HomeMy WebLinkAbout40132088 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center PIaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 40{32OEE
Pin #: 26777
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 - 5853
Proiect Address: 2318 W Borchard Ave Unit:
Block: NA
Bldg:
Tract: 1347
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 407-111-11 Lot: 32
Owner:
Address:
Jacob Zimlichman
230 Riverside Or #6L
New York, NY 10025
(908) 2ss-2178
01116002 51604
01116002 51604
01116002 51600
011 16002 51604
Fee Type
Furnace
Bathroom Fan
General Plan Update
lssuance
Amount
63.14
29.38
21.25
52.98
Fee
$63.14
$29.38
$21.25
$52.98
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
Phone
h.ob Z inl ich fln
Single Family Dwelling
Addition
Addn/patio cover
Occupancy:
Conslr Type
Code:
R.3, U
VB
cMc 2016 auth on file
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
$ xernanoez, ratnv
Date
Datel
Date:05/10/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
10195694 $21.25
$145.50
$166.75
$0.00
s155.75
Every permit issued shall becone invalid unless lhe worr( or) the site
authoized by such petmit is conrnenced within 180 days after its
issuance, or if the wotu authoized on the site by such permit is suspended
ot abandoned tor a pedod of 1 80 days aftet the time the v,/ork is
commenced.
lnspector MID#: 2018-141715
01 116002 51600
0'1 116002 51604
Fee Total:
Paid to Date:
Balance Due
Qty
1.00
1.00
'1.00
1.00
State Lic #;
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Botchi:43692 - 3/10/?018 I0: sf'rora0ffice: CTYH Trons+: 39 4 t:iAccti! F€fi: 4013?r:rgl1
Fcpti:02260871 - 5/10/2019 11:21 Al1
Tr(lnsocL ion Totql ll r 52r:r.8r
Notes:
Building Use:
Job Type:
Nature of Work:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.oIINER IIUII,D!:R DEI,CARATION
I hcrchy Jlftnr undcr pculry {)l J{rjrr:_ rhrr I m .h'npr lion, rhc Codtr(trr Li.cn\c Lrw lar rhc {blk)win8 rcnnin lscc 70ll S
8urir.\! rtd P(nisn r Corlc) Ary Ciry or (butry shih rcqunc\ r jrnnir k, con\rn'!r. rlrcr, irnt,n,!c. dcnDlnh or rr t ut!
lo rhc
']oi!i.n(
oirh. (hnti.nr'( l-i.cr\cd Iiq ((-hrfr$ 9. ComNNing trirh Sc.lion ?rxxr ol l)ivi\ior .1 of rhr BrjtrL* lnd
rp,,licrii ntr rtrnrir\trhjfth rlB rnl,licanrro rriviltc rlryolmr nntrrrhm livr huftir.d dollir\ (55U)).
-1.
as owmr oa rhc pmlcrry. or Dy cmplot€s *irh wlscs as thln $b ompcnidion. *ill d6 rh. Mrl ald i* $nrlw is mr
i.lcnd.d or ofrcrcd r{r sle (Se.7044. Ausine* $d Pr.fcsio.s Cod.r Thc Conh.lols Lians Llw docs nol .rpl, ro u owrc. of
lhe nDrEiy wls lxildr or irymws d.en, ud who dc tuh s,.t iin*lf or hs€lror thftt8h hk.r h.t owtcmPloyes.
lroviddl lh, such in{mwmnt m ml int.ndcd or ofi.En hr sL ll lbww. tlE ttrildinS or iryl@Enl ir $ld *nhin nnc }!d
of conpkrio[ ltE Ownr BuiBd will hlr rhc hurdcn oapmvin8 tfiat hc or shc did ml t{ih or intmle the pmtcny to. 0E plqDs of
-1.
