HomeMy WebLinkAbout40108590 - PermitCity of Santa Ana
20 Civic Center Plaza (M-19), Santa Ana, CA92702
Mechanical Permit #: 4OlO859O
6/Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Suite:
Block: NA
Bldg:
Tract:7058
Suite Range:
Zoning: R,Assesso/sParcel: 410-182-14 Lot:22
Owner:
Address
Duc V Ooan
505 W Alplne Ave
santa Ana, cA 927074803
(714) 556-01/t4
Fee Type
Furnace
lssuance
Amount
20.50
22.50
Qty
1.00
1.00
Fee
$20.50
$22.50
Phone:
Tenant Name:
Contractor
Address:
Preferred Air Conditioning
27824 Camino Capistrano
Laguna Niguel, CA 92677
(949) 766-9500Phone
Cits of Sonto Ano
POi ttt4/ozto.ct(ELLY Loc: CTYH - ([1cuST: Iltv:{01085900l$ m0? 00003906 t/11/o2 3t.,:LFn
TRAHSSCTIOT{ TOTAL! tIO6.25&rildinr f{3.00cK t106.25cl{AN6E Sd,[0
State Lic #: 750418
Lic Type: C.20, C-36
Bus. Lic #: 0189877
Workers' Compensation lnsurance:Carrier: LEGION INSURANCE
Policy #: WC 11620597
Expires: 0212412002
Single Family Dwolling - D( Constr Type
Alteration Occupancy:
HEATER Code:Notes
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Brodowski, Teri
Date:
Dale:
Date:01114t2002
Misc. Receipt
Misc. Receipt
Misc. Receipt
Building Permit #$43.00
$0.00
$43.00
This permit shall expire by limitation and become null and void if the work authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days
Before such wo* can be recommenced, a new permit shall be first obtained to do so.
Account #: 01 1-01-5915 lnspector
Fee Total:
Paid to Date:
Balance Due:
Project Address: 505 W Alpine Ave Address Range:
Historic: No
Building Use:
Type of Work:
Nature of Work:
v-N
R-3
cMc 1998
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
I \U?
Rough Mech.,r7)otv I
Final Test t(Lrn
Meter Release sfl
FINAL {-'<l*O,)dt'^'
Owns-Buil{t( D..l@tis
I tE.ty cflim 6d.. pcr.lty of Fjury lhal I m .xdF fm lh. Cqrers' Li@. Liw ad lhc followirg r€M G@ ,031 .5 Bsine
dd Pof$i6 Cod.): Any Cny d Counly shict rcqliG ! Fmir !o cmrucl. .lro. improv., &mlish o. rcpair &y if!cr@, p(ior to iE
is@@,.1$ Equn6 thc appli@r fd s&h Fdn to fiI.. !iF.d iardar dl.l hc d 3h. k lim.d pd@r to rh. ptuviri@ of lnc
C6r&!ofr Lic$cd L.w (Ch.Fr 9. Comaci.r witlt Ssd6 ?000 of Diviri@ ! of th. 8Bin6 ad Prcfdions Codc) or rh hcor
shc i!.xn$ thcfm ed O. bak fd $c dl.E.d cx6pti6.An, violari@ of S..tie 70ll 5 by my.ppli@t lc ! Fmn subj6l! thc
alpliBr ro ..ivil Fr.lt, of tu tu&lhe fiv. nudr.d rlolla (1500)
_1,6 wnc ol fi. proFny, q my 6ploy6 *i6 waa6 s thcir $1. cmFnsari@, will do lt. vdt &d tt. sl,uclu. is nol inbdcd
or ofi.Bd fd sal. ( S.c.?Oaa, Bqina arl Pof6sioro Codq Tll! ConlE iol! Licd. kw do.s not lpply to & o{n6 of tna popcny
who buitls tr ihFovB th66n. ed who .16 slch wdt him.lf or h6dl a $rou8h his c hd ovn .mployc6, Fovid.d lhar such
impbvm."a e nor inhdcd or of'n.d for sd. li how*d, ln. blildinS or ihprcvmcnr is sold vilhin or. y.u ol @mplcrion. th.
Ovnn'Builda*illh.6.burd.nolprovinS6arh.o,rhcnorblildoimp.ov.fo.th.purpc.oas.l.)
_1, a oM6 of thc pop.n , e.rd6ivcl,6r&dns aiu licd.d @nra'o6 ro @sruql rh. pojct ( s6. ?oaa, Bcin6 ed
Prcfsi@ C6d.: Tn. C@r&rnt Li.@. L.w dc tror !ppl, to o orG of p.opcrty Bho buil& c inFv6 tn.llm . dd Bto
cmr&Ll rtr luch Fojdrs witl i co.tr&ro{, li.s.d p66. ro thc coturd'r Licd$ Lav )
_l m.rdpt undcr Sdion _,8 & P C. for rhk E6on
WORKERS COMPENS TION DECL NATION
I hftby dllim 6rii, pcnal9 of pdj.ry 6. of $c follain8 &.la8titu
I nat. ed will minlajn a C.flj,ic.r. ofco.ror to SdllGUrc a{ wdi6' @mFro.rim, a Fovi.Ld fs by selio 1700 of th.
LrbffCod., fnth. p.rfollu4 of th€ w t a* whi.h d'. Fnil is isucd.
cdFisado iBuMc, a r.quircd by sc.lio l70o ollhc L.bq Cod.. fq tnc Frfolr@e of $c
ii3ufu.. 6id ad pola.y nMb.. 4l
02_
(This
I
r00l
of rh. wdt ad shich Ois ldnit i! io.4 I !h.ll no. nploy sy p66 i. ey lllen $ a ro
' c@F aioi la*r olc.lifmi., &d
.6ply wilh th@ pm!ti@..
WARNING F.iluc to lcE worl6 cfip.nsdion covE e. i! unl.*ful, d shall rubj.cl e fiployd lo Biminal F slli.s &d civil
fin6 upro m. hundr.d lhMdd doll&! (l100,0o0),i. lddid@ ro rh.6r of@hp. ad@. d.h!96 a polid.d ld thc S*tion 30?6 of
thc t4bor Cod.. i.r6t Dd .lro6.y! f.6
LICENSED CONTRACTORS DICLARATION
I o lic6!.d u&. D.ovi3id of C1l.p(d I (@mhmcin3 witn scdie
L
I h4by .fiin ud.r p.idty of paiuy dta thd ir t
isu.d (S.c. 309?. Civ. C )
lddirS .8.n., td lh. p.rf@oc. oa th. *o.t ad whi.t $k p.mir it
IIUCIIqESEE&AS fISI
D.molilion P.miE-Arbdla Nolific.rion F.d.rsl R.Bulaiec Onh 40, Pfi 6)
_ RcquiEd L.nd of Notificlrid
_l ccnif, thar lh. fcd.6l E!ul.d@ csr.dins atdd ltmr.l o. io{ .gplicrblc !o thii Foj4t
I @nify dlal I havc &d dh lpplidio ud
ordinscG md Sllt Laws Elaing ;oshction, d hd.by !u6oriz. rcpr66rariv6 of Cily &d
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Above T-Bar
t*t4
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