HomeMy WebLinkAbout40134409 - PermitProje ct Address: 1004 N Cabrillo Park Dr
Assessor'sParcel: 931-775-10 Lot; 2-5
Unit: E
Block: NA
Bldg:
Tract: 10580
Address Range: 1002-1098
Historic: No
Suite Rangel
Zoning: R4
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Mechanical
Permit Counter: (7141 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 4l)1344fJ9
Pin #: 9f { 3fr
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Kimberly Alba
1004 Cabrillo Park Drive Unit #E
Santa Ana, CA 92701
(714) 856-6793
Rafael's Appliances Air Con
9375 Joshua Road
Oak Hills, CA 92344
(909) 467-5332
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
FeeType Amount
Furnace/CompCombo'131.87
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
'1.00
1.00
1.00
Phone
State Lic #: 936041
Lic Type: C-2O
Bus. Lic #: 374929
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires;
Botch+rS404J - t/23/2O2O lD: CCUELLAR
office: CTYH Tnonsi! 70 ? of 3Accti: Ref+: {0134409
Rcpt?:02880?54 - l/23/2A2O 3237 ?tl
Tronssct ion Totol t62S.75Rnfoel R i vqs
RdfqEl 's Apolionces Air Condit
Change out AJC like for like.
_ $?2,95
$ 1S9, 07
E3.91
t6?8.7:;
Authi:713273Bhilding use:
Job Type:
N jiture of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Alteration
A/C Change out
Graham, Jeffery
Chavez, Dave
o112312020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type
Code:
R-'t
VB
cMc 2019 Notes
V 01t23t2020
Account#
01 1 16002 51600
01 1 16002 5'1604
01116002 57770
$22.95
$189.07
$3.91
$215.93
$0.00
$21s.93
Every pormit issued shall become invalid unless the wo* on tho site
authoized by such pernit is cofimenced within 3@ days after its
issuanco, or if the wot* authoized on the site by such permit is suspended
or abandoied for a period of 360 days aflet the tifie the wo* is
cqlmerrced.
lnspector MtD# 2020-157312
Fee
$131.87
$22.95
$57.20
$3.91
Date:
Oate:
Date:
Fee Total:
Paid to Date:
Balance Due:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.O1INER BUILDER DEITARATION
t hmby !mn, undd pallry of p.tury lnal I dn cBno ion rh. CotudoB Lic . Lrw lorrh.lollowing r.en (Se70315
Busin6s tud Proasion Codc): Any Cily or Cornly lvhich rcquir6 s Psnrn lo coonod. ah6. im!rcva <lnolish or Epon mv
srtuclu.. |rbr lo irs Lrsudc.. al& ..!{irB lhc arPli. l aor luch p.di $ filc t lrgn.d 3l.ldclll $d h. or ih. b licaEd pulfufl
ro lhc FovilioB of $c Conlr*toas Licss.d l,.w (Chapld 9. Com.ncin8 wnh Sdion 7000 of Divisio. I of lh. EurinRq sd
Pof*ion! Cod.) or rh.t lE or shc is crenpl fioc&om and lh. bosis for lh. all.s.d qmPtio.. Anv violalion of S..tiofl 701 I 5 bv an,
.pplicet for a pnrit subj*r3 th. applicml lo a civil pdahy o liot 6or. $& iir. hundr.d dollds ($500).
-
I. s own6 of lh. Ftrp.fly. or mt .6plor6 witt wtg6 c lh.t sL ooP..elio.. sill & lh. *ot dd th. dflde i$o!
i ad.d or ofi6.d lor elc (S6.?el4. BBind od Pmfsiotu Cod.: fi. CoolEclor's Licd. ltw doa not apPly lo M osn of
rhc rroFty vho bil<& o. ir4,ove th@r od sho do6 loch s!ll( hinslf or hddfo.lhtoogh his or hE om dplovd.
