HomeMy WebLinkAbout40132640 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Mecha n ica I Permit #: 4fJ13264()
Pin #: 71773
Proiect Address: 2045 W Martha Ln
Assessor'sParcel: 004-163-02 Lot: 5
Bldg:
Tract 1458
Address Range:
Historic: No
Suite Range
Zoning: R1
\Unit:
Block: NA
Owner:
Address
Contractor
Address:
Elaine Hoffman
2045 W Martha Ln
Santa Ana, CA 927063219
Line Electric lnc
4055 Wilshire Blvd #524
Los Angeles, CA 90010
(2131 272-3364
Fe6 Typ6
01'116002 51604 Bathroom Fan
01'116002 5'160C General Plan Update
01'116002 516(N lssuance
Amount
30.52
22.O8
55.04
Fee
$30.52
$22.08
$55 04
Tenant Name:
Botchi!46138 - 9 t27 t20l8 I0: IGARCIA0ffice: CTYH IPonEi: l0 3 ol 3accl+: Ref+: 401326111
Rcoti:0?391822 - I /2712018 9136 An
Ironsoct ion Totol t426.68
L ine E]ectr i ,: Inc
State Lic #: 910172
Lic Type: B, C-10, C-20
Bus. Lic #: 346550
Workers' Compensation lnsurance:Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY
Policy #: A9WC88557'|
Expires: 0310712019
G€nerol Plon Updote Fee
01r16002- 5160m00-
llechon i co 1
01116002- 5160{000-
ICL Check 001925
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Alteration
Bathroom Remodel
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 2016 Noles: auth on file
\00
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
10197842
09t2712018
Account#
$107.64
$0.00
$107.64
Every petmit issued shall become invalid unless the work on the site
authorized by such permil is comnenced within 180 days after its
issuance, or if the wotu authorized on the site by such permil is suspended
ot abandoned lor a peiod of 1 80 days aftet the time the work is
commenced.
lnspector MID#: 2018-146441
011 16002 51600
011 't6002 51604
$22 08
$85.56
Fee Total
Paid to Oate:
Balance Due:
Phone:
Qty
1.00
't.00
1.00
$22.08
985,36
t426 .68
Phone:
MECHANICAL.INSPECTOR RECORD
OWNf, R BUILDER DELCANAIION
I hcrcb, affirm ondr pcn0hy of tErjlrl rhd Ln crcmfl fiom rhe ConrmroE Lktne Llw for $c followinS Ersh (Se.7031 ,5
Busir.rs and Piotesiion Cod.)i A.y Ciiy or Cou.ry which Blutci { lEhri ro onsMl. rltd. iir{,rove d.mlkt or Epan any
srtudlrc. lrior ro its issuamc. lho rcquircs lnc q,plica for such Fmir 'o
filc 3 si8md sratcmnr rh,r lr or dr i lien*d tus!.m
ro rh. pmvisiooc ol tl* ConrEcld\ Lhcrsd L{v (Cnlplr 9. ComminS wnh Scclion 7mO of Division 3 of th. BlsiN$ and
Pmfcssions Codc) or thal lE or sh. Ls crctrpr rherciior snd rhc hlsh for thc rllcgcd cicdprion. A.y violrrion otsc<rion 7031.5 by a.,
Elrplicant for a pcrmir sut.i(ls rlE aprlic!trr to , civil p.flalry ol nol mrc rlw' fivc tlndrcd dolles (5500).
_1. ,s owrcr of rhc poltny, o. n, .qllorfcs wlh sagcs !s rh.ir elc 6rqE.salion. will do dE wo.t lrd dc nBtft h ml
i.lcrH or ofttrcd tbr slc (SE.7iX4, Bushes lnd Prcftssions Cod. Th. Cootreclols Liss Llr do.s mt lpdy lo e oqM of
rhc,,stfaly wno hildr or tulibB 0E@.. ald who do6 sh $o,t hinsclf or hrclf or rnrcugh hh or hc. oM .ntPloyc*,
pmyided lhal su.h inproEmnls m rcl int nd.d orofr.mrlr., eb. lt lnwcB, ia huiHi.g or inpl*rnl t $U ethir om Fdof.lqlbii,i. ltE OwN Buildm wiu haE lh. b{dcn of rovins Ulll nc or shc dU er bild or nrrmr [!c ppFny ror tE 0uqE. or
-I.
