HomeMy WebLinkAbout40132122 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mecha n ica I Permit #: 4(J',32122
Pin #: 96566lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Project Address: 709 N Mantle Ln Unit:
Block: NA
Bldg:
Tract 3708
Address Range:
Historic: No
Suite Range:
Zoning: RiAssessor'sParcel: 400-192-10 Lot: 19
Owner:
Address
Barbara Page
709 N Mantle Ln
Santa Ana, CA 927014,425
17141542-0140
FeeType Amount
01116002 51604 Furnace/Comp Combo 122.16
01116002 51600 General Plan Update 21.25
01116002 51604 lssuance 52.98
Fee
$122.18
$21.25
$52.98Phone
Tenant Name:
Contractor:
Address:
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92865
(949) 885-0102Phone
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensalion lnsurance:
Carrier: LIBERTY INSURANCE CORPORATIoN
Policy #: WA763D508631017
Expires: 1Ol01l2O1A
iPngtor H0,ne Serv ices In(
l,!nanol Pl(ln tjpdote I
tl I 16(t0?* :i1 6utrl.(:r[-
lerhqn icolrl, 16(r(r?* 11684(r(10-
I(;L Che,:ll 05499S
Single Family Dwelling
Miscellaneous
FAU
Occupancy:
Conslr Type
Code:
R.3, U
VB
cMc 2016 Notesl
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Guevara, Jerry Date
Date
Date
ost2112018 Misc, Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$nernanoez, xamy 05t2112018
Account#
Every permit issued shall become invalid unloss the wo* on the site
authorized by such pormit is commenced within180 days after its
issuance, ot if the wo* authoized on the sito by such permit is suspended
ot abandoned for d peiod ot 1 80 days afler lhe time tha wotk is
commonced.
$196.39
$0.00
$195.39
lnspector MID#: 2018-143476
01116002 51600
01 1 16002 51604
$21.25
$175.14
Fee Total:
Paid to Date:
Balance Due
E
Qty
1.00
1.00
1.00
Bntchl:43884 - 112l/2018 I0: JGU
olfice: (TYH TrsnEi: 117 tArcta! Reftl {01321
R,--p t?: 0?2682?7 - 5/2!/2{t!8 3322. ?
Tronsoct
'on
Totol tl63.9fi
Building Use:
Job Type:
Nature of Work:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
lvletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Meler Release
FINAL I Uu llilV te-
Notes, Remarks, Etc.
OWNER BT,ILDER DELCARATION
I herby amrn undcr Fnahy of p.rjlry lhlt I m .xcnfl ton lnc Contracto6 Lien* tiw lor lh. follo{ing adsn (Se.7031.5
Busincss 0rd Profcasion cod.): Aiy cir, or Cou y which rcquircs r p.mh lo @.i1ru.1. tI6. itlprcve. .kmlbh or EIEi lnv
sio.ln, Fi.r ro irs i$usre. lle reluirc! rh. rrplkal for such Fmil lo 6k a sagft{ sltl.mnl thdl lE or sh. i! lienkd PlrM.l
ro rh. pmvisions ol rlE ContBiols Lic.n*d Llq (Chrflcr 9, CommEinS *ilh Sccrior 7000 of Division I of thc auii.c.r .nd
Pblcisions Codc) or thll hc or rhc is eieq)l lhftfton ud lhc boris for lhc lllcged crcnflion tuy viohtion of S*lio. ?031 J bv uv
apolic{ fo, a pcmir subiels thc opplictnl to a civil p.nshy of mt mE lhln tirc hxodt i dollss (s500)
,1. $ owmr ol lhc Fopcnr. or ny .,plo,$s wilh w.8q !s rlEir $k omp.Bslior, wi[ d.' lh. wdt .ri ilr *rud@ ir 6r
inrcnd.d oroffftd fn slc asa.?044. Blsims. sd Prctcsiioos Codc Thc Co ado/3 LicciE Lrw d*s tul arDlv lo !n owncr of
rhc pmFny who tuildr q i'tlprcB ilE6( ud *ho d,a skh hrk himscll or h.R.lf or ltmld his or hcr own cmrlov.c..
provirled rhar suci imPloEDnB c mr iddicd ororcrcd for sL.If. hosffi. dE hildinB or nt{,n,wm.r Li sld t hino*t@
ofotrptxio.. tli Owmr Builll.r will lEw llE bo.d.r of rrcvhe oEr h or dE dA ftll hild r iqrcE {E l,oFl, 6, tu purpos of
-1.
