HomeMy WebLinkAbout40132121 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19) Santa Ana, QA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Mecha n ica I Permit #: 40132121
Pin #: 14552
Project Address: 5214 W Wisteria Pl
Assessor'sParcel: 108-586-04 Lol: '14
Unit:
Block: NA
Bldg:
f "acl: 4292
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address
Contractor:
Address:
Rovics Construction lnc
1716 S Newhope Street, J
Fountain Valley, CA 92708
(7 141 444-26)48
Fee Type
01116002 51604 Range Fan
01116002 51600 General Plan Update
011 16002 51604 lssuance
Bdtcht:{3882 - tr/21/2o18
off ice: CIYH Trons9: ltr9Accl+: Ref+:
Rcetr.tt2268229 - 3/2f /20t8
Trongoct ion TotoI
Qty
100
1 .00
100
Fee
$31.10
$21.25
$52.98Phone
Tenant Name:
Phone
State Lic #: 800996
Lic Type: B
Bus. Lic #: 8020
Workers' Compensation lnsurance:Carrier: Llberty Mutual Fire lns
Policy #: XWS1858025321
Expires: 0710112018
l.!
53
Rovi.s (:onstruct ion In(
Geoersl Plon Updote Fee
(r1 116002- 516000(r(r-
llechon i col
01116002- 516040(0-
V iso
CC+: ri**rtlfirr*6253 l
Auth+:(r462
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 20,t6
Single Family Dwelling
Alteration
Katchen Remodel
Notes:
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 101 96504
Every permit issued shall become invalid unless the work on the site
authodzed by such pennil is commenced within 1 80 days after its
issuance, ot il the wod< authoized on the site by such pennit is suspended
or abandoned for a petiod of 180 days aftet the time the worl< is
comnEnced.
$ Hernanoez, xattry
Date:
Date:
Date:05t21t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$105.33
$0.00
$105.33
lnspector MID#: 20'18-143475
01116002 51600
01116002 51604
$z',t.25
$84.08
Fee Total:
Paid to Dale:
Balance Due:
Sandra Kirkham
5214 W Wisteria Pl
Santa Ana, CA 92704
(949) 240-874s
Amount
31.'10
21.25
52.98
DATE ID/SIG.COMMENTSAPPROVALS
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood rl
.\C\PIGType I Hood l0)u
Type ll Hood
Grease Duct
Fire Damper
Openinos
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release -,.--\'t :.tr'*i)4 dn u)r/FINAL u
Notes, Remarks, Etc.tl ur
OIVNER EUILDER DELCARATION
I lrrcby aftrm undd p.Nlly of Pcrjury rhd I u credpl nom th. Co sron'Lien$ ti* for llE lollostE Easn (S€t7oll5
Aueincss s,n Profcshn Cod.): Ary Cily or CNnly *fikh r€qtircs t penir lo 6nsel. all6. inl,,rcvc &mlhh or ,!rat ev
sr^ctuE. Fior ro irs is$8.. d{ equiEs rlE apllkd lor sh FmI to fik g si8.ed slatcmfl lhrr lE or slt is ticcneed Puls@t
ro rhc ptuvirao$ of 0* Conrrrcloll Liensd trs (ChaPls 9. Codftfting wnh Scclion ?000 of Di{sion 3 of llE ansin.sl 'nd
PDlcssions Cod.) or lhd lE oi rrE i! .rcmpl lh.Efiom ard lhc basis fo, lhe {llcgcd .r.t{,lion. Any tiolarion of Sslbn 70.1 1.5 bv Dv
qrplicant fot r Fmn suhFi3 llE a!0ticinr !o a .ivil p.uhy of ml mrc th.n fiv! h!.dted dollaro ($500)
-1.0\
owncrotlheFior. t.(tr ry cnrdoycc{ w irh wrsc\ a\ rhcn $ lc mmFn\nrion. !il] do rlE vork MJ lhc {nnur ' i\ odr
i rndcd orolltkdlar\ c lsr...71!4. ll!{i'r.$ trrd Pnna*ions Coac: 'l tu A, rncktr'rl-i.cDscLi*dot\ndrrtflytornowNror'
thc u)pcny wb builds or i'npRrts rlrro{L nnn $ho docs such witrk hi'n{lf.r h.t\clior rhx'ugh his.r hcr oe. cnDkryccr.