rsowmrolrhc tm!.ny, amcrclusiwlycoffd.ling wilh lic.nscd conlr&toBloconsltuct lhc l,rojer l Sec. 7014. Bu\inc$
snd ltlDtcssir Codc: 'l hc C.nrra.toa3 l-kc.sc Llw doc\ Fr !ppl, ro do owner 6l prop.fly who builds or inp,ov.s th&con.
and qho conlncls for such pmjc.rs eilh u ConrBro(9 liccnscd ,ucu.nt ro tlE Contftktr s Ltens L!w)
-l
amcrcrpl undcr Scct
WORXTTLS' C(IMPENSATION
IIECLIBAIION
I hcreby rf,nnundc. pcmlryolpcrruryorcoafic tolLwiry dEluolio.s:
_lhlkm(lsillmliniri'rrCcnificrrrorconscirhS.llln\rrcn,{orkcnconprn\dn,n.NttuvdL'droriysccli lT(x)orrhc
l,0hr Cadc. thr rhc Frionnirccoflhc rort lor*hichrhc pcrnrit i\ tnEd.
-l
hulc ond eill mainhin wo*cG cohpcn\ ion in$rancc. as rcquiE"d hy Ssr io. lxx) or rh. Labor C.d.. lor lhc p..ionMo ol
rhc wdrl tn*hiLhrhis pcmir is nsu{ Mywolk B conDcnsrnrn inslBmcclric, rd Fni.t nuob.r a.:
PolicyNumb.r:Jxrirci
! c.nif,
'hur
in rhc !.rformm oarh. wort fr which lhii pcrmir ir hsu.d.l shall nol cmrloy lny t son in any nunr
so {! lo bcro'm subicct b tnc workcn smpcnsrlbtr laws of Crlilornia. and aBN thrt if I shorld becotu sulrer ln lhc
works{ ompcnsaliotr pmlisn'ns ofS.dion 3700 ot thc Lahr Codc,l slEll. l'onh*irh.nmnl, snh rl.e povisio$..
WARNINGT raibr. h surc wMtrc sn{E.slion orcaqc is nnh*lul {d shall su an cmploycr lo crinri.trl p.nalris dnd
.ivil fincr ut
'o
o.c hundEd rhouslnd doltri ($100,000). in NdJiri,n lo lhc cort of
Se-lion 3076 ofrhc t hr C.dc. i,lcresl ond altormr's fNs.
C/\t+
uqiN$IiDl:(lNtB (:roa
DlrlLd8tlll!
.i rhc lru\incr\ und Pmnssion\ Conc- &lmr liccn\c n in tullrbr.crtulcic.r
a\)>ltz,^,
I h.rcby aifm und( Fnalry of perju.y rhrl rhft is a connru.rion &ndi.8 4cncy for rh. pcrfoMc of lhc atrl for whi.! lhir lcdi n
issud (Sec. 309?. Civ. C. ).
AIIIII;ANI,DIILAEAII!]N
I lln$y,liinnund.r Fnalry ofFrjury onc ofrhc followir8 dNlrnri rc
l)cnnniio. Pcnnih.Ashcsros Notificalion Fcdcrll Rc8ulllions l'rnb {r, P!n6)
R.quncd kricr of N(nifi .drton
-l
ccnily lhir Oc Ldc6l reuhlions egardine {sbcalo, rcnrvdl nc nol llplic.hlc lo tht p$j.rl
-l
cenify rhar I hrE Ead rhir lldicdion anl {arc rhar rlE ltnvc irlbtr@ion b .orel. I r8xe ro onply wirh 0U Cn, nod Coutrlt
ordinan&s lod Stalc ljws mlaring Io buildiq consnudio.. mi n Eby luthoriz rcpresntarncs or rhis City dnd Cohr, 16 cnrd ur.n rh.
APPROVALS DATE COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL //-/9-/5. ,?r z-,7
Notes, Remarks, Etc.
ID/SIG.
Furnace
Ddle l)*nrr.
oborc mnriotun ,mpcny fm insn€tion l)!q$ss.
o*r"*,* nu*"r"**-, A lr''-< I "1 ? nuv,=l ** ot/ ? f /q
I