HomeMy WebLinkAbout40132209 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mec han ical Permit #: 4ll1322o5
Pin #: 92640lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
ProjectAddress: 1612 S Van Ness Ave Unit:
Block: F
Bldg:
Tract: 531
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcelr 013.192-23 Lot 25, 26
Owner:
Address:
JAVIER QUINTERO
1612 S, VAN NESS AVE
Santa Ana, CA 90707
(s62) 549-3178
Fee Type Amount
01116002 51604 Wall Heater/Floor Furna 63.12
01116002 51600 General Plan Update 2'1.25
01'116002 51604 lssuance 52.98
Qty
1.00
1.00
1.00
Fee
$63 12
$21 25
$52.98
Tenant Name
Conlractor
Address:
lnter.City Energy Systems, I
I,I75 N DEL PLACE
Ontario, CA 91764
ls62l777-1142
Stale Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensation lnsurance:Carrier: Zurlch American lns Co
Policy #: WC03816460
Expires: 0710112018
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2013
Notes: Mechanical
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Fieldl
Building Permit #:
Date:
Date:
Date;o6t12t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit bsued shall become invalid unless the work orl lhe site
authoized by such pemit is commenced within 180 days aftet ils
issuance, or if the wo* authoized on the site by such permit is suspended
or abandoned lot a peiod oi,180 days qfter the time the work is
commenced.
$137.35
$'137.35
$0.00
userb
lnspector MID#: 2018-14400'1
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Phone:
Phonel
MECHANICAL-INSPECTOR RECORD
DATE tD/stG.COMMENTS OWNER BUTLDER DEL(}NATION
I hcrcby lrtrm undlr lcrulty of pcrjury rt r I m cxcn 'r frcn rhc Contracror' Ltcn* trq fo, rh. followi.g Be$n (Se.?031.5
Blsircsi o,n Pioacsrion Code): Any Cny or Counry shich rcqla6 r F mit to consod, !1t6. inprorc. dcmtish or rcp6i, My
Blrucrurc. Irior ro its icruue. alm rcqunca tho arplic&t fo, !u.h Fmir lo lilc z si8ncd sr.rcmnl rhrr lE or shc i\ li.cn$d l,u,$ur
ro rlE rIDvi\ions of tlE Conrkrof s Li.cnsd L.w (Ch.prr 9, Conmfting wirh Sdion 7m0 of Oivision 3 of lh€ Busincrs lDd
Prcfesions Cod€) or rhil nc or sh€ t cxcn r rhc..fb,r sd rlE bssh tor rhc alhScd cx.q,rhn. Any violrtion of Stlion ?0.1 Lt bt .iy
optli.! ll,r a l.ml subjcch rhc appli.an( io !.i!il Dc.llry oi.ot mrc rhdn nv. hundrcd douss ($50o).
-1.
s owtrtr of rh. pmpcnt. or ny chployes *irh vegcs &s rhcir Flccoml.nsrion, *iU &, tlE stt,ti t nid@ is ml
inieod.d or o,Icrcd for slc (Sn.7044. Busine$ ed Prcf*sions Corlc: TIE Co.r@roas Liaok l,v docs .ol lpply lo ai oe@ or
rhc pDrEny who boilds or nrll'm6l}rmn. ud who dG Mh m* hinsclf or lEMlf or rhmu*h his or hcr o{n empl6y..s.
p.ovid€d th,r trh iqft\tenri m sr hrcnded oronbd for sL. lf.ln$ls.0r t{iEhs 6r in{eEmni k 5ld v nin orc rE
of@r{ikrio'l rhe O*tur Buius qill hlr rhc tldd of rmving thar hc or sh. did mr h{ild or nrqow dE potcny for d. purFc of
-1.
!s owncr of rhc FoFrlx am crclucilcly conr@rine wirh liccnsd .ont,eron h onnncr rL nrolxl (Sec. 704.1, Busims
dd Pbr!:rion Cod.: Thc C6nrh.ror's Licc.i. tiw doci mr {rplr ro unown.r oftmFny sho builds or ihprovca lh6@n.
rnd who contBcrs for slch prcJcls *irh a Conhdo(t li.cnsd pu6u.nt ro rnc ConE&ror'r Li.enc Lrv).
