HomeMy WebLinkAbout40132307 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19)p Sanla fna, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Mecha n ica I
Proiect Address: 4933 W First St
Assessor'sParcel: 100-302-18 Lot: 4
U nit:
Block: NA
Btdg:
Tract 10924
Address Range:
Historic: No
Suile Range:
Zoningr R2
E
Owner:
Address
Contractor
Address:
Betsy Zuanich
4933 W FiBt St
Santa Ana, CA 927033174
(714) 6164701
Builder Services Group dba
475 N WILLIAMSON BLVD
DAYTONA BEACH, FL 3211.
13861 304-2222
Fee Type
01116002 51604 Furnace
0'1118002 5160C General Plan Update
01116002 51604 lssuance
Fee
$65.59
$22.08
$55.04Phone
Tenant Name:
Phone lll
State Lic #: 1034361
Lic Type: B, C-61, C-2, C-20, C-33
Bus. Lic #: 368185
Workers' Compensation lnsurance:
Carrier: ACE AMERICAN INSURANCE COMPANY
Policy #: WLRC48032461
Expires: 06/30/20'18
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Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Miscellaneous
FAU
R-3, U
VB
cMc 2015
Notes Replace existing furnace like for like
Zuniga, Allissa
Every pemit issued shall become invalid unless the wotu on the site
authorized by such pennil is commenced within 1 80 days after its
issuance, or if the wo* authorized on the site by such permit is suspondod
or abandoned fot a period ot180 days aftet the time the wo* is
commanced.
07 t1112018
Account#
$22.08
$'r20.63
$142.71
$0.00
$142.71
lnspector MID#: 20'18-'144549
01 1't6002 51600
01116002 51604
Fee Total
Paid to Date:
Balance Due:
Permit #: 40132302
Pin #: 13842
Amount
65 59
22.08
55 04
Qty
1.00
1.00
1.00
Jp dbcr
Upd(te
i(rtt0(r(l-
i04000-
s**{}99[r
Building Use:
Job Type:
Nalure of Work:
Occupancy:
Conslr Type:
Code:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
MECHANICAL.INSPECTOR RECOHD
APPROVALS DATE ID/SIG.COMMENTS,O$'NEA SUILDER DEI,(IIATION
I hcrcby aoim uftlc. IEnaiy or psjury lhd I m.remg lon rhc Contm.bN Lirnc L.w aor the fouowing @$n {Scc.70-11.5
Bwinc$ .nd Prcf.$ion Codc)r Any Cny or C@nry uhth rluis a r{mir ro @nnrucl. all$. irylmvc, dcmolhh or Et[t lnt
srruclurc. prior ro its L$utrmc. llso roquiEs rn opplicanr fo. su.h lErmir ro 6L a si8ncn slolcm rhll he or shc ir liensd plls@r
ro the Imvishnr of llt Conmdor'3 Lic.n*d Lle (Cnlr,rcr 9. Cdnmring Dit[ Sccrion 7000 of Divisioi 3 of llk Busi$s ed
Profesriors Codc]or rhd lEo, shc isqcnpr OcE&onand lh b$h fo. Oc aleg.d.rcr{rioi. Ary violdior of SElbtr 7011.5 b, any
,mli.arr fo, r Fmn subj*ri rnc apolicrnl ro 0 civilF.ihyofrcr mE rh3n liv. hu.dEd don6 ($00)
-1.
ai oaftr oilhc lopcny, or my cmplorres wnh was.s as rncn $b onpcos ion. wiu do the wfft{ r.d ltE slf,Elm b nol
inlcdcd or otrer.d ror sl. (Sf.7o44. Businc$ ond Pmf.ssion. Codc: Th€ Conlr.clols Liccnrc tiw d@s nol !p,,ly ro ,n o*tur ol
$c neFn, *ho boilds or in+Fhs tlEeii. ard wh6 dGs sh h,l hifrclf or heMlr or rhmu8h his or hcr own cmployccc.
