HomeMy WebLinkAbout40132578 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l nspection Requests: (7 1 41 667 -27 38 l n spector Section: (7'1 4) 647 -5853
Mechanical Permit #: 4O13257E
Pin #: 36793
Assessor'sParcel 001-185-17 Lot: 6 &POR7
Unit:
Block: NA
Bldg:
Tract 3012
Address Range:
Historic: No
Suile Range:
Zoning: Rl
E
Owner:
Address:
Terri Neuman
944 W Buffalo Ave
Santa Ana, CA 927061903
(714l-747-0291
Alps A/C & Heating lnc
1000 E Howell Avenue, Unit
Anaheim, CA 92805
(714) 633-8892
Foe Typ6
01116002 51604 Furnace/Comp Combo
01116002 5160C General Plan Update
01'116002 51604 lssuance
Amount
126.90
22.O8
55.04
Qty
2.O0
1.00
1.00
Fee
$253.80
$22.08
$55.04
i22.tl8
i30s.81
Phone
Tenant Name:
Phone
State Lic #: 667953
Lic Type: C-20
Bus. Lic #: 0177939
Workers' Compensation lnsurance:
Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY
Policy #: FLA00731700
Expires: 10l19l201a
8rtch3:458E7 - 9/ l2/2O18 ID! CCUELLAR0ffice: CTYH Tro$s?: 59 6 of 6Accti: Refi: 40132578
RrptS:Ol3Eil?39 - 9 /l?12018 2129 ?n
Tronsact ion fotol tl r 032.77
Aler A/C & Heatine Inc
6e0erdl Plon lJpdate Fee
01u6002- 516(8000-
lHruo icolo l6m- 5r60400F
ICL Check 00{661
ICL Clrecl 00{662
ICL Checl 00+663
t30s.93
,?69 .22
1457 ,62
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
FWU
Ocrupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2016 Notes: c/o auth on file
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
o9112t2018
Account#
$330.92
$0.00
$330.92
lnspector MID#: 2018-146041
01116002 51600
01116002 51604
$22.08
$308.84
Project Address: 944 W Buffalo Ave
Contractor:
Address:
Dat6:
Date:
Date:
Every pennit issued shall becofie invalid unless the work on the site
authorized by such pemit is commenced within 180 days aftet its
issuance, ot if the wo* authoized on the site by such permil is suspended
ot abandoned tor a petiod ol 1 80 days after tlle lime the wo* is
commenced.
\$H",nrnu"r, r"tny
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total
Paid to Date:
Balance Oue:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL lp/t"lr ,t\Gt
Notes, Remarks, Etc.
OWNER AUILDF]R DIJI-CARATION
I hcroby dflirnr ukl& pcnfiy of Frjury rhd I m cnnpr rro,tr rhc Conkdor' Liccn{ L.w t)r thc lolt,$ins rcxsn (scc 7).ll 5
tJu\incss nnd Prolision C{rlc): Any Cir}, or Cou.ry *hich rcquir$ a n flnil ro ondtu(l. rlrrr, nnprovd. ddmrlhh ur Nt\' r My
{fl.turq llitre, irs i\\uh_d. rl$ i.quircs rhc rfDli.nnt nn \&h Jf,mn t, filc! \r8ncd nnr.mnt rhd h- or shc,s lknscd fuNurlt
b rhu ptuvisi{nr of rhc Grnlrlct.tr \ Licenscd l,r* (Chnpls 9. CommcrEing sirh Sc.in,n 7(XX} oI Divnion :l ofthc Btrsincs trtrd
alpli.Mlnri!.nni'suhjNrsrhcrprlicrtrrto,.ivilFnillyorn.rnk/.rh fiv. nunnrcd doll.,s (15()())
l. ar owM oa rnc popcny, 6r my cmplotiir sirh erg.r .r rh.ir eh conqro\aiio.. *ill do E wort !d llE slBt@ is ml
inrc,isi or olYcFd for ek (3(.7044. B$ircss rrd Profcsions Codc: Tnc Contrrcrols Licen$ Llw der mr rpnly ro owffi oI
thc ImFdy eh. t{ild\.r irqm6 ilE6n. orld *rD dm skh eoll himsr or h.Mlf or rhmu3h nis or h.r o*n ctqrlorccs.
ptuvidcd rhlr slch i ,htcmn* @ mr cnr.d or orcrd ror sh r, h'rcw, ilr hildinS tr inqmwmnl is old wilhi, o* ycs
of.omplcrirn, tr o' rcr Buitlcr wil haE th. hrd.n oapovirg $nl h. or rnc dil mr hild or rprer lh. FotEly fo, tlE purF$ of
-1.
asovBrofrhc pmFny, oncx.lusivclyconlr.clinS wnh licc.sen conlmcloN ro connrud l}E pmi4l (S(.7044. Bu\in$i
0,rl h!tosih Codc:'lhc ContB.roas Licctrsc Law docs nor applyb ono$tur 6tproFrry who huilds or nnprov.s lhcrcon.
rnd whl) onrftds lor such Foj.rrs *irh ! Conimcro(r) Iic.sd pIswr b rhc C,nradols Li.€n€ L€*).
