HomeMy WebLinkAbout40132620 - PermitProject Address: 4221 W Kent Ave
Assessor'sParcel 188-103-11 Lot: 61
Unit:
Block: NA
Bldg:
Tract; 3656
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Aria, CA92702 -
lnspection Requests: (714t 667-2738 lnspector Section: (714) 647-5853
Mecha n ica I
Contractor
Address:
Phanh Lounethone
4221 W Kent Ave
Santa Ana, cA 92704
(714) 345-6455
Greenstar Home Seryices ln
1951 N Main Street
Orange, CA 92865
(949) 88s.0102
Fes Type
01116002 51604 Repair Vent Sys
01116002 5'160C General Plan Update
011 16002 51604 lssuance
Qty
1 .00
1 .00
100
Fee
$43.62
$22.08
$55.04Phone
Tenant Name:
Phone
State Lic #; 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensation lnsurance:
Carrier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D508631017
Expires: 1OlO1l2O1A
Botch+:46065 - 9/24/2yS
Off ice: CTYH Trons+: 68Acct+: Refi:Rcpti:0?3903(r? - 9/24/21tg
Tronsoct ion Totol
Greenstsr Ho0e Services Inc
General PIun Updote Fee
01116002- sr600000-
llechon icsl
01116002- 5160,t000-
ICL Check 004110
I0r t.R0
1
{ril J?6
,1Ztt ,7 4
SALEof1
n
,??,09
$9S.66
t l2t1 ,'7 4
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:
Single Family Dwelling
Miscellaneous
Ducts
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 20r6 Notes
\t)k
Date:
Dale:
Oate:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every pemit issued shall become invalid unless the work on the site
authoized by such permit is commenced wilhin 180 days after ils
issuance, ot il the work authoized on the site by such petmit is suspended
or abandoned fot a peiod o1180 days after the time the wo* is
commenced.
lnspector MID#: 2015-125635
ogt24t2018
Account#
01 1 16002 51600
01 1 16002 51604
$22.08
$98.66
Fee Total
Paid to Date:
Balance Due:
Permit #: 4IJ13262IJ
Pin #: 72223
Owner:
Address:
Amount
43.62
22.08
55.04
$120.74
$0.00
$120.7 4
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COtI/IMENTS OWNER BUILDER DELCARAIION
I h.rchy dlfrrn uhdfi pcMlry 6f pdjlry rhal I M .rorlpr fDn rlt C.nrdon' Li.cns lts aor lh..following Rosn (56.7011.5
Busimss 0ri Profcssion Codel: Any Cily or Counly shi.h EqniEs a Fnil lo onsttucl, !ltd. itr{,mvc. dcmti{h nr Eptr oy
sttucrw. prhI ro its nsuan*, dho Equncs $d lirplicanr for such pcmn ro filc , sis*d arcmnt rhtr la or rht ii lk.n$d pumdl
'o
lhc rrcvisions of0E Conlrelor's Liccnsd Lrw lchdpt.r 9, Comncncnrg wiln S.dion 7000 of Divhion I oflh. Bu.incss und
Pmfcssions Cod.) or tur lE or slE is crcd{,r rlErcfom ard llE tqsir for llr alkBcd cictrprion. Any vioLrion of Sc.rhn 7011.5 bFny
apnlica aofu I'crm subjcctr thc amli.am ro ..ivil ncnalry ol mr mE rhln nrc hu,ldEn dous ($50o).
-1.
as owmr of lhc ,,orcny. or ft, ctqrloyes wilh *ag.s !s lhcn wh compcisorion, will do lhc worl dd itE slid@ ir ml
inlciiH or ofcEd ,6r eh (s6 7u4. Bu.i*$ ua PE csr,o8 C6d.: Th. C.ntdtr 3 Lt.nF trw dEs ml a|,P,y lo an oDtur of
lh. FoDcny win toilds or iq,mh llEmn, atd uho &Es sh qrk hin$lf or hmlr ot lhsu8h hh or h.r own.ml,k yes.
lmvidcd rh{ tu.h idpokmdr m mt inrcndcrl or otrcr.d r.r ek. ll hoscE th. h{ildinS or irl{,mrcB h sold within oic,*
ofcomplctior ltE Owm! Buildr wil naa ttt budc. of tmving rnd tror sh. dil er l ld or in{hE rhc pmFny for tlE puqDsof
-1.
a owmr ol rhc pq,cnr. an cx.lusi{cly .onmcling wnh li.cncd .ofira.lo* ro o.srNd llE pmjel (Sc. 7044, Ewimis
and Eof6rbn Co<ic: Thc Conrrurol s Licctrsc L{w docs nor apply k, 0n ovnd of pepcn, wno builds or inprovcs th.r.on.
lid who o,'r6di {o, su.h ,mi.h with r Q,nreto(s) lk ned pun@r b th. Conr$lols Li.rr* L3w).
