HomeMy WebLinkAbout40132928 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #: 4O13292E
lnspection Requests: (7 1 41 667 -27 38 lnspector Section: (7'14) 647-5853 Pin #: 7l)574
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Proiect Address: 522 E Santa Clara Ave Unit:
Block: NA
Bldg:
Tract: DERICOT
Address Range:
Historic: NoAssessor'sParcel 003-132-10 Lot: POR I
Owner:
Address:
Pablo A Ruiz
522 E Santa Clara Ave
Santa Ana, CA 927062959
(714) 585-7020
Fee Type Amount
Wall Heater/Floor Furna 65.57
Bathroom Fan 30.52
General Plan Update 22.08
lssuance 55.04
Qty
1.00
'1.00
1.00
1.00
Fee
$65.57
$30.52
$22.08
$55.04
Phonel
Tenant Name:
Contractor
Address:
Owner-Builder
tl/29/2ila
nonsi:7
Ref+ |- lt /29 /?tt
ID: o
4t!
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance;
Carrier:
Policy #:
Expires:
t,,
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Building Use:
Job Type:
Nature of Work
Single Famlly Dwelling
Additlon
Addn
Planning Conditions:
Date;
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked
Permit lssued Amsden, Julie 11t29t2014
Account#Subject to Field:
Building Permit #10197867 $22.08
$151.13Every pemit issued shall become invalid unless the work on the site
authonzed by such permit is commenced within 180 days after its
issuance, or if the wo* authoized on lhe site by such pemit is suspended
or abandoned lot d peiod of180 days afler the time lhe work is
commenced-
lnspector tvllD#: 20'18-'145490
01'1 16002 51600
0'l '1 16002 5't604
Fee Total:
Paid to Date:
Balance Due:
Suite Range:
Zoning: Rl
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
0'1 116002 51604
Phone:
Planning Approval By:
Noles: New addition to existing SFD with 1 bathroom,'l
bedroom and 90 sq ft. addition to existing porch.
$'t73.21
$0.00
$173.21
MECHANICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS (,IVNF]R BUII-I}OI' DELCA RATION
I hcrcbt lfltnr hddr pcnrxy or Frjury rhnr I m cr.mpr rio'n rhc Conrrros Liccnsc L.w anr ihc folh*ins rcN,n (ss?l).ll 5
Busincss !M Piuf.s\bn Cod.l: Any Ciry or Counry which ruquncs r pcnnn k, .on\rtucr. rlrcr. imtidvc. dcfr'lNh ot rcprn'rny
{ru.lurc, prnx b ns ku{.cc. sle Egun slhcapplicanl l$ ch Frmir lo filca silmd \rd.imnr rh0t lror shc r liccn$d Pusu.Di
tu rlx pmvi(ionr ofrh. Q)trr,.tor's Licctrsd ljq (Chal,cr 9. (bmncNin8 *nh Scclt,n 7l]00 ot Dili\tnr -l orrh. aulincsr ind
Pmltsions colc ) or rhd h.orshc iscxcm0l lh.rcliomlnd rhc6asi\ turrhc allcgcdcx.nfli,,n Anyvn)hln)nofScdtunT(rll5hyrny
lplli.anr thra pcflnir subjecrsrhc amliclnr h r.ivilpcnalryoitur n$crhrtr nvc hutrdEd dollurs lS50O)
/1r.,",""'*"r'f*r",,r"ny..r,,cn,rh)(\qi,h{lgcs*rhcrsrcdnnn!tr!($n.*lud,,rh.*o*drrrrr{nEruEnmr\ ir lcJ . { .rflycLl l, { tL ls(\ 7l*r U usnr* rnJ tintsions Cdc 'l M Cont&rof s Lic.trr ltr'w docs nor ryply ro an oqnf of
rhrIn,trny wln) huild\ or im8,vcs tlErsn. dwh.{nu\!chso*hi'nscllorhrrscl,orrhnnrShhi{orhltorncnDloyc.\.
F)vnbd I hur sucn irnprxurnr\ ar B, hrcflLrl u ollcrd ror $rd ll. howc\cr. rlt h{ildirs or nnno.mnl is {,lr wnhin on. ,t,tr
oI.oq)Lrkr rh. osftr auiucr Bill h!\r rlE brrdctr nlrn)vir8 rr$t hc or shc dil 'nI ttriu or impolc rh! Fopcny ror rhc IU4r,{ of
-1.
