HomeMy WebLinkAbout40134398 - PermitPin #: 72672Permit Counter: (714),647-5800 lnspection Requesls: (714) 667-2738 lnspector Seclion: (714),647-5853
Project Address: 206 W Nobel Ave
Assessor'sParcel: 410-032-28 Lot: 35
Unit:
Block; NA
Bldg:
Tract 6376
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 40{ 34398
Owner:
Address:
Contractor
Address:
Phone
Micheal Lawrence
206 Nobel Ave
Santa Ana, CA 927074529
(714) 557-0661
Service Champions
3150 E Birch Street
Brea, CA 92821
(7141777-7777
01 1 16002 51604
01 I 16002 5160C
01 1 16002 51604
01116002 5777C
Amount
68.16
22.95
57 .20
3.91
Fee Type
Furnace
General Plan Update
lssuance
Microlllm Records
Qty
1.00
'1.00
1.00
1.00
Fee
$68.16
$22.95
$57.20
$3.91
Phone
State Lic #: 799170
Lic Type: C-35, B, C-2, C-20
Bus. Lic #: 196430
Workers' Compensation lnsurance:carrier: EVEREST NATIONAL INSURANCE COMPANY
Policy #r RM8WC00044191
Expires: 0512912020
Rotchi::i3996 - l/2Ll2 2tr ID: flGAlit:Ilolfice: {:TYH TrBne+: 127 1 ol .Acctis Refi: 40134399
Rcpti:(t2869769 - t/1! /2tt2tt 2!14 Pn
Trqnsoct ion Tottrl 9152'2?
$env ice Chtlfip ionE
c/o auth on tile
Building Use:
Job Type:
Nature of Work
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued 8y:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
FAU
'{l Hernandez, Kathy
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019 Notes
Date:
Date:
Date:o1121t2020
Account#
01 1 '16002 51600
01'116002 51604
01116002 57770
$22.95
$12 5.36
$3.91
$152.22
$0.00
$1s2.22
Every permit issued shall become invalid unless the work on tho site
authoized by such permit is commenced within 360 days afler its
issuance, ot il the wotk authoized on lhe site by such pemit is suspendod
ot abandonad for a peiod of360 days aftet the time the wo* is
cofimenced.
lnspector MID#: 2O20-157253
Tenant Name;
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
Fee Total
Paid to Date:
Balance Due:
MECHANICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BUILDAR DELCARATION
I h.6by uoirm uod( ncn , r)a pcrjury lhal I M cx.nrr itom rhc Conrtuon Liccnsc llw aor ilE rollowinS rc.en (Se.?031.5
Busi.ers .rn Proa.sion Cdc): Any Ciry or Counrt which r.quircs r Fni ro co.stdcr, altd. imFovc. &mlBt ., qran any
srtucl!rc. prior b ns irsu!re, ale rcqliEs lnc arrplicanr for suct lcmir ro fik , sigtud rr.rcm rhll h. or shc i! ltcnsd pur$mr
ro thc pmvision! of rtE Colkftbls Lic.nscd hw lchrt .. 9. Conencin! vith Sslion ?00O of Division I of rhc Blsin€ss and
Pofcsions Code) o! rhar hc or shc n.rcmpr rhcEfon&d ttE &sh for rlE llks.n crcmprion. Any viohrionolSel6n 7011.5 by any
lIplic! for a pcmir subicts rhc ryplica.r ro a civil l,cmlry oa not mrrhM fivc hundod doll&i (5500).
_1. &r owicr of rhc Impcny. or By enqloyes wirh wrgcs as thcn st com0cnsatioi, qill do tlr *dt ad fic $nxrm i\ rer
i ..'(H or orcrcd ftr sk (S&.7Ot4. BusiNs. aod Profe$ions Codc: Thc C.nt.a.ror3 Lic.ns. lnw docs nor a,lply lo afl ovncr of
lh. p6p.ny *ho hrilds or i"pors uEsn lrd who dB (h ed< hins.lf or hlMlf or lhmu8h nis or hcr osn cmrlo)ccs.
pmridcd ltul such in,,omnh @ ml hlcf,d.d o.ofi.Ed lor slr. It tsftE th. hoildinA or i,psrcmnr is $ld q hin ^nc r&ofon{ c.ion.llE ol,ftr auilhr will hlE llr tordcn orr.viog ihd hor $h. dU m! t ild tr inplorc 6c pmpdiy ror dr purpos or
l. ( own r of rh. IrNFny. am ex.luriely cool@ri.e wirh li.en{d .oore(oR l0 ois4cl llE p,!j.cl (Se. 7044, Busims
and PDfcsioi Codcr Tnc Contretor's Licensc L3w do.s mr 0ml, b on owncr of popcrly sho builds or idprovcs rh.ron.
and who conri.h for such I'oj(rs wnh a Corrtulo(t licenscd rlnunr ro rlr Coorr&lq s Lidnc Lr{).
