HomeMy WebLinkAbout40132083 - Permit (2)qProject Address: 1014 S Harmon St
Assessor'sParcelr108-342.17 Lot: 62
Unit:
Block: NA
Bldg:
Tract: 2535
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
l nspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mec han ical Permit #: 4Ol32OE3
Pin #: E6499
Owner:
Address
Contractor:
Address:
Rogelia Sanchez
1014 S Harmon St
Santa Ana, CA 927042014
(7141 474-3562
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 692401r
Fee Type
01'116002 51604 Furnace
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
63.'14
21.25
52.98
Fee
$63.14
$21.25
Qty
1.00
1.00
1.00Phone
Tenant Name:
Eotch+:43669 - 5/9/a2t7t toff ice: CTYH Trone+: IAcct+l Ref a:Rc,li.02260?g1 - l19 tart7g
I ronsoEt ion Totol
JO I /,:CUELLAR
lsf3
4t:rl32r:lgI
1(r::;,1 An
t11?.6r
Slale Lic #: 704111
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsurance:Carrier: Ameflcan Home Aaaurance
Policy #: WC026'163040
Expires: 0710112018
REI ioble Energy I'loncrsr/i
Generol Plon Updqte Fee
011160(r?- ll6t:r0Lru-
l1€ch6n icol
0111600?- 51684ct(fl:r-
ICL Chech 0069i7
i?l . ?5
r1l6.t?
t4t9 . 11
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
FAU
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 20r6 Notes: c/o
,pt
Date:
Date:
Date:05/09/20't8
Account#
0'1116002 5'1600
01116002 51604
Fee Totall
Paid to Date:
Balance Oue
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every pamit issuad shall become invalid unless tho wotk on tho slte
authorized by such permil is commenced within 180 days after its
issuance, or if the wotu authoized on the site by such pefinit is suspended
ot abandoned fot a period of 1 80 days aftet the time the wo* is
commencec!
MID#: 2018-143246
$21 .25
$'1 16.12
$'r37.37
$0.00
$137.37
Phone:
lnspector
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDEN DELCARATION
I h.Eby .ffrn uodft Dcndly of pcrjury lh l m erenol f&n rhc ConlracIoB Lk.ns L,s tor lh. followinS rc&en (Se.?011.5
Busincss ad Prefcssion Code)r Any Ciry or Counry whth 'quircs a lsnil lo connocr, sllq. inttorc. &elish 6r dPu tny
srrudoe. prbr ro ns irsuare, abo rcquiN lhc lpplisl for $.h pcmi ro nh t siemd sl .mnl lhtl lE or she b liccnsd pumanl
b lh. povhions of rhc Co.ri.toar Liccnsed tjw (Ch.pt$ 9, Comm.rcinB qith Se. on ?Om of Division 3 ol lnc B!{ncis and
Pmfcssioni Cod.) or rhar lE o! shc is cx.opi lh.Bl6m and lh. tasis for rlE alhg.d cxcnprio!. ary viobaonofSdlbnT0ll.S by my
{pplicaor for r p.mjr suhjRls rh. applka ro a.iril pcelryornot mGihtr five hund(n doles (!500).
-1,
$ ovrcr of rh. pFp.n, or my cmployas *ilh *ascs t. thcn sL coopesrlion, will do lh. q,i ad rhc fitlr i! mr
inied.d oroltcr.d for sh (Se.7Ol4. Businc*..d Prof.si.BCo<ls Tn Conlraclols Liene Llw &.s nor spply lo 3n o*ftr of
rhc ropcny eho hoildt o, insbB ilEmtr gd who dc Mh s* linsllor h.Bll or lfiFu8h hi tr ncr o*n c'rployc.s.
pmvided rhlr such irymrmnls d Dl incodcd o.olt r.n lor sl.. li lbwE th. tlitdtrls or in+ftEr.t is $ld wilhjn otu )Ed
bl@ntbriu,L $c O*r. Suilds wil hlE $€ hdcn of ptuting ttEl lr or srE di] ml t ld or inPmk tlE Iolrry fo, dr purF$ of
_1, dower.trhc pmlEny. m€xclusivclyq,nrB€tins *irh liens!\d onrerm ro.onstrucl lhe rreitr 156. 7044. Busm$
rnd Pn,ixsion Codc: Thc Codricroa. Li..nsc Law docs .ot apply io m ouncr oa poFny who builds or iflPtovcs ltdcon.
und who.o ack ror su.h l,o.jcch sirh a Co 6cro(s) licc.ied pu*udr ro lhc Cn rucloas Licctr* ljs).
