HomeMy WebLinkAbout40132265 - PermitPermit #: 401322es
Pin #: 35220
Project Address: 2050 S Poolar St
Assessor'sParcel: 408-3,f4-19 Lot: 115
Btdg:
Tract: 2209
Suile Range:
Zoning: Ri
q
Owner: '
Address:
Tenant Name
Maria De Jesus Penaloza
2O5O S POPLAR ST
Santa Ana, CA 92704
(7141641-1184
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 69240r 1
Fee Typs
01116002 51604 Furnace
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
63.14
21.25
52.98
Qty
1 .00
1 .00
1.00
Fee
$63.14
$21.25
$52.98
Contractor
Address:
Phone
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsurance:Carrier: American Home Asaurance
Policy #: WC026,t63040
Expires: 0710112018
Botchi:44490 - 5/26/2t!18 Ilrr LR0ffice: CTYH Tronsi: 31 2Acct+! R€f+: 4{ 132
Rcat?:0?303786 - 6/'?5 /2r:rl3 l!rl3
OSALESol 4
261
AI
Tronsoct ion Totll S,141 .6(
Relioble Energg llonoge ent In.
Genenol Plon Update fee
01116002- 516(100(r[-
llechoo icol
01116002- 516010rr(-
ICL Check 007rl2l
t?l .25
t116.12
1641.60
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Single Family Dwelling
Miscellaneous
Furnace
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016 Notes: Directchange-out
Date:
Date:
Date:Amsden, Julie
Every pemit issued shall becone invalid unless the wo* on the sita
authoized by such perfiit is commanced within 1 80 days after its
issuance, ot il tha wotk authodzed on the site by such permit is suspended
or abandoned for a period of180 days after the time the wo* is
commencad.
06t26t2018
Account#
$2',t.25
$116.12
$'137.37
$0.00
$137.37
lnspector MID#: 2018-144305
01 1 '16002 51600
01 1 '16002 51604
Fee Total:
Paid to Date:
Balance Due:
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Mechanical
Permit Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853
Unitl
Block: NA
Address Range:
Historic: No
Phone:
Planning Approval By:Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Irrletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
lnsu lation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
)rC*a 'cilRough Mech.i-/0 )
Final Test
I
FINAL )u\r/l.{tth1a )
Notes Remarks Elc ffii
Olvl{ET BULDAR I'ELCARATION
I hcrby a,Irm und6 Fndry oi pcdury lhll I u crcmpl fiom lh. conttuloB Liccns lrw tor th. follo*in8 ,cas. (se ?03 1.5
Businc$ ad ProfBiion Codc) Any City or Co! y which Eqlias r lEnir ro co.sldd, trltc( inPr.vc. d.frniqh or qrn sy
ddw, rior ro its irsutrm.. aho nqlircs llr afllicsl for such Fmir lo nk a sigmd slltcm lhd lE or sh. k ltensn plrsa
ro rh. Fovisiors of$c Cont@lor's Lkcnsd L.{ (ChlFlcr 9. CommEins wnh Setion 7000 ofDivishn I otllE Buin is and
Protcsiionr Codc) or th.l tEor shc is cxetr l lh@from6d rhc blsh for rhc dlcecd .xcq,lion. Any lio ld io. hl Scdiin 7031.5bymy
epplic..r fo. a pcrnir subjars rhc applic.ni ro 6 civiltcnaltyolnot mrc lhn. fivc hundrcd dollas (S500).
-1.
a\ oerc. ol rh. popcny, {tr my ehployEs *ith w.8cs as lhct sh cohl,cnerion. sil do tlE *ort 3Id tlE sttlde ar rei
inlcftkn or oltcrcd for sL (Se.7044, aush.si Md Pmfe$ionr Cod. Tn Contdols Lkcns Lls &ts mr q,ply ro e owmr of
lht l,oFny shd hrikrr 6, ispDrs llEotr a,n wl[ dos Mh Mrt himscll or hcelr or rhmugi hk or lrr own crqloyc.s.
