HomeMy WebLinkAbout40132566 - PermitI
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 41 667 -2738 lnspector Section: (7'14) 647-5853
Mechan ical Permit #: 40{32566
Pin #: 43{56
Proiect Address: 1602 E Franzen Ave
Lot: 86
Bldg:
Tract: 7891
Address Range:
Historic: No
Suite Range:
Zoning: R'l
EUnit:
Block: NA
O\,Yner:
Address
Contractor;
Address:
Gerry and Jackie Stark
1602 East Franzen Ave
Santa Ana, CA 92705
(714) 83s-2555
Alicia Air Cond & Htg lnc
25824 Vista Terrace
Lake Forest, CA 92630
(949) 770-249s
Foe Type Amount
011'16002 51604 Furnace/Comp Combo '126.90
01116002 5160C General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1.00
1.00
1 .00
Fee
$126.90
$22.08
$55.04
Tenanl Name:
Phone
State Lic #: 525314
Lic Type C-20
Bus. Lic #: 129292
Workers' Compensation lnsurance:Carrier: Employee Service Group
Policy #: WC047015951
Expires: O7lO1l2O19
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2013
Notes: Mechanical
Single Family Dwelling
Miscellaneous
Mechanical
web user
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Sub.iect to Field:
Building Permit #:
Every permit issued shall become invdlid unless the work on the site
authoized by such permit is cofimenced within 1 80 ddys allet its
issuance, or if the wotu aulhoized on the site by such pennil is susponded
ot abandoned for a pedod of 1 80 days after the time the wo* is
commenced.
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
09/'t0/2018
Account#
lnspector MID#: 2018-145992
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
Assessor'sParcel 396-382-06
Phone:
Y
$204.02
$204.O2
$0.00
MECHANICAL-INSPECTOR RECORD ,
APPROVALS ID/SIG,COMMENTS OWNER OUILDER DELCAnrIION
I hcEby affrm udcr lt.llry of lrjury 0u I !n.r.qr rnm ft. C. r&ror' LicM llw for tllc aoltovin! m$n (Se.ro3l.t
Businc$ .nd Pmf€ssion Codc)r Ary Cir, o. Cou.ny whkh rcquiEi ! lcmn lo omlrod. all.( iq,ovc. &mlish or Epdn &y
stu.lE. |rh, t. ir-r i.sutrc. ako rcquircs rlE lppliml for such Fmn b fik a siSnd srdcm rhd lt or sh. h licchtd pud;fi
to thc psvirions of rhc Conhclor's I-iccn*d Lrw (Chalter 9. Commefting wilh S.clion ?000 of Division I of th. Blsinc$ 3nd
Pmf.sions Cd.) or rhd lE or shc is ercmrr rhcrfrom rnd th. bask for thc alkgcd Gicnp on. Any !iol{io, of Selbn T0l1.5 hy lny
rpplkai' for ! !.mn slbjdrs rh. amlic! ro ! .ivil pcdhy of mr mrc rhan fivc hu.drcn dollr! ($50o).
-1.
a wcr olrlE l!rcFny, m my .mpLy..r witn w.8ca $ rhcir s!. onp.nslrion. will do tlt Qqt ltd tlE sntl@ ir ml
i.rddcd or ofcred for ek (56.1044. Busirc$ ud PrDfcashN Code: Tnc Co.tracro, s Lkcn$ t w dmi n t rrdy lo m owmr of
rh. r,bFny sts hoildi 6, inimB itr6n. .nd who d.Es sh m* hims.li or hcMlf or thou8h his or hd om cnploycca.
F ovidcd rhlr such inq,mrmnts m rcr iircrxLd orotu for st.la ho*ffi. ttF halding o iapEwmnl is sld wnhin om Fs
of@nDlcrioil ir Osncr Buili,( wi[ bnw tlE blrdcn of Imvirg rhsl t or sh. dn ml build n ir{,bE lhc FDp.ny for rhc ptqDscof
-1.
asow.crofrhc prorcny. sncxclusi!€lyconrrscring with li.cnsed confi&roN ro.onsttucr rhc poiccr (Se.7s4. Bu\im$
.ld hrlir{ion Codc: Th. Conrrebrt Liccn.c Law dei not aprlyio oowrcr otl,mFny who blilds or irynws ll.Nn,
lnd who 6nids an such pmif,rs {irh n ConrEcto(9 lt.nsd l,urslq ro rlr Cotrrhcrols Lilne llw)
t{oxf,!f,s:caMtrNsArlaN
DECLAXAIO!
