HomeMy WebLinkAbout40132927 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mechanical Permit #: 4IJ132927
Pin #: 5E376lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 1721 W Sixth St Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: Ye3
Suite Range:
Zoning: R2AssessoisParcel: 405-042-14 Lot: NA
Owner:
Address:
Primitivo Barragan
1721 W 6th St
Santa Ana, CA 92703
(714161s'o',t47
Fee Type Amount
01116002 51604 Wall Healer/Floor Furna 65.57
011'16002 5160C General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1 .00
1.00
1.00
Fee
$6s.57
$22.08
$5s.04
Tenant Name:
Contraclor:
Address:
Specialty AC Heat
1289 E 7th Street
Upland, CA 91786
(909) 982-7999Phone
Stale Lic #: 784495
Lic Type: C-36, C-20
Bus. Lic #: 349795
Workers' Compensation lnsurance:
Carrier: Hartford
Policy #: 72WECZU2467
Expires: 01/09/2019
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 Field:
Building Permit #;
1112912014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the work on the site
aulhoized by such permit is conmenced within 1 80 days aftet its
issuance, or if the wo* authorized on the site by such pennit is suspended
or abandoned lor a peiod of180 days afler the time tho wod< is
commenced.
lnspector
Fee Total
Paid to Date:
Balance Due:
E
Phone:
GOPY
web_user
Date:
Date:
Date:
$142.69
$142.69
$0.00
MID#: 2018-148006
N/A - No Balance
MECHANICAL.INSPECTOR RECORD
APPHOVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
lnsulation
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above T-Bar
Rough Mech.
Meter Release Ir
FINAL \7-lLr t9 t9)
Notes, Remarks, Etc.
( )WNllR Btll!-Dl.lR DELCARAll()N
I hcrciy rinn tr.,lcr ,rcrrlr) rn pcqury rhir I in cx.nrfr lioDr rh. Conrr(tA l-iccrrc l-iw lnr rhc li,ll{nving r({n, (scc?r)ll 5
Bu\ii,rs !'rl Prdt\rn,n C,{.r Any Ciry.r Coudy qhich rcqtrircs r n nnir io con(dd. ulrcr. irnn,rc. cndNh .r rqrn aiy
iru.ntrc, r.orb ( '\s,u(. rl\o (tutc\ ihc rppli.rtrr ftr \u.[ Fnnir [, rilca \i! cd {xrc rtr rh hcor shc N lien\L\l puiiurtt
h rhc nmvi\t'ns ol rhc (i)nrr{tff \ l,iccn\cd l,aw ((hnprcr 9. (nfDn in! *irh Sc.xon 7(xX) of Divni{,n .l otrltr Bu\ihc\\ r d
!mlic I(tr ! N,nrir{'bJcur\ lh. ntplicunrt,r.rvilncnrlryolnolNtrcrhMlnchtrndrcidolhrslS5(D)
-1,
a. ownd oflh. pmp.ny, or my cmploy..s si$ w!e$ &c rh.t $lc co'q.nsali.,.. willd. tlE wo* en dE strEle il ml
inldn { or offcrcn tor slc (56.7044. Busincss &d Prcfcssions Cod.: Tnc Conllaelor\ Ljcctr€ L4 .LE ml .pply lo M owmr ol
lh€ pEpcnt wtb builds or iqmrcs lhcmn. ad who dss such mrt himscla or h.rslf or thoush hii or h.r osn cnployccs,
phvidcd rhsr s!.h irlrolmnli e nn iinendcd oroltcEd ft,rslc.lt lnn4w, rtE huildin! or iryrowmnl is sld *nhin orc }ta
of cotr{,lclion, tlE Owmr Built r wil hrrc tlE hmkn of Foving $,1 h. or shc dn d hild o! itrpmw ,rc pmlEly for lt* porlD$ of
_1. &sowturof rhc,mrn]. am.icllsirlyco rlclitrs sirh liccnscd contncloB ro con(tucr rh. phj.cr lS(.7044. Burinc*
,,xl Profcsrbn cod.: Tnc Conrm.b.\ Liccns. Law dmc nor lpplyro oown r oipmF.y wno builds or improvcs thcran,
und *no snlm.rs for such prcJcrr. lilh ! Conh.ro(s) li...scd lu^unr ro lnc ConrEctols Lian* l:w).
