HomeMy WebLinkAbout40132138 - PermitCity of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 40132134
Pin #: 65795
Project Address: 1605 S Pacific Ave
Assessor'sParcel: 408-273-05 Lot:23
Un[: A
Block: NA
Address Range:
Historic: No
Owner:
Address:
Contractor
Address:
Phone
Tenant Name
Frederico Rodriguez
1605 S Pacific Avenue
Santa Ana, CA 92704
(.7141472-8929
Specialty Ac Heat
1289 E 7th Street
Upland, CA 91786
(909) 982-7999
Feo Type Amount
01116002 51604 Wall Heater/Floor Furna 63.'12
01116002 51600 General Plan Update 21.25
01116002 51604 lssuance 52.98
Qty
1.00
1 .00
100
Fee
$63.12
$21.25
$52.98
Phone
State Lic #: 784495
Lic Type: C-36, C-20
Bus. Lic #: 349795
Workers' Compensation lnsurance:
Carrier: Hartford
Policy #: 72WECZU2{,67
Expires: 01/09/2019
Building Use:
Job Type:
Nature of Work:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Ouplex
Miscellaneous
Wall heater
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2016
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permil issued shall become invalid unless the wo* on the site
autho zed by such permit is commenced within 180 days afiet its
issuance, ot if the wotk authoized on the site by such permit is suspended
or abandoned tor a period ol 1 80 days aftet tho time the work is
commenced.
o't23t2014
Account#
\{\rtc r
MID#: 2018-143540
01 116002 51600
01 1 16002 51604
$21.25
$116.10
Bldg:
Ttact:4442
Suite Range:
Zoning: R2
q
Notes: Handout given.
Fee Total:
Paid to Date;
Balanco Due:
Planning Conditions:
Amsden. Julie
$137.35
$0.00
$137.35
MECHANICAL-INSPECTOR RECORD .JAPPROVALSDATEID/SIG.OWNER BI]ILDER DELCAR,ATION
I hcrcb, a,Ird lndf ,c.rlry ol pciury $[l I m cr.dpl fion lh. Cortr&loa Liccne t e for lh. followin8 rcNn (Ss.?0]1.5
Busincs rd Pofc$ion Codc): Any Ciry or Colnty which rqlig { Fmn b on{dd' .lB, inprcr. &mlkh or Epdn ey
strucrurc. Irior ro ns issod.. s*o cquncs Oe .rplicrd fo, such F nil lo fih . siBmd slllcmnl lhll lE or sh. k liensd Plrsel
ro rlr pmvkion oft& Co.tmlml Lier*d Li* lchupler 9. Cohmncing *ilh Sccrion 7000 of Dilnion I ol rhc Bulin $ atd
Pmfcsshns Codc) or rhd tr or she Li crcnq rhedior ed rhe hori-c for lhc alhB.d cxcdplion. Any viob on ol Scdion 7031 .5 by any
lppli.a.r ror a pmir suhjels lhc {ppli.anl lo a civil p.nahy of not mE fi@ lirc hu.drcd do!fis ($500).
-1,
s ose. .i|he pop.ny, or ny cmrlolss vni wltcs {s th.ir Flc comp.nsllion. will do tlE *nk td rlE slrrm is mI
inl.nkd or or.red for eL (Sa.7044. Blsincs lnd Rofessionc Codc Tnc Cod@loas Liccr* t q dcs nol lpply lo e owM or
tlrc Fopcny who hiilds or nqhE. rhe@tr 8d who dds Mh w.d himsclf or h.Nlf or ltml8h tis or h.r osn cill,lortes.
!,ovidcd rhrr such impnlmnk m mr hrcod.d o, olTcied rq eL. lt hosw, llE blilding or iqEwmfl is $ld within oR )t
ofcorytrhr tlr Ovrcr Blildd will haw t r hirLn of peving thlr lE or sh. did nor build or i,{'bE nE porEly for llt I)lrFs of
-1.
s owncr of rhe pFl.ny. .n crclusiv.ly cont!.lin8 with licc.scn onlr&loa ro connrud lhc pDid (S(. ?044, Buiincn
od EofLxsion Codc: Thc Conhcroas Lic.nsc Law des nor apnlylo aosm, ofpoD.ny who hDilds or implole! lhcrcotr
and who coirdcrs {or sh rmj(B vnn r Conturo(s) lixnsd puBunr lo rh. Cotnradois Ltcnr tiw).
