HomeMy WebLinkAbout40132255 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center P|aza (M-19), Santa Ana, CA92702 Mechanical
lnspectlon Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unit:
Block: NA
Bldg:
Tract 1608
Address Range:
Historic: No
Suite Range:
Zoningr Rl
q
Assessor'sParcelr 001-064-04 Lol:'127
Owner:
Address
Thelma Grigg
2409 N Spruce Street
Santa Ana, CA 92706
(714) 5994641
Fee Type
01116002 51604 Venl System - Not Part
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
52.98
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$52.98
$21.25
$52.98Phone:
Tenant Name:
Contraclor
Addressi
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature ot Work
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type
Code:
Notes: Mechanical
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
web user
Date
Date
Date 06t22t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo* on the site
authoized by such pormit is commenced within 1 80 days aftet its
issuance, or if the wo* authorized on the site by such pemit is suspended
ot abandoned for a period ot180 days after the time the wo* is
commenced.
$127.2',1
$127 .21
$0.00
lnspector MtD# 2018-144233
Fee Total:
Paid to Date:
Balance Due:
Permit #: 40132255
Pin #: 70868
Project Address: 2409 N Soruce St
R-3
VB
cMc 2013
N/A - No Balance
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNEN BULDER DELCARATION
I h$eby alfirn !..lerycMlry orFrjury rhJl I o exenfl fnid thc Contero l-ic.6!c ljw aor rhc follo{ing ro$n (S(rc.rl.5
Busi.csr !d Pror.s.hn Cod.): Ary Cily or Couniy which rcquiEs ! pqn l lo conndc( !116. nqrcvq d.elkh or qEn atry
srtuclurc. prior ro ns issuafu, slso rcqlncs $e atpli.nir for such lcrmir ro fik ! \ismd lmtcftnt rhd l! or shc ir licctrsd pursulnl
ro rh. pmvhions of tta Conkeioas Liens.d lrw (Ch{prcr 9, CommEi.E Rilh Sdion ,00O of Divkion I ot lhc Busin*s aft!
Pmfcsions Codc) o! lh.l n or shc is cxcmpl tlrcrcftom lnd th. basis for lhc alhScd cxcmrlion. Any{o!!lio.ofsecltun7031.5 by rly
ap!,lica aor o pcmir subjets rne lppli.a ro a cilil Felry oI nor mE $!n firc hui{t&.d dolldr ($slx))
-1.
tri owe. of rhc lrcFdy. or my .nployrs wnh wr8.s N th.n sb .omFnsotion. eill do dc ast ed thc $n l@ ii mr
im.ddl or oficed for elc (Se.?044. 6usi.cs !!d Prcfc$io.s Codc Tnc Co ncrols Liensc Llw docs nor dprrly b s oenc. of
lfic pn,tEny wln' buildr or nrl0mrcs lll.Mn. rd wk &E Mh w* hinqclf or hdelt or lhslsh hh ot hcr ow. .r{'loyces.
foridcd lhdr .uch iolrowftnk aE mi idcd.n oroff.rn for eh Ii lk)s*i rh€ builiin8 o. ir{,owm is sld *ithin w tur
otconplcion. tlr Owtur BuiLLr vin h,r dE hrdcn orl,oing rnd hc or sh. dil mr t ild or in{mlo lhe pmFiy lor rtE tulEs of
-1.
!s o*ncr of rh. !rup€ny, m cxclosivcly contEclins with li.cn$d conrelou to otriiocr rlE uEFr (S& 7044, Busm$
.nd PsrBsa,n Cod.r Th. C,nhcrols Liccnsc Llw doca nor opply lo an owncr ofrop.rlyvho builds or impmlcs rhcron.
and qno onrrcrs for such rhil|r wnh d Conrh.lo(s) licetr*d plnurn lo rhc Coorrdor's Uens t w).
-l
omcrcmfl undcr Scclio
loaatBlt-col4tENsarloN
DEqIAMIIII!
I lErcb, arrn undcr Fndry of Iqjury om of thc folloqiig dGhrdionsl
-l
hJerlnd *illnuinuinr Ccrr in((c ot Coi$nr r{, Scllrln{rc iu $uk6r conll.n\dri(,r,,s trolidcl lor bySccltun3r(rofrhc
Itrtxtr c(xlc. lor rhc tcrt,nun.c ol rhc so fd a[th th,c p.nnir i\ irsucd
-,
h{v€ ,nd will roill.i. *o*.s .onFnsalion iNUEmq ss Eguircd by Selion l7m of lhc LltDr Code, fot rlE Fnolrll!re ol
lhc work for which lhis pcrnil is issrcd. My smlcn .omrc.salion insurorcc caicr dd Plicy nunber @l
Policy Nu,$d:JxpiB:
I ccdily'h,r i.rhc l.rrormmc ol th. vork lor*hthrhis,c.m h issucd.l shlll nor cmployrnypcmn inlnyMtut
m s ro lEom s!$irr ro rhc workers coqEnsdrio. Lws ofcalifomi!. und lsft rhd if I sh,uld b..om subjc.l lo rlrc
erlcrs' cofrpcnsrion povishns of Sdion 1700 of rhc ktnr Codc. I slEll. tonh{irh @nol, wirh rlDs !,rvisions..
WARNING: FliluE lo surc mrlc^' omlcnslion skmg. h unhwtul. !d sh!,| slbtrt an cn{,loycr lo diniBl Febies rnd
civil tif,.s trp
'o
onc hundEd lhousand.lolles (llqJ.ur), in addnion lo lhc cosl ofcoq,cislion. dlm8ci rs Fovilcd fo lhc
Selirn 30?6 of lh. titrr tu., inlcrc( ard rnor*y s fas.
Applio l
Llgirsg)roNr&tclaB
DE!:I,A.BIIION
ol rhc lltr\irr* Md Innt\\i(nr\ CoJc. rtr uylic.i\e i\ in,ill l,{.c kl.l,..l
Lienxcchs: Liccnrc Numbcrl
CaI$IB!&llaNlMlINCrtCIiNlI
I h.toby rffrflrkl.r rf,.rlry orpc+rt rhd thm i\ n cotr{rucri.n LMils a80nc, for rhc p.rri)rnurcc oirhc work rbr $hi.h rhi\ Fnnil n
i\\rd (s.c l(x)?. civ c.)
AITLICANLI'ECI,ITBAIIOB
I ltnby tmrund$ pcnrhy ofpcrjury onc ollhc followint d..l,uhns:
ft mlnion Pcrnrils'Aslxslos Nolili.arion ltdcral Re8ulations Ont 40. PM6)
-R.qund
lxrrcr ol Noriti.dinr
-l
c.rrify lhal rh€ fcd€ral rsulark'ns csndins lsb€rrd rctr$lal are ior anpli.,rn! ro rhi\ !mi.r
-,
cnify thal I haw Etrd lnis lpplclrion ud sral. lh.r thc trbovc inlbrrEtion h oftd. I .Bre ro odply *irh .ll Cny rn<t Counly
odin,m.s.nd sl{c t wrshrilaro ttriMin8 6n!ru.tio., oi he65y alrlbriz rcF.rcnlalivcs oflhk Cnyctrd Coun!,lodlq uI-.llr
.bovc mntio,cd pmpcny fo! insp.clion turposs.
pflicrnrorAgctrrSiCnxhtrc
Pmile mm (rint):-
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Nilisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.11/i,r/1,/iL89
Final Test
Meter Release
FINAL v/&/tq M L0-,'
Notes, Remarks, Etc
COMMENTS
Hood
I
tt