HomeMy WebLinkAbout40132104 - PermitCity of Santa Ana
Permit Counter: (714t 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 14], 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 40132104
Pin #: 80897
Btdg:
Tract 560
Address Range:
Historic: No
Suite Range:
Zoning: Rl
qProiect Address: 2067 S Oak St
Assessor'sParcel 014-093-33
Owner:
Address
RAFAELA ZUNIGA
2067 OAK ST
Santa Ana, CA 927072920
1.7141227-131',1
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 6924011
Fee Type
01116002 51604 Furnace
01116002 5160C General Plan Update
01 1'16002 51604 lssuance
F6s
$63.14
$21.25
$52.98P hone
Tenant Name:
Phone
State Lic #: 7044'14
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsurance:Carrier: American Home Assurance
Policy #: WC026163040
Expires: O7lO1l2O1A
ReI iable Enersg llRnoeerenl
Geoerol PIon Updote Fee
01116002- 5160u0tr0-
llechon icol
01116002- 51604000-
ICL Check U06891
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Furnace
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 2016 Notes: Replace erisling furnace
v Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Zuniga, Alliss
Ev6ry pennit issued shall become invalid unless the work on the site
authoized by such pemit is cornmenced within 1 80 days aftat its
issuance, or if the wotu authotizod on the site by such permit is suspended
or abandoned fot a pedod of 1 80 days after the tine the wotu is
commenced.
ost1812018
Account#
$21.25
$1'16.12
$137.37
$0.00
$137.37
lnspector MID#: 2018-143391
01 1 16002 5'1600
01 '1 16002 51604
Fee Total
Paid to Date:
Balance Due:
Lot: 17
Unit:
Block; 7
Contractor:
Address:
Amount
63.14
21.25
52.98
Qty
1.00
1.00
1.00
Botchi:{3823 - 1/t6/2utg I0: (
off ice: CTYB Trons+: 34Accti: Ref+. 4ttl JRcpti!02265118 - 5/16./20tg l1: JIronsoct ioo Totdl $412.
MECHANICAL-INSPECTOB RECORD
APPROVALS ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcr€by amrm undcr penall, of F4ury lhal I m cxcnpl fbm rhc ConlreloF Liccns tnw for lhc lollowi.g een (Se.?0.1 1.5
surinc$ ,ij Pof$sion Codc): Any Ci, or County ehth EtuirN a lErmn ro effirucr. drcr. improvc. d.mlish or rcpd y
slrucluc. |rb,b iii L*u.N€. ,le nqtris rlE ,pdicer lor such Fmir ro filc a sisncd srar.mnr rhlr lE or shc ii ticnsl I'Usu!
to lhc tEvhiom of$c Co reror's Lien*d Luw (Chspts 9. CommminS wirn Scctiotr ?0m oaDivisiotr 3 of thc Busincss ond
Pmfcssions Codc) or lh0l tE.r shc is s.npt $cEliomdd lhc hoin for rhc allcgcd .xenwion. Any lioLrion of Sdkrn 70:]l,5 by an,
alPlicant for a pcftit subjNts thc aplli$nl lo !.ivil pcMhyofnol mrc lhn.livc h!.drcd dolus (1500).
-1.
{s owrcr of th. pn'p.ny. or ny cmtloy&s silh {a8cs as rhcn sh snqFnsrion. will do rh wk !d tlE srrBrE ir mr
inlc h .r oficrcd for $lc (Se 7()4]l. Blsiftss ind Pmr.sionr Cdc, Th. Coirarocr t-ien$ Llw dncr mr ,pply io M ow.cr oa
rh. pn,I)cny who build\ or inlpob tlrB)d bd who d6 sch w.* timsclf or ncrclf or rtrou3t his tr hcr osn catlort...
povidcd lhal $ch inFomnls m ml inrcndcd orofr.rd for eh. Il homE the tiildinB o! inpmwmnt t $ld *nhin orc Fe
ofsnpLliotr th owN Builrd wil! h,r ilr hlrkn ofprovins thll lr or slE dn n,r hrild or in@hE thc nNrEry f6r e pu4ncot
-1.
