HomeMy WebLinkAbout40132251 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
l nspection Requests: (7 1 41 667 -27 38 l n spector Section: (7 1 41 647 -5853
Mechanical Permit #: 410132251
Pin #: 46438
Project Address: 2220 E Franzen Ave
Assessor'sParcel: 396-131-26 Lot.20
Unit: D
Block: NA
Bldg:
Tract: 6737
Address Range:
Historic: No
Suite Range:
Zoning: R4
E
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Dorothy M Hackethal
6205 Orange Ave
Rialto, CA 923774671
(909) 874-9215
Fee Type Amount
01116002 51604 Furnace/Comp Combo 122.16
01116002 51600 General Plan Update 21.25
01116002 51604 lssuance 52.98
Qty
't.00
1.00
1.00
Feo
$122.16
$21 .25
$52.98
Phone
State Lic #: 903595
Lic Type: C-2O
Bus. Lic #: 334740
Workers' Compensation lnsuranceCarrier: Oak River
Policy #: YAWC800767
Expires: O2lO1l2O18
Botchi:{{426 - 6/21/2A18 I0: LR0SALESolfice: CTYH Tronsi: 55 3 of 6Accti: Refi: 40132291
Rcpti!02300259 - 6/21/?ttlg 2113 Pn
Tronsoct ion Totol i952.SS
Yneser Services Inc
Generol Plon Updote Fee
01116002- 51600000-
ilechon icol
0u1600?- 5160{000-
Visa
CCt: *Ililt**x**rgSgg
Building Use: Fourplex
Job Type: Miscellaneous
Nature of Work: A,lC & Furnace
Planning Conditions: Roof-mounted
Occupancy:
Constr Type
Code:
R-2
VB
cMc 2016
Jerry Date:
Date:
Date:
0612112018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
06t21t2018
Account#
$196.39
$0.00
$196.39
Every permit issued shall b?come invalid unless the wotu on lhe site
aulhoized by such psrmit is connenced within 180 days aftet its
issuanco, or if the wod< authoized on the site by such petnit is suspended
or abandoned lor a pe od of 180 days aftet the lime the wotk is
cofimenced.
lnspector MID#: 2O18-144219
$21.25
$'175.14
Fee Total:
Paid lo Date:
Balance Due:
Yaeger Services lnc
693 N Birchlvood Rd
Orange, CA 92869
(714) 289-8337
_ t21.21
_ t175.14
s95?. SS
Auth+:004697
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Notes: Directchange-out.
0't 1 16002 5'1600
01 1 '16002 51604
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNul. arilr_Dr]R DFr,( a&!TtoN
I h.rcby alfiirn uMcr lfntrlrr ol p.rJury rhlr I m crcnrU ftu r rhc Coinn.rh Li.cns. Lnv lir rl[ li)ll,)Bing rurnr(S.c70315
Bu\itrcss rfll ttotcsion Codcl An), Ciry or Coutrry *iich rcqrirc\ r pcnnir lo roi{tu.r. rlrcr. nnfnrv!. dcndhh,r ru!'n nnJ
{rucrue- lYitrtr ir\ i\\urncc. rho Equncs rh. applicanr ntr su.h l.nnn k,lllca.iBrrd {nrc rnr rhd hc.r dr is li&n\rd ,ursunnr
ni rhc r.vt\io,\ ol rl[ (nntlcntr s Liccnsd Lrw (chllrcr 9. C.nuncn. ir8 $ rh Sc.r i,n rlxD oi Drvinon I .1 rh. Busnr\\ $d .
