HomeMy WebLinkAbout40132250 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 41 667 -27 38 lnspector Section: (71 4) 647-5853
Mecha n ica I
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: R1
EProiect Address: 2302 N Santiaqo St
Assessor'sParcel: 003-081-23 Lot: NA
Unit:
Block: NA
Owner:
Address
Contractor:
Address:
Sheldon Palas
2302 N Santiago Street
Santa Ana, CA 92705
(949) 548-9928
Associated Heating & Air
1320 N Hancock St, Unit B
Anaheim, CA 92807
(7141777-8833
Fee Type
01 '1 16002 51604 Furnace/Comp Combo
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
122 16
52.98
Fee
$122.16
$21.25
$52.98
Qty
1.00
1.00
1.00Phone
Tenant Name:
Phone
State Lic #: 608210
Lic Type: C-36, C-20
Bus. Lic #: 16318l
Workers' Compensation lnsurance:Carrier: National Liability and Fire lnsurance Company
Policy #: VSWC89673
Expires; OZl01l2O19
qg!ch+:{1,t26 - 6/2t/2ots ID: 1_psg61Et0fficar CTYH Tpons+t S? ? ol i-icctt! Refs: 40t sr2s0Rcpti:02300243 - a/21!21!g 2115 ptl
Transoct ion Totol |294.i9
AEsoc ioted llEot inr & Air
t21 .25
t175.14
1291.19
Genenol Plon Update Fee
01116002- 51600000-
llechon icol
01116002- 5160{000-
ICL Check 032487Building Use:
Job Type:
Nature of Work
Single Family Owelling
Miscellaneous
HVAC
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2015 Notes: Directchange-out
Planning Conditions:
Planning Approval By: Guevara, Jerry
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
msden, Julie
Every permit issued shall become invalid unless the evorr( on the site
authoized by such permit is commenced within 1 80 days after its
issuance, or il the wotk authoized on the site by such permit is suspendod
ot abandoned fot a period of180 days after the time the wo* is
commenced.
0612112014
Account#
Date
Date
Date
06121t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$21 .25
$175.14
$196.39
$0.00
$196.39
lnspeclor MID#: 2018-144221
01 1 '16002 51600
01 116002 51604
Permit #: 4l)13225lJ
Pin #: 14965
Fee Total:
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
tr/etal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
FINAL ll/4ll,t ?\'61
Notes, Remarks, Etc
\
/
OWNER BUILDER DELCARATION
I hcEby .litrm ufllcr p.Mxy of F.iury ild I m .xcn{,t fDn ih. Conhro* Lt.n$ lls for th. followire Ee$n (Se.7011.5
Blsincis .d Pmfcsion C.d.): An, Cny o. Coutrry {ttt r.qutcs . !€mn ro onntud. ah6, iq,rct' &mlnt or EFn any
srn re. pirr lo ill hs@.. rl$ Equics rhc apDli..nt for slch ,.dlr to fik a ,igEd slalcmnl thrr lE or inc ir lie.sn ljueor
lo llE I,ovisions of llE ConlEclort Licen*d l2w (Cnapb 9. ComeminS wilt Sc.lion ?000 of Division I of lh. Alsin ss .nd
Pmfcsions Codc) or lhar lE or sh. is cxchpr rh.rciom and lhc basis for th€ lll.ged eicmprion. Anyliolarionofsc.rionT0ll.5byaAy
appliclil for ! p.mit slhi*ts thc ipplicant Io.civil pcnlhyofnor mrc thm fivc nudrd dolluB ($500).
-1.
rs oemr ol lhc Imtcny, or my cnrrloyccs wnh wogcs f,c $cir soh smr.nsarion. wiu do tt* mlk lrrl dE sltutlE h ht
intcrd or offcrn ror sk (5(.7044. BusiEss d ttof.ssions Codc: Thc C,nrrlor's Lk n* Li* des mt ,nply ro d o*N, ot
'hc
pabFdy erbt ild! or it+roB rtEmn. ad who des skn eo* hi@ror thNltor dmuSh his tr ncr own cmplorcs.
lr.vidcd rhar such itrqftEftnk m rcl imc.d.d or dtu ftr slc lt ho*B. d* t [ci.g or inlpDEftnr is $ld *hhin om ,t!
