HomeMy WebLinkAbout40132869 - Permit (2)City of Santa Ana
Permit Counter: O14) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7141 667-?738 lnspector Section: (714) 647-5853
Mecha n ica I Permit #: 40{32E69
Pin #: 68E62
Project Address: 2325 W St Anne Pl
Assessor'sParcel: 408-394-19 Lot: 73
Unit:
Block: NA
Btdg:
Tract: 2929
Address Range:
Historic: No
Suite Range:
Zoning: Rl
ol
Owner:
Address:
Contractor:
Address;
Maria Urroz
2325 W. St Anne Pl
Santa Ana, CA 92704
(714) s49-1391
lnter-City Energy Syslems, I
1I75 N DEL PLACE
Ontario, CA 9'1764
15621777-1142
Qty
1.00
1.00
1.00
Fee
$65.57
$22.08
$55.04
Tenant Name:
Phone
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensation Insurance:Carrier: Zurlch Amedcan ln8 Co
Policy #: WC038t5460
Expires: 0710'112019
Building Use:
Job Type:
Nature of Work
R-3
VB
cMc 2013
Single Family Dwelllng
Miscellaneous
Mechanical
web user
Notes: Mechanical
Planning Condilions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject lo Field:
Building Permit #:
Ewry permit issued shall become invalid unless the wo* on the sile
authoized by such pemit is cofimenced within 180 ddys dftet its
issuance, ot il the wor* authoized on the site by such pennit is suspended
ot abandoned br a pedod ot 1 80 days afret the time the wotk is
commencEd.
Dalel
Date:
Date:11t1312014
Account#
$142.69
$142.69
$o.oo
lnspector MID#: 2018-147646
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Phone:
FeeType Amount
01116002 51604 Wall Healer/Floor Furna 65.57
01116002 51600 General Plan Update 22.08
01116002 51604 lssuance 55.04
Occupancy:
Constr Type:
Code:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.OWNER BUILDER DALCARATION
I h4by a,tur lndd t sdly of pdjurr lltd I @ qenpl non lb. ConrmcloG Lic.nF Law fot th. follo$in*,@D (56.?031.5
Buin6s ud Prof*ion Codc): Any Cily or Counry which tequt6 , Fmh b otr(d€l. dta, inro!.. d@olnh or @.it ev
sdlde. Fior to ns Buecq atso r.quiB rl'c arplicm for su.h pqni ro filc r si8..d slslod thal trc o. eh. b lictu.d p@.rt
lo lh€ provirioG ol $. ConlrEloi. Li@nsd Law (Chlprd 9, CoMd.ing witb Serion 7000 of Divisio. :l of thc Bcind &d
ProfNiors Codc) or thai h. or sh. is .xdpr lhccfton dd lh. b€.i. aor lh. tllcg.d cidflion. A!, violdion of Sdion ?01 I 5 bv ev
agplicei fo. a p@ur llbjcrs rh. appli@r ro a ovil pclrlry or nor mor. rhd li!. hu.dr.d dolas (t500).
-t.
6 ollG ofih. propdly, or my dplo,l6 wilh wrge s $.i. el. @6Pcaado.. *iU do $. $!* ed {E srElc ! rcl
idod.d or o,t6!d for sk (Sc.7044. B6i.B dd PDtBioN Cod.: Tnc ContEcrol3 Licce Lrw &,8 rot .ptly lo o ow of
thcpoFty eto tni!& o, tl9roc rh@,\ dd who do€ Mh wn him*lf or lss.lior lhduslt hi! o( hd om .mplov..3.
providcd rhd 3uch sp@!qno$emr ii6d.dorotT6.d foreL.I[ how@.lhcbu ring orirlPlv!@t i!$ldwitltboic]a
of@npl.iiorl rhc O(c Buills win havc lhc hd.. ofpoviis drd hl or sh€ did mt hrild o ihFM dE ploFry tlr th. pEPoe of
-t.
