HomeMy WebLinkAbout40132227 - PermitCity of Santa Ana
Permit Counter: (7141 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Mechanical Permit #: 40132227
Pin #: 12276
Proiect Address: 2873 S Fairview St
Assessor'sParcel: 931-675-62 Lot: 1
Unil: H
Block: NA
Btdg:
f .act 10220
Address Range: 2801-2977
Historic: No
Suite Range:
Zoning: R4
ry
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Greg Dalton
2873 S Fairview Street, Suite H
Santa Ana, CA 92704
(714) 317-5059
Specialty Air Heating & Coo
1518 Brookhollow, #1 1 -J
Santa Ana, CA 92704
17141824-7915
Fee Type
0'11'16002 5160,4 Heat Pump
01116002 51604 Air Handling
01116002 5160C General Plan Update
01116002 51604 lssuance
Amount
86.82
42.85
21.25
52.98
Fee
$86.82
$42.85
$21.25
$52.98
Qty
1.00
1.00
1.00
1.00
Botch+:44346 -
0ll ice: (:TYH
Rcpti: t'l?297853
rqnss,:t ionPhone
State Lic #: 427673
Lic Type: C-2O
Bus. Lic #: 335450
Workers' Compensation lnsurance:Carrier: Everest
Policy #: 7600017658171
Expires: OSl2Ol2O19
pec inltc Air
I OtOt
6enerol Plon Updot€
0l 116002- 5160t1(rtr.r-
llechdn iEsI
tr111600?- 5161140(10-
U iEo
CC+: r****rr{*r*tg?
Building Use:
Job Type:
Nature of Work
R-3
VB
cMc 2016
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
HVAC Code:
Date
Date
Date
Planning conditions: Rooftop unit not to exceed height of existing roof
Planning Approval B Arabe, Jill 06/18/2018
Amsden. Julie
lpued shall becomo invalid unless the wo* on lhe site
luch penl ts comnenced wlhh180 days aftet its
lhe wo* authotized on the site by such perfiit is susperded
lor a Deriod of 180 days aftet tho hme the wo* ts
06118t2018
Account#
$203.90
$0 00
$203.90
Plan Check
Permit lssu,
Subject to F
Building Pe
Every pemil is
aulhonzed by I
tssuance. ot iJ
commenced
td BY:
Fd
BY:
Iierd:
imil #:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 2018-144109
01 1 16002 51600
01 1 16002 51604
$21.25
$182.65
Fee Total
Paid to Date:
Balance Due:
Notes: Direct change out of rooftop unit. (Applicant stated
unit is less than 200 lbs)
DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
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Busine* and Pmf.$ion Codc)r Any Cny or Co! y ehi.h cauieq n Fnni to .onslruct. !hd. imprcw. dcmlirh or Eplir any
sirudm, Iriu ro ic irs!G., dso EquiRs dE spplk6r for ch Fmir h nb a siEncd srdcmnr rhrr h. or shc is liNn*d pursul
to tne Fovisions of rlE Conrodor'i Lk€nrd llw (Chaptd 9. Colmfi.8 wirh Scctioo 7000 of Divisbn 3 of llll ausincas a.d
Ptlfesions Codc) or rhll lE or she i! .rcmfl rhircfrcm and rhc bdrir tor lhc ,lLg.d crcmplion. Any viohtun of S<lion 7031 5 by lny
omliont for r pemir suhjdr rlE {pplicant to d .ivil p.oaly oi ml mrc lhM fivc hundEd dollnG (1t00).
-,.
!s o*nsr oflhc prctEnr, or m, cmploy&s *irh *ascs os rhcn $b @nlEnerion, will do 0E wod ad d. slrElm t mr
i.rcared 6, o{t Ed lor eL (S{,7(x4, BNies. ind Profcasiom Codd Th. C.nrBlols Liccns L.s des @i a}ply ro M ow. or
rhc rNFny stnt illr u lqhs o*@tr rnd *lb d*s *h m* hituclror tFEtror lnmu8h hn or hcr o*n cnplor*r.
providcd thoi such in:r,mwm.ts m ml inrcD(tr mo,tcrcd aorsh.It lF*6, rlr hilding 6r arp@md L\ $ld wilhin om }tr
of.onpktion, $c Osncr BuiBcr wil haw tlE burdcn of povinS lhd lr or sh. dn d hoiu or in!ftG 0t l,opcn, lor rhc Ftrpos or
}YQBtrEE QMTEXSAIIII!