providdl rh.t surh inprcvoers @ rct inlqi.d or ofl.Ed for sL lf. ho\leq, Oc hildsg or inFtr\Eful b $ld winino.. y€t
olcompk io( rh. O, ftr Buildn win hlE tk tuda oapmviis fid h. o. sfic did 6l hild or inF.v. fi. pbpdy for tli. plrpo$ of
-1,
s oMd ofln Fopcly. d q.l@itcly co.lt&1i.8 w n Icffi.d coarodoc to @Dnod th. proj.d (56 7044 BcinB
ed PmEsion Co&: Th. Conmoor'r Lic.nr LN do6 nol ,Dply lo s oenq of prup.rly rvh. b!il& or inpro!6lhddi.
a.d *ho codracrr ror.uch Foj.ds with a coitBtu(r lic4.d puEunr ro (h. contador-3 Lic@ L3s).
I M.xc'nF und6 Scrlion
la8aE8!:CqUtDSEAIlO!olcldtalla!
I h@by .IIim und6 pd.ty olFjuy on. of lh. followinS d.cldlioB:
th.v.adlrilln.inlnifldCcnificalcofc.NdtoS.ll-lnsurclor$orkss'corn!.Nalion.spmvidcdlotbysdlionl?()uotlhc
t,sbor Codq lor rh. Ffomanc€ otllE rvork ior Nh,cn lnc ponir is isu.d.
I navc snd rill nrinlain vorl6 coop.Bario. iNurance ss r.quned by sdiof, l?00 ot tlr€ Labo. Cod. lor lhc psfomd.. of
rhc work iorshichliis pnil is Mywo*6 comFNlio.iGu c..eicr Md policy nunbo ecl
lzft n'g lhar r !h. D.rrom.ncc or rh. vo* ror r hrch rhi! panil ie isud. I sh.ll nor .nploy ey Pssn in anv mond
tr'sro b6om. subrd ro lh. *ork6 ornpcnsl'on laF ofCtlifomia. ud a8R lhar if, sholld b.codc sbj<t lo thc
srk6 comFrElion Forisioc of Scction lT00 oaln. l$or Codc, l shall. aontwith cohplr Niln lho* pmltioE..
IVARNINC: F.illrc ro Furc rvortC contdiariod o.vo,8c is unlarvful. tud shtll 3ohl< an mployt lo dininal Fmhi6 .nd
(o onc hnndr.d lhoudd dolla6 (3100.000), h .ddni.n b lhc co$ oa.omFisalio!. dmag€ a Providcd lor ln.
C.de inr.ren and atdmcl s f.rs
DECLAAAIIO!
IncEh) amrn !.dd pmalrv ofperiury rhal t n'n l.en$l un.ld pnn'ision ofChaprs 9{.omnrncins \ilh Sel n70LI)).al)nision 1
ol the Busircss and l!'ol$sionscod.. md nry liccNc is in ft'llft8tat.ftd.
Li(l-i..ns.Nuo
I hqcby amm undd p..ahy of prjury lh.l lhdc i. . oBttucl ion ldding tscncy lor lhc pqloflmncc of lhc *ork aor {hich this !<rnn is
Ladei! Addrs:
-
AIITICANLDEIIAAAIOT
I @aftm uftlc Fnalr! of psjury on.of lnc follo\inr dccltrtlionsl
l)..d n,n Pcnrns- sb.srosNolificalt'n F.dral R.*rla'ions(liile10, l'in6)
R.qtrn d l-errroaNorificarir
I cdifo lhat lt Ld6d r.eulaliom Esddins 6b€sls rmovd e. nor atplictblc lo lhis poj..l.
(fLir, rmr t u'c roa rrs rppnc,,inn axl {!r. rhd rh. rb.\. inrom,
hdinucB Md srat. bs5 Elalinx lo buildrns <ocrrudian. tnd h.r.hy iulhn
abor toolioned pop.ny for inspclio.
Appli.anl or Ascnl S is.drur.:
(1
r, comtl\ \ir[.ll('ir! a (_N,nr)
f'h\( \ ,l1{ t\r?c 6,'rinrhe
"'"tl+tl*'to
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. 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
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
)
FINAL ?/B/))t 4tztoV
{
COMMENTS
Meter Release
Notes, Remarks, Etc.
issmd(s(.109'7. ( iv c.)
I-cndo s Nimc