HomeMy WebLinkAbout40132318 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mechan ica I Permit #: 4lJ132314
Pin #: 9360{
Bldg:
fract:7647
Address Range:
Historic: No
Suite Range:
Zoning: Al
YProject Address: 2317 W Carriaoe Dr
Assesso/sParcel: 412-162-30
Unit:
Block: NA
Owner:
Address
Contractor:
Address:
Ruby Morallos
2317 W Carriage Dr
Santa Ana, CA 927046602
17141s45-7931
Fee Typ€
01116002 51604 Furnace
011'16002 5't600 General Plan Update
01116002 51604 lssuance
Amount
65.59
22.O8
55.04
Fee
$65.59
$22.08
$5s.04
Qty
1.00
1.00
1.00
Tenant Name
Eqtch+:{4780 - 7 /t2/?nl8
off icE: CTYH Trons+: 22Accli: Ref+3
Rcpti:02323216 - 7/12/7OL$
Tronsact ion Totol
Phone
State Lic #: 779604
Lic Type: C-36, B, C-20
Bus. Lic #: 345089
Workers' Compensation lnsurance:Carrier: Cypress lnsurance
Policl #: WCWC907593
Expires: 01/01/20'19
UcHeotiDs&Air
6enerol Plon Updqte Fee
011t6002- 51600000-
llechon icol
t:tl116002- 5160{000-
ICL Check 05779+
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued B
Subject to Field:
Single Family Dwelling
Miscellaneous
Furnace
Amsden, Julie
R-3
VB
cMc 2016
Notesr Oirectchange-out
Date
Date
Oate
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
Building Permit #:
Every pemit issued shall become invalid unless the wo* on lhe site
authoized by such permit is commencad within 1 80 days aftet its
issuance, or if the wotk authodzed on the site by such permit is suspended
ot abandoned lor a period of180 days aftet the tirne the wotu is
commenced.
07 t12t2018
Account#
$22.08
$120.63
$142 71
$0.00
$142.71
lnspector MID#: 20't8-144613
01 1 16002 51600
01 1 16002 51604
Fee Total:
Paid to Date:
Balance Due:
Lot: 3
Phone;
WCHeating&Air
41085 Golden Gate Cir
Murrieta, CA 92562
(951) 600-0700
[0: oll
4Ul3
1132
1754.
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE 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 Banqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Y
Fire Damper
Openinqs
Installalion
F.D. Drop Test
)
Above Hard Lid
Above T-Bar
Rouqh Mech.I
'l,ln ,l n <'/./Yl*fl-,If-\ ,
Final Test Lt --tl " t
....-t{lt1flrcFINALtJ,l4r,ln try'
Notes, Remarks, Etc.
v
OWNER BUILDER DELCAR TION
I tcEby rlfrn undd Fulry of pedury rhar I m crcmpl fism rhc Conradm Ltccos. t w fo. th. foUowing Elsn (3N.?Oll.5
Blsincs and Phfcishn Codc): Ary Ciry or Counry which ,cquircs a Frnir to con(rocr. .ltc, impmw. dcmlish or EPlt sy
strucnlc. nthr ro its iismc, sl-s rcquir.s !h. applicdr lor suct F nit lo lilc . sigmd srd.tunt $d h. or .lE ii li.cMd pusuai
lo rlE pmvisiom of rlE Conrrctoas LietrEd Li, (Chsfld q Comcming vili Sslion ?0q) of Divishn 3 of lhc B8incss lnd
Ptuf.ssions Codc) or rhs! hc or ihc is cxemp theslion.nd rhc bssh for lnc alL8cd cxcfrplion Any viohlion ol Serbn 7031.5 by any
aprli.e fo. a p.ml subiccrs rhe aDplica.t lo!civilp.mlyofml mElhM nlc hoidrcd dolhrs(3500).
-1,
!s osid of th. pmrEny, or my cntloyes virh wrgc$r rh.ir sh 6mp.nstion. f,ill do lL qoi ad $c nn @ii er
inlcnd.d or oncrcd for slc (Se.?044. Busimss and Ptnfcssions Cdc: The Cont6.roa. Liens Llw docs nol aplly to an owmr of
rhc pmlcny who txilde o. h{mEs 0mr &d who dm st Ni( timlf o. h.elf or ihmuSh hir m hd own .mployeF.