I rm.rcn,pr unJ.r Sccr
l)r'lr ()rrnf
u0af,E8l.(oltfrNsArla!
DNCLARATTON
I hereby rmrn undcr Fnahy ol lcrury onc of th. followine d.cls.liors:
-l
haw ard eill tui.kin. C.nifrrr. of Co.sc lo S.lf-lnor. for wdt6' @mFm|li.n, &s Fovi.Ld fm b, Sdtior.1700 of tlE
Llbd tuc, for rh. Frfommc of rnc wort fo, *hich rhc ldnir Lr i$uct.
_I h.ve and sill nainlain eo*.6 .ompcnsarhn i. lme.ds EqniEd bySerion l?00oflhe t bor Codc. for lhc P6fotlllm of
rhc work lor whth thh pcml L{ is$rd. My work6 .on{FMrion irsumm.ntr lid polky numbcr el
-l
ccnifythor in lhc t'crformrcc of rhc wort for whth this pcrmir is issud.l rhDU odr cnploy.ny FB.n in lny nfuncr
F at ro lrsm slbjccr ro rhc wo.l6 or?.nsri{,n kws ol Calilofria lnd 4@ rnnl if I stx,lld tEronE subject lo th.
w6rkc^ Nn4cnsrion polisions oasccrion 3?0o otrhc tjhor Cdlc.l sholl. fonn*ithcomply with lhos povisidns.
I{ARNINC: Failurc h s@ {ort 6 conFosdio. @rcBgc is uihstuL $d sholl subj(rr e.nploF Io cinin l leM[ies ud
civil fincs u! to ore hundrcd rhousnd dollqs ($100.0001. in addnion lo lh. co.l ofcomp.ndion, damgcB as polucd for thc
Serion :1076 of lhc Libor C.d.. im.rcar Dd anomy's fes.
Dole: Applionl
LI!:ENIIIIS)NISACIAB
Itl:CLAf,AI](}!
IhctobyrlftnundcrNnilry.fFrjuryrh,r!anrli.cn*lunddrprovnionolChrtrcr9lconrnrncinsqilhsccri TmO)olDivisn l
oi lhc Bu\inc$ ond Profcst'ns Codc. mJ mv liccn\c i\ in lu1lturc. ddcfltcr.
Licccc Ckss:-Licensc NlntE(
Doler Conl
CONSIAUCIIONIENDIMijIiENST
Ihcrchyaffirn)undcrlcnxlryorFrjuryiln rhcEis,strsr crio. Lndi.8 o8cncy for lhc llcrihrrorcc ofrhcso* ror which dn Frmi' n
hsucd (Scc.309?. Civ C ).
AIILICANLDECT.ASAIION
I ffir,JIm u.dcr l.tulry ol r.rjury ok of rhc tullowin8 d(ldrdbnr
DcnoliliM P$nili^\tr{os Nolilicaln,n lrcdcrl Rcruhnxrs fl itlc &- Pan6)
-Rcquncd
Lcrlcr olNolifi olnn
l.cdiry rh,t rhc Ld.ral rcgultrliotrs rsudnr8 astr,stos rcnFvdaE nol opnlicot !c ro lhi\ pniccr.
_l errily th,r I hrrc rcad rhn applt.rio. !d s|atc rhd $c !h,w info rErion is corer. Lgr€ ro 6npD wath .ll Cily and Counly
ordinstucs a.d Srdrc b*s rchling to buildi.g .on(rucliol\ 6rn hcEhy surtsrizc rcF.$nlalivcs oflhis Cilyaid Courry ro c.r6 ulpn {x
abolc ftnlioftd pmtcny for isl'<raon puqDs..
AndrM ,
^8cnr
s13trJruE:
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room i Clothes Dryer
Residential RangeOther ,ltt -#r,*,al 7,zz-rlz f/,-^.-u b"lL
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
r7.zz'6 z 'Cq.urz &z-/
Notes, Remarks, Etc.
APPROVALS
Meter Release
FINAL
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