HomeMy WebLinkAbout40132490 - PermitProiect Address: 217 S Daisv Ave
Lot: 21
Unil:
Block: A
Bldg:
Tract 233
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: O07-261-32
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA9270?
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mecha n ical Permit #: 4013249lJ
Pin #: 7O73O
Contractor:
Address:
Jose Olvera
217 S Daisy Ave
Santa Ana, CA 92703
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 6924011
Fee Type
01'1 16002 51604 Furnace
01116002 5160C General Plan Update
0'l'1 16002 51604 lssuance
Amount
65.59
22.O8
55.04
Genersl PIqn Updote Fee
01116002- 51600000-
llechon icolull16002- 604000-
ICL Checl 097216
Qty
1.00
1.00
1.00
Fee
$65.59
$22.08
$s5.04Phone
Tenant Name:
Phone
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsuranceiCarrier: Travelers Property lnsurance
Policy #: UB9K07'110A1826
Expires: 0412912019
Bot,:h+r4it12 - &/2f/2O18 ID: NGARCII0lfirer CTYH Trons+: 25 2 0f :Acct+: Refi: 4tll3249r:l
Rcpti:0?35969E - 8/21/2018 11122 An
Tronsact i on Iotsl 1381.08
Reli(lb1e Enerse llonose ent Inc
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
Miscellaneous
FAU
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2016 Noles: Change out
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
Zuniga, Allissa
Every pemit issued shall become invalid unless the wo* on the site
authoized by such permit is commencad within 180 days aftet its
issuance, or if tha wok authoized on the site by such permit is suspended
ot abandoned for a penod of 1 80 days after the time the work is
commenced.
lnspector MID#: 2018-145544
oat21t201a
Account#
01'1 16002 51600
011 16002 51604
$22.O8
$120.63
Fee Total
Paid to Date:
Balance Due:
$142.71
$0.00
$142.71
Owner:
Address:
il?.0
t 12r1,6
t3s1 .0
MECHANICAL.INSPECTOH RECORD
OWNER BUILDER DELCARATION
I hcrcby lffim udcr pcmlly of pci!ry lhal I m cx.trpl fmn lh. ConLaclo6 Lians L!* for lL lolhqins ten (S...?01 1.5
Buiincss and Prof.$ion C.rte): Any Cny or Cou.ry whkh r.tuncs r IEmi ro onnru.!. rlie. nrqJovq dcmlish or EInn dy
stru.'E, prbr to irs ilsumc, rls rqtuircs ln lpplicMl aor such Fmil to 6b a 3hmd stllcmnl lh&r lE or snc h [e.sd pu^@
lo lh. pmvhbns ol rhe Conuetols Liccns.d t w (Chatrer 9. Colmrcing wiln Scclion 7000 of Divirion 3 ol th. Busincss md
Profcasions Cidc) or rhlr tE or.h. n crcmrr rhcEliom und rh. beris lor rh. alLScd cx.mprion. Any violorio. otserion 7031.5 by lny
arplic! for a Fmil subirls lhc lrplic&nl ro 3 civil p.Mlly of nol mrc lhln fit hondrcd dolhG (Ssml.
-1.
I osrcl oarh. poFny, ., ny cmploF$ *iih wa8.s ds rhcn sh conp.ns,rion. six do dE wdt od rh. slrL.iw is mr
inrctrdcd or offcEd for ek (Ss.7044. Blsims ed Profcssk ns Codq Tnc Conrra€rols Lian* tiw docs nor lpply r. d6 oekr 6l
lh. poJEny vho trilds or in{mstEM.. I wlb &rs ffhk.l hims.lror h.Blrorrhmueh hh or her own.mtloyc.s.
rrovidcd rhlr slcn iinhrnek @ hr inrcincd or olY.En fot eh. lf. hokE rhc bllldiru or impmEmd is sU wnhin onc rreof.onpklirtr Fo,*k.Buih6wlnawlh.bod6ofFlineddltmdFdidmlhrihorinpmwth.pmp.nyforllE,ur.cof
I, ar owe, of lhe pmrcny. .n .r.hriEly conrE.ring with li.enrcd .onracx^ r on$dd ltE ,mjftl (Scc. ?04.4. Busimri
and P,trfK(ir Cod.: 'rh. Conrmror\ Liccns L,* docs nor applt ro e owrcr of propcny who builds o, inpmv.r rnc@n,
rnd who .onmcrs ro. s!.h ,mjrk wiih a conhclo(9 ltcnscd tin(@nr ro ihc Conralols Li..n* tiw).