DEIIAAA.IION
I hcrcby rliirm und.r p.nnlryof ncrjuryonc ollh. followir8 dcchx n,ns:
-lhlvc.
will @inllh a Ccnifrsrcofcon* lo Serlnsurc for workcN .onwB{ion, a,mvtcd for by Selio. l?00 of 1l*
llbd Cod.. fo. ihc ldfomm of lnc wort for whtn lfi. Ffrn ii issucd.
*havc and will mainlaitr wortc.s corycnsll ion in\lramc. us Nquitd by Sccr ion lTuJ of rhc Ljbor Codc. lbt lnc llaformre oI
Frmii is i\$!rl My workcr( c{,mpeosrr ion inrurd..c .rnicr drn lbky nu htrrc:
C
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ccn ily rlur in rhc pcrfirmnce .l rhc work t, which rhn Frnir ic issucd. I shall ml cmrloy lny perstr in $y 6ann6
$ as ro h.$m suhjet r. Ihc wo!kc^' .omp.nsdior hws of C.liforni!. lnd rgN rhor af I sh.nld bc.ore .ubjccl Io rhc
wo*c6' con cnsarion pmvkions .t Sdion 370rofrhc LalDr Codc.l shau. fonh*irl $nllly wnh lhos Pmvi\ions
WARNINC: Fnillrc ro scurd worlr( .a,nDcisdnD .ovd.r!c cmnloycr t, dninrl FcMhtui nnd !
horilnd dollfir (Sl(tdx))ion, donnac\ rs thlid.d r{r rhc
inl@$ and allo@y s rcs
Leppu-t-
I hcEby.fftrm und.r pcnolly of pcrjlry lhal I Bn li. sd tndcr pbvision of Chaprs 9 (o@ncing with Sdion ?00O) of Dilision l
of rhe Buri*$ ed P@f.srions Codr, &n Ey liccre is in tull foft !n cfiel.
/s
I hcrbyrlii nu .r Fn.lryof p.rjurylh thcrc h(conslruclhn lcnd
is\ucd (Sc. :ll)97,Civ. C ).
agcn y {in lhc pc.lorlimc .f thc work for qhich lhis Fm[ rs
ATIL]I]INLI)}:CIAIAIIA!
I trrchyafi tDUnrlcr pcnallyol Nrjury onc otlhc folkiwin-q dcclararn,ns:
Drm,lirn,n Pcrmi( Arb.no\ Norifi.rrn,n Fcd.rul Rctul i,,n\ (Tirlc 40, Pd6)
R.quncd hrr$of Nolifi(.ri(nr
-l
ccniiylhd lhc fcdcr0l rc gulal ions rcs.rdin8 asbcsros rcnv,tolarc nol lPpli.lbl. ro rhis lojccr
\rfccniryrur iotr iscotrccl lnsreroconDl!wilhdllCilyttrdCoutrr!
rhovc nEnriomd lrop.rly for ins
Amlicatrl or Agc SiBnoiurc
riz. rcF.snlalircs of lhis Cily ad !
e
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test 1
FINAL *rl-lK v.w)0
Notes, Remarks, Etc
MECHANICAL.INSPECTOR RECORD
APPHOVALS
Furnace
lnsulation
Grease Duct
Meter Release
l.r\oamrolrhupnT.ny,rn,.krlusirclr.o r.rnrgwirhlic..\cd.otrtd.ttr\n)con(ru.rrl*rnrj.d(Scr 70l.1, Bu{lm!\
rNl Pn,Ls\i)nCodc lhc Cortrn.roas Li.ctrsc l.!w doc\ trol rfrlyk, $.$ncr olF,p.ny*ho hui[]\ or imtrovc\ rhclcoo.
3nd sho .an rac(,n.\o.h pd.tc.r\ uirh r Contd.n, liccn*, pui(urtrr rorh.Conalcl.ir l-i.cnc Uq)
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irrx.trrfl rndrr S.clnr .B &PC lnrrhisicni .
Lcid.r! Addr.s:
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