!r owncr of lhc Imrcny. !n ex.lurikly onlE line wilh litcns.n contr&roF ro onslrucl ltE Imj$l (Scc 70a:1. 6u\inc$
.nd ProlRsio Codcr ThcCoolmtoasLiccn$ Llw dtus nol ltplyro anosnu oflrcFny *ho builds or improw.lh.t.on.
and who ontels aor such p.oj€Bwirh r C.nlmlons) liccn*rl ruir@r to rh. conreloas LieNc kw).
I rcxcmrr undcr Sccr ll. & P C. nniht ic$otr.
]dOf,f,EBS:COMTEIIAI TN
DECI4BAIIITN
I lrrchy afarn undcr p.nolly of P.rjuy ooc of lhc folowir8 dcchr.tions
-l
hlr dd siu dirhi. a Cdif..rc of Conenl to Sclilo{rc for mrt6 @n0.neion. s previH for bv S..lion 37m of lh.
tibor Cod., for rtu Frfolffi of lh. vorl for which lhe lEmi k Lsrcd.
-l
h!!e aod *ill eainlah wort.s cofuFtr\lrion insuhmc. as rcqliEn by S<tion .r7fi1 of $c bhor Codc. lor thc Pcrtbrmncc of
ihc work ror whhh lhis p.mit ir nn&{i. My wortcm coq,cnslion inslmrc. cuicr and policy nuhb.r el
l..nify$ar in lhc pcrformft. oalh. work fm snich lhis lcrmn ir is.ucd,I shlllnol c,r{,hy 4., Fsn in ant Mer
s' s h tEdnr rubirr b $c *oi(sl coopcnsdrion ln8 olca
*o eB conr.os,lbn Fmvnioas ofs*rion.l70ooflhc hbor
$grc rhsr il I should ti..onE iub].cr t, rh.
i(f hvirh conuly wilh rho€ nnrvisio.!
WARNINC: Fuilurc to su. workcs' omliNarion @vcsd is 'ful, 3nd 3h,ll subirl an .n{,lo}tr lo oioiml |EMllics lnd
ro rL md of.omtEnslion. damg.. as pmliled for th..ivil finds rp t, om hundrcd lhousnd dollus (!lm.0o0). in .ddn
Sarim.1076 orrhc uhor (oilc. inlcrcn znd urflys
, hcEhy atfu'n !ndc, pc.,xyofFiury lhdl I rit ( I (mmmminS *ilh Sftri,o 7m0) of Diviiion l
of tu Busircss und Pmf.siions codc. ud m,
tf,ndcis Addc*.
-
ATPI ICAN DF(II ARATION
I hc,rty limund.r Iktrrlry uif.rjuryonc ofrht rolbsnrg dc.l,nriotrr
Dtm'liri.n P.flnfs AstEsros Norifi.arioi FcdcmlRcsuhrinN (lillc 10. Pd6)
Rcquncd Lcrr.r.l Nor''li.rrhn
I ccni,yrIN lhcLdcn,l s Bmlal m noi ,rdiabk h thh poj.cr
I a['e rod,mply *ith eU Cnrrnd Counry
onli',iN.rrn.lSrJrcl-rw!
Pmil.c nam(pri ):-
ltfr
Hood
lnstallation
Final Test
CONSI'RI]C'I'(IN I FNI'IN(i AGENCY
I hcrch, antr'n trnd$ Nnrxy of Frjury rho! rh.rc isaco {ru.rionh irslgcicy rorhcrrlomumc o, rhc sor* lor whicirr'k Nirtrh is
tsu.discc :l(n? Civ C ).
trnJs . NJn'c
-
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Property Owner Name:
Job Address
Scope of Work:(t)
PhoneNumber: rr.-{ ^5Y} -o(lo
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SUBJECT TO lTfl;n CHEC
BELOIY:
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