HomeMy WebLinkAbout40132581 - PermitCiff of Santa Ana
Permit Counter: (714]- 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mecha n ica I
lnspection Requests: (714) 667-2738 lnspector Section; (714) 647-5853
Unit:
Block: NA
Bldg:
Tract 371I
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 407-062-1'l Lot: 16
Owner:
Address
Barbara J Wilford
902 S Golden West Ave
Santa Ana, CA 927042421
Fee Type Amount
011'16002 5'1604 Furnace/Comp Combo 126.90
01116002 51600 General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1 .00
1 .00
1 .00
Fee
$126.90
$22.08
$55.04Phone
Tenant Name:
Conlractor
Address:
Air Concepts
'1210 N JefreBon
Anaheim, CA 92807
(714) 779-1000
? / L?,/.1
fr on siPhone
State Lic #: 534722
Lic Type: C-2O
Bus. Lic #: 186870
Workers' Compensation lnsurance:Carrier: Ace American
Policy #: C6466895A
Expires: 1Ol01l2O1A
!:023S3024 -
loct ion Totol
nn Updote Fee
5l6Lt0D06-
$?2. Lr8
sl81,94
$3(r3,93L
l604tl0rl
1099
R-3, U
VB
cMc 2016 Notes: Change out
Planning Conditions: AJC in rear yard
Planning Approval By , Jerry Date:
Dale:
Date:
ogt12t2014 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
B en ogt12t2014
Account#
Every pennit issued shall become invalid unless the wotu on the sile
autho.ized by such petmit is commenced within 180 days aftet its
issuence, or if lhe work authorized on the site by such pemil is suspended
ot abandoned lot a peiod of 1 80 dqys after the lime the wo* is
commenced.
$22.08
$ 18'1 .94
$204.O2
$0.00
$204.02
lnspector MID#: 2018-146055
01116002 51600
01116002 s1604
Fee Total:
Paid to Date:
Balance Due:
Permit #: 40{ 325E{
Pin #: 32234
Project Address: 902 S Golden West Ave
r.rl9 IDr I_R0SALFr 4tt 2crf 2F:el+: 4r:ll3259l?/:tilg Jr!:( Pfl
$1tl5.93
Building Use: Single Family Dwelling
Job Type: Alteration
Nature ofWork: A/C & Furnace
Occupancy:
Constr Type:
Code:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.
Final Test
Meter Release
FINAL 4lztl fr,-tr @
Notes, Remarks, Etc rt n0 c.-,'
OI{NER BUILDER DELCAR IION
I hcrcby amrm undcr pcElly of Frjury lhal I m .rcr{,l rmm lh. ContrcloR Liccns bw for thc lollt eing Eoson iscc.?Ol L5
Businc$ lnd Profcsion Codc): Any Cily or Counly vhich rcquncs s pcmil lo onsltucl. ahci iry)mw. d.mlnh or EI{n lny
srucruc. rri,r ro ni issuaftc,ds rcquics rh. amlkrnr lor slch,rmit ro filc d sigr.{ sra&rc lh3rhcordEirli.e.$n,uNrDt
ro the pmvtions of E ConlBclG s Liccnscd tiw (Chaprer 9. ColmEing wnh Scclirn 7mo of Divtion 3 ol lhc Busincss !trd
Pmfcsrior. Codc) or rhsr lr ot she is .icq)r rhd.ftom dd rhc basn fot rhe olk8cd ercmtlion, Any violdrion of S(lb. 70.1 I 5 b, any
lpl,licanl for a lsmn subjels tfu applicrnr ro 0 civil pcnrlryofnor mrc tho livc hu.dr.d dollas ($500).
-1.
as o$tur of Inc InIEny, or m, cq)lot€cs wilh *o8cs s ihct solc srycnsal ion. Fill do ltr wort md lh. (tutE B nol
i m.Ld or.rc!.d ror $lc (sr.7044. Busincs e.d Ptnrcssiois Codc: Thc Conracroir Lien* kw d@s er,pplyro oom, ol
rhc rbff,ny *to huikLs or in{'mb rltrn, a.d who dms uh n,* hnnsclf or h.Nlf or rhn'qh hh or lEr orn c'ry,loyccs.