I hdby arrm urds Fralt, ol pdiury o* ollh. fouowhB d(lallioN:
I hrvc klrvilLnridrir t('c ilicdc ofcon\cnr lo Sell.ln\trc lnr w.rtcrr.orDcn\ !i,)n. rs nmvntud f{tr hysc.rn STu)ulrhc
li}xtr(itrlc- turr[c p.rtunnrnrrofrhc rork fo' Nhich rlr ,l.mn N $ucrl
I nawondwill minlain workcrl comr.rsslion iffuromc, N r.quiEd Sy Salion 1700 olthc Lrbo, Cod., for $c p.rio.mmc of
lh. mrt tor whi.h rhir p.mir ir i$u.d. My workd omp.n\olion iffulme @tr rn lofty nunls el
-l
ccnify rhll in rhc pdfortumc ol rhc *ork td shkh lhir pcrn n i$ucrt. I shall noi .nploy 3ny pctso. i. any manncr
s ai ro bccoft subjd kr rhe qort.n compcnslrion law. ofc,lifomin. rnd lge lhal ill should tEcom slbh.l ro ihc
wo*crr cdmpcnsridn novl\ioN of se.ri.n 37m ol rhc hbor Crtc, I shall, fdhwilh cotrply wilh fios I'Drisionr..
\. r r, r'.1('_r,.{ r1., I'l\rr:,.n..i'n{r.r trd lrNlrl.r\
LICENSEIICONITACIII&
IIECI,IIAAIIAN
I hcrcbyuifiirnutrdcr Fn0hyolp.rjuryrh l om licensn undcr prorision of Chiprc. 9 (.omftftin! with Scctio. ?(J00) ol Divisnnr l
of rhc Bliincsaod Pn,rcrsn, n\ codc. uri 'nyli.cn* ir in aull(tra uxl cftc.r
D.l.:- ContEclo.:
c0lsralr:r0NuNpu(i-[alNcr
Ihcrc$y,ltrmxndcrtrslryofFrjuryrholrhscis0con{rucrionlcndinsoscmyforrhcpcrfotun.corrh.w.rkrorwhkhlh Fnnit is
hslcd (Scc .109?, Civ C )
APPI IC NT DF.(]I AR,\Ti(IN
I hcdy,trrnrund$ Ftrrhy oltrrltry onc olllE hllorin8 dcch ions:
DcnFlirn!'Pcrnrns A{tr{osN.riljuriohFcd.tul Rc8uliiorslTirlc4l).Pdn6)
Rcquncd Ir(d or Nor'li.dbn
-l
ccrrify thot rhc lcdcEl rcBuhtions nsrdins aibcsrr\ rcnn,vrl!.c n 'lrrlicdhlc ro this pmj.cl.
I .cnily lhd I Mrc rc&l thls q'tlic$ bn i,i tutc lh0l rhc ah,vc itrfoi.n{ bn n core' I nge k, ...rdy wnh .11 City .nl Counry
odinr ..\ r.d sntr. uws rclir itr8 ro buildinS.onnru ion, rM hcrcby durtnn i7x rcprc*nr(ivcs t'i rhn ciry atul counry lo cnln ul}rt rhc
nlx)vc nrnri(,ncd pbt nyror i s!.crionlru4rscs.
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
Besidential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Bough Mech.
Final Test
Meter Release
FINAL l/,b llu ,4fh
Notes, Remarks, Etc.v
DATE
Above T-Bar
I n.x.nrr xndd Setion-. B &PC forrhisMstr.
Dil.: Own2r:
Ibli.y Nu tr$.r
-Lxphs:
-
Li..n\c Cln\\r Li.cn\c Nunrll(r:
-
Lcnlcis Nam
-
Dalcl
I
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