!, owtur of rh€ ropeny, m excluriv.ly .onra.rioS airh liccnrd conrocb6 r. sn$dc tryoj.cl (S.c. 7o{4, Busincs
un hoftrsion Codc: Tlrc ConrBrol s Liccnsc Lle dcs mr orply ro !n owod of prep.n, *h. builds 6r anpbrcs $.ro..
and who .!nrre!i for sEh projels wnh r Conrdo(, li.cnsd pur$anl io rh. Conrn lols Liccns tiw).
I nn, rr.n,Jn tn,l.r Srcr A.&PC foi rhi\ r.inrn-
lo { /h"J
\'( ,l{F L\' ('r )[ridN sAIx,N
Dtt]L,\trtlt()N
I lFrcby 0fiinn und.r Fn.hy ol tnjury om of th. followine dcLr ions
t-rhtr Cotle. lar ih. !cn.'Dun.. oIrhr r.rk tur *hi.h rh. |f,nni n i$urJ
I h,vc a.d eill 'Minl{in work tr coqEncalio. itrummc. f,s rcquircd by Salion 1700 ot the khor Codc, for lh. DcrlornMc of
lhc work aor which lhk p.rmir is issrEd. My worl(s comp.nsolion insurmc ..ricr {n llolicy tunl,q m:
-l
ccdify
'hd
in ihc psfonmmc oi lhc uork for which thn p.rnft n hsucd. l snlll nor cnpl{ry nny p.non i sny mnncr
s N ro lls.k rubixr t,
'hc
wrkc6 .on{xnsr ion l,ws of Cllirom[ ,nd led rha' if I should lx{om slbrcl ro t,.
wo.rcn'omp.nslionpmvkionsolSdion3TfiJollhcLltnCodc.lshlll.fonhwilh.nnllywirhliospnviiirn\..
wAtrNlNG, Frilurc t, e.ur wortcB .ompci$rnm ovcogc is unlowrtrl. ,nd shall subjccr m cnrllolcr ro ri'ninal l,cMltis and
civil linc{ up to oac hldrcd rhdlsand douad ($100-m0). in addirt,n to rh..o\l orcom!.nslion. d!ro8cs as troridcd tu lh.
Sccrion 11076 ofrhc Iitrr(-odc inrcto{,nd
lo I ca; v l/.^^
ol (hc llu\irc\\rnd l)roli\\i,n'\ Co,lc. rnd nry li.cn\c i\ in ftrllf{R!a cllari.
Liccnsc Class Liccnsc Numbcr:
Dd. aonlElo.
APPI ICAN'T DD(]I ARAT( IN
I l*Nhyrnnmu r! Nnrlty olperjry onc ol'rlr r'oll()nnrB dc.lantlion\
D.nxnirion I'.rn,iis A\hcsk^ Norili. i( Fcdcrrl RrBuhridxdnb 4r, Pnn6)
Rcquirci t ncrof Norificrrion
I en iiy thar !h. fcd.ral rcEulations ESardinB astEsros rcmul urc not {pli:lblc ro rhh tmiil
l.dift rhd I hav. cad rhis aFrlkdion ad {atc rhd rhc 0ls\c infomrion iscoret.l agc rocomplysirhrlt Cny!6d Coumy
ordinlnccs md Srurc li\a mlrring ro huilding.onitucrion.,rxl lrrcbrlur ^ry:..:::)il;"-
1lh' l<i€o
rbvc nrnrionlai nrlpc'r, i{,
At'nI(MI or A$nr Stnururc U\
M u CtlAt)
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Boom / Clothes Dryer
Besidential Ranoe
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.tltttl>7-li .Avr4*
Final Test UI
FINAL t^l?lt( |4.ilprA-lKv
Notes, Remarks, Etc.tl
COMMENTS
Other
aD)
Meler Release
cL (L lt--
I.:ONEISUCIIIINIINDINI].&qENCI
I hcEhy llllirn under Fntrhy of pcrjury lhd thcrc is a .on(octbn lendins ,s.my for rhc perrotuftc or rhc Ror* for shirh rhh lf,J'ni' i\
issurd (S.c. :ltr97. Ci!. C ).
tr' rlc' . \utrr
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