I nmcrc rB undor S(ii,m , B. & P.C ntrrhN Nirr
l) rr ornrr gl)86E8ti:grMrr sarla!
DEII.AEAIION
I h.eby aflim !n&r Fnalry ot IEjury orc of lhc follo*ang &.l{,lionrl
-l
hnvc .d will @i.r!i! . C.nifEarc of CoBnr ro Sdf-lmm to. wk R conp.nsib.. a Frvid.d for 6y Sccrior l?00 of rh.
t bor Codc. tor the pfifomo.. of rhe qort for which rhc pemi h ii!!cd.
-l
havc lnd willmainrain wort.B'comp€nsaliotr insur.ncc, rs rcquncd byS.crion l?00 oflhc Lltnn Codc, for rhc p.rfut@rce ol
thc qor* for wni.h lhis pcml n isscd.omF.erion insuhre (uicr ard lEli.y.unber @:
[,q-'-b\;-?\(4 Q-1
-l
ani,yrhat itrlt Dcrformm. of thc wolk ,or shth thh rrrmn is h\!cd. I shlll tui enpldy &y p.r$n in any lmmr
s
"qro
beom subjecr ro rhc wor*eis coml,cniait,n lrwsofcllif6mi& and agrc ihd if I shonld tr.om $hjel lo lh.
srtol omFcnurion n.ovisio.s 6f Serion 3700 oa rhc kbor Co<lc. I ndl ronnwnh soply Nilh lhos pmvisions..
WARNING: railur. lo scurc wortcB'compcnsolnln srm8c is unlawful. lnd shrll suhj.rt an cmploycr lo cimiml Fnuli.s !.d
.ivil fincs ut ro oru huMr.d lhousand dolhs Iu).fiD), ir rddiiotr ro lhc cosr oicompensorio.. damEcs a\ tovid.d for rhc
Sftri.n :1076 .a ,h. I inr Cklc inrcrcd md
R[2,\rQ
DECI.ASAIION
I ncEbyarlrn!tulcrpenalryofFrJlry rhar I sm liened undcr pFvhion ofChaprcr 9 (.onftmine wnh serion ?mo) orDivhion 3
.f lhe Busims od Pmf.ssions Cods. ond my ltcns k in tull aorc lrd cfrd.
az_P -lo utL(l '1
.L t€
II]NIAIgUAM,I:NDINI;IiENIL
i\{kalrsc. .1097. (ir ( l
d.TII,I(ANIII;gdMIX}N
I Imby 0nirnundd pcn,lry ot I'cijxrt onc ol'rhc n,llowirs dcchfuri,rx
l)cN)lirion PcnnirsAstrsos Norificarn,n fe{lcrrl RcEul rotrs (Tirl..l0. Pm6)
R.qutcd trtr.r ot Notif(dion
-l
ccrtily lnar thc fcnrd rc8llarions E8lrning ashcslos E.mv,l m mr rtDlicabk to lhis pDj*r.
_l ccnity rnar I har rad rnis amlicarion and sl,rc rhar rhc abolc infomrio. is .016l. I !cx* 16 .oaply wilh a Cny a.d county
odinamcs an,l Shrc taws lo b'iiEnrB.onhcrion. and tx.cby o$horiz. rr $ff.tircs of rth City,nd Colnry ro c.rc. ltl.n rhc
ohole mnlioncn Impcny tot
trhunrorA8dnrSignrru
APPROVALS DATE tD/srG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Delectors 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
Rough Mech.
Final Test
Meter Release >nifa.FINAL lolloltfl T ?9)
Notes, Remarks, Etc.IU
5oJ
f
,"," Rhltq
____--=
I
- - -T------
I
=
=