HomeMy WebLinkAbout40132597 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40132597
Pin #: 5OO98
Proiect Address: 2718 W Pendleton Ave
Assessor'sParcel: 408-225-04 Lot: '159
Unit:
Block: NA
Bldg:
Tract 2260
Address Range:
Historic: No
E
Owner:
Address:
Contractor
Address:
Gruz Shen
2718 W Pendleton Ave
Santa Ana, CA 927044922
Signature Design Center
329 N State College
Anaheim, CA 92806
(714) s33-9s95
Fee Type
01116002 51604 Range Fan
01116002 5160C General Plan Update
01 116002 5'1604 lssuance
Fee
$32.30
$22.08
$55.04
Tenant Name:
Phone
State Lic #: 924506
Lic Type: B
Bus. Lic #r 348538
Workers' Compensalion lnsurance:Carrier: Falls Lake Fire & Casulty Co
Policy #: FLA00749200
Expires: 1'111212018
Botcii!45959 - ?/17/20t9 ID: JGUDIHo0ffice: CTYH Tponsi: {7 4 .i +Accti: Rsfl: 4013?i97
Rcpt+:02385829 - 9/t?/2O18 !31 qri
Tfonsot:t iBn Totol iSB7.2{
Building Use:
Job Type:
Nature of Work:
Plannang Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Miscellaneous
Kitchen Remodel
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 2016 Noles; auth on file
$
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Buildins Permit #: 10197715
Evory pemit issued shall become invalid unless tha work on the site
authoized by such permit is commenced within 1 80 days after its
issuance, or il the wo* authotized on the site by such permit is suspended
ot abandoned tgr a petiod of 1 80 days after the time the wo* is
commen@d.
09t17 t2018
Accou nt#
$109.42
$0.00
$109.42
lnspector MID#: 2018-146145
01 116002 51600
01 116002 51604
$22.08
$87.34
Fee Total
Paid to Date:
Balance Due:
Suite Range:
Zoning: Rl
Amount
32.30
22.O8
55.04
Qty
1.00
1.00
't.00Phone:
Sisnoture oesisn Center
ftoerol PIon thdote Fee
01116002- 51600000-
llechon icol
ull16002- 5160{0G0-
ICL Check 020?50
MECHANICAL.INSPECTOR RECOBD
-1.
!s owrcr of thc topcrly. or ny cmPloyes {ilh eagcs as lh.ir sh con{E,srion. eiu do thc work ed E $ru.r@ b er
inlenlcd tr oficrcd for Mlc (S€.7O44. auiinc$ @d hofcssions Code Th€ Connadois Liccn€ tiw do.s nor rptly h tr. owm! of
rlE pmFny wtb hildr o. inpoB IEetr .rn wb dfts sh ft.t hini.U or h@lf or lhrougn his m h6 owr .mployecs.
Fmvaed lhll such insmwmnlse ml inlcnd€t oroffcnn for eL l( thMEi tlf hiildin8 or impmEm.l is $ld *ihin onc Je(ofonl'hhn. rlE ol,rcr Build.r will nlE llE hord.n of pDvine tlul lE or sh. dil ml buM or ir{mE rhc tmrdly lor lh. FUqDs of
_1. os ownf of rhc |top.ny, ao er.lu.iwly con[a.rirs sirh lken$d conrErcn rc on(d.t rtE r/o]!r (scc. ?044. Bushrs
ud FDf6si,n Codei Tn Conlre'ol s Liccns. Law doca .or +ply !o e ownd of pmrcny uho bullds or impover lher6'n.
8rd who conlmclsfor suchpofrts wnh a C.nlhclo(I li.cnsd puuwnt torheCo.u&rols Ltc.ic Lrw).