I m ekmDr u.d.r Serion .A &PC lorrhBE.{n
lhtr (\urr
roxaE85lcortlEllArlaN
DECI.ASA:II!}!
I hceb, d!firm unrkr lcuxy of Fju.y orc of lhc fouo*ins dalsdlioml
-l
havc ari sill dinllin a cc iftllc of con*fi ro sclf-lBurc fo. wort B .onp.nsalion. e Povid.d lor by seli.rn 3?0o of lhc
t bor Cod., f@ tlE p..fq,t@c of thc *o* for whkh llE |Emi is irsued.
I h,vc rnd r ill minroin wo*crs .onFBarion insurancc. ,3 rcqun d hy Ssrion 1700 of rh. Lrtxtr Code. for lne I'. ormne of
rhc work for which thn pcmil is hsed. My wortcB @nFnsdio. insumncc curic. dd Iplicy nu 6bd m
P,,lic\ Nunjl-r' l-\ttrc\
-l
anify lnar in tlE Frfor@Kc olrhc wor* for which lhis pcmn k isslcd. I ihall nol cnploy dny pc6on in dny MFr
s &r ro bcorc $bjccr ro llf wo*cn oq$slion loss orcdliaomi( sod aEI!. thnt it t sholk trom subiF to t,E
*o s c.rqEnsarion tmvhions of Seclion 3?00 of lhe Ijlhr tuq I rhaU. fonhwnh.omply wilh i!* pmvisions..
WARNINC: tailurc to s_urc eortcr' onprnqrk,n mv.tugt i. unl,sful. ond shlll su$Fr ,n.q)lorr to niminll l.nalri\ nnd
civil 6ncs up lo one hundEd thols0nd dou6 (S100.00o). in addilion lo lh.
(bdc, iircrci und anorncy s fccs
I
I icEbyamrnondci pcnnlryolFrjury rhnt l3m li$ned ond.r t,6 ofchaprcr 9 (commn.inE wirh Sdh 7o(D) olDilhion:l
of rh. AlsiBs and Pmfc$io.s Codc, a,rl my lic.s is in tull for@ Ed cllel
4 t€ "-,
I hcrcby affirm undcr |Eolry ol Fdu.y lhar llEE ir ! Nnstruclion
issucd (se. 3o97. civ. c.).
lgcfty for tlE p.rfoturcc of lhe qo* f.r {hkh lhis Pcmh ir
A.PILISAILDECI,AXAIION
I MyafilmlMsr pcnrhyolpcrjury om of lhc follovitre ddhrolhfls
D.nx,liii6n Pfn 3-Ash.sros NorifE.rion [cdc6l RcEularions (Tirl. 40, P,n6)
-Rcqlncd
&trc, otNorin. ion
-l
ccn ify rh.r rhc lcdcBl ,.sllllions Esaidi.s !.t slos rcmrdl sc nor nmlk blc h thh pmlc.l.
-l
ccnify lhd I h,vc .csd lhis trpplicllion rnd slarc rh.l rhe .vc intnrL{nr is core.1. l lsxe ro .omply vnh rll City ond Cohlv
ordinlnccs lnd Sror. Lsqs rclarhg b bui
abor ftnlion d popcn, for i.sFclio.
ftnrc*ntaliws ofrhis Ciryand Counryro cnt{ upofl rh.
0+
hy
I
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Banqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Belease I
FINAL SlzS Y tJ;4J))1
Notes, Remarks, Etc
ID/SIG.
Smoke Detectors lnstalled
Other
L.ndc, (Nrm
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