s om6 ofrtG prpp6ly. d qclci!.ly co.tracline Mfi li.sd conttac,rou lo .oErNcl llE Foj.d (sc 7044, BBinR
ad Prokbn Codc: Thc Conlrldol3 LiccN. L.w do6 rcl .pPly to & oms ofprop<ly f,ho builds or imPots lh.en.
od rno co.lncl3 for $ch rojd! wnh a Con!..to(, lEd.d pEur, lo $. conrr.dd s LE.ffi ts}
I m .r.mrr uds S6lion . B. & P.C. Ior thts rdstr
rdotsrEBsl(alEENl rlo.r
DECLARA'IION
I hcreby amrn und6 p€naityolpdjuryon of rh. lollorvin8 delararions
-l
ha!.a $illhainlaifl0Cenifical.otcons.llos.lflnrur.aorrvorle('o!tup.nsotion,4cprovidedlorbySdlioilT0oofthc
l{hr Codq ror lhc psfommcc ollnc rvork lor vhich lh. p€rnil G isucd
-l
nrv. md sill mai ain ,otk.B co'np.Ealion iN@n.a s r.qun.d by Sclion 1700 of thc l,bor Codc, fo. lh. pqf.m c. of
lnc wort for which lhb pmn b isu.d. My qo*6 .obFsalion iBLfuc. 6i< ed policy nunbd ac
r$,r:-
Policy N@bc ElpiE
-l
cd|iry fial in lh. pdtomdc. oath. wo* for which lhi! pdni b bu.d. I 3h.U not drloy any p6son in anv ddnd
s s ro b.(om. subj..l ro llE soih6 onFEdion lak of Colifomia dd asE Ufl il I should hdofr. 3ubjcl lo lh.
wort6'.omFulionplolGioGofsetioolT00oflhct lor Cortc l slEll tonnwilh @mply vin Oo$ pro!i!irs..
WARNING: Failur.lo suc Nort6' ompostli.n cov@g. b unkwtul. ud thall subj.ct e dploF lo dmind FElti6 &d
cilil lin6 up to on. hun&cd lhoudd dous (t100,000). i. s.Uniot to lhe con of .omFMlion. ddag6 a Ptovid.d r.r rh.
Sdion 1076 ofrhc t bor Code irl6.d &d .nomer'! f€.
I.lcErlELcoNrSacroa
DECI.AEAIION
I hdrty dkn oid, pa.Iy of Fjury thd I @ lids.d udd rrcvii@ orclEdd 9 (colffiilg wilh Scdion ?000) of Dif ilion 3
of rh. BuirB ud PrcLslioG Cod., @d my lic@ t in tull foN.nd cft61,
: Lic.eNlmbd
CONSTRUCTION I rNNINC AGENCY
I hdel,y arnn undd pdralty ot pqjury lh3l rhdc is a c..sln,.lion lqrdins .sm.y roi lhc Flonnflcc ofrhe s otk lor $hich rhis pdnn ir
issu€d (Ss.1097, Civ C )
I cdiav rlEt rh. tedsal rc,rular io6 resardins sbebs rmoval d. not apnli.abl. to lnis preje(1.
-l
cdi! rhal t hav. Ead rhis applicaliofl dd slalc rhar rhc .horc intomalion ir cotrel I asr€ lo c{mpl, wilh all Citv d aountv
ofllinanc6 and Srarc !rws Elaring lo buildinB @Nlruclioll. sd hscby.uhoriz r.pr€glalird ollhis Cny d aounty lo dld lroh th.
.bove nalion.d pDpdy tor iapsrion pupos.
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech./1/-17 Ecz ')
Final Test
Meter Release
FINAL t/72f//.1 4,Y*",'4)
Noles, Remarks, Etc
COMMENTS
lnstallation
LendersAddre:-rpprrcaniieciiqlo-N--
I hq!$, 6irm u.dd pcnalty ot psjury on. of lh. aollorvibS deleations:
D.molirion Pmis-Asb6los Notiicalior F.d6al Rcsulations 0 nb 40. Pd6)
Req!ir.d L.tb oaNorinc€rion
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