-l
omcxcnrpl utrdcr Scc
Orrei---
U!}Af,D&ISAMIENSAIIOd
IECI.ASAIIQN
I hcrchy rfinn, ondcr rcnrlryofFrj!ryond olrhc f(rk,winS dcrlrrrrn)ns
l hJvr rDd Nill aui' r ! Ccdillcai..lCon\ctrrn, SrlI ln\u.. tu.*o!kcrs $nrr. \rri(,n,r\ lnr idcd 1,, hr Scdion .17{xl ol llr
L6or Gxtc. tur lhc lcnifl.u.c olrh. {.rk lor *hi.h lh. Ennir n i\n,cd
-l
hovc .nd vill mninr0in *orkm compctrsalion insun,c.. !s rcquirn hy Scclion 3?(x) of lhc Lit nr Cod.. for rlE Frforl1me of
rhc work ror which rhh F.rnn is issucr!. M y wortcB omF.saiio. insurdr. fficr ard lElicy number sc:
-l
ccdiry lhor in lhc prfoirmne of thc qork for phth lhis F.m k nsucd- I sh.ll mr enploy any l,cen in uy @*,
s, N to tEd,m slbFr ro rhc woltos onqEn\arion laqs of Californiq ad ,gB rh ifI sthukr b..om subj.rt lo tlr
*ortcrs' mmpctrrr ioo pn vtions of Scrion l70O of rh. L.lnr Codc. I dEll, lonh*irh Nnply wirh rrb* tovkiom..
WARNTNG: Failm ro surc wortcB' L{mpcnsorion svcESc is unhwful. and shall subject an mplorrr ro dmiol FMlies {nd
civil fircs up lo onc hundrcd lhousnd dollu (S100.000), in sddilion lo rh. cosl of danua.r o\ pr,vid.d lar rh.
Scctn,n 10?6 of drc Llhr
DIICI,ISAIIAN
I hcr.hy afirn uM.r Fntrhy olrcrtury rhm l,m lianscJ und.r tmvision ofchrplc! 9 (com'Ercin8 with SLtrion ?(xn) orDili\ion:l
oI rhc Busims\ lnd Pr,r.ss i{i ns C.dc, dd nyli.c.sc h in lullforc uod.fid
grluBlqIlgNLENDlNC-ACrNlI
I hcr.by alfirft und.r Fnrhtolp.iury rh.r rhcrc h r $Nrfldlr LndirE 0ScNr lor
'ic
pcn'ormrcc oithc wxk f(tr shi.h lhis Frtoi n
isslcdls& ]m7. civ c r
A.ELICANLOECLIS{IT9!
I lmb,Jnnnu cr llna[yofpcrjury onc ofthc iollo*ins d.cln0riotrs:
Dcmniri{,n Pcflnirs Ashcsro\ Norifi.ar n hdcral RcsuturnnN ('lnlD40. PM6,
Rcqutcd btr.r of N.iifi cdirn
_l c. ifyrllr rhc lcdcmlrceubln,ns Eq0rdin8 $tr$or 6n$rd,rc nor imli.6lc lo rhh tmici
_l ccnilrrhd I h!!c rcldlhisrmliclr
odinomcs and St0rc t wsEhrinalobui
i,r d (rrr rhrr rh rtxrd i',ntrf ri(,,onpl, wnh al Ciryrnd County
s orrhi\ Cny Lnd C.u.ryr
Btnvc mntioncn pmpcrry for i
?Apflicun or A8cnr signrr
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Com pressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range il"t+"tg
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL It--{t-rx WWy.I
Notes, Remarks, Etc.
Ito
'tl.-,
n
OWNF]R DUII,DT]R I'ELCARATION
I hcrc$y ainnr xnd( |rrn"lr! of rcrltq rhtrt I m .x.'npr lron rhc Conkr.t,s l-i.c \c Lrw ntr rh. fdlotrinS rcnsn rsN.7o.ll :
Busl.css rDrl Prcrc\rnr Codc): Any Cny or Counry trhic[ rcqun.s tr n irnir ro coo(ru.r. okq. irnl)lo{. dt'nri\h or rcFtr rny
\rrudurc. priorro ils nsurncc. aho rcqltc\lhcrpplica li,r chlrmilro fiicr sisncd \rnr8tnr rhar tf,or \hc i\ hc,td puNu0.r .
ro rhc pn,visn,N ul rrr Conh.rn s LiccnsNl kw (Chnpr.r 9. C. nftnciD8 wiih S.crior Tlxx) of Divi\n,n :l ot lhc Busincs rnd
Itolc\\nnNCodc)orlhal hco.shc i\crcnrrr lhcrcri.D d rhc hn\h ltrrhcnllcgcdcrcmpli,n Any viohrionorsc.riotr 7tr1l.5 hyrtry
aptli.r tu ! pcnnir ruhjcch rh. anpli.rtrr t, rcivill.nrlrtolnor nnnrhM nv. hundrcd dollrs (S5(X)).
Policy Numbcr:Jrpncs:
-