HomeMy WebLinkAbout40132610 - PermitProject Address: 3419 S Sheffield Rd
Assessor'sParcel: 412-531-32 Lot: 97
Unit:
Block: NA
Address Range:
Historic: No
Suile Range:
Zoning: SDI
a?
Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civjc Center Plaza (M-'19), Santa Ana, CA927O2
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mechanical
Owner:
Address:
Contractor:
Address:
Phone
Tenant Name:
Ernie Antonini
3it'19 S Sheffield
Santa Ana, CA 92704
(714) 662-7599
Oykier lnc
16213 Canyon Hills Rd
Chlno Hills, CA 91709
(7141 255-0429
Foe Type
01116002 51604 Furnace/Comp Combo
0'1116002 51604 Compressor
011'16002 5160C General Plan Update
01116002 5160,4 lssuance
Amount
126.90
90.19
22.08
55.04
Qty
'1.00
1.00
1.00
'1.00
Fee
$126.90
$90.19
$22.08
$55.04
Phone
State Lic #: 439376
Lic Typq C-20
Bus. Lic #: 370602
Workers' Compensalion lnsurance:Carrier: State Fund
Policy #: 9024846
Expires: 09/01/2019
Replace existing AJC units and furance
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
09/19/2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Single Family Dwelling
Miscellaneous
A/C & FAU
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2016 Notes:
Every pemit issued shall become invalid unless the wo* on the sito
authodzed by such pemit is cgmmenced within 180 days aftet its
issuance, or if lhe wo* authorized on the site by such permit is suspended
ot abandoned for a period ol 1 80 days aftet the tine the work is
cofifienced.
lnspeclor MID#: 2018-146230
09/19'2019
Account#
$22.08
$272.13
Fee Total
Paid to Date:
Balance Due:
$294.21
$0.00
$294.21
Permit #: 4l)132610
Pin #: 5{96E
Btdg:
Tract 16311
Planning Approval B!
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Orozco. lvan Date:-/
l6]./Date:
Zuniga, Allissa l Date:
01 1 '16002 51600
01116002 5'1604
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.OWNER AULDER DELCARATION
I hcEby.firm undcr peMlty of pcdor) lhr| I !d erenfl fion rhe Conudou' Ltcnsc Llq for lhc followi.S EMn (Sc.7o.ll.5
BlsiB. ,rd Prlfcssion Codc): Any Cily or Counly *hi.h rcq{iEs ! IEmi $ .o6rruci. {ltci improw. &mtish or rcprn any
slMrnE, ri,r ro irs ksu.tuc, ols rauircs rhc aidicair for slch ttnDi lo fiIc s si8rcd slllcm tnll lE or ihc h lkmkd Iuruanl
lo rhe Fovisn,ns ottu ConrBlols Lieicd Lw (Ch!pt$ 9, Conmmins qilh S*lion 7fi10 oi Divhioi 3 oflnc B!sin.s. and
tmtc$ionr Codc) or th lE or3h. iscr.mpt thcrdo'naId rhc bsls for llE alhled cx.mprhn. anyYiohlionofSslhn7011.5byrny
applicrnr aor s lcmir subr.cls lhc applka.l loucililpenalltofnot mt the ivc hundrcd dollrs ($Jm).
-1,
!r o*nr of rhc FnFnr. or oy .nplorEs wilh wa8cs as lhcir slc com!'cnsdiotr *ill do rlE wo& and rh. inclE is mt
inlo:d.d or ofi.Ed for $1. (5e.?044. Blsires ed Pmfessions Code Thc Co.r,rctol s Li4np llv d.cs nol 4,ply ro s owm. of
rlE pmFny wtn hrilds or inpoB t.Mtr &d wh6 ib6 sEh Mdr hinself or ncrclf or lhtuugh his or hcl own .nphy!.s,
poridert !h&r sEh irlmE s.ls e ml inlc cddoll.rcd lor eh.Il rsErd,lhc buiHinB o, i'r{Ntm h$ldwhhinomFe
ofon{llcrh'! rhc Ownf Bujli:16 will hrrc rhc hrdcn or Fovi.g thd h. or she dn d buik or imrr.w ['c pmlrny for ln. pu4bs ot
t. es own$ or lhc ,,$.ny, m cxchsivcly anrrading wnh lic.n*d co.r6.roE ro @Nru.1 llt ,,mr.{l {Se. 7044, Buiims
lrd AofBsbn Codcr Ttc Conrmlork l-i.c.s ttw do.s mr +ply b o owncr of propcny *ho l,uilda or improv.s lh.rcon.
trnd wno .onhcr. for sch rmjccis sirh a ConrEb(9 liccnscd rruMr ro rh. Conreltr ! Lt.n* L3s).