-t
m crcmpl !nd6 sNlio.- B. & P.c for lhii Een.
Dde. --,._ orner:
w(,(r(Fir,ColiPi\a^iti )N
D[CI,iI34IrcN
I h.rby alnrnutuld Fndry ol pcrjury otu ol lhe ldlowin8 dccluBrn,n{l
_l hrE rnd sill minrain a C.niric.l. of Corsnr ro S.lr-lnsurc for lorkc6 .or{rn@rion, as pmvidcd aor hy Selion 3?00 of lh.
Libor C.d4 for rlE Frfotrr@. of rlE trrt fq whkh l,r. Fmit iq issucd
I h0vc rnd will mintoin workcrs coq,caralion in$raftc. ar tqutud by sftlion 3?0o of lhc L€$or Codc, for rhc pdfotmnc ol
rhc work for which rhn p€mir is hnxn. M, *ortm omn nsio. insurm cmkr !d Inli.y nlnbfi @:
Poli.yNutrte ErPiEs
-l
Llnity rhd ir rh. Frformrc of lhc lork fn vtich lhh Dc,nrir is irs&d. I shdu nor.m!'loy 6ny lrFon in liy tuer
s Nro bc.om slbjEr to rhc s*c6 conFtreri.,l,sof Calitomi& and 08rcc lhat if I slt,lld ltom subtel lo llr
woltcs $m,,cnsarion rftririo8 olsNrion lTm ol lhc khor Cod.. l shlll. forlhwirh d,mpl, snh rhe pmvhhnr..
W RNINC: laihE ro s.w wortcra on{Eneiion .orcogc ir unl.wtul. $d shlll subj.u m cmploytr lo oEj,tl F lli: and
.ivil fines up ro om hu'drcd thousnd dotlos ($l0O.Oo0). in addiih. b ln osl of dn{rnslion, dmg.. r! pDvkl€d for lhc
Scrion 10?6ofrlEt tc Cod€. irBen rrd allrmy ! le3.
LICINIEIIONIB.dCIAf,
Dl,'(:I
^RATlt)NI h.[h! rinn uMcr lcnrllrolI'cryury lhal I !n liccnsd undcr pDlisn,n orChrptc.9 (oNIEEi.s sirh Scclion 7uJ0).it ivnion l
of I)r Brsinc\\lhd Pn,fc$n'nsCd., !ft1my licns n in fullturc clfNr
SNIIA!(JII]NIENDIN(i.ICENII
issucd (s( .lo9?. civ c.)
AIILTSNLDEIII&III{JIT
I l*rchy nfllm u M.r ,Enrlry ot I{rjwy onc ol rhc f{,ll(,trin! dc.lxrariirl\l
Dcnrnin,n Pennit\ Ashcno\Norillrin lcdorl Rc8ul0rio..r'rnlc{r-Prn6)
Rcqurcd litcr of Norili.d ion
l.cnilyrhr lh. fcd.rul Eguld i. ns rcSudirS lslEslos rcmoell alc nor {tli.dbk ro ihn pior.l.
-l
.6rif, rhar I hr{. Md lhis E plicllion dn slolc lhll lh. etovc infornEtion i! .orer. I lgrc ro condy wnh ! Cily a.d Counry
ordinlm ad srat Llws Elarin! ro b{aldirS .o6ro.rio4 ox! lErcb, thort Bprc$.tivcsofrhirciry@dcounlylo.nl6otEntlE
lborc mntioftd I,DFny for i.qedon pu.lbsc!.
Aplli.anr or AScnl SiBnaturc:
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Banoe
Other
Hood
Type I Hood
Type ll Hood
Grease Ducl
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I
FINAL S m tg JSt-
Notes, Remarks, Etc.
COMMENTS
Lied. Ch!!;-Li..e NunD.x
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