providcd lhsl such impmwmnls @ ml intc'idcd 6r ofM lor eh. tf, ho*ch. fi. huilding or iilmsmnt is sld ehh{ 6tr }t
of snpLrbn lhc Ovrcr BuikLr will IEE tlE bodcn .,f ImyinS $al h. or dr dil mr build or inpow thc PqEry fot rhc Frpo* or
LosowmrofrhcpmFny.!icxcllsilely.o.mdingwirhlien*d.o,{cloulo.on(ru.|lhcpmj&l(S(.?044.Busu.$
ad PmLsbn Codc: Thc Corlrrcrol s Liccnsc trw des Dot dpply lo rn owncr of proFrr, who hlilds or iryrovcs tt.rcon.
and who @ntra.B lor su.h Prlj.rls with ! Cont,ado(s) liensd l)uax. io thc Contru.lols Liccnse L!w).
I rncxc.rpr nndcr Ser
D!t.: O{ner
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IIILTNAIII)N
I h.r.hy rlfinn u.dc' Nialrlol Dcrj(y o.c ol rh.lnlbwin8 dr.lnrnnx
lhrvdJnd*illn rindCcni,l..r.olC'rr.trr!)Sclrrlnrur.litrq.rlci\'ron fr mn.t\ [ovidcd ljlr hyS.crnnr ]7(X)olrhc
liti, Oilc. trrhcFnnnru.colrlt \oA l,trshr[ rhcNnnir i! is$rd
pcnnn h i$uct My *orkc6 n n ior@re.a er !d lDlic, nlml,er eel
\q4y-D-1\\04\X2ro 4
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ccnitlhal in thc Fnhrmadc ofrh.wort for *hichrhis pcnnn k hsucd.l \h!ll.dr.n loylnylEson in lnyn@M
$ as k, hconE iubicr ro rh. workcn o pctrsstion hws ot Cllifomia. a.d ng@ rhd ii I should bccom subjdr r. rhe
wo c^ omncnsarion tmvisions of Seclioo :llOO of rhe ljtnr C.dc. l \hdl. tudhwith.onPly vnh tho* pmvnions..
WARNTNC lailnrc t, $.urc sorkc ompens ion covc,lsc i\ lnhwtul.shall sutjel !n cr{,hF ro ooj.,l Fmlltl lnd
. il rii.. up n, onc hundrcd thousand dnrhF r$lm.Ux.)r.
i crc( nrt rrtmcy s lic\
LtL v19
I h€fby arrm ld€t pcmlry of F,jury lh{l I m liemrd un .r pmvisio. of Ch.t to 9 (@nGFinB vnh Sc.lbo 7000) ol Divisio. J
ot rhc Busi6s rnd Pmfcssions Cod.. ard ey lk.ns is in tull foE. .nd elI6t
D ttl
I h.rhy rlfifln utulcr p(nrllyolDcrjuryn', rhcrc is r c.tr(Dcr
is\u. (Sc .1097. Civ C )
hnding a8cfty for rhc prfomkc of thc *ork ao! whicn thir F.oit is
t n<Lar Nm'-
A.TPIIIAILIILSIABAIION
Itrrh, imundcr pcnnlryolpcrjur! onc oitlk Ibllowine drcl$trnrn\
Dc'fr,litt,n Pcinrir\ Ash.slns Notiiicrrnnr Fcdcr!lRc-!rhrnN ( rirl..{). Prd6)
Rcqxi^*d Lcllcr or Nolilicurion
-l
c(nify lhlt thc tcdcEl rcEnlaii.ns Egsrdin8 {rb.$os rcnsvrl aE not lrplicablc ro rhir !rcirt.
I .cnili rhd I hrvc rcad lhh lprl
ordin.mcs lnd Srarc Lr*r ml,ting
'o
rh.rhMnndnnrrirnr i\cotrccr.Irgrcck,.o UywirhlllCilyrndCotrnry
horia Eprenlalivcs of llts Cil, lnd Cotr.ry io .nr6 u,,on tL
ak'!c mnr i6tud tnrpcny ntr
Applicsr tr AB.nt Signaturc:-
W'I
Pre-lnsulation
7-<
Meter Release
LoVV
1'8-
to-lacl?
lt
I
I
fT
fI
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