-l
fficrcmpt undcr Scct
Irelc: _- O*Er:_
WORKERS' COMPflISTT(IN
DECLAAAIION
I hsrby 1ffirn udct rerulry oa ptrjuy o* ollhc foll.wi.B d(lmlion.:
-t
h!!€ &d will minmir 6 Ccnifrd. of Co.enl ro Selr-lnsurc for wort6 mnpcns ion.I Fivilcd fot by SdIion 3700 oflk
Lihor Codc. for lhc pcrformne of rhc mrt for *hkh lhe ocmit ir hsd.
-l
havc ud will mainrrin vorkcis .oq).ns io. insuraN.. as r.quied by Sslion 3700 of rhe ljb.t Cln . for lhc ,sfottucc of
rhc wor* for {hth lhn pcmn k issucd. My wd*4 ompcnsion irsr0ne cMi( !,n PIi.y oomb.r m:
- S{-"+t€ F,r-,Ic.L 22,
-l.cnily
rhsi i.(hc p.rlorflncc olthc *o* aor vnict this lErni h nslcd, I ihall o.r cmploylny !.mn in rny oEntur
s !s to tEs'm sub;rr ro rhc &lids'coq)..sorbn hwsofcdlirornh, and a8@ rnar ifI sholld h..om bj.ct ro tlE
wortc6' .o'npcnslrion prolnbn! or Serion 3700 ot rhc tibor C.dc. I sholl. fonhwirh shply {irh rhoc tDvision!.
WARNINC: F0ilurc to w!rc so*cn' conrFnsllion c.vcmac is uiliwtul. ind shrll subjd !n cmplortr lo oida!,| FMnhs and
civil nncs up lo om huDdrd lnousnd dollus ($l ion. damgei as lovidcd for lhc
sccrnr 3076 0r rhc Lihtr codc. inrcrcsr 8nd !rqlpl.orrI
ur;lNrr:DroNt&tc.&a
DICLABdIIgN
I lrcrcbyrlftnru dcr pcnallyofp.!urtthnrI nli.c0klundcrtn'vNiuIol(htrcrI(conntncingsirhsc.rintr7(xx])oll)ivi\i,r:1
oi rrtr Bu$trcs\ rtrJ Pmfc$iorNG'dc. itol mr liccn\s t in tulllnre4iclrc.r
.q--2r)t >7 b
^," q<)q-z.olK_,"*
caNi[8ucu0l{"L[!DlN(i-[a[xl;l
I hsrcby !fiirm undr Fnrhyofp.rjury rhd th.rc t r con$d.tion lcndirs rscncy ro, rhc l*riomtsn.c oillt wo.k for shich rhh P.nnir i\
hsucd(ss 3ir97.civ c )
A.8II.]CANLDIIIAIAIIOII
Ilanb] lunnrnd$ pctrrlry ol'ocrjury.trc ollht folL,,*inr dNhrrrn,n\:
I).nn,liriotr Pcflnir\ A\hc(o\ Norili.rrnnr F.dcrul Rcguluri(r\ ( rirl. J0. Prn6r
-Rcquncd
Lcud uf Nurili.rlinr
-l
enif, rhd the lcdeal EellnrioB Egarding 8b..los aeral aE nol lpplicrbE lo lhir rojer
_l.c(iry rhni I hah Md rhk.ppli..rion0 sratc rhar tlrc.b.w informrion is.orer.I4r< lo 6mplyvith !U Cilyana Couni,
ordinaftcr and Sr!r. Lrws rhrine ro hcrcby.uthtria rq,r*nrarivcs oarhiq Ciryatul Coutrlyto cnrcr upon rhc
rh,vc nrdri(nrd F)n ny
Apdi*nr or ABc SiSnau
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 Ranoe
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
Meler Release lx
FINAL t"747 *,viy)
Notes, Remarks, Etc.W$ lzLtot\*- oK-.
COMMENTS
lr .a. N.ft:
-
L.ndB r Addrc3.:
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