Irrcxo \, !iJc' Scrri,nr ,B &l( nnihAroxnnr
"*ffi*
I hcnby.fllrruido r.n!lr!of Injuryo.c ol th. nrbwinS d..limrion\
Ihrvcmdsillnuinrlin!(.dilicltofCon\dnrn)Scllltr\urcntr$orkrBro{t:n\ari(nr,rsBrvidcdlnrhySccrion3?(xrollhc
litxn Gxlc. ti,r rhc Frlbrroncc orrhc sork t{rshichrhc n rnril ir hsucd
dsc d tr ill mrin,in wolkcn compcns.riotr imtrmm., as rcrtnircd hyscclnn r7(xroIlh.I:rh.r(-ode. ror rhc ,olontuncc ol
on{E.srion irsurm. tricr and policy nudbcr N:
dro t+/z-a
-l
c.nili fiar itr rhc ndformncc otrhc sork tor which rhis rE d'r ir i\sucd. I .hall bor .rploy .ny FMn if,ony maflmr
s 6 to bccom subrc.l lo lh. *nk6d on{rc.elion loss or Cdifornia dd o8M lnd if I sholld beom suhjel h rh.
mrkcB con{rn$rion pmvirbns of Solion 3700 ollhc tihor Codc.I nElL fonheilhon'ply wilh lhos povnions.,
I{ARNINC. Failu,. ro s@ hrkc comt nsari.n c.vcdgc h unh*ful. a.d sholl subjer M cmt'lorry ro aimiEl FroIi.\ ind
civil lincs uD h om hundrcn rhousand dolh^ (!100.000). in addition ro lhc co{ or.omp.nslion, dam8.s as pmvitn lor tlE
s<xon 1076 or rl$ Ldor c#. inrc(n
".", //zr/zo or**,,{
ucElsEt}.cllNrna(rgB
DIIIdEAIJIIN
I hcrcn, sfiir lndcr Dcnalry oa !cr.iu.r rhal I !m liccnen lndcr povisbn .f Ch+rd 9l.onnrncing wnh sccthn ?uro) ol Divkion l
or rhc Busincs.nd Proftssn,ns Codc. and myliccnsc i! in tull Lreadcilccr.
,**.r*,,g&tezD /e&*, //r/=D."",*,"".6 +r-
ca! algrrcNlxNDllc]{r-0li(I
I hcruhlrllt'nundrrponxl(vo,FrJDryih r rh.rci\rcotrnrucrimlci mg !cn.)turrhcFrtrmnn.colrhcsor*trshi(hrhi!JEnnili\
ir{'cd lsc. .loe7. Civ c ).
APII.ICANLDECIJaAIII]N
I horht ,frnn under p.ndlry oa Icrju.y om or rh. followi.B deln.,r ions:
Dcmlilion Pcrmits-AstEsros Nolific ion F.d€ru1 Rcsohlions (Tille tlo. Pen6)
Rcquift'd tr(cr of Norilirtion
llt*nrr rhar I hlvc.cad rhi( lpplicllion anJ drt lnlrrh. oh,v. iafqrorn,n is.omr. I a8rc r..onrdy wilh.ll Ciry0nd Arunt,
Sralc tips rcl"tins to buildins consrrucrioa,ond hcrchy lurhorizc rqrLsnrxrivca or'hk Ciryaid
ahovc nEntioned l,m!cn, for
Aoplicanl or Aelnl SiSnatu
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
aln\?0 ?-tp)6vilr'
Notes, Remarks, Etc.
APPROVALS
Smoke Detectors lnstalled
FINAL
z? l rzD
Lad.ft N.B:
-
trnd€ls Ad&Es:
-
I .cnify th lhc Ld.hl nSulnrions R8&din8 nsb.s.s Enrvd m rct np,]li.ablc ro lhis rtuj.lt.
Ii-
I II$rnul Gunmnoil$
Heating & Air Conditioning**t**
CITY AND COUNTY BUILDING DEPARTMENTS
I hereby authorize the following persons from iPermit ERaters ( see attached page for complete lisr) to act on my behalf
in obtaining business licenses and permits lrom the Building and Safety Department, and to sign for permit and related
applications on my behalf. I am properly licensed as required by the State ofCalifornia.
I assume ful1 responsibility under the law for permits taken out by persons authorized to act on my behalf.
This authorization shall continue until the Department of Building and Safety of each City and County is notified in
writing that such authorization has been canceled.
.4uthorizing officer must be listed on the Persontr€l List maintained b\- the State Contractors License Board.
CO}IP,{\Y \A1Itr:0
'J \l Lw\mtn
CO\TRACTORS
STATE LICEItiSE #
144 \10
R\':
TITLE:HTB $I m deveu0 f\f
SICNATURE:
Page I of 2
l\\AS\\n $fff\\A ,.,", t - zq -tq
*O'SNTA
NA,'ffi!
Planning & Building Agency
20 Civic Center Plaza Ross Annex Smoke & CO
Alarm AffidavitP.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
a -a na. orrl
rNSP,02 2013 CRC
This document mdy be lound ot...hrt o'.lly/vn /.santa-ana.orq/oba/
(Please use a black or blue ink ball-point pen)
Project Address:2ot, N Nwaz lTlre-
Permit Number:
",-/3q
?
Property Owner:LkLLIltc-2Vc ea
Contractor:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild ings.
California ResidentialCode (CRC) Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
6\ eo,r, boxes below must be checked:
ACarbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
roo , and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (sFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to b functional. l, also, hereby certify that lwill retest the alarms per the
manufactu rer's in c\rons
lcheck onel tr Li cenSe d Contractor Property Owner
NOTE: Ihis sef-c ertilicotion is only used lor projects thot ollect the EXTER,OR ol the sttucturc. This
process is applicable ONLY to projeds whete occess to the inte or ol the dwelling by o Sonta And
lnspedor is not tequircd.
Signdture:Dote:zl ill 7c-/
License #:
Have this completed form and the job-card readily available on final inspection!