HomeMy WebLinkAbout40120480 - PermitCity of Santa Ana 20 civic center Plaza (M-19i, Sarira Ana; cA.g27o2
Permit Couni.er: (714) 647-5800 inspection Requests: (714t 667-2738
Mechanical Permit #: 4o12o4ao
lnspectois Segtion: (714) 647-5853
Project Address: 2410 W Brook St
Assessor'sParcel: 4A7..062-27 Lot: 3
Unit:
Block: NA
Bldg:
Tract: 9779
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address:
Corrtrarlci
Addressl
CarlosCAJuanaGarcia
2410 Vir Brook St
Santa Ana, CA 927042402
17141 *7-2479
Servi,r.e Champions
22911 Savi Ranch Parkway
Yorba L:nda, CA 92887
1714t'77"'t777
Fee Type
01116002 51604 Furnace
01116002 51600 General Plan Update
011 16002 51604 lssuance
Amount
54.20
't8.25
45.50
Qty
1.00
'1.00
'1.00
Fee
$54.20
$18.25
$45.50Phorie:
Tcnant Nam-o
Phone:
State Lic #: 799170
Lic Type: C-36, C-20
Bus. Lic #: 1964.10
Workers' Compensation lnsura'.ce:Canier: Towet nsurance co
Policy #: WCPBC{028011
Expires: 0312212t12
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
Alteration
Furr a9e
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2010 Notes: Directchange-out
Date:
Date:
Date:12t15t2011
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Arnsden, Julie
Every pennit issued shall be.nm'., invalid unless the wotk
on the site authorizeii by sucl: oemit is commenced within
160 days after its lssuance, c: if rhe wotu authorized on the
s;te by s-uch permit is suspended or abandoned for a pedod
C 180 days after the time the to* is commenced.
01 1 16002 51600
0't't16002 51604
Fee Total:
Paid to Date:
Balance Due:
$18.25
$99.70
$1 17.95
$0.00
$117.95
iirspector t\'lD4: 20'l 1-100570
ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes D ryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Final Test
Meter Release
FINAL a-2.1-t6 6dz'7)
Ow-Buil&. DeL io.
I [cr.by !fl]rD und.r p. hy of pqj!ryrh.l I.m qdpt form ilE Co.rod.6 LieMt w fo.rh. followiag Boi (!6.?011.5 Buin6
r l Prof6lion Co.lG): An, Ci, o. Co6iy vhich r.9uir6 r p.mi ro @dlr!.4 .td, improrc, d.tubh or r.Fir ey rudu.. Fior ro iltiisunc."iloi.qlicir..pplionrfo!rucnp6irbfil.rri8.!dllrrm.ftth.tlEorrh.!tieN.dpBurtodEpoviriocof$G,
CoiErcror'3 Licn*d Lrw (Cl'.prq 9, Comcncin8 with Sd6, ?0oO olDivitio. I of lnc Bui,4 .nd Pro66.i6B Cod.) or ihlt h. or
s[. n q.Ept rhs.tom lnd $c b6rh for rh. .ll€8.d eopi.n Any v6h on of S.alio. ?0] r 5 by &y rpptiq for r pqni subjc.r dr
.pplioll 10 ! civil pcEhy of aor sor. lt.trn 6v. hund.d .tolLB (t5m)
I, a oms of thc prcplrty, o, my .aploy6 witt Mg6 u rh.n ob @Dp.urio,! will do rlc work md rhc .Euau. n tut i .nd.!
or ofdd for slc ( Se.7044, AwrBi id Prcf$rioq Cod. T1E Coor.do, r Li@e Llw do6 nor lppt to !n owr of rh. prcpdty
wno bui& or inprov.s tho@n, .nd who do6 tud worl himelf or hcslf o, rhrough hi, or hd oM .nploy..3, provid.n 6r! luch
ihprov@.lE rG nor inr.id.d or ofr{.d for hl. If, how.vs, rh. building or idFowm.rr ir rcld wnhin oF yd ofcomDLrio\ lhc
Omd'Build.r wiu h.v. l!. bud., of povinS th hc or 3hc nor build o! irpovc for tltc purpot. of *lc).
