HomeMy WebLinkAbout40132626 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechan ical Permit #: 401326.26
Pin #: 57874lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unit:
Block: NA
Bldg:
ftacl: 1724
Address Range:
Hisloric: No
q
Lot: 161
Owner:
Address
Lidia Ortiz
2106 N Candis Ave
Santa Ana, CA 92706
17141541-9221
Fee Type
01116002 51604 Furnace/Comp Combo
01116002 5160C General Plan Update
01116002 51604 lssuance
Amount
126.90
22.O8
55.04
Qty
'l.00
'1.00
1.00
Fee
$126.90
$22.O8
$55.04Phone
Tenant Name:
Contractor
Address:
Gomez Heating & Air Condil
9531 Flower AYenue
Bellflower, CA 90706
(s62) 804-2891Phone
State Lic #: 920850
Lic Type: B, C.10, C-20
Bus. Lic #: 325647
Workers' Compensation lnsurancelCarrier: State Fund
Policy #: 9223193
Expires: 1212112018
Generol PIon uPdote Fee
01t1600?- 5r6000t0-
|lerhan icol
01116002- 51604000-
ICL Check 0000007371
r?2.08
t181.9{
tr05.93
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
FAU
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016 Notes: c/o
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Pezeshkpour, Ali Date
Date
Date
09125t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
{}} x"rn"no"r, xr,,v 09r25/2018
Account#
Every permit issued shall become invalid unless the worr( orl the slte
authoized by such permit is conmenced within 1 80 days aftet its
issuance, ot it the wotu authorized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days aftet the time lhe wo* is
commenced.
$204.02
$0.00
$2O4.02
lnspector MID#: 20'18-146349
$22.08
$181.94
Fee Total
Paid to Date:
Balance Due:
Project Address: 2106 N Candis Ave
Assessor'sParcel: 001-081-t2
Suite Range:
Zoning: Rl
Botcht:{6097 - 9t2l/ZBl8 ID: NCARCIA
oiiice: cfYf 1P6nsi! 30 2 of ?
Accti: Ref+: 40132626
iiipir:orsros:r ' 9/25/2a$ 11:55 AI1
ironsuct ion Total t308.93
Gorez Heotins & Air Conditioni
01 1 16002 51600
01 1 16002 51604
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
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Rouqh Mech.
Final Test
Meter Release --z--\
FINAL b-2- /g ,)
Notes, Remarks, Etc.
OWNER BUILDER DELCAXAIION
I hcrcby amrm lndcr p.mlr, ol pcrjury rhd I dm excnfl nnm rh. Cinractm LiccnE ttq aorlhe followi.S rca$n (SR?0:11.5
Businc$ and Prolcsrion Cod.)r Any Cily or Counlt *hbh r.qlircs ! timit lo consrNt. rlra. irptovc. &mlish or Etat 4y
srode, prhr ro ns issusN, .lm rcAlircs rhc amliclnr tor such Fmi ro liL r sigNd .r{rcMl thd lE or sh. is liccncd PUN!
ro rhe pmehioni ofdE Co.lracroli Li.cnscn ks (Ch+ln 9. Commncing Pnh S..lion 7000 of Divirion I ofltc Busiics and
PDlcsions Code) or thlt lE o, she is cxenlPl thdcfrom Dd thc hasls for thc aucBcd dcnplio.. Anyviol,tionofscthnT03l.5byEny
amlicaor fo. a pemir subjets lh. applic&nl to ! civil p.Bhy of trol mrc rhd firc hutrdEd dolh6 (S5m).
