HomeMy WebLinkAbout40134100 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1703 W Twelfth St Unit:
Block: NA
Bldg:
Tract 1307
Address Range:
Historic: No
Suite Range:
Zoning: RiAssessor'sParcel: 405-151-43 Lot. POR A
Owner:
Address:
RAFAEL RUIZ
1703 W. 12TH ST
Santa Ana, CA 92703
(714) 492-5160
Fee
$68.14
$22.95
$s7.20Phone
lenant Name:
lnter-City Energy Systems, I
1,I75 N OEL RIO PLACE
Ontario, CA 91764
(5621.777-1142 $'Phone
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus Lic #: 199981
Workers' Compensation lnsurance;Carrier: Zurich American lns Co
Policy #: WC03816460
Expires: 0710112020
0
{
.-$*'
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2015 Notes: Mechanical
Planning Conditions;
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
N1weD_user \10t24t2019
Account#
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the work o, the sile
duthotized by such pemit is commenced within360 days aftet its
issuance, or if the work authorized on the site by such permil is suspended
or abdndoned lor a peiod of360 days after the time the wo* is
commenced.
MID#: 2019-155398
Fee Total
Paid to Date:
Balance Due:
Permit #: 4O134lOO
Pin #: 8099?
Fee Type Amount
01116002 5'1604 Wall Heater/Floor Furna 68 14
01116002 5'160C General Plan Update 22.95
01116002 51604 lssuance 57.20
Qty
1 .00
1.00
1 .00
Contractorl
Address:
Date:
Date:
Date:
$148 29
$148.29
$0.00
lnspector
N/A - No Balance
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS O1I]\ER EUILDEN DEI-CAIrATION
I hs.b lrm undd Fahy or Fdjuiy rhd I d dcnfl ton lh. conlntloB Lic.roc Llw ror rhc follosiiS r@n (s4.?0ll.J
Bcin6s dd Prof6ion Cod.): Aly Cily or County whEn rcqutB ! Frit lo @Nttuc1 dla. inpro!., d.molish or EP.n 6,
nocl@. Fior lo it isuNc. stso rcquiG lhc lp?lta for $ch pqnt ro liL s si8r.d ddffil thd hc o. 3h. b lico5.d p@al
ro rhc ,,DlisioG ol 0E Cofllncroir Li@ncd Llw (Ch,pts 9. Cohdming wih Sdion ?000 of Divtion I ol dc BGi!6 ed
ProfBsions Cod.) or rhar hG tr rh. is ddpr thd.lioo &d rh. bd!! for th..ll.g.d qdnpion. Any vioLtion of Selkln ?031.5 by ey
appli.dl fo. a p6en ilbjftls tlE .ppli6l ro a civil p.nalry ofrcr toorc rhd fiv. hlo&td doUG (1500).
-1.
6 ownd of lt. Fop6ry, or my mplorG with *ag6 s lns $L @nFns.{ior w & thc wort ad t rn(w b ml
inotLd or ofcrcd fo, eL (56,7044. Burind ed Pmfdiois Code Tnc Conlt..rol3 Lic@ Laq doB trol tp?ly lo e omd of
rhc FoFly *ho hri&b or inF.v6 lh6oE .!d *lb de sh s!i( lireltor h6*lfor lhmlgh his or hd oB dPloyc.
providcd rh.l such ihpmvdMB etul itrrdd.d do0a.d br $la ll howM,lt hildirg or iiprolan@! i! std wilhin onc t@
ofconplrioi. 0E o\I€ B{ilds wiu hlE dr. h(br otFoviIa lhd hc d stc dlt @r hlld o. inpov. lb. FlFty lor llE prpG. ot
-1.
s ownd ofri. FoFny. dn qcluively cortdctins wnh licaD.d cont cto6 to oNtrucl th€ projcd (Sd. 7044, BBrs
sd h.fsbn Cod.: Th. conl.inoas Lics. Law doB not .pply lo oMd ofprop.ny tho bxil& or inPev6 lhd6!.
.!d qho co.r4a lor sucn FojeB wilh a Contdclo(s) li.6.d puB@i io th. Conlfcror's l,icc6c lrw).
-l
m.re,nfl !nd6 S.di.o-. B. & P.C. aorllis r.a$.
!985C!!-CO!48E!SAIIO!
DECIAaAIIA!
I l6cby alrm !.d6 p6dr, oapajury on. ollh. following dcld{lioB:
-l
hrvc a.d will @btain . Cei6c.r. ofcoMr ro scl @rc for erkda 6nlp.n33rion, c Fovid.d tor by S..rioi l70O of th.
