HomeMy WebLinkAbout40132865 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 40{32865
Pin #: 28,8,42lnspection Requests: (7141 667-2738 lnspector Section: 1714) 647-5853
Proiect Address: 822 S Van Ness Ave Bldg: Address Range:
Tract: POLYTECHNIC VlLlHistoric: Yes
Suite Range:
Zoning: SD40Assessor'sParcel: 010-243-'t.4 Lot: l l
Owner:
Address:
Fee Type Amount
01116002 51604 Wall Heater/Floor Furna 65.57
01116002 51600 General Plan Update 22.08
0'1116002 51604 lssuance 55.04
aty
'1.00
1.00
1.00
Fee
$65.57
$22.08
$55.04Phone
Tenant Name:
Contraclor
Address:
lnter-City Energy Systems, I
,I175 N DEL PLACE
Ontario, CA 91764
(s62l. 777 -1'',t42
PERMIT CANCELLED
Phone CO .t t
State Lic #: 587709
Lic Type: C-36, B, c-10, C-20, HIC
Bus. Lic #: 199981
workers' Compensation lnsurance:Canier: Zurich Amerlcan ln8 Co
Policy #: WC03816460
Expires: 07n1n019
DATE:dft/1
INITIAL:
Building Use:
Job Type:
Nature ol Work:
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2013 Notes: Mechanical
Plannlng Condltions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web_user 11t13t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall becomo invdlid unless the wotu on the site
authotized by such permit is commenced within 1 80 days after its
issuance, ot if the wotk authodzed on the site by such pennil is suspended
ot abandgned for a pedod o1180 days after the time the work is
commenced.
$'r42.69
$142.69
$0.00
lnspector MID#: 2018-147642
N/A - No Balance Fee Total:
Paid to Date:
Balance Oue:
Unit:
Block: 17
James Hardly
822 S. Van Ness Ave
Santa Ana, CA 92701
(714) 973-011s
b.
--{
Date:
Date:
Oate:
MECHANICAL-INSPECTOR RECORD
DATE tD/stG.COMMENTS ()\\Nrirt Bt Ll)r)r Dul.(.\ll,\I l()N
! h*by allm ooda p.n lty of Fjury lhn I d ddfl Iiom fi. conlr.clm Licdte Llv fo.lhc followin8 rcen (s€.7031.5
BEinBs and Profsiof, Codc): Any Cily ot Courly {ltict aqxn6 a pdnit lo .otrnru( 616, imp!oY., dotulish or Epor dy
strucrue Fior ro irs isuec abo rcqund thc applEsl for such Fmit lo 6lc ! 3iSf,cd tlltmdl lhal hc or slE a licfttd pLedt
lo lhc FovisioB oat'r. Coitracloat Lic..cd Lrw (Ch.pG 9, Com...in8 {hh Sctio. 7000 of Division I oflh. ABilB dd
Pofsrio6 Cod.) o! tbal h€ or slrc i! cic@pr lhE from ed th. basir for lh. all.g.d d@plion. Ary vioblion otscclion 701 L5 by My
applic&r ror a p6nit 3objet3 rn. sppli@r ro a civil Pcnahy of @t ooe Om 6v. hundr.d doll6 (S500).
-1,
s oMd oa$e pbpqry. or h, .oploj6 wnh wa86 s lhcir $lc coDp.nerion, will do lhc wolt ed th. dtlclr is mr
n{o<t d u oE Gd fd lalc (56-1044. BGi.6 sd Pmf.$ion! Cod€: Th. Conlruclols Li.Ge trw d,6 nol @ply lo d osd ot
rh.Fopdr, wno bil& or inprlG lhdE( alld who &6 Mh sil him.llor ndr or lhrcud hi. or hd om dplor6.
prcvidc<l lhat su.h i@polmlr e mt indd.d orofEd for elc. l[ h.\l4E, th. tuildins or iDprov.:Ml i! $ld *ilhi. oft ]a
of.orpkrior rhc O@d Blilild will hrw thc hxla ofproviis tbd h. or !h. drd not hild or itrrpovc dt prlFlv for th. porFe of
-1.