-l
dncxcmnl uDdcr Sd
WOlI(EILS' COMPFNSATIoN
DICI.AAAIION
I hcrcby omm !ndc! I,cnalry of rcrjury onc oflhc folbwnr8 dccl0nlions:
I hryc rril sill'ni'rrrinrCcdificrr.olCon\.nrii S.lf ln\urc n)r $o*c'r .otr,trtr\rri()n. a\ p()vntd f.r hy Sc.ri( 17(Dofrh.
l-xlxn Codc.li,rrhc |Enonnincc ol rhc work rhrwhichlhc Itnnir ir i{\ucd
-l h,vc a.d witl naiotlin workc$ c6qrcnslrion insuBncc, $ rauircd by S6rion l7u) of ihc L,bor Code. for lh. pcrfor@ of
llE vo* for shich |his pemit Lr hsucd. My vork ( @mlcnrnlion ioslruncc @kr !d Flky nunbd a.l
Policy Nuhba'JipiEt
I c.nifrrhar inrhc p.rfdmn.. of rhc *ork fttr qhich rhh Ii.rnir k ii*ucd.lshrll nor crpkry iny pcnon in {try mrtrrcr
so N to l$om suhlcd h lhc wo*cs co'q,cnel iotr hws.f Califon rnd lsrthlr ilI \h,rld bccoft sub.,c.r lo rh.
knkcrl u,nrpcnsar ion povisn,ns or S6-rion 3700 ol
'h€
L!h, Gic- I $all, a.n h*irh L$mply *irh rho* tmvhions..
ApEll@t-
IICENIiIDJONISAIJA&
DICI,IEAIII}N
I hcEby amrmundcr FnallrorprrFry lhll I am lie!{rd undcr pmrision olChuplcr 9 (cohnrrint wirh SNrion 7fixJ) orDivkion l
of
'hc
Busincisand Pmf.ssions Codc,.nd nry lrcn* is h rulltorcc nd cfcrr
Cont6clo._
SANiIBIJCUI,N.LENI'INJj.&CINI.I
I hcEht amnnundcr Fn,lr,otp.rjory rhm rh.B h a conq di6n Lndine r8.ry n, th. lcrfonmn.c oi rhc *ork for whi.h rht rE,rtril ir
isru.d{s( lll}7. civ c )
AITUCAII"I]EII.IIEAIII}N
I lIEhy rfim und.r F.akt olFrjury onc ollhc ri,lk,*nrg d..l8,rnnrr
D.nnlition Pcmit$Ashcstos Norificllion Fcdcrcl Rceulorions ( I ilc 4{}. Plni)
Rcquncd lrtr.rof Norii.a on
l.caifyihd rhc l!dc.!l rcguhiion\ rcE{ding a\hcsros rcmovll rc mr qdkahlc ro rhis projccr.
-l
.cnify rh,r I hrrc r.od rhb rFplic ion {n slsl. lhlt thc atrvc inaomulion is .mdr. I [8re ro con?ly eith lll Cir, r.d Counly
ordiMnes ed Si!r. Lrw3 cLin8 to buildi.g .oEcucriotr !.d lEEbyoulhori& nF*nrarircs of rhis Cit, and C.! yro..t6 utDn r,r
abow mmioncd po!.dy for ins,arion l)urr$cs.
TtltU,l
I
Pre-lnsulation
Smoke Detectors lnstalled
Above Hard Lid
Final Test
WARNING: Flilurc to RUrc *orlcrt compcnsolion ovcm8! is unlawtuL and shlll subjcct !n cmploy.r to aidiml !.mbics.nd
civil nrcs up to orc hundr.d lhrusa.d dolles ($100.(x)0). in trddilior ro thc.osl of cohp.Mlion. darEsca as Uovncd for rh.
S.crion 1076 of lhc tahor Codc. irr.Est &d 0rL.my'3 fccs.
trnd6 c Addr.sl
Alllianlor AE. SiEnJrurc:
--------r------I
=