HomeMy WebLinkAbout40132101 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa.Ana, CA,27O2 Mechanical
Permit Counter: (7141647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 4lJ132101
Pin #: 57272
Proiect Address: 1025 W Sharon Rd Unit:
Block: NA
Btdg:
Tract: 1236
Address Range:
Historic: No
Suite Range:
Zoning: Rl
w
Assessor'sParcel: 001-233-18 Lot: '12 & 13
Owner:
Address;
Amount
86.82
2',t.25
52.98
Qty
1.00
1.00
1.00
Fee
$86.82
$21 .25
$s2.98Phone
Tenant Name:
Goettl Air Conditioning
532 Malloy Court
Corona, CA 92880
19511 737 4141Phone
State Lic #: 1023790
Lic Type: C-20, C-38
Bus. Lic #r 364630
Workers' Compensation lnsurance:Carrier: Argonaut-Midwest ln8 Co
Polic1 #: WC928218430084
Expires: 1210112018
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
NC
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2016 Notes. Replace existing A/C unit
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By;
Subjecl to Field:
Building Permit #:
Kelaher, Selena Date:
Date:
Dale:
05,16/2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
05/16/20't8
Account#
Every parmit issued shall become invalid unless the wotu on lhe site
authoized by such permit is comnenced within 180 days atler its
issuance, ot if lhe wotk authoized on the site by such permit is suspended
ot abandoned for a peiod of180 days after the time the work is
conmencec!.
$21.25
$139.80
$161.05
$0.00
$161.05
lnspector MID#: 2018-143385
01116002 51600
01 't 16002 51604
Fee Total:
Paid to Date:
Balance Due:
Conlraclor:
Address:
Jim McClure
'1025 W Sharon Rd
Santa Ana, CA 927061535
(714) 317-6333
Fee Type
01 116002 51604 Compressor
01116002 51600 General Plan Update
011 16002 51604 lssuance
Zuniga, Allissa
MECHANICAL-INSPECTOR BECORD
APPROVALS DATE COMMENTS
Appliances
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Boom / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release t
FINAL a 7)
Notes, Remarks, Etc I
OII'NER BUILDER DELCARATION
I h.Eby ,rrm undcr p.mlty of pcrFry thal I m cxen r fmn fic Co r(loF Lienf t w for the following E&on (St.m.11.5
Blsincss ud Prcfcssion Cd€): Any Cny or Colnry whicn rcquiB a p.rnl ro onift( ah6. inpmve dcmlish d qun dy
srtu luE. pri.r ro irs hcnue. sl$ rcquircs ih. applicanr for slch,Ermir ro 6lc a sign.n slarctunr llor h. or shc t lie.*d l,uNer
ro rlE,,ovbionr ofth. Coir&rois Lhc.€d Liw (ChrDtet 9. Coomefting wirh S.crior ?000 of Divisior l|oflhc Susincss t0d
Pmlcasions Codr) or ihlt h€ or ih. is cxcElrt lhcEfmn od rhc bBi for lhc .lL8cd crcmllion. Ar, violalion of Serion 701 1.5 hv anv
lpolicrfl lor a rEmir suhi6r! thc rpplicmr lo a civil pcmhy or @i mrc th fivc hundrcd dolrdi (5500). ' 1
-1,
as owm. of thc pqrny. or ry cmplorccs uirh qrrcs us rhct sle @Dperurio.. will do dE sGt orn dE slrucrE is ml
nncid.{t or ofrcEn ,or qh (Se.7044. BusiRss ud Pmfessions Cod.: Thc Contnclolr Lic€ns L{w &E\ not q,ply ro u o{no ol
lh. ps,Eny wno hitls or inpros tlEotr old *,h &* skh eli hiosclf or n .slf o, tmu8h his or hcr own cmploye\
pDvid.d rh'l r&n idptuvt1Mrs @ rcr idcnlcd o, offc,ld for elc. l(. h)wcw. r buildine o. imp,ownEnl b sld wnhitr oft y@
ot odplcti'q ilr O*tur Sritd *ill haE ilE lrdcn 6f povin! ihd h. or shc did mr bdld .r in{,6w dE l,oJlny for drc puqrs of
L a\ owftr ol fic popcdr. !m cr.lusiv.ly co .sti.8 wnh lccn{d conradou ro consrtuc[h€ pn&cl (Sa. 7014. Bnsmcs
ad PmfcssionCod.: ftc Co etols Lkcnsc Law drcs nol aplly ro u owocr ot prope y who builds or impmvcs lict€on.
a.d {ho .dm6.h for 3Nh pmj.rr{ wirh { Conr.a.to(s) Iic.ns.d pursua ro thc Co rucroas Licens L!w)
I m.knDr udcr SNlion .B &P.C forlhhresn.