d om6 oflh. prepcly. m cxclBiv.ly contraclils wilh licctru.d conrados lo on$acr ttE Imj..r (56. ?044 &rinas
dd P,okrin Codq Th6 Conlnctoas Licoi. L.w &,6 nol alply lo e oMo ofPbPcny who builrls o, @Prov6 th66(
&d who @nl6cls for sucnFojcclswiha Coffi&ro(, licc.s.d pcne! lo lh. Conlncloas Lic@ t,*J
I an.\cmDr und6 Sdrion .B &P'' forrhill6on.
lLoSaE3!:caluEllarlo!Dgodaaro!
I hd.5y srm undd p€n.hy olFjury orc oflh. followioS delmliom:
Policy Nu'nb€l-trP
-I
..niay ihal in rh. pstorMc. ollh. wo.l aor which thk pdnn is i$ucd. I shall nol 6Ploy .ny pd$n 6 ey dMnd
s 6 ro b..{n subj*r to th. wd{6'mmptrdion laus ofcalifoda. ed 08c rh.t ir I should bcom. subjdt ro ih.
e.t6' co6p.e(io! povisioN oi S.tlion 3700 of lhc kbor Codc, I dEtl, forthwilh comply wi$ rnos Povisiotu
WARNING: Failur. ro su. $ot[6' @np.Balion covs.8. ir unlswful. ed slull subjel d dplord to onind Pcmllb 6d
civil fr6 up ro otu iundrcd tho8.nd dollm (l l OO,OOO), i, sdd ion lo rlE coc of codFedotr. rlabaSe s lovid.d for lh.
Setiotr 1076 ofrh. Lbbor Cod., int6d @d rlorrcy t fc.
UCIIIED.CANIAACIqB
DECI.ASAtrO!
I hdcby llfid undd p.nally ofFjury thal I e li.ds.d unda provbion ofch.pld 9 GooMci.S *ih Sctbn 7000) ol Divirion 3
of thc Busine 6d PofBioE Cod.. ed iy lictu. is in tull fore ed .n6t.
_ Coninctor:
CONSTRUCTTON I FJTNING AGF\CI
! haby 6lIm ud6 p...ly of pqjuiy thd lhft n s @Gtuclb. ktdiDg lsdy for th. gcfolllec of dE wrl for ${i:t thb FEn b
bsu.d (Sa. 109?, Civ. C.).
ATTIICANLI)ECI.A!4IIO!
I hor*t ltrm uidtr lcnalt, of pdjuly on€ of $. follo\ inu dRlrariom:
Dc,nolition Psmits-Asb6tos Norifi .arioh Feddal R€xtrlalions (tillc 40. Ptn6)
-R.quir.d
Lina oaNorifialion
-l
csliiy rhal rhe aed6,l r€8olario6 ressdins GLqtos rnx'vil ee nol applicable to lhis pbj&1
-l
ceriiryrlBl I havcrqd rnis applierion d $alclhsirh€abovcinlonnarioniscor.cl.IasrckrconplyNnhtllCnvandCour!
ordi"ancB md Sr0rc t \rs relaring ro buildinS consltuclion. od hftby aulhorne rcpr6olativ6 olth's Cilysd cotrntvlo 016 upon the
.horc motion€d prupsly for iBpdlion purpos.
pplic&r or Agdl Shnalurc:
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL
Notes, Remarks, Etc
APPROVALS
-l
hav. ad will Mintli, . C6lili.sl. of cotBol 1o s.lf-lso. for erkEl @mP.Mlioi. 3 Fovid.d for by Sdlion 3700 ol$.
tabor Cod.. forth.palomdcofrh.m to. wlEh lh. pmil is isucd
-l havc sd will rairlsin wo*.o conpc@lion insu&cq s rcquiicd by Serion l?00 offi. Llbot C!d.. lor llE Ffonlre of
th. wlt for whi.h rhis ,<6n i! i!q.d My e 6 enldE rio, i6l!re cMis ed loli.y nunbd ac
Dalc:_
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