.r$ ((hiprcr 9. ('onrnrn.iu wilh Scclion Tlixl ol Dili\nnr .l ol itt Bu\irrc\\, d
rt,!lunr hr r |{nnn nrnlcclsrhc atpli.rnr ro ac'vilpemlryolnor morcihrn fivr hutrdrtddolln\ lS5U))
l. !s o*mr of lh. pmFny. or my etrll)loyes *ilh wrscs !s thcn sb .lmpcnsdion. will do lh. wmt and lhc $rerG E er
inrcrh oroftcrcd rd sk (Sd.7044, Busimsond ProlcsionsCodq Tnc ConlEcrols Uc.ns ri* do.s nol omly lo owncrof
rhc pmp.ny wno hrlds or hpmts thsetu dd whd &6 Mh wlk hi'nslr or hcrclaor lhmrgh hn or her ow. cmployss.
prolidcd lnar ruch inlewEnh m ml intcnd.d or ofi€En lor s!. ll hoqckr. lh. lniEing 6. irqrcEmd h $h within orc ru
ofon{rLrhr. lh Ower Builds wil naE dE hudcn of prDvinB lnal hc or shc dij ml build or ir{,oE rhc pmFny for tlE purlnE of
-1.
as o*mr ollhc pmp.ny. am excllsiwly Nrtturi.s wnh licensd .onrrchs io on(dd ltE lror*r (56, 70rll, Btr.m(
,d hsltsbn Co&r Th. Controclol s Liccnse Li* do.s ml s0ply lo an oPnc. of pmpcny who builds or imtrcEs llrcrsn-
trnd who snrrrcrs for soch Imj.lls wnh a C.nrBro(9 lten*d f6!a lo rlE Conll.admt LianE L.w).
I mex.mDt undc, S.d6n , a. & P.c. for lhi! rc&n
]vl)ar.E&itraMr[NlArl0N
DECLAAAII]N
I hcrb, lffir !nd( Fn,x,ofrdjuryotu ofrhc folnrwn'g d.clffilions:
-lh.vc
n willn$irrrinuC.niiErirol Con\cnr k,s.lfln\urc r.r workcie corycns iofl.as pblidcdlffbysccrionlTmofrhc
ti&)r cod..lor rh. tcrrbnnncc ofthc trork f{' *hich lhc pcnir i\ h\Nd
45"\c rtr,j{illmninh'n u,dcA cnmn n(rrtr rn\urdtrc!.as rcquirci hy Sccrhn]7m orrh. ljbor c.dc. rfi the lcrt'onMrce of
rhc wn'k,'{ *hi,'h,hF'pcnn( r\ A\ucd nlytrorlc^ c" lnc urion in.urJn.c,rnr' {d Fl*, nu $.r r.
.,... i, SA "l,n-trrl da-aL *'d.a 1,111dI r /ta /.rq
_l dnily rhlr in rrE Frro.nhncc orrhc work for which rnk plrmil is hslcd- I snll nor cnploy a.y lctson ir any fl'umr
$ Nto tEsm suhiccl ro rhc *ortc6 oq,ensarion lass ofcrlifodia. ild den. rhil ial sln'uld hccom subjel lo tlt
wortdl .om0.nsalhn F$visions o a S€clio. :1700 ol rhc Lator Codc.l sh,U. fonhqnhomply wirn lhos pDlisnric..
WARNIN(;: Failurc lo sccurc sorkcr' oDrcnsarion cowrasc ir lnlawrul, Md sholl subicl an cmllorr ro diniol Ftuxic!.ild.i!il nncs up ro om hundrcd rhousatrd dolh6 ($lm.tuO), io uddnion ro rhc co{ ofcomrrnsalion. drtus* i{ lroridcn ro, ih.
inrc,csr lnd anomcr's !!cs
DESIA.SAIION
I h.*_hy lliirDUndcr |rcn.llyofp-rjury lhll I m lien{d u.dcr I]R*nnri.lChsPrs I (mmnErcins lirh sedion 7000) oiDivision l
or rh. ausftrsjtul Prof.si.ns Codc. o.d myli.cnsc h in fulliorcc xl crRr
conrncr.. E OoxJl
IOISIBUqTONI!!DITj!i.{C!NII
I hcrcbyrltnnu cr l].nrlry ol l]trjury rhd rncr. nrcon!'xrli,,n Lndi'is rtc'ky lor rhc pcrfo,nr0ncc ofrhe$o fffwhi.hrhir lcnnir is
h\!cd (S.. .10)7, Civ C )
APPI,ICiNT DFCLARA'IION
llBrtydflinnundd pctrrlry ni|trjury otrc or rhc rolbwinr ncchrurion\:
l)c xilirn Pcrnrirl sbc{os Noiinraiion rcd.,rlRc!uhri(r!(T lc 40. PrrrO
R.qtrtcd t..(cr of Norftrrri([
_l rcdiryrhar rhe r.d.alr.8ul iotrs rcSudirB ashcskN rcN,v.l arc nor {rlicatJlt b rhr pmrc.r.
jdqdi! Ihur I hl'c rcad rhi. lprrlicrr io. ,Jxl dic rh rh. rb\t inlitrmln'. h.orel.I a$e ro comply wirh 0ll Cny.nd Counry
ordind(\ r.d srd. bws rcLxins ro huildn's c.n(rucrion. and ficrchy lurhJria nlrc{ndtcs olthis Cilylnd Co! y b .m$ q$n rhc
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork /-v-/7 D-<-zs I
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
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 l') -1"7 7?-c-z-7
Notes, Remarks, Etc
FINAL
K
ahovc nrmioncd potcny for frpT *" r, Jur/td
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