HomeMy WebLinkAbout40132469 - PermitProject Address: 2410 N Hathaway St
Assessor'sParcel: 396-232-18 Lot: 46
Unit:
Block: NA
Bldg:
Tract: 4531
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
,s
City of Santa Ana 20 Cavic Center Plaza (Nil-19), Santa Ana, cAg27o2 Mechanical
Permit counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 4fJ1324Ii9
Pin #: 25357
Contractor:
Address:
Elizabeth Richell
2410 N Hathaway Ln
Santa Ana, CA 92705
(714) 558-0463
Gomez Heating & Air Condil
9631 Flower Avenue
Bellflower, CA 90706
(562) 804-2891
Fee Type Amount
01116002 51604 Furnace/Comp Combo 126.90
01116002 5160C General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$126.90
$22.08
$55.04Phone
Tenant Name:
State Lic #: 920850
Lic Type: B, C-10, C-20
Bus. Lic #: 325647
Wor.kers' Compensalion lnsurance:Carrier: State Fund
Policy #: , 9223193
Expires: 1212112018
BoLch+:.{5362 - 8/11/2019 I0: J
off ice: CTYH TronsS: 85Accti: Refi: {01J
Rcpti:0?334730 - 8/l{/2018 3:56
Tronsoct ion Totol l3tl5 '
60 ez Heotrns & Air (:onditioflr
Generol Plon tlpdote Fee
01116002- 5160tr000-
nechon icol
ul116002- 51604(r(10-
ICL Check 0243
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval Blr
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
HVAC
Orozco, lvan
Occupancy:
Constr Type
Code:
R.3, U
VB
cMc 2016 Notes: Change out
,a"V
Date
Date
Date
oan412018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, All
Every pemit issued shall become invalid unless the wolk o, the sile
authoized by such pemit is commenced within 180 days after its
issuance, ot il lha wotk authoized on the site by such permit is suspehded
or abandoned lot a peiod ol 1 80 days dfter the time the work is
conmencad.
lnspector MID#: 2018-145399
0u14t2018
Account#
01116002 51600
01116002 51604
Fee Totat
Paid to Date:
Balance Due:
$22.08
$181 .94
$2O4.O2
$0.00
$2O4.02
Owner:
Address:
P hone.
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNER Irtrtt,I)ER t,lil-clRAl toN
I hcrchv rlnnn unrlcr prDrlry,rl !.rjry rl r I nnr e(.nu [on] rhc (bnrrJ.n6 l i..tr\. ll* ,nr rh. t,ll(Ni'rs rcr{ lsc.70.11 s
pnli.rtrr tur {rcnnilsuhj$r\lhc rt,tlicrnlk) civillEtrxlryol r(, nnElhrn llvc hur r.(lilollrr\($50(r)
-1.
3s owNr .rrh. preIrny, or ny .Dplorrs wirh w.B.s rs .h.ir slc omp.nslion. *ill do tlE wtrk ud