HomeMy WebLinkAbout40132856 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mecha n ica I Permit #: 4O132856
Pin #: 21618lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2101 N Poinsettia St Unit:
Block: NA
Bldg:
Tractr 1335
Address Range:
Historic: No
Suite Range:
Zoning: Rl
o?
Assessor'sParcel: 003-'133-18 Lot: 61
Owner:
Address
GARY C ANDERSON
2'10'l N Poinsettia St
Santa Ana, CA 927062923
(714l- 543-2678
Fee Type
01116002 51604 Furnace
01116002 51600 General Plan Update
01 116002 51604 lssuance
Amount
65.59
22.O4
55.04
Qty
1 .00
1.00
1.00
Fee
$6s.s9
$22.08
$55.04
Tenant Name:' rL
i:.
,ii,Contractor:
Address:
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92865
(949) 88s-0102Phone
Stale Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensation lnsurance:
Carrier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D508631018
Expires: 10/01/2019
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i. .7,ril
Building Use:
Job Type:
Nalure of Work:
Single Family Dwelling
Miscellaneous
Furnace
Occupancy:
Constr Type
Code:
R-3
VB
cMc 20r6 Notes: Direct change-out. ln same location, like-forJike.
Planning Approval By Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
sden, Julie
Every pennit issued shall become invalid unlessthe wotu on lhe site
authoized by such pemit is commenced within 180 days after its
issuance, or if the wo* authorized on tha site by such pennit is suspended
ot abandoned tor a peiod ot 1 80 days after the time the wo* is
commenced.
$22.08
$120.63
$142.71
$o.oo
$'142.7',l
lnspector MID#: 2018-147622
01 1 16002 51600
01116002 51604
Phone:
Planning Conditions:
1111312018
Account#
Fee Total:
Paid to Date;
Balance Due:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DET,CAR TION
I heby a,Im und6 p.Elry of pdjury rhn I d dcBfl nln lhc Conl&,roB Lic.Be kw aor$c lollowirr l@n {Sc.?Oll.5
Buinds ed Prof6sion Co&): A.y Ciy or Coufly whicn r.qniG a Fnn to conse(r. all6. in!rcv.. ddDolish or
'r?6n
ey
str!(u.. Fior ro iE s@cq atso rcqune thc rpplicdl for such pdni lo fiL t si8f,cd tlaloal thtl h. ot slt i! lic@d pwad
lo ln FovisioB of lh. Conrracroar Lic.n*d Llw (Ch!/Gr 9. Com.ociog qit sction ?000 of Divbion 3 of lhc BalB ed
Pbfsions Codc) or thlI t or shc i! dcmpl rh6.ton ed rh.bsi.lorri. alLged qmptiotr. Any viol.tionoasetion 7031.5 by My
ap?licetforapdnisubj(liln.pplicetlos€ivilp.nanyofnolmorcthdfivchundrcdd!ll6(1500).
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s owd oldE proFny. or ny .mplorE with wag< 6 fi.ir $1. ompsBalioi. aiu do 0t @* otd $c nrud@ i @l
ifldirkd or ofi6.d fo. sl. (SE,7OI4, BEi.B 6d Prefcgsioa Cod.: Thc Conrrlcloi3 Licc@ lrw &B .ol 4ply lo e 0116 ol
llE Frp6ly who hil& or irproG ttogs dd vlE {h€ tult elt incclaor h*lf or lhmus}' his or hn o@ cmPlorc.
proridcd rhal !u.h @Fov@at mml i.t6.LdorofftEd for uL.li ho@.lhc hiildiiS or imFDrErcil is $B vthin on.,@
olconpkrion. th. OMer Bdld6 will harc 0E hlda oaFoving lhd h. or shc did ml hlild or inFov. tlE poFry for dE purpos ol
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s oMd .f rhc pnFty. e .rclcilely conlrs.ling wirh licG.d conlmloB lo oisltud lh. F.jcd (Se. ?044. Bsiod
,i Ploftsbn Cod.: Th. Coorracroa, Lic.os. Law do6 mr rpply to s owq o lpropqly pho buil& or inprove thdon,
md who @nrads tu slch p.ojd! win. Cotuacro(, lic.c.d p!6un to lhc conrr.crois Lic@ ti*).
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e.rdpr u ld S*lio!! , B. & P.C. forlhii lte.
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I hdcby aflim unda podly ofpsjury of,c oflh. following dddlrio6:
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h!v. dd *ill @inl.ia . C6lifi..r. oacrBal lo sdf-lN for $ql6 @nlPo*lioi, s Flvid.d for bI Sdion 3700 ofth.
kbo. Codc for rh.FfoM. of lh. rcrl for sni:h th. FEir it isu.d.
_l hav. sd will minl.in mrt.R @npcetion L$utrq B r.quircd by Setioi 3700 of th. L.bor Codc, fo. d! Ff()tfu.c of
is issu.d. M, s'ork6r conp@dion insu&ce c.[is md policy numbd d.:
I ccnify th.l itr th. !..fomn.. ollh. No.k for $nich rhh prmil i! su.d. I shall nol dploy ey pa$n i. ey ntud
$ 6 ro b.conc subj.cr rc lhc mrt6' compqEslion laws ofcalifomia dasE lhal ifl shoold b..omc subjdl loll'c
wo*d' conpmalio, poririoN of S.clion 1700 oath. ljbor Cod., I slDll, fonh$ilh omrry wilh ltose lrovisioB..
WARNINC Fdilur. to suc NorL6' comptrarion covdaec i. u.Lwtul. ed shall 3ubjd tu dplora to cininal FullB od
civil lincs up to one hundrcd rholedd doll6 ($100.000 lhc co$ of conp.@lio.. d,n.ad 6 providcd lor lh.
f th. Lpbor Cd.. in6..t @d .nocr's
U(EXT.UDjI)NIAAI:IOB
D[Ct BAUq!
I nscb| 0mnn und6 pcnaLty oapcru.y rh,r I tui licda_d tndd p'ovisio. ol(-h.prs 9 (co'nn@cins \nl s.c(id 7000) olDilision l
ol rh.Irusinsad Prolssions Cod€- ad ny lic.nsc is in lull rorcc dd cfittr
c6rl.0, kf Lerqfu-e,
colsrf,lcuoll.ElDDclclNg
I h@ty drm urd6 Fnilyofpcrju., fid rhd. i! a coE(fudba k'dils rsdry lor lh. Ffotfucc ollh. e ( 6r s'iicnthis FniI b
iso.{ (Sd. 3097. civ. C.).
AfxulAd.r.DEctaSALp!
I @ rtrun u.d6 paah, of pcjury orc of thc followins deldatiou:
D@olhioi Pmn$A!b6ro! Norilierio! F€d.r.l R.gul.riod (Tnb 40. Pdr6)
_R!qun.d tntg of Noiftdbn
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cdiry $.r thc f.dd.l rcgrlarioB rcradi.s ab6tos mov'l d. ior applicabL lo rhG poj..l.
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cGrify thar I have rsd this .pDlicrrion ad sl6lc th.l thc ab.v. i.aomarion is cor.cl. I agle b onply *ilh dl Cily and Counly
odinanc6 dd Sute Lass r.lding ro building coctucrion. dd hdcby aulhorEc rqr.$lativq oflnis Cilydd Counlr lo ord ul,on $c
abovc mqlioned pop.n, aor
Appli.ml or As6t Sigflatu.1
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I
FINAL z//1/14 4)Lil )
Notes, Remarks, Etc.