,.oyacd $al such nrl,swmnls @ ml hrcMcn or offcBt f.r sL. ll lswdri rlE huildi.g or inphh@.t is $ll wirhi. om )ra
ofconloLrh.. rhc Ownn Buitl& uill h,w the hrdcn of thni.s fi,r hc or sh€ dA mr build or imprcE 0r nfrrEry fo, itx pqb* ot
l.Nownfiofrhcprcpcny.nrcxclusivcly.onrBcrinswirhliccnscd.o,rracro^ronrnslru.rrtErrorcriscc7or'r.Buiincri
ad hofssion Codc Thc Conr&tol s Liccns. trw docs nor lmly ro s oanm or pbr.ny who builds o. improv.s Ihcrcon.und vho.onrcrforsu.hpnrirrswirhaconrh.brls)ltcnscdrlFuElrorneG,nrEcxysLi.cnscL4).
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amcxcmfl undcr Scdion ,B &P.C (trrhiircison
IIAf,EBLCOMfjNSAII!]ts
DECI.AB{UQN
I h.Eb, dli.n u ndf ,.oalr, 6f ,.rjury ore of r he fol los iog dcc hrat ions:
-l
hrlc .nd will @inrdin u ccniriul. olcon*nr k, S.lf lnsurc tu workes coniF.slrion. !i la, dcdforbysccri{!.lT0Oorrhc
Labor Codc, ror rh. pGrotumc of rhc s.rk 16r which rhc rErmit Ls issu.{
_l Mvc and will mrirtlin workcB cotrrtEtrsorion insuBncc. .r rquircd by Selion 3r0o of lh. t t or Codc. for thc p.rfotmrcc of
ih. erk for whth rhis pcdtil ii istucd My wortcB con{Ensd ion insuramc eEar atrd lEli.y number el
P6lkv Numb.r JrDRq
-l
c.nify lh{! i! rh. pcrformmc or lh. *ork tor which rhir rrnl h i*ucd.l3hlll @r copL,y rny p.Mn inony nuncr
$ as ro bc.om subjel lo lic *orkcs comFnsalion lnws of Culiforn in. rnd rgm rhd irl shorld h..omsutjcr to rlf,
sorkcn compcnsrtionpmvisions of Sdiotr 3?00 ofrhc tjbor cod..I shrll, fodhwirn snply wi'h rho$ Dmvisions..
WAXNNG: Faihrc ro ecurc sorlco mmpor
civil nrcl ut ro onc hlndrcd rholrEBl doll8
mlcm8c is unhsful. and shlll slhjcd an cmfbrcr ro di'niMl p.Mlrics lnd
ll)0,0r)0). in addirion ro rhc.osr olcoDrcnsario.. datugcc rs trovidcd ror ft.
v\
Ilti(L 3tlrrur
I hcEby affirh lndcr I'cMIly of pe+ry lhar I m lian*n und.r Fovision of Chlpt r 9 (smEmirS wilh Sc.lbn ?0o0) of Divnion 3
of lhc Ausircri .rd Poacssions Cod.. !,n my [c.ne ir i. tuU lore nd .ffet.
.i.""*N,,.b.. Si ?'7?-L
,}L rn 1,,^, "o! n1l-
I hcEby amrd undcr nculty of Dc.lury
nsucd (Ss.109?. Civ C ).
n ion lcndin8 iscnc, for rhc Erlbrmnce of lhc aork for whirl rhi\ Fnnir is
lItfutiIiLDIicLLBAuaN
I h.R{r! Jninn tr nd$ Ixnrlry ol pcrjury orc ol rhc li)ll,sn,g dcrlffirion\
Dcn(ilnbn Pcnnl\ \bc{o\ Norilicarn FoJcrJl R+uhrn'n\ (Tirl.4u. Prn6)
-R.quircn
Lrncr of Norill.dirn
mrly anh !0 Cnyand Counly
Ciry{nd C{,unry ro.nl.r uF,n llr
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