as owftr of lhc fq,cn, omciclusilcly.onralin8 rilh liccnsd.ontmclonro mnsldcl lh. p,ojel (S.c.7044, Busms
.rd Pntsrion Codcr Thc Conr&rol3 Liccnsc Las d@i mr emly to d o*n( of propcny who builds or imporcs rhcr6n,and who conrmts for sul' I,ojccrs with a Co.ra.ro(.) litncd puFur lo rhc Co.re&ii Lkcrc t w),
-l
rucx.nr u crsLrrn .A &PC f{trrhi\rcr{nl
laatrEBI'toMPiltallaN
DECLATArlON
I hcrcby !flnnr undcr p.nslly ol pc,Jury orc ol rnc nnhwing dNldorbnsl
-l
lEvc ltd will mintlb r C.nifEdc of Consnr ro S.r-l.ruE for @ts oopcn$rion. &{ Fovile<l lor by Scljon l?00 of $c
L3bor Codc, fd 0E Fdo!r:!E of 0E m* to, shi.h {E Fnir n issed.
-l
hale aftl will man ain worlcs' compcnsltion in,uEncc. trs rcquiEd by Selion l?0o of lhc lnhor $dc. for th€ pcrlorronce of
n n$urnmc cu crlnd Fnicy Nmhn uc
d rlrL
I .cnity rh.r in rhc p.rfortu r. ofrhr work ftn whth rhis p.!ni k is\'.d. I \hall R,-,., _, [^_J. -;"_"-s a\ to h.sm subjer b ihc m*.r' conqxnsrion Inws or Cdifomir, rJd aBmc rhar if I stmuld tr.om eubir' ro trE
*ortcr'corycnsllionpmvisionsofSctionlT0OofrhcbtbrCodc.lqhnll.ronh*irhsmplyvirhrtbstmvhionr..
l4ARNlN(;: F.ihtu t, *cu6 rorkcA .onpcn\dion covcmBc unhrttl- nnl \hrll \nhjccr an c,npk,ycr b Gi nrl!.Mlric\ rnd
civil lin$ up r. om hr.drerl rhou!$d dotlc
Sccrnr 1076ofrhc Llh, C(rl., inr.rci dnd
oft=5 1 lo'(
I htruht !tnnr undcr ntr3hyofncrjury rh"r I 0m li.usld ,rcvisionofChryrs 9(commmiry wirh S*ri,n ?OO0) ofDivhion l
or thc Busircrsotrd Pmrcssions cod.. en myltcnsc is infiilltorc&d.ffr
I h.rhy nlli,n, u rl.! ltfrlrtol|rr'j,trtrl rrhq. \x.un!n'.iio
n\uilrs.rlogT{\(l ir8 qcncy tor rh€ pcrfornrocc oilhc work lbr shi.h rhh P.m n
ASSLISAIL!&CIAIAII(IN
I hdrl,y atrm undcr !.nalry ot p.rjury orc of lhc follo*ing d(h,arions:
Dcmlilion PmiG-Asbcnos Nolifiotion tu nl R.gohtions {'rnt 40. Pd6)
R.qund lr cror Norifi$ri,m
-l..diryrh
rh. r.dfal rcBxlir ion* ,.8.Jding r\bcsros rcn,vi rc nor srDlhrhk ro
'hir
projet
l.cnilirhdr I hnvc rcld rhis rl !8re lo comply sirh a Cn,lnd C6xnry
0rivcs ofrhis Cilymd Countyto cnrcr uton thcordinaoccs lnd Stolc l-o*s rclir
ok,!c n.nriomd trepcny inr
AFth.rnr r Ascnr Sisnlru
l
^,", d.lt"'t8
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Boom / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
o penings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
FINAL 6lzt (3_,U,ll(l )
Notes, Remarks, Etc lr
DATE
Drlq Owmrl
Furnace
lnsulation
Meter Release