-1.
rs osE, nr $c trcF.iy. or my.oplotrs *nh v!8.s .s lh.n rk sn\rtullio sill dr tlr qoi.rd 0E fiElE is ml
n cn&d oroff.r.d for slc (54.7044. Btsifts and PmfcssionsCodq Thc Contsctoa! Lic.N t w doci nol lpply lo s owrc. of
rh. y.Fry shoh rs ot iqm6 tr@tr ard who dG sh tr* hin*lf or lEelf or lhhugh his d hd osa cn{thycs.
pmvtol lnrt such inpmsmils @ ml inL'ldcd n ofierd for sL. l( ho&rd,llE brilding or iqmwmnl is $ld wnhi. orc Jtd
ot.onplctioll. rlt Oqn6 Buil&. will haw tne bndcn ol lming ltd nc or sh. did ml tuild or iqrcE Oc potdy lot tryuqDs of
l. d*ownerolth. pmFny. !mcrclusivclyconlrscli.s*irh liccnscd coilturoN ro .on ruct lh. lmjcd (Scc. 7044. Br\i.c$
ard tlDhsbn Codc: 'l hc Co.r.&ro. s Lkcnsc hw dds noi apt,ly ro m ovnct ol propcny who hnild. or inprovcs thcrmn.
.nd who € mcts for s.h Fljccrs Firha ConlEdons) liccncd l)!B!d! ro rhc C.nrelols Liccnrc L!s).
-l
am .xcq,t undcr SRI
UOAtrEIN.:CQMTBiAIIIId
DECLIBAIIO!
I h€rby amrm und.r pcElty of pnju.y oE offic followinB dal@rions:
lhr\ru trilln lnrJiirC.nrn.rrc"fC.trrnlk,Scllltr{r.lit{orkdi.or,,ct\riu.rsDn,vntcdri)rhySNriorlTlx)olrhc
I rhtr(ixl.- lnrr[c ncrlonMnc. ofrhc work rr uhichrhr!.nni! i\ n\ucJ
A::',;rnd*ill uinrrin *orkcrJ .onrNns,rid insunn.c rs rcqun d bySdion 1700of rhc LiborCod., forihcpcrlortunccot
sion if,suroe @ricr ad nolky ou6t t @:n
I zlz t lt3
t [,;;,
-l.cnify
thrl in lhc pcrtonmmc olrbc wo,k nr whth rhh,,.rn h tsucd.l shall nol cmploy.try peNn in
e N ro bccorft {lhixl
'.
thc workcis comp.nstrioo lawsofcaliforni( ond lge llul ifl sholld tEoft b.iccr to llE
*oAc6 oq)cnelion tovnioN of Sdion 3?(I) of ll* Lohor Codc l nrll. fodh*ilh conply wirh rho* prcvisions..
WAIINING l,rilurc lo scurc qorlcA co'npcn\rrnn covcrrlc is u
civil nncs up h onc n!rt.usaBi dolltr.s rSltX).(XX)r. in
ZS
Ulil1,-\8r\IXrN
Il[rcbyrlrrnnund.r Ifn!lryol t)crjuryrh.r I !D liccnsdu crpmvi\trnoiChxprcr91.o.ntu.irt8wirlSc.li,nrmo)olDivi\tr:l
ot rhc Ilusincss rnd ft,,fcs\i(,.\ Codc. dd trry li.ctr{ i\ in full lar( r!x,clliul
C7s U sp
s , F lrr-+
I lEBby !ffEn!nd6 Ftulryofpc.iuryrhat 0E Lir@.srodhn bMirg rg.my forll*
iNsucd (S.c. 109?. Civ. C.).
olrlr kork aor ahi.h rhis ,riinit i(
A.88I,ICAILDECI.AEAUON
I lEeby afiim undcr tcoalrt of Frjury om of rhc lnllo*ine del& r ions
Dcn,lirt,n P..nrir!Asb.sroi Nolificrlion Fcdcrll Rc8uldions (_fillc,a0. Pon6)
Rcqutcd Lcner ol N{,rifi (li,n
.Enify rhd rh. fcd.6l rcgubrio s rcBeding \rcnr)vrlaru Nl lnplicrhlc i,rhi\ thjLtr.
l4fitir, rhlr I lbk Eld rhi! lpplkerioi !d
odiutrc.s trnJ Srurc Lrw\ rc|fl iry ro blildin!
ltxnc nrnrioncd pDt ny fffin\F.rn,n
Dnlicunr o. Alcm ti!n!torc
o
?-/.e
Above T-Bar
Ps i,Nij.s(p,n)_44
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