HomeMy WebLinkAbout40132879 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mecha n ical Permit #: 4lJ132479
Pin #: 31111lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2319 W Edinger Ave Unit: C
Block: NA
Bldg:
Tract 11599
Suite Range:
Zoning: R2
q
AssessodsParcel: 930-221-61 Lot: I
Osman Antunez
2319 W. Edinger Ave. Unit C
Santa Ana, CA 92704
(7',t41824-2536
Fee Type
01116002 51604 Furnace
01116002 51600 General Plan Update
0'1116002 51604 lssuance
Amount
65.59
22.O4
55.04
Qty
1.00
1.00
1.00
Fee
$65.59
$22.08
$55.04Phone
Tenant Name
Contractor
Address:
Specialty AC Heat
1289 E 7th Street
Upland, CA 91786
(909) 982-7999
8otchg:46917 - tl/t1/2019 I0: LRoSAoffice: CTYH Transi: 60 I ofAcct+: Ref+: ilrl3zgig
Rcptt:02{436?, - l111412018 ?:52 ptl
Tronsoct i on Totsl tl42.7l
Phone
State Lic #: 784195
Lic Type: C-36, C-20
Bus. Lic #: 349795
Workers' Compensation lnsurance:Carrier: Hadford
Policy #: 72WECZU2467
Expires: 0l/09/2019
Spec i0l te AC Heot
6eneral Pton Updote Fee
01116(82- 51600000-
Itechan ical
01116002- s1604000-
ICL Check 006221
9?2.0f
$1ztr,61
$142.71
Building Usei
Job Type:
Nature of Work:
Condominium
Alteration
Furnace
Occupancy:
Constr Type
Code:
R-t
VB
cMc 2016 Notes: Furnace change out,
Chavez, D?I{e ^C .
Date:
Date:
Date:11t1412018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall becone invalid unless the wo* gn the site
authoized by such permit is commenced within 180 days aftet its
issuance, or it the wotu authoized on the site by such pemit is suspended
or abandoned fot a peiod of 180 days after the time the work is
commenced.
$142.71
$0.00
$142.7'l
MID#: 2018-147678
01116002 51600
011 16002 51604
$22.08
$120.63
Address Range: 2315-2323
Historic: No
Owner:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Planning Conditions:
Fee Total:
Paid to Date:
Balance Due:
lnspector
APPROVALS DATE tD/stG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
ft/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release
FINAL 'il<1ts4 -.{,lll4,'d tf{o h Ar'z
Notes, Remarks, Elc.4laa(aaa bb.P,.,
,Q1{-. tt a_<tzst"-t
OWNEI EUILDEN DELCARATION
I rErcby rffirn undcr Fn.h, of rciurt rl'.r I m crcm nom rlr Co raloa Lic.n* kw tor lh. folhwi.S E Fn (Se.?011.,
Busi.cs lnd Prof.ssion Code): Any Ciry or Counr, which EquiE. a pcmil ro coNlrucl. dLr, improk. demlirt or qBn dy
sru.rw. priir ro ir3 i!ruo@. .l$ RquiFr rh. .ppltor fm sucn Fmjr ro 6lc ! si8*d $arcmir thd lE d rhc h licn$d pumul
ro thc Eovnions of a Conrr{.lot. Liccncd t w lchlprer 9. Comnercing silh S.clion 7000 of Division I of lhe Ausincs and
Phfcssio.s Codc) o, rhd h..r shc h cxomti llrrct om d.d E 6&sls tor rlE 3lk8.n cx.trV,lion. Aoy ,iohtion of Scrbn 70.1t.5 by &ny
opplicoor for a Fftir subj(ts lhc ll)Pli.antro acililp.n.lryofnot mrcrhln nv. [ondcd doll&s (5500)
-1.
&r o-ftr ol th. pmp.nr. or ny enploter wnh wa*cr $ rlEn $b .onp.n$lion, sill do l,E wort ad lhc srnt|ft ir tur
ifl.dol ar o[er.d fo. elc (Sr.7044. Busims a.d P,of.sio.s Codc Thc Conrrcrois liccne (jw doc. oor dpl'I,
'o
d owncr of
rhc trop.ny sno hnildr or iqm!.s th.mn. ltd wlb d6 Mh w* hinrclf o. hcrslf or rlmugh his or h.r ow..mpbyccs.
rmvid.d rhar s&h inrmwft.rr @ er hr.nd.d o.oftEn 16r sh. I( toreE lhc buildin3 or itrEmwn nsE*nhinoftJdr
ofc.n{rldior thc o'xn$ BuilLr uill hllr lhc blrdd of I'lvitrB oEl l8 or stu dn mi hoild or i,qms It ImtEny for lh.IUrFxof
-1.
as osncr or lhc pmpcny. !m cxclusivcl, conrMlins sith licensd conr.!ck,* h .on{dcr rlE !roi{ (Sc. 7044. Blnrcrs
L,i Pn,r6\iriCod.r-rh.Co6k.ctor's t-iccn{ tjw docs nor rytlyto anoqncrof!'n,pcn!*ho build\ ori'ryovcs lh$.on.
