HomeMy WebLinkAbout40132337 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #: 4O1t2337
Pin #: 57946
l nspection Req uests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Project Address: 502 E Buffalo Ave Bldg;
Tract: 3043
Address Range:
Historic: No
Suite Range:
Zoning: R2
q
Assessor'sParcel: 003-131-29
Owner:
Address:
Lourdes Cervantes
502 E Buffalo Ave
Santa Ana, CA 927062941
(714) 309{696
Fee Type
01116002 51604 Furnace
01116002 5'1600 General Plan Update
01116002 5'1604 lssuance
Amount
65.59
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$65.59
$22.08
$55.04Phone
Tenant Name
Contractor
Address:
Builder Services Group dba
475 N WLLIAMSON BLVD
DAYTONA BEACH, FL 3211.
13861304-2222Phone
State Lic #: 1034361
Lic Type: B, C-6't, C-2, C-20, C-33
Bus. Lic #: 358185
Workers' Compensation lnsurance:Carrier: ACE AMERICAN INSURANCE COMPANY
Policy #: WLRC4858147
Expires: 05/30/2019
Botchi:4{887 - 7/18/2n,8off ice: CTYH Tronsi: l5Acct+: Refi:
Rcatiliz3?l 213 - ? / lS/z{tLg
Irqnsoct ion Total
I0: or
I
.(013:
12:3i
4t42.',
Builden Services Group dbo
Single Family Dwelling
Miscellaneous
FAU c/o
R-3, U
VB
cMc 2016
Notes:FAU change out only. Located in closet
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave9.
Date:
Date:
Date:07l't8t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
2
Every pemit issued shall becomo invalid unless the work on the site
authoized by such pemil is commenced within 1 80 days after its
issuance, ot if lhe wo* authoized on the site by such pefinit is suspended
ot sbandoned lot a peiod of 180 deys aftet the lime the wotk is
commenced.
$142.71
$0.00
$142.71
lnspector MID#: 2018-144720
01'116002 5'1600
01116002 51604
$22.O8
$120.63
Fee Total:
Paid to Date:
Balance Due:
Lot: 24
Unit:
Block: NA
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code;
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BIJII,DT'I DEII:ARATIoN
I hcrcby orrm undcr pcnslty of priury rfiat I am ercmpr liom rhc Co'n,acroB Liceose Law for rhc followinS @en (S.c.7oll5
Busimss and Pmfession Co<Ic): An, Ciry o, Cou y rhich rcquircs a tEmi ro con*ocl, d, improrc. dcmlish or rcI'lt ay
sl d@, Irior ro irs iisuu... olso Bquir.s th. .pllionr for $.h p.rni b nh a si8md sr .m rhlr lE or sh€ n li.in*d purser
,6 rhc Fovirion! of th. Co turm\ Lic.red Ltw lchrprr 9. Comoerci.g wiu s.crion 7000 ol Divishn I of lhs Busiflcss and
Pmf..sionr Cod.) or rnll hc or sh. k cxempr rlErchlm md rlE h&iis aor tllc lllcged .r.mprion. An, vhbion of Se.rb, 701! 5 by &y
Dpplicair tor o p.rhir $hFck rhc rytlica $ dcivil pcmltyofnor rtuE rhln five hundrcd dollas ($JOo).
I, os ownf of rh. p$Fny. o. my.nrrlolBs wi'h wagcs . hct $h mmp.nslior. will do lhc wort a lhc srtule n 6l
inlcndcd or o,Icrcd aor sh (SN.7044. AusiEs, and Pmfcssions Codc: Ttc Co, Broii Li.cnc tra does @l appl, lo m own.. of
th. ImFny wh. buikt! or iqmEs rh.6n. {rd aho dcs sh srk him*lr or trr.tror rhmugh hls .r h.r o*. cmlloyNs.
lrovidcd rnd su.h importunls e ml inknncn or oficrcd lor sh lf. howri rhc blildins or i,lpolm nsk{ithinon.Fe
of coq,llion. llE Owrcr Buildcr will hlt ltE ttrn o of lrcvir8 lhd nc or $c dii hr t{ild or i,qmvc di. poFty aor rhc Ptrrpoc or
-1.
os o*E of rh. ImFny. lm.xclusi!.ly conhdin8 *tn len*d conketoB lo on(d.l lh. I'oi.{l (Ss. 7044. BEituir
lnd P,o,cssbn Codc: The Conrru.roli l.iccnsc Lap docs ior !!,rly ro d osnci of p,qicn, st. builds or inprcr.! rhcr.o..
lnd who onlkls lor sucn !,oj.r3 wirh ! ConrEdo(3) liftn*dpu6lanr to thc Co Ecrols Ltcn$ ljw).