Imvidcd rn such imlrc\tftnis @ mr hr.nded or offdrd for eL. It hvevr. lh. lrildins c itrtftwftm is $ld si'hh om rr
ofarphtio,L Uc Owmr Auild6 qill lEr lhc burd.n ol Fovin8 rhd lE or nE did mr hild or in'lDE li. prcFty for tnc pulpos of
-1.
ar o*ncr of the pepcny. ,m cxclusivcly conlBclin8 wilh liccnsed conlrlclos lo onitrucl lh Imixr (Scc. 70,14, Busifts
rnd EDGsir Con : Tlrc Contrcror's Lic.n* ke doer tur ,rpl, ro e owncr of pmp.ny who builds or idpotcs lh.mn,
lnd who onrrrcrs fd uch F.irls wnh a Conrtrto(s] ltcnsn plrMnr ro rh. Conreroas Lie.o L{s).
-l
mcr.mpl urd.r Selion- B- & P.C. aorrnis Mon.
.EIIBtrEBLS'MIEIIA-IION
DICIAEAIION
I hcrcby lalir und(,Elrlry olpqjuy oc orth. follovi.8 delarliom
_lhrvc!ftIsillnuinhinrCcdilicdcofCon\c hS.llln\urctursork.6'.onrF_n\rri(rr.a!F,vidcdli,rhtSc.ri(rl7U).frh.
Lihor C{nlc. ior rhc lcrliflmrcc ol rhc $orl( k,r * hi.h rhc Frmir i! n\ucd
- lh"'",,n,1{,ll-,,n,,,n s,' c^lotrll..n<JrB{i,}ur.r.c,r\rL\lundbyScdion3?(x)orrh.L$orc(dc.ri,rrhcrfoi,ninccol
ihc *ork nrwhichrltrs pcnnir is tsudl Mt*orl.n conlE.snlion insuftmc clri.r arl polkynunftd -.
1*,
\",n,
(Jc.tJcqo?593
-lccnilrrh
in ih. Frrormmc ol lhc *ork lu whth this Frdi ir nsuc{. I rhrll mr c,{,loy my p.Mn in ,ny n rct
sr r ro bcem subixl lo lic qoll6 orycnerion hws of Cnlifomia. od rgm rhd if I should beom sobj*l lo rh.
workc ompcnsolion pDvtionsofsNlion STO0orrhc Lat t Co<lc.l sh.ll. lonhwilh onrply wilh lhos Pmrisions,
WARNINCi Failurc to sw M cF' .onp.nstion mvcEe€ ir lnhwtul. lnd $all sublr m .mphltr ro qiniMl FMIts ud
A:,,,iner up b onc hxndrcd lhousand dollrs ($100.000). ir .ddiln,tr to lhc cosr of com,!.nstion. &nEBcs s ,rovidcd lor tlx
ol rhc tjbor codc, inrcrcs .nd ctrormyt fas.
2
uctruiDlQNlx,ttloB
DICIA&II.ION
I [crcny ifi-rrn uDdcr pcmlryotIrcrju.t rtur I an ]i..nwl uidcr provhi(n ul Chitrcr 9l.omnrcncing sirh Sccri,n 7(XD) ofDiui\i,)n l
of rhc Busirc$ Md P,nlissidr\ Codc- nRl myliccn\c is lull li,r( utl.ftccr
,/r-",.Czc>11qvo.+
lz t8\
IAISIIIJC-IIANI.INIINC.&{jEN(I
I lrruhyr nDlndcr rnrhyolfnrjurylhdr rlNc isr.oiitu.ri( lr dill3 n8cNy for lhc pcrlonunce of rhc work for shi.h rhi{ NrnliI is
hn'c (Scc .1007. Cir C )
AI]LICANLDECI.A8^IION
I lf,a.by a|inn udd.r p.idlry ol p.rjury onc oflhc follo*in8 delmtii,n\:
Dc skiotr Pcir h-AsbcsosNotillcalion Fcdcral Rqolniions lTnh &. Pd6)
-tuqrircd
lrrrcrof M ilurhn
I c.rlify lhd $c Ldcrul rcSuhlions rcSarning lshcslos Emval rc mr {pli.abk ro lhh pm}f,1
-!
.cnify rh.r I h.w rcad rha.r applharion .,i stl. fid lh. .bovc infornElion is coBl, I .88 lo 6nply sirh .ll Cily a.d Counly
lid Srrrc Liqs rchri.s ro buildirs .oonrucriotr uti ll.Eb, Nurhoriz. rcl,tsnltrlivcsof lnn Ciry!.d Cdnnrr ro.nrcr upon trE
iuul pmpcny i,r iispccrn,n luryJsr1
\'.r''
I
IIII
ID/SIG.
Meter Release
O*mr:
I'l,r
4,4u
--------r------