HomeMy WebLinkAbout40131859 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Mechanical Permit #: 4Ol3{859
Pin #: 24908
Project Address: 2329 N Laird St
Assessor'sParcel: 399-133-04 Lot: 31
Unit:
Block: NA
Bldg:
ltacl:1425
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Conlraclor:
Address:
Nancy Grimes
2329 N Laird St
Santa Ana, CA 927061218
(7141440-0111
Service Champions
3150 E Birch Street
Brea, CA 9282'l
(714l.777.7777
Fee Type
01116002 51604 Furnace
01116002 5'1600 General Plan Update
01116002 51604 lssuance
Amount
63.14
2'l .25
52.98
Qty
'1.00
1.00
1.00Phone
Tenant Name
Phone:
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: 196430
Workers' Compensation lnsurance:Carrier: Pacific Compensation lnsurance Company
Poliry #: WA00060703
Expires: 0312212014
Botchir424ol '2/22/2glg I0r NGARC IA
offices CTYH Trsns+l 54 1 of IAcctir Ref+: 40131S59
Rcptt:02183,{14' 2/22/2OLg 2t2O Fll
TronEoct ion Totol l1l7.I7
Service Cho p iong
$137.37
$0.00
$137.37
6enerol Plon Updqt€ Fe€
01116S02- 51600U0U-
[echon icol0u16002- 6041100-
ICL Check [50941
921 . ?5
i1r6,1?
$ 137. 37Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
FAU
R-3, U
VB
cMc 2016
Notes: c/o
.N
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ernandez, Kathy
Every pemit issued shall become invalid unless the wo* on lhe slle
authotizod by such pemit is commencad within 180 days after its
issuance, ot if lhe wotk autlloized on the site by such permil is suspended
ot dbandoned for a pedod ol 1 80 days aftet the time the wo* is
comfienced.
o2t22t2014
Account#
$2't .25
$116.12
lnspector MID#: 2018-141653
01 116002 51600
01 116002 51604
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address:
Fee
$63.14
$21.25
$52.98
Occupancy:
Constr Type:
Code:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNi]R BUX-DI'R DI.]LCARATION ,
Inrs rc$ rNl I'rolts{.r Coic) Any Cir! or Cotrr, $hi.h rcquin\ r t i,nir r, (otrdflci- rlr.r. nnf(,!c. C*n'li\h or r.!ir t
{n'crurc. pnor (, ir\ tnrm.c.ahorcrNtcsrhcufrlr.rnrn)rsuchJNDilt)iilcasiSnrJnrictn(rhrrhc r sic i\ i-:dnscd nu^omr
h,'li\\n)n\(idc)orrhar ltr.shc i\ crcnrlr rhcrclio Jtr.l rhc hlst lnrrhc rllc!.d.rcnPri(0 Anyrio[ri,,,ofScdi(tr701l5hyr y -
nmli.itrr t)r iF_nnir {rhr.rs rhc ippli.rnr t' rci!iltcDrlryolnor xtrc rhu lnc hundrc(l olhs(S5(x))
-1.
as op.cr of rh. AbFny. or my .nDlores vith wr8cs as then sb comteoe'bn. will do rhc wk !d tlrc srsrle ii dn
inr.d.n or ofercd lo. sk (58.7044. Busircss lnd Pn',csrions Codg Th. C.ntmlols LtcNc L.w des rcl q,ply t, e owmr .f
rhc pDpcny wtr tiiild\ or iqmB rhcmn. ad who des sRh wott hins.ll or tcrslt or rhmuBh hi. tr h.r own.trll)hyccs.
,rovid.d rh.r such imtmrcmnts m ml inrcdcd n olicd tor slc. lt homvcr, ttP buiHi.S .r imProwmnr is Du eilhin oft )ttr
ol co"pldio.. rh Owmr Buildcr will haE tlrc b'ndcn of pmvins lh"l hc or sh. dt mr b'i]d ot iqmw lhc ptqEry fol rtE lurpos oa
-1,
us oBncr of lfic DnrDcrry. rn .xclu.iv.ly .onrDclue sirh lic.nscd co lr.croh ro consmcl rh. pD.,ccl (Se. ?O14. Bu\insr
.r! Pbfi:xsbi C.d.: Thc Conlr.clols Liccnsc &s dcs nol atply 16 ro osrcr olpfl,Perlywho builds or improv.r lh.r.on.
and *ho conlncrs fd rsh lrnirr3 wirh r CoorDdorl3) lier€d purulnl to thc Cnnieror'. Lk.n* Liw).