Lsbor Cod.. for th. p6hllMc. of rhc *o1l for $t!i.h th. p6mil b isu.d,
-lhlvcodeillmaint.i.$'o.ro'conp€EarioniNur6cc,srcqritcdb,Scrio.1700oflh.L.bo,Cod.,f6ttt.pEfomsccolrh. sort for vnich rhb psmn is is.d My erkdr o6paE lion i4ufuc. c&id Ed lolicy .unbd @;
-l
cdify rhar io rhc pdformabc.oaln. wort for qhich llE p.m is rssucd. I sh6ll n.t mPloy my p€mn i. e)i@6
$ sro b-on! rubjdr ro rh. qorlm rompsMrcn la$s of Cal,foma sd tgE thd ill should b.(onc sbrai
'o
llt
No*6s' comp.ff.lion pmvisioN of S.rlio. 3700 olrh€ Labor Code t slEll. aonhwilh comply rilh lho$ ,E!isioN..
WARNI\CI Frilur€ ro suc {ot6 onp@3dior co!@8. !! unlartul, ed shdl sobjdl & @plorq lo aininal pddi6 ed
ciail fh6upioon tudr€d thoutud doll6 ($100.000). in addnion 1o th. cosr of conp.Mliotr dtha86 a Prcvidd for lh.
S..rio! 3076oarh.t bor Code inr.nd 6d fioNy s lc.
ADplimnlr_ _
ll(Ilsl;LcQlraaclaa
DICI,ABAITON
I hocby.mrm undq poahyofpnjurylhd I m li.cnen ondd pmvision olchafld9 (comen in! *nn S€dior ?lvJo) orDiritn,n l
of the liusin6s dd hlldio6 Codc. dd ny li.e6c i. in full tucc md efiNt.
SQXSISJLIION.LENDIIG.6IGINCI
I hd.b all@ uid( l.nrry oa pdjurr lhal lhs. is a connrudi.n lcndi.s a!m.) aot rhe lcfonrmc€ orlh. *or[ for ahi.h rhG tBnh is
hsu.d lscc. l0r7. Ci!. C ).
AItIICANIIECLIEAIIO!
I h6dry dlim !6d$ pmahy oapsjuy onc olthe foll$rins deldalions:
Dsnoliln,n Pmnirs-Ash6ros Nolin(alnr r.no.l R+u larions (Tir le 4tl. Pan6)
-Rqun.d
Lclls of Norifiorn'n
-l
.di8 lh.l rhc Lddrl rcgulalioN EE rdina sbGlos moval dc not arpli.abL & iti. pojd
-lcdiittharIlErMdlhsapplicnionEd9.lndrh.abot!inlonidioni!cood.IsrralocoDplyvhhdlCnytdCoulyordi@c6 ud St.r. Lsws rldi,ts ro building @igsdio!! ad h@by .uhorizE r.prenari!6 ofthi! Cily Ed Count] lo dla uPoo th.
sbov. Eorion€d phpdlr lor iispdlioi pupo.6.
ApDU61 or Aanr SisEl@:
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Rough 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
Rough Mech.
Final Test
Meter Release
FINAL
Notes, Remarks, Etc
Smoke Detectors lnstalled
Poli.y Nurnls-expircs:
-
I
----+---
=
D^
TEtn(U
WEATHERIZATION t\ tIR-( I t\ [\t.R(;l s\sl[.\ts
March 09, 2020
City of Santa Ana
Building and Safety
20 Civic Center Plaza (M-19)
Santa Ana. CA 92702
Re: Permit #: 40134100
Project Address: 1703 W l2TH ST SANTA ANA, C 1192703
To whom it may concem:
We are requesting for permit# 40134100 to be canceled. The homeowner decided to not move
forward with the installation. Due to the cancelation, we are requesting a relund for permit fees
in the amount of$148.29 to be issued to Inter-City Energy Systems, Inc. located at: 1175 N. Del
Rio Place, Ontario, CA 91764.
Attachcd is the pcrmit and inspcction card for your rccords. Ifyou havc any qucstions, plcasc
feel free to contact me at 909.758.5075.
Thank you,
Jessica Saucedo
lnter-City Energy Systems
JS/js
Enclosures 3
1175 N. Del Rio Place, Ontario, California 91764
T (909) 758.5075. FAX (909) 758-5084
CL#622252 . CL#587709