!trd who onrrucls for slch pmjds wirh !Conrtucrods) liccnsd plExdm ro lhc cofidors Li.cns Lrw).
I amcrcmDt und.r Sauon . B. & P.C. ror lhn rca\on
D.l.: O*n..
llrarES$!)llfENsa.rlaN
DECI.A8AIXA
I hcrcby sfllrm!.dc. pcnallyof pcriuryoft of rhc fdb*im dccLBrions:
-l
hlvc n will nEinrain ! C.nilic,rc ofconsnr to sclalnsurc 16r workcn con{..salioo. as pmvidcd for by sc.li{,n 1700 oirhc
La|(tr CoJc. for lhe l,cnbrm0rcc o I lhc qolt nn whicfi thc Frmil h hslcd
co p.ns inn insunncc. a\ dq n.d hysc.rnn l?0oofrtu L.horCodc. for rhc Frr.rna(c dt
'conlrn\rrio. in\nran.. .micr dM Fni.ynrmbcr irc:
t 1
I ccnili lhat inrh. pcrlnrnurccoflh. wort lor whichlhis pennn k issu.d.l rh'u nor.nploy lny r.6on in 0nymlnnc.
s !s ro bcqrm suhjccr lo rhc so!t.^'conpcn\ t,n lnws orclliromE.ftl a8rcc rnal ifI snouB heom {ubjd t,rla
krkcr'conFnstiontntl\ionsolSdrbnlT(x)otrhcLihorCo<lu.lsh,ll.fonhqirhomplysithrhosPm(nionr.
IVARNING: FailuE ro suE *orkcs coryEnslirn covcEgc is utrlawf!|. a.d \hau lnbitr e .q,lo)tr ro aiminol lrMhics snd
.ivil timr up b onc hund.cd lk)usud dollors ($loo.ftx),. in co'npc6r.tion, dlnagcs !s providcd tur th.
{r-tl.
UCINIIILCONISNIAA
IIEIIABAIIgN
I hcrhy rlltr unds,'.n.llyoloerjurr lial I !m liccnEt u.d.r rmlnnrn olCh,rrd 9 (.om.Emin8 sirh Scdion Tlr(l)) olDivnn,n:l
or rhc Busincq\ani Ptur.ssions(id., dnd nry liccnsc is infulltuNUdcliccr
-J0 c-3 8Ll e
ralutsl.J-llQ!-Iliulllli li!)(r
I hcrcl,y rlftarundcr p.nrlry
i$ucJ (Scc.3(x)?. Civ. C.)
ofFrJUryrhlr rhdc i\ r.on{dcr*r lcndirB +cncy nn thc Fnnrromc ofrhc sork ftn shf,h rhh
IITL,IIANLDEILIBAII9.Ii
I lrNhy llltirD u ndcr pctrally ofpcrlny onc ofrhc t{'llo*ins dcclirlrnn's:
Dcnfulirnn, Pcr.rir\ A\hnos N.rillc!ri n frdcralR.guldion\ ('lirlc lo. Pfia,
-R.quncd
Gttcr ol Nolill.rli,{'
I c.dilirh,t tu icdcr.l rcEU llr io ns Esdd ils o$Esros rcfr,vrl arc norlPplicrbl.r, rhas [orccl
)|(-nnr ,n. , t* .,o ,nh ap icarion !d $arc rlur rh. rhrc int,rntroun is .{rNr I as,a h compry sirh arr c y 'id counry
odiMtr.cs lod Srurc ti*s rclat ing b buildingc.iitucr Md hcrcby0trrhori2c eprcscnralilcs oflth Cn, ud Counlyro
atx,rc nEnri,'ncd pnrp.n, r(, in\F.rio.
IAfplicrnl or &cor Sismr!rc:I
5 LD^tSt
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MECHANICAL-INSPECTOR RECORD
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