HomeMy WebLinkAbout40132826 - PermitProjectAddress: 2729 N Lyon St
Assessor'sParcel: 390-183-01 Lol: 15
Unit;
Block: NA
Bldg:
Tract: 4890
Address Range:
Historic: No
Suite Range:
Zoning: R1
City of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 401tl,{26
Pin #: 767 r,-$1
,Owner:
Address:
Contractor
Address:
Michelle Sayler
2729 N. Lyon Street
Santa Ana, CA 92705
(714178s-8424
A Plus Heating & Air condit
11330 Knott Street
Garden Grove, CA 92841
(714) 901-0500
\0
Fee Type
01116002 51604 Furnace/comp combo
01'116002 51600 General Plan Update
01116002 51604 lssuance
Amount
126.90
55.04
Fee
$126.90
$22.08
$5s.04
Qty
1.00
'l.00
'1.00h5'Phone
Tenant Name:P
Phone
State Lic #: 763154
Lic Type: B, C-20
Bus. Lic #: 193586
Workers' Compensation lnsurance:Carrier: Employe€ Service Group
Policy #: WC03/.121212
Expires: 0710112019
Bot(hi:46727 ' ll/t/z0l$ ID: 6ARCIA
0fficE: CTYH Trons+: 76 7 ol )Acct+: Ref+: 40132S26
R(eti:02434941 - tl/l/2t18 2130 711
Irnnsoct ion Totol S378.04
A Plus Heatins & Air Condition
Notes: New A/C and turnace change out.
$204.O2
$0.00
$204.02
G€nersI PIdn Updot8 Fee
01116002- i1600000-
llechan ical
0111600?- 5160,tU00-
ICL Check 20342
i 22 .08
t1sl .9{
r37S.04
Building Use;
,rJob Type:
Nature of Work:
Planning Conditions:
Single Family Dwelling
Miscellaneous
A/C
Gomez. Pedro
Chavez.
Occupancy:
Conslr Type
Code:
R-3, U
VB
cMc 2016
Date
Date
DateDave
-,,O
111O1t2014
Account#
111O1t2018 Misc. Receipt:
Misc. Receipl:
Misc. Receipl:
Total
lnspector MID#: 2018-147416
01116002 51600
01116002 51604
Fee Total:
Paid to Date:
Balance Due:
$22.08
$181 .94
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field;
Building Permit #:
Every permit issued shall become invalid unless th6 wor* on lhe site
authgized by such pemit is commenced within 180 days after its
issuance, or if the worl< authonzed on the site by such permit is suspended
or abandoned for a period of 180 days dfter the tine the wo* is
commenced.
APPROVALS DATE tDifc"_COMMENTS
Appliances E'
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes D ryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
F.D. Dro p Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release /
FINAL 1/7n/,4 lft v6/Xt/t
Notes Remarks, Etc.7 7 -.._
-)1
OWNER BUILDER DEI-CATIATION .t hd.by sffim und6 Fdhy of Fjury lh,l I m .r.npl iioo lhc ConlncloR Li...* tle for th. follosing t@i (5(.7011.5
BBiods ani ftoaeion CodG): Any Cny or Cou,rty wiich r.qur6 a F,nil to co.gtuc1. alla, i8pror.. &!mli!h or r.rd a;y
ntucto.. priorro il3 isec, .lso r.qutd th. .,plicer for iu.h pq,il ro filc a .igtr rl sllImor rll,l h. or 3t. b licqB d puMrln
lo lhc Fovieioc of th. Convicld 3 Lien$d riw (Chrfld 9. CoMmcing wih Sadon 7000 of Divilion I of {ic BEItB ed
Prcf6ioN Co&) or fill lE or slE ie cinpr rhs.{rom ed ln€ &sis for rhc all.Sed cr@Eiotr. Ary violalion ofSdliotr 7011.5 by my
.pplicanr ror . Fmn iubjer5 ln lppli@r ro 6 .ivil pcMhy olior oorc rhe fiv. hurtu dolla (1500)
_I, a omd of tc prop€ny. or my mplor6 with ws86 a rh.n $t cohp.nsarion. will do rh. woit od th. stdr b tur
intqd.d or otrdcd aor s.l. (58.7044, BEitB ed Proli6sioB Cod.: TlE Cotua.roas Lic.M L.w doe .or spply to d own6 of
th. poFly who hildi o. imFrv6 dEall. Md *no d.€ st srt hin!.lf or hGlf or ltrcu8h hi. or ho om dploy.6.