ofcoq,hrhr rtE Oprcr AliBd ,ill IEE rlE b'ldcn oflmving rhd hc or shc dA mr t{ d or i,t{mE dE I'oFry f6r itE purpo$ ol
-1.
as owmr of Ihc pmll.ny. !m dchsivcly conrracrin8 *iih liccnscd conrEros ro sn$u.1 rtE portt (Sec 7044. Busincs
ond hotr*sbn Codc: Thc Contm.lols Li.cnsc Low do.s nol amlylo a. oBnc. of prorcny who builds or improvci rhcrcor,
atuj who onlmcrs nr such torc.rs wirh a C.nrdr6(9 liccnscd flnudr rorhc C.nrra.ror'r Liccnsc Lrw).
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!mcxcmrl undcr Scct
_ O,E:_
UOaf,EXS:.COMIBIIAIION
Dlst A.8AIM!
I herby offim !nd$ pcehy ol pfijury 6rc ol ft folbeing &dmio.s
-l
tuve aln will miohi, ! Ccdifiorc of Conscnr b Ser.lnsuE for vork6s' otr'If, erhll. os povidcd for b, Serion :]700 6t rhc
Lrbor Codq for rhe F.fomic. ot lh. worl ro' whth thc p6mir i\ ixsu.d.
-l
holcand willD0i.lrin wortcrs c.r,pcnslrion insurrNr. us rcquircd b, Scd tn l?00.f rhc ttrbor Codc. lor lh. IxrfonMrcc of
rlE work r'or sfiichlhh pcnnil is l$ucd My*orkcn conrF.snlion crricr r tx,lilt nu'nbrr,c
N *li.q -l *b, l;L
ol
I c.nity rhar in ih. p.rrnrmftc of lhc wo* ror ehich lhh lErmir k issucd.l sh.ll mr cmploy qny |'cmn in lny Mt,
m N to trcom slbj.rr b lnc *o*dr .ory,cnerion hps ot Califoni!, and a*rcc tur if I sh6uld tx.o@ .ubjd to llr
workcG comFnsolion prcvisioisofS€lion 3?0O of lh. Latbr Codc.l dEll. tonhsilh oq,lr *ilh rho* Pmvi{io.s..
WARNING| Failurc b B!r. sorkes comp$sdrion (,vcn$ is onhwful. and sh0ll subjccl rn cmplolcr lo giminul lrctulrics and
.ivil fincs ut ro om hundr.d rhousand dollrs ($100,000). in ddirion lo thc cosr ol comncnsuliotr. donuAcs a\ providtd for rhc
Serion 1076oarhc libor Codc. intcrcs! ond.ttomy s fes.
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LIIENIDII.(I}dIIACITIB
IIECIAAAIION
I hcrcbyaltr und$ pcnllty olFrjuly thlt I am lic.trsd undcr prrvkn,n ofchaprcr 9(comftncing sirh sc.rion rffD) olDivisio.l
ot rhc Businc$ lnd PmLsioos Codc. and mylicctrrc is in fulllorc ond crlccr.
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COISIf,I]CtrQNIEtrDIIC.ACENCT
I h.Eby frtrm undcr lcmhy of ,criury th.t rhft i(, on(ocrhn kidin! lgcry to. ihe lErflrlll@c of oE worl for which lhis p.d n
issucd (S.c.309?. Civ. C.).
ArtuljttfDErl, aaIoN
I lrrcty dlinn u ndd ,rtr lry ol l,crlry oN ol rhc nnL,sinr dL\hr ir i,$
I)r mliri,)n Pnnirs A\h.{o\ Norillcrri(r EcJ.fulR.guhri{nN IIirlc t0. P d6)
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ccnifrrhar I haE cad rhh appli.srioo r.d arc rhar rhc ah,vc inntrmrion h c.rer. l lgre tl compl! wirh all Cily ond Counl,
odin!.ccs and Srarc Llws rchrins Io huildins consrru.rho. !d hcrcbysurhtri& rcrcsnrativcs olrhn Cilyand Coumy lo ctrr.r ulnn lhe
!bo!c mnr ioned pmNny lor inrtccrion
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