Irnrucnrprrndrr S(rri{nr . tl & PC lnrrh,s rcxnin
D"l. (r*n.r'
llontrE&tr!)MrilsAfla!
ltEctAIAMN
I hcEby llliflh n"dcr pcMlty of p.rjury om oflhc folbwnr[ delrlln,*]
-I
h,v. .t*l will milrai! a Ccniaarr. of Conent ro ScltlNurc for m.t6 sn{rnsaIoo. &q lbviH tot by Snrion 1700 of rhc
lrbo, Cod.. for lhe,qfomEc ol th. *ork f wnhh $e 06nn i! ir.ucd.
X* -o *u, *tot..rk n comrnsdion insmrcc. s rcquir.t by s€crion 3700 orrhc kbor co&. ror rlE Frro'llEtr. of
lh. wort lor *hich rhis Fm ir iin cd My wo*6 @ryrnsllii,n iMuM. .dir lrn poticy numts e:
a
I ccnily rhrr irrhc pcrfomun.c of rh. *ork Lr shi.h rhisFiinir ir issucd.I drallmr
e as lo bcconE subrsl lo lhc aok6l comlcnsarion lawsofcaliforni!. ddage$ ial rnouU
*ortcB.ooD.nsllionpmvhionsofs$tionlT00of$ct tor Codc.l shrll. fonh{irh corply wnn thoe pm*ions
WARNINGI F0ilur. !, s..urc workcs omp.nsdiotr covc.aSc is u.l whl. rlld shlll uhlcct on cmpLr. lo dninal Fmkics and'
civil l,nci ut ro onc hundrcd lhouslnd dolla^ (Sl0OJ[0r. in.ddnion ro lhc.osl of comri.n$tion. d!'usci ar provid.d rr, rhc
:^:,^ i/2Tfr**.H::,. [ %-..-.....-
L('FNS}DCONTR ('T(}R \IrEgdrallo!
I h.rcby,ffifln !ndc. Fo0hrofpcrju.y thal I om lienscd undcr FovisionolChnplcr 9 ($m'rcncins wirh Sc.lioo TUxr) olDieision 3
of rh. Busi'rc\r md Pbf.\lion\ Codc. lrd ny liccns is h tull ide d cilccr
cz c-3G v55G
raxcrxuclrcNI[dDllcacllll
I hcEby alitrm under Ftulry of l,crjlr, rhar rhce i3 a co$rDcrion hnding {scNy for rhc Frforromc of LE krk for shich fin tEnn k
ksucn (Sc. 1097. Civ. C.).
Appliances
lVletal Fire Place
Evaporative Cooler
Furnace
Compressor
ItIisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL (-{v tr/r?/il-,fuz)*'?r'tu--
Nqtes, Remarks, Etc.
ftft) p\ru\r+ uaro N-palc C,r,W L\-1,,2."-\ . t/e-.t -x
"-r.r* te
A.PILICANI.DDII/AA.IIO!
I trr'6y a0jm under Fndlr, otle juryotrc oirhc ti,llowi.C dNlorbns:
ocrmlnion P.rnirrAsb.ios Norin arion fcdctuI Rcgnl,rions (Titlc 40, P,n6)
-Rotutld
tf, lt$of N{rification
-l
.cniry th0l lhc fcdcral rcsuhln,ns rcFrnins {slEslos rcnnv.l urc nor apDlnlnb ro lnis pn,j$r
l.cniiyrhdIhrvcrcnd$ir+plic.rionu srobrhalrhc!h,r itrhandion hcotrccr ,a8rsrocomply*irnollCiryDndC.un'y
ordiotrnccs lnd Srlle ties rUrins b huikliig conrrrudiin, and hcrchy uunoriT. rq*.{nrdircs ofrhn Cny ond Countyh cnrd utnn rlE
lt$vcmnriotr.dFoFnt ra, m.r(l":I5rl,5 / /
Amhc,n,.'A'cn,s,Endru,c +'t- ",,. 7ft1/18
PrnnNJrFd, /Za-? 7-,+U-"-ra> /