frcvn[drhdsu.h iDnro\cm sm Nn intndcddol]!cd fneL ll ho(c!cr. rlEt^riklirSorimlxrc'mnris\'ld wirhi""r ]tr
oicomflcri(ni rh. Own$ auifis wil]hrvc lhl hunlM.flnrvin8 rhd hc.t rhc did dor ]^rild or ir9rovc tJrc politn, firrtt PurF)c.l
-1.
rsosncr.irhcpfl,p.ny,,mcxclu\i\cly.otrtsdn,g $irh lic. {d co.rrfuu nr.1,n{d.r rh. pn)l$t (Scc 7(}l'1.lltr\i .\\
rnJ Pbfs\nn Codc ThcO,nlri.r,r'\ t.icon\c Lrs doc( norlmlylo rnosngofPrtNdy*ho huild\or nnProtts rhcrc.n.
rkl sln.ont&rrforsu.hproF-hwilh!G'nrEcbnsrlrcns.dtursrrtrrlr)lhc(]'ntJ&r'sLiccnscln$)
I d.rcmor nBtcr sccrrn , B. & P.C. for
'hn
Flsn
D.l.:- Oiftt
TASf,EIIi:CAMPJNSAITO]!
DECLAEAtrO!
I hcrcl,y lifirhund€r Fnalry of pnjury om oflhc followins d(l@ri.ns:
IrtxtrC(xlc, f(tr rhr frtunnrncc.lllt *ork tur Nlrich rhclf,nnir i\ i\{,cn
-l
h.w and vill 'Eirllin sortcr' .omFnrdion itrslEncc, &s rcquircd hy se'rioa 37m ollht tlbor Codc. for th. Ilctfotn1mc of
rh. wtrk lor which tth pcdir L irsEd. Mt woltss coq'cnslrion i6ur,ft. cori.r ad Fli.y rnohd @:
-l.cnilyrhar
in Ir lcrf.r@ncc oflhc wort for which fih p.rmit is issucd, I Fholl.or cnPloy any p.Bon in lnv nunncr
s s ro 1i..!@ subied lo lhc wo*m onPcnrltion hss olcrliloirrio. !.d dgfc rh{l ii I should $com subid m rlE
workc* c.@ensarhn prcvisions of Sccl io. :t7(lo of thc Libor Codc, l slEU. fonh*ith contly *ilh lhoe Pr.tisions.
WARNING: Fnihrc lo $curc workcr shlrcnsrk n cov.sse is uhwtul, Md shau $bJc.r cmlloys to sinin.l FmL's md
civil fi.* up ro orc hundrcd rhouond dollus ($IOO.O0O). in.ddnion ro lhc cosl of coml).nqrioq dero8c. !r lr.vad.n 6r rhc
libor Codc. inicrcs lnd arlomy s fccs
I hcrcby amrm undcr D.!!hy ol DcrJUry thal I on
.l rhcBusines ud Professioos Cod.. ud my I
s 9(commncing wilh Ssrion 7filo) olDivnion:l
t
I hcEb, amm undcr p.n.lry of tcrjury rnd rtFE h r
hsucrl (Sc 3097. Civ. C.)
thc p.rfinmK of rhc sork for qnich rhi\ Frnn is
L.dclr Nam:
-
l,ndca! Addrs:
-
AIELICANLIECIABAIION
I h.rc{ly anim lodcr pcnrhyofpcrjlryonc ol$c followinSdcclaralions:
D.mlirion Pcrmih-Ast sros Nolituatnh lcdcBl Rcglbr ioor (Tirle 40. Pon6l
-RcquiEd
(.rt r of NotifEolhn
-t
ccdil, thd thc rcdml rcsllalion. r8uding a\bcslos rcmval arc mr ,pplhabh lo lhis !mj.{r
-l
.cni[, rhlr I h.w rcdd rhis lppltal nrn dxi sure rhar rh. at w infolmlion G.o@r. L8N lo omPlv Bnh,I Cnv ind Colntv
odinln(r !d Srarc L!*s (hrinS lo l,u i ld ins .onshacioa un nccb, ourlx'rizc rcIrc*ntrriv.cofrhn CilvondCilorvro cntcr uix nllE
abovc mnrn,rcd prurerr, lor
)/ryTiArpliconr or AScnl SiBnrllc
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MECHANICAL-INSPECTOR RECORD
Furnace
PolicyNumbcr: ExPhs:
-
I
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