Da(€: Owner:
-l
hsr adeill tuinhin ! Ccniflarc 6lcon*or ro Self lEuE fo wo.lsJ .omFns.lion. !s pdidcd ror by Sccdon l7m ofth.
Libor Codq aor llr ,Ffollr]&c of rh. wort for *hich llt pani i. niucd.
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h.!c and will Erinrain eorkcR comp.nslrion insurarcc. N equncd by Sccliotr 3700 of lhc Lat r Codc, ib. rh. l.rlormmc oa
rhc w.rk ror which rhh Fmn is hsucd. Mywor*cu omp.nsoiioD insuroncc cMicr dd lolicy nlnbcr @:
PolhyNlEb.r: ErliE3
-l
ccrriay thar in $c Frlormtre ofrhc $o* for shkh thn l,crnit h hrocd.l shill n r €nDloy any Fren in lny matrrcr
s s ro tNm slbh.l ro rhc woltcc cor{Ensr ion lnws of Califomio. ud agB lh if| should tEcotu subjccr lo rlE
wo*crs' onpcnsorion FDlisionr of Sdrion 1700 of rhc Lrhor Code. I sh.ll, fonhwnh coryly with lhos ,hvhioos,,
_ Appfior:
LICENS.ED-CAIIBSIIO&
ITXILIBAIION
.l rhr Llu\ircs\ rni Ptuicsi(nN(inlc. rnd nry Ti..D\c n iI n,lll,tr.c u lr,ncr
CAIS1A!,IEIIANIIiNDINC.AC.ENCT
t hcrchyrlfirrundcrlicnxlryofpcrturyrhlr rlEc is3cotr(rucrion k inEiE.n.ynrrhctfrlor uncc ol lht work ttr lhirh rhi\ rqnrir i\
isrudd (Sd. :1097. Civ. C )
AITLIIANLDECLTAJ]IgI!
I hRtyallirmundcr Nnnlly ol'E-rjry on. ol rhc lnlk,winx drt-hrdid'\:
I)cnx,llri(,n P.rnir\ A\tf,{os N.rifi.arion Fcd$rl Rcguhrions Irnt,10. Prn6l
RL\tuir.d brcr oi N.rifi cari,n
I cniiy rhor rhc fcdcrol rcBul0lions Esudins ostE(os rcmvrl lre nor aprlkat'h ro
'hi\
pnrjRt
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cfiify ln l havc Eld lhi! +pli.lion dd slatc thd ln $orc iofo Erion is coml. ! agrE |o 6n0ly wilh dl Cn, and CounIy
ordiEres a.d Srsr. Lrws rhirS to hildinS .onstrocliotr rrld h.Ehy authoriz. rcpEsnt livcs of this Cily ard Couly lo ctrl6 utrn lrt
ahor tunriomd pol*ny for insDerion pu,Dsi,
AnDlicurorAscnlSiEn lrc
NE1TIZZZLil,
ID/SIG.
lvletal Fire Place
lnsulation
l,voru(ans' coMPENS,{T(rN
DECI,TAAIION
I h.rcb, nfim undo ,..,ny or Frjury oE ol lhc followinE dchElioni
WARNING: Fliturc to suE turtcc' moF.nrdion s!m8c is t.law6rL ald !t ll sublrl u cnploF to ainl,sl Fmhh &d
cilil fincs up ro oN tundrd rhouBnd doll&s (t100.000), in addnion to 0E.orl of conpcNtion. d.tuBcs !s Povljci for ln4
SNrion 1076 of rhc tibor Codc. irflc(n lrd oromy\ l(i
( onlm(lor- - .
t .&43Nrmr-
t nds! Addr!t3,
-
I
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