I rm.xcrDl undn S('mn ,B.&PC forrhisEMn.
D.r. Osrr:
rlt8trE8S:CIIMtElsAIM
DECI,AAAtrO]!
I h.r.by rfrtrmuod.r p.nohyoaFrjuryoncof lh. aollosinSd(ld bns:
-l
haw !tu will rMin'.in ! Ccnifrc c of ConFnr ro Scla'lnsurc lor *ortns oh!€n*rion, as l'lvihd fo, by Sdion 3110 ot th.
t hor c.dc. lm lhc Frlol1Me of lh. m* for qhich th. IEmh h ksu.d.
_l har and will minrain workcis ooncnsrion iNuBrce. es rcqutd by Serion.l7O0 orr& hhor Co.lc.lor th. p6lomm. of
thc sdk tor qhi.h thii p.mit is ia{cd, My workcB .oftp€nsrion insurmc @ier [d poliy numtxr r.:
Poli.t Ntrnrhcr:-lixpircs:
-l
cc.rify rhlr in rn Frformme ofrhc wort for which rtn lErmn is hkn.I rhatl nor eilDloy an, pc*or i.a.ymmmr$ a. ro b.o'E $bjcd ro rhc work6 mnpcMraon ln*r otcrlilomia dod leE rhd il I should hc<om subjcl lo ltt
workm mop..sarkr prcvirio.s oasdion lr00 of ttu l,bor C.d., l stdl fonhwith.omlly *ilh llDs povisiDns..
WARNINCT Flilur! r, $cuc work$r conlpcneri.n svcragc is ul,wrul rnd sh l subrer on cmrlorr to aiminal llcnlltis dd
h ohc huidr.d rhox{tr dollrrr lSlfi).UX,,. in Dddirion n, rhc.oi of c.mFnstiotr, &tu8es as provided lot rhc
Sc.'t,6 1076 otrh. Llhor Cod.. inrcE{ rnd 0rl.rfty\ lNs(2 Lt,,,.,r,-
LICEISEI2IINIA CIOB
DICLIarI.IION
I hrrhr rflnnrrnd.r p.nrhyol p.rjury rhnr I an: l,.cnai undcr pn,!i\n)n olChi!r.r 9lconunckine $irh Sc(rion Ttroorol l)ivi\ion.r
or rhc Bu\iDc\\ and I'rolt$i',nl Cod.. rnl n,t li..r\c i\ in tull li)r.. ul c lt.r
I irn\.( h\\: l-i( \rNu rl*r
q)llirB.ucltl)NLlrNDtN(i_dti[Nl.l
I herchy arltm uMs lcnilryofFrjurylhlr rlrrc t a con(rud6n i.ndi!,A lscn y ri, rhc Frlnrtumc orrhc *ork loi shi.h rhi\ Nnnt is
issucd (Sc. 1097. C1v C ).
^uu$nLDLeL
.SAllQI
Il{trbtJllnnu .rJf, rl!yol rrJuryomof rhclnlk,$i',9d..lrrrri{rN
I)cni)lniitr Pcnr{\ Anf,{o\ Norill! nr I.ctlcrrl Rcgulnrtnr lr(t,llr. Irid6i
-Rcqunc,t
I!d.rdl Ndii.Jri,,n
lcrniayrhJi rhc l.il$rlrrguhrions r.!rdinStr\btnostu m!tr1 rr. hor nfp i,:rhlc b rhit lmjc.r
-l
ccnify rhor I hlvc rcad thh aldtorion {d stltc thar th. atovc infomlio. n cotur I aSre ro omlly *ith ,ll Cily od Counly
ordimms dd srarc Lrw* el,li,e b huildi.B .onstrucrbo i,i h.rch, {urhoriz. EpEs,lalncs ollhn Ciryand Colnlyto ent6 upon r
rlorc miomd popcny ror
Appticsl or A&nl SiSnaturc:
,,,.*,X.*,")2._u--
P.o ,a <I A(q "^4r,..i
7 t
I
II
I
Metal Fire Place
Vents
",,", 1//z/t7 ^-*,\ /b-
l {"lr' lL' .
I
--------r------
I
I