I owEr oltlE lmpcny. m .rclusiv.ly conlrsclin8 snn Iccfl$d conlra.toF ro $nsmd rtE te.iccl (Se. ,044. Ausirc$
ad t1D&sshx Cod.: Thc ConlIeroi i Liceie Lae docs rci apply lo u osncr of pnp.ny pho l,uilds or idnowr ficr@n,
and who .oor@k for $ch pmjccls wirh . ConrEdor{s) ltcn*d !us!a ro rh€ ConrNrr r Ltcne tjw).
liner.nnt Dnricrsftr'.n B &PC rbrihi{*a!,n.
/,,," ,//- 2?- / ".",, Z*t A'\ \!o{xFts coMprNsarloN
,Z.z
DECIASAIION
I hftby rflirn un.l( nenalry of oerjuy oE of the folhsin8 deh.arions:
Ihrv.Jtd$illnui'rrni'rxCrnillcrrcolCoi{ ri) Sc!llt{h nJr sorkd!- co.r!.fn[i(in- !\ pmvidudtrhrS.trt,i:17(X).lrhc
Itrhor CoJc. li,r llr pdiir Nne o, rhc *ork rarshirh rh. |rnnir i\ i\\u.il
_l hilc snd silln9i.toio workcr' .onFnruriin i.sxrdftc. dr rcquncd6yS.crion37UJolltct tor Codc, forlhc poto.mncc or
rh. sort for which rhn l€mn is issB{. My wor*c6 comF.stio. imurMcc cmicr ui ,olicy nunbcr e:
tr rr'.l).'1,trtrIN.,)lrlr. {1tr1 ntr \h'.h llrA lu nr r is tsu.d. I shlll mr cmpl6, {iy pcen in !n, semr
iL ud lse thar ifl .h.uld b.rom.ubj.rl to lnc
I \h.!l- fonh*ih ontly sith lnos pmvisions
suhj*' h rhcBorkcr{ conrFnsurion liss olCllinm
eorkc^ ompcns,!io. povnio.sof Setion 3?(x)olrhc Llhrr Codc,
WARNTNC: F&ihrc ro sur eorrcm' .onFns,r i(,. orcmB. is unl.wtul. ud shrll {obrrl !n dnploFr ro oif,iml lEmltts mn
ci$l fincs u!' ro one hlndrcd rholslnd dolles (SIm,fllO). h addniotr lo lhc cosl of cohltniarion. ddmgci a3 ptovtcd lor lh.
GYiUv::X,"a . ,4-'" I
LI!:ENSDTIS,NIAd.CIA&
IIEIIdSAIAN
Ihcrlbynmrmu cr pcnohy oi tErjury rhat I am liEnsd udc, provi{io. of Chnprd 9 (.onnmn.inB wilh Sstion ?(x )olDivi\ion3
Dt rh. ausindss md Prcfcsiors Codc. drd ny lir'ctrsc h in full lors onl cficcl
I-iensecl,s: Liensc NunlEr
c()NslRt,( I()N Lt:NDIN(; A(:I NCY
i\\u.d (Scc .1097. Cie C )
lccdilith,I lh.lcdcnl rcguhlions ESardin8 ashc$s rcmvrl rc nor applrabh ro thh pmitr
ft'fi*t I hnk ead rhh rttlkaiion ond shlc lha. th.,tsv. nrloirmrion iscorel. I as.e to cotr{ y wnh all Cn, and Counl,
rrc tiss El0rins ro b!ildina con(tucrion.aothorirc rcFc*nr{iv.s olthis Cnyad Colilyro cor$ up.n rh.
*,", /la?/Y
LAtplicJnrorAEcdSiln uE
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.bht lq,1 '/ndfi4,
Final Tesl \
Meter Release I
FINAL 3 tI l\I.),il//A I p[4
Notes, Remarks, Etc.tl
APPROVALS
Furnace
Pre-lnsulation
lxidcr\ Addrcs
lppLrc,r-lrt ot curna
I ltn$y finnundcr pcnrlty olprrjury.m orrhc roll{]wn,E d(hEri,)n\:
Dcnxniri{nr Pcnnir{ A\hcsro\ Norif'.di({ Fcd.nl R.lulli(,n\{lrlc40,P.n6l
Rcquircd lrrrcr of Norill.rrk,n
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