I, a ow ot thc propsly, rm a.lu.iv.l, co.E..ti.8 pilh li..d.d @ll1lfud t6 6Bmd lh. prcjd ( S& 70aa, B6in6t rndpbfdio. Codcr nE Contnaor'3 Lien* Llw do6 not lppty ro f o*G ofpoDlriy who build! or ihprovd $s6a , rd who
@iEr6 lor !&h Ploj*lr ein r Co.mdo(, li.ci!.d p6u b dE Conlnd&'r Liee t w )
_l M.xenpr undd S@{io. .B & P C aor rhn r&mn
WORKf,f, S COMPENSATION Df, CLARATION
I hq.by .fith ud.r p. lty of pdllry orc ofu. following ddLErioEl
I hrv. and will 6. inbin r Ccnifi@k of CoN. ro Sclf'Imur. aor mrk4 comp.6{ion,.s provid.d ior by S..rion r?00 offict hor Code, fo. thi pofortu.c. of rhc wo,l aorwhichrh. p.rmn B iisucd
Y, ** *o *r, **o. *"rk.6' @mpcution i.suance, s r.quir.n by s.crM r?oo ot rh. Ilb.r cod., for rh. p.rromne of rfi.
eo.k for which rhn pdmn is irrucd My sor[cs @np.nstion Nurrnc. drEr .nd polic, .!mb.. ar.
c,,,,., //o 'z lt^'2 n"t
W<'facu7-tot,&qi€3-72'(t_
(Tti! s!.tion i..d iot b. oompld.d ifrh.p.rmn h lor OE hundrcd doltus lll0o) or L$)
_I enii/ lhll in fi. p.rfo.mne ol.h. wo for shth thi. pqmit E i$ucd,l3h!U not 6ploy lny p.6oi inuyMnnsso6ro
b.qn. subj*r 10 rt'. wrk.B @Dp.G.rio. hM oa C.lifomn, ..d .gr@ 6!t ifl should beod rubjd lo th. wort.6
@mp.r{ion provirioa ol Sctio. rr00 ofrnc bhor Codc I sh.!|,
WAiNNG: f.ilurc !o ieur. worlcd comp.Elrio. 6rce8. i! ul.*6) l, .d !h.ll 3ubjd & .hplotq to ernidl p. ltis.ndcivil
fuq up lo on. hudrcd thou$d dolLE (tl00,Oo0),in.ddnion & $. @n of@Dp.n$tioa risds.s I provid.d for rn Serion30?6ol
rhc trbor Cod., dsBrMd !trom.,'t fs
LICiNSf,D CONTRACTORS DECLAR TION
I hc.cb,.frirh u cr p.rlty olpajury Bl I.o li.4cd !id6 ptuvnioi of Ct6pl.9 (@tm..cirg with SdioD 70@) of Divirio.I of
th. B8ir*s rnd ProfqtbN Cod., .nd ey li.ce i, h tull fore tnd .tret(1r)'7 Q?tz orEbS--------,J<-rt,(f'(('^'rz tat /
aoNsl-RtrcTIoN l,aNDI\ro acuNcy
I hereby a,fi,m u.der pemhy ofp.tjury $at $erc t a @Nrruclio. l.ndrng rg.ncy lor rhc pcd.rmnce oirh.,orl ror which ih'r p€.mir E
issucd (S.c 109?, Crv C )
AfPLICANT'S Df, CLARATION
D.mohion Pdmir.-Alb.sror Nodliqtion F.dsrt R.sll{iods (Tirlc 40, P.n 6)
_ R.qun.d L.n6 of Noifiqri.n
_l ca$ry dr! (r lcdol EslLtioN r.s.rdils ab€.ot r.mql r. ior .ppliobl. ro rhir proirr
I *niry fi l h.vc rEd ihis +plqrioi ind srl. thar lhe rbov. rnform ion ii cdiid I agr+ lo @sply wnh lll City tnd Counry
o'diE&6.nd sl.l. L.* r.l.r'n8 ro lnd kreby aulhoriz r.pi6.nt.riv.s of fiis Ciry.nd Couity to r.td upon lh.
!bov. a.nrion..l propdy aor iNp€t
t-u,/t'//
Cat -LOrP.min6 m.(pid _
M \WP51\Permit-lnsp6ction F el-lnspedor R€corddoc 03 31 06
7
Appliances
Openings
Rough Mech.
INSP-02 2013 CRC
This document moy be lound dt...http :/iwww.santa-ana.orq/pba/
(P/ease use a black or blue ink ball-point pen)
Project Address:2fil U/, E.rrok 5
Permit Number:3ol z q9 q I?-\to uJ {S&ook sr
Contractor:f,+.sr drta- ilc*n-zt License #:q b)s78
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild ings.
California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
Agott boxes below must be checked:
E] Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-flred
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
E Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
ma n ufacturer's instructions.
(check onel Licensed Contractor tr Property Owner
NoTE: Ihis sell-certification is only used for projects thot allect the EXTERIOR of the structute. This
process is opplicdhle ONLY to projects where dccess to the interior oI the dwelling by o Sonta Ana
lnspector is not required.
Have this completed form and the job-card readily available on final inspection!
Signoture:7--)Date u9-zq- t g
*,SANTA
ANAfii,Mi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647.s800
www.santa-ana.orq
Smoke & CO
Alarm Affidavit
Property Owner:
I