povidcd lh.t sch idFowl!e@l imsd.d orolH l sL.l[ toxrs, tt buik]ine or inFouE n sld wnhir oE rB
ofcompLlior', tlE Owrq BuildE *i! havc $e hrdd ofFoliig tl'a h. o. sh. did mt tlild or imFo€ thc poFty for dE purpos ol
-1.
d oM6 ollh€ pNpsry. m qclNivcly conrra.tiq wirh licdr.d .onhcto6 lo col(rud rh. pojdr (S4. 7044. B6ind
&d hlfsio. Cod.r Th. Conlraciolr Li.ca. Law do6 rcr ,tply lo m o* nn oftroFny rho b!il& o. inpror6lha@..aid ,ho cootrcls for such proj.cls wirh . CotrtBclo(s) lieos.d puB@r lo lh. Conrdclols Lic.@ Law),
_l a.€rcmpr Md6 Sario B. & PC. ao. rhir r.aon.
.E985EB::CqMEMAIPB
DSC!.68AUQ!
I hd$y aflim undd poslly of pqju.y on. ofthc lollowins d..hEiioNi
_I ha!. dd will roinrain . CarifEar. otconsr ro S.lf-lnsurc for rvorkdt @nD.n$io., a p6vid.d lor by S.qion 1700 of thc
-/
_l c.nia, lhai in lh. Fhmanc. of rhc wort ror which rhis Frnrn is issEd. I shall nol nploy &y p6son in any ftd.d
so 6lo b..om. subjel lo lh. mlt6l compaeliof, la\6 olc.lifomia d rgBind if I should b<omsubj4t torlE
wo,(6 mmpcB.lio, prcvisiosotsslion 1700otth. bbor Code.I sltrll fonhsnn.oDply with thok povisioN..
NARNINC Failur€ lo srrc *orkc6' compsBalio. corem8. is unla\uful. and shall subjccr an enployd lo ai'nin.l p6uni6 md
civil fr,6 op lo onc hundr.d rhoMd dolla (t100,000), in add l. lh. cosl ol comp<Nlion. d@B.s 6 prcvid.d lor th.
s(rio.1076 orth.l,borCodc,, r€q d rhornq s a6.x
DPCIJEAIIaU
I hmby aIIm udd Fn iry of pqjury tha I @ li.@.d u(k Fviiion of ClsB6 9 (@Mins wiri S.dio. 7000) f,oivi3ior 3
ol thc B$ina ed PbfdsioB Cod., and my Ii.ce i5 i, tull rorcc ad .fiftr ( -r-o*/)
*
tarux-ucr0rLltDtNc_dctN(r
I h6.br allm undr Fnallyolpqur)-'rhar rh.c t n coonrucrion kndiu ascncy to! rhe p€afonrancc orrh. \ort lir shich rhis psnir is
isstr.d(s.c .!097.civ c)
AIII,ICANLDICIAAtrIION
I hg€t,y nmnn unds lmrl'roapdjury on. of lh. (nh*inr d6llrattuns:
Dcmolirion PeniB-Asb€sros Norificarioo F.dsal Rcsulalions (l itlc 40. Pan6)
-Rcquicd
lf,tta o t Norificarion
-l
c6ri8 lhd lhc ldi@l rcsulalioN Eg6dirS abeloi rdord e nol rppli.ablc lo lhi! projel
crlity thal I nalc @d $t a9llic.rion ad slal. thar lh. ab.v€ infomarion is corccl. I conply*ilh.ll Cnyand County
ed Starc La$ Ehliry lo buildinr codtucr iotr rrd hEcby auihorizc of this Cny .rd Courly lo drq upo. lh.
.ho!c holio.cd propdy hr
Applicanr or Agdr Sistururc:
MECHANICAL-INSPECTOR RECORD
Metal Fire Place
Furnace
lnstallation
lhc psfombc€ ollh. wort for which lhc pmit is issu.d.
ind will mainlain wo,k.rs 3700 of thc l,bor Codc, lor th. Flolrue ol
PolicyNumbq: r Erpir6l