pmlu.n iilr such int,ormnN N ml hlcndcd ot ofiqtd for slc. l( hoEE dE bultdhs or inpr.wftnr ir $td wnhin oN Fe
of.o,iphiotr rll OqM Builtr *iU haw rlE hrd.n of Foiing rh! lE or sh. dn ml h{ild or ir{mw dE FoFry ftr rlr luqrs ot
-l..sopNrofthcImlcny.amcxclusivclyconrrscritrSwiihliccnscdco
reroB ro con(tucr rlE rmjccr (56.7044. Burincs
.!d hDft$ion Codc: Th. Conkaror\ LiccNc Liw do.\ nor amlyro o.own.. oitmI.rly *ho hlilds or improvcs lheron.
and eho ontE.rs tor slch pmrcds $nha Conr@ro(sl liccnsed punla ro rhc Conradoir Liftne Lis)
-l
omcrcmpr udd Sarhi-, B. & P.C. forrhis Ea$n.
wo{l(i rls' coMPnNsal'toN
DECI.AIAIION
I h.rcb, rlfirnr lndcryc.olly ot psjlry onc of rh€ followin8 dsldd ionsl
-l
havc ad will minrlin ! CcnifEltr of Conscnr lo S.lf-lnsur. for sorkdl ompcnsrion, &r povilcd for by Sdaon 3700 of rh.
Llho Code fm rhc Frfollrec ol Oe *ork fo whth thc p€nn i. irsu.d.
-l
h0v. snd *ill mDinloi. *orlcB compcnsntion iDsur!rc.. as rcqxircd hy Setion 3700oflhe Labor Codc. for ihc lxrtdmDncc of
lhc w.rk for shich Ihi prnnit is isucd Myworkctr .onrp.nstrrion insuramc cnEicr lnd polty nuhb.r uc:
tcq
5d 1"1
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ccnilyrhar ia rhc l,crforroncc ofrhc work foi which this pcmn h iarucd. I shall nor cmployaoy p.*on in rny mnmr
so $ to tr.o'rc subjccl ro rhc mdcl conpcnsrion l0*s of Calitumi0, nnd o8rcc lhtrt if I sholld h.roft subjer lo rh.
worlcrj omp.ns ion povisionsofscclion l?00oflhc tihor Codc.I shall. font*irhohpl,*nh thos pmvi.ioni
WAnNINGT Fniturc h su. wortcG conFnsaiion h unbwrul and sh.ll subirl a cmtk,trr lo qinn.al pcBlri:r ud
oddht,n to ln cosr olsmFenetiofl- datug€s !s,ftridcd for rhccivil nnrs up to.m hlndrcd lho$and dollus (SI
s(! ,rr rrr..rllrr lrlrr (,)rlr.rfur.nInl
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LICINIEUJQNINATIX
D[CLA[AfIQr{
I hcrcbyrmnnundcr pcnulryol Fcrjury rhar I rm liccnsri udcr pruvi\i.n or Chrpro 9 {mnnftn.ing wir h sc.r tr 7uxl)ofDirhir)n 1
.l rhc Bnsims Md PolisionsCod.. dt trryli.ctrr h ir Iull lar.c d ctltd.
o
o1 cA
A[tttcaNlD[rt BAltlJN
I lr(hy3fiinn undcr nrtrrlry ol pcrjurv om.trhc li)llowing dcclur!li{nx:
Dcmolirtrnr Prii ir\ \tiqo\ Norin.dio, r.dchl Rcluhn,x (Tir[ 40. Pd6)
-R.qutrcd
l.rrcr o, Nrrirl.rrittr,
-l
ccnif, th3t lhc ndcrulrcEulliions Esudnr8 a\h(srosrcnxrlll!rc mr rpplicah[ t,lhi\ proJLtl
-,
ccrlily thar I h.vc ro|d rhk applicld,n,id slllc lhtrl thc ihrvc infornEtiotr n conccl I oera lo omdy rnh .11 Cny lnd O,unty
rdi, n..\rmlsrrrrlrw\,.ildingclnnru.riotr ard hcr.byaurrsrirc rctrcF aliv.s of rhis Ciry".d Counly'o cnrcr u|snln.
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
I r.
Rouqh Mech.llllrltil,'/)
Final Test
Meter Release lt.
FINAL uilqil t /\
Notes, Remarks, Etc.t
Other
Above T-Bar
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D.l.: OwE:
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