-l
ancrc.lPt undcr S.rl
WOlr!(Ef\' COMPENSATION
DIiCIAf,AIIA!
I hcrcby afilrmund.r Fnaltyoip.rjuryonc oirhc followin8 d(tualiotrs:
-r
hrlc olnwill mri.llitr rCcnificalcofConscnr ro Sclllnsurc lor*orkss com0cn{lrn,tr. us pmvidcd rorbyserion lnnotrh.
tilior Cdq rbr ihc pcrfonn.nrc ofihc *ork for shth lhc pcnn n issucd.
I h!rc and will mrinilin work6 conp.os&rior insurancc, ,s rcqdE{ b, Setion 3700 of lh. tnbor Codc, for lhc pcaormtue of
rhc vort for whi.h rhis pcmir is h$rd- My w6rks ompeneri.n insulMc tricr lrn loucy nlmh.r 4c:
-l
anify rh ir lhe ,,crformrce ol rhe worl for *hich rfiis pcrmir is iss&d, I shall nor cnfloy my p.rs. i. any mnncr
"' N r. bccoft {uhtcd lo rhc wo.l.B c\nnp€rs,rk o ldws ot CrliLmi.. nnd dBmc lh,l ir I should tErom slhrcl lo llt
workcr'conqaosdrionpmvir,om.rSccrionlT{)OorrlELahnCod.,lsh,ll.ionhwith.omplywilhlnospmvisions..
WARNING: FailuE to sue sorkcfi s,qE.salion covcdgc is lnhwful, !d sn0ll subrc.r u ctrllrloycr to rin!.01 Fnslii* and
.ivil finca up ro oru hundEn rhousnd dolltrs (Sl0o. )0). in .ddiln'n h rhc cost of comtcnerion, d!tu3cs 3r phridcd ror rhc
Sarion 10?6olrhc t bor Codc. intcEsl atrd onomy\ iccs.
o.*,- 7-t0'll n
L(r} NsF:t) ('()N I',R\c',r(rR
DIiIL${IIAN
ot rhc ln'\i'rc\\ x0d ltolc\si,tr,\ CnJc- rxl my li.cnsr n in lL'llli)'rcrod o,tc.r
t /07171)
?-l
CoNSTRTJ(:T(IN I
'NDIN(;
(:I-NCY
Iud (se l(D7. civ c r
A.ITIJCANLDECI,A.BAUON
I lxid,y finuu ncrn nilrvol|{riuryoNoIl[cnnlosirxdcchrdion\:
Dcnmlirion Pc'n,ir\ A\h.{o\ Norifi.ari(B Fcd. l RcguhiidN rl irlr 10. Prn6)
Rcquncd Lcur oaNrhii.rri(
-,
ccrrilt rhul I hnvc Eld rnis r,plicrrion lrd n.rc rhor rhc !t k inforrotion n .orer. I ag@ ro d,mtly wirh all Cny ond Counry
.iilindnc.s and surc lf,ws rcldi'rt k, huildi cotrsru.rnr. rkl hctoby rlmri^lcltcrnrJiivcsofthisCilyondCouDlyloenlcrutonrhc
rhr. Dr i,rrd pn)Ptny for ii\txrri(,r
Atllicnnl or AB!nr Signort *,", a 19-10
Appliances
tvletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipmenl
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Bough Mech.
Final Test
Meter Release I
FINAL /o/n ltf 2M ,r)
Notes, Remarks, Etc.T-/
-+
D.le: Osncr
- G/ta
-l
coliayrh rhe lc{crul rqllarions EsdrdinB asltsr$ r.fr,lal arc &r amlic$L ro rhlc pm.iccr
Pcrmirce nurm trinrt:E