Prclcsio \Co(lc)orrhnrtu.r\hcircrcnrnrlhqcl'rorrndlhctus lor rtf, trlLSlrlcrcmpti n. Anyvi,rhri,'noiSldirnr0ll 5hyrny
rpplicanrturFnrirsubjccrsrh. rprli.r xr arivil!.nnltyolnor m,clho iivc hrndr.ddollm (S5([,)
-1.
s owmr of thc rrc|Efly, or ny .t@loy.{s {irh w{.s I rh.n $t str{Ensrio.. will th [r s(t snd th. slndm is mt
inrci(H or o,YGEd aor sk (Se.70{4. Blsim$ @d trof.$ions Code Thc Co.rFdd . Lkene Las dos not .,rply to !n ow8 of
lhc I,mFny wh. hiilr(r or infloB tlErcB lrn who doca sh slk hinElf or hcrElf or thmush his or ho own.mployc.s,
provtrted thil slch inrrrowmnts e m! inl.rdcd or on€En for eL. lf, hosq. rlE hiklin8 or irymrcm is sh *irhin oft )ts
.f.oq)htiotr, ltf, O*ncr Blifthr wil hlw dE boidcn of rmviis th,r l* or nlc did mr hn! or inpmw lhc pmFny for th. purlss .l
-t.
!s owmr of
'h. roFny, ah cxclucively conrEcrins wirh lian$d conlncloF ro dlnsrrucr rrE pojccl lscc. 7044. Busias
and Plbftsd,n Codc: Th€ C.nrracror's LiQn* Low docs nor apl1, k, an owoc ofpropeny*ho builds6r inpr.vrs lhcrcon.
and who snlmcis for such pmI.h wirh a CoirEcro(s) licctrsd pursua ro rhr G.lrucrofs Li.cns tie).
-l
amcxcmor uMcr sc.rio
WORXERS'COMPFNSATnN
DECIAAAION
I h.6b, nmrnunder I'cnuh, ol psjury om ol rhc followinS deledi.ns:
_l har ad will minlain cCcnifror.of Con*nr ro Sclf-ln rcfmmll6 6Dp..dio.. ar pmvid.d lor hySe on3?0ofln
L!tD, Codc. lor lh. lcrfoflEm oa rhe w.ft fq {hich rhc noml h is.ued.
_l have ond qill tuinhin qork€rs comlcnsllion inslromc. $ rcquircd by Ssrhtr 37m of lnc llbor Codc, lbr llE p.,fomrc. of
rhc sort for whkn lhis Dcmi n is$€d. My workss omp.nslhn insunM.Mir .rn po[.y nu'nber m:
I ccnily lh{t in rh. p.iro.mrc ofth. worl for *hic,r rhh pcrmn is iss!.d. I \hallnor corloyany posoo i. ao, n.nmr
si s lo bB!tr subjer lo lh. $orkdr m,np.nr{rbn law, oa Crlia.mE md .86 thd ia l sh.uh txonE subicrr lo lhc
workcr'con{.nsarionpmvisionsofScctio.lTfi)oflhcL,b.rCodc.lsh,ll.lonhwnh.onllywirhrho*tbvi*ions.
WARNIN(;. Fiilurc t' *.ur. workcs !. d.d stull subixr e crglorr. ro ainind Fmltlx a.d
n rh...{ orcomn n{rinn, datugcs N pmvid.{ for !h.
I hcreby Bfltn undcr rEnalry of nclury rhrr I !m licctrxn pmvisionofChlplcr 9(codmrciis qilfi S*li.n 7000) ofDivtidn l
of Ihc Busincsrnd Pofcssn,nsConc, and my li.nk is in lull torc drd.fast
?45?,
I hctby !fiirm undcr Fnrhy of pcrjury
issucd (Se. 3097, Civ. C.).
tndinS a8cnc, for thc ,Erfolmrc of rhc &rk for whtn rhis prhir i\
AIIIJI I.LDICL A/IIIQN
I lHr$r anlrn, u rlcr rEMlry or r{rjury oD. ol rM l;ll,,slnA dc.linli,in\
l)riilni(rI).'nnrsA\lI{o\Noririuri(trrI..cnll{rgulnri{)Nali{lt4)_l,an6)
. -Rcqutc,l l-c crol Norili.lli,
rcnDvlllre nor lnnlicat lc x, rhi\ projcr
ion is coret. I !8rs lo conrly wnh ull Ciry&d Counry
hy aurhori?r icrrcrnrarircs ol Ihis Ciryand Coun
,^, cbr /Y
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
lvlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rou gh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Dam per
Openings
lnstallation
F.D. D rop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.
Final Test
Meter Release I
FINAL /AnrVl s#t-<./)
Notes, Remarks, EIc
Iind.is Jd'r$
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