-l
omcienrpr under Sccri6n-. B &P.C.torlhisEa\on
lhl., O*..r
WORXE{S' COMPT'NSAT!(IN
DEII,AIA.IION
I lErcby atfin!.dcr Fnahyof pdjuryonc of th. lollowing dc.laralionE
-l
haE ad *iU nrimrn, e C.nii..rc ol Conrnr lo Sclil Nurc for workcF co r!.nsarion. 0r tovidcd lor hr S*r ion lT00 or rhc
{^*".",,
lor rlE lrc onnMc..fuhc work f(r whi.hrhc l).nnt is issucd.
w ill m.i.l!in *orkcr' colnFcnsarion ins!ru.cc. as Eqoncd by sccriotr l?m of rhc Lah, Codc, fo. rh. !.nomtre ol
P4.rf-r su.{ MyworkcB .omn n\arion insutun.c .aricr oM Flicy nlmbere:
c--
LU *adc9ToZ-
-l
ccnify llut in rh. lcrformrc. orthc wo* for which rhis lc.oi i\ nsucd. I rhNU.or cnlloy.ny pcMn ii any odner
s i. ro txm,E *ubicl ro rhc wrksl conrEnsrion lass of Cllilonis, dnd a8ec lhal if I shorld lt<oft subjecl to lh.
w.rkqs conrcns.lt,n rfl'visionsofScclion 3T00 oflhc hbor Codc.l
"hall,
fonhPithcoMply wilh rhot povhions.
WARNINC: ljlil!rc ro scue {orkc^ corqxneri.n $vcmec is !trh*liil. s.d shall qubr.cl M cmPloFr lo dimi.ll Falriis on<t
civil rircs up ro one hunde.d rh.u{nd dolls l$lm.0oo,. in oddition lo rhc..$ ofcotr{Ens0lior, damses as p.ovid.d tor llr
sc.rt,n rn76 rrh!:trhtrGrlA i crc{ tr.Iou,tri(!'
o,", 4?=tb noo,,-",,
DECLAXAIION
Ih.rhyrll]nnuklcrtcnrlryolncrjltrrrhrrIrnili($dtrtulcrt)nni\n ol Ctufcr 9 lconrttinS $irh Sccrhr Tlxl) r of Dn 'not l
.r rh. Rr{,r\\r Pnn $ions(tdc d
'nv
liccnrc is tull f('R{ ..d cl l(r
7 c ezo CZ
Z
IOIIIIBICITONIINIIINC.trCEI(I
I hcrchy arftrm undcr pcn.lry n, ,crjury lhal Ihft i3 e conslru.liotr lcnditr8 r8cn , lor lh. p..aorromc ot thc work for qhich lhis pcmn n
tr{rd lsN .10qr. civ c.)
AIILUANLDISJN.LTA!
I hcrl$_\ rllinntrndcr Irnrlry oft'crrrt otrc ol r1r lall,iwi'r!,iccIrxri(trr
D. xihri( lI.rnril\ A(r\1.\ No(ili.rri li,lrrul Rc!ul,trtrt (Tirlc Jo. Pin6)
Rqunrd l.n.rof Nordi.rroi
I.driryrh rhc ,id$nl rc8uhrions EgordinE ash€sro\.c Dvnl ar. nor applicablc k' thn pmjccl
-l.cnify
rhnr I hlw rcrd lhh,pplicrlion ord slal.lhal tlE.bvc infixndidn isco,Br.l nSre locomply*irh rI Cny nnd Counry
ordimnccsondSllrcliw\mhringbhuildin8..trslru.rion. d lrrchy!ulhorizcrctrcr.rarirc\
trhoe. nrnrnn'cd nioFnt lnr '.x-'*
Afplic!nr o, Asc i siEixrurc
ofrhk Cirysid Cou.ty lo cnrd xpon dE
^,. z/*-/r {
Appliances
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residenlial Ranqe
Other
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
Notes, Remarks, Etc
Metal Fire Place
Meter Release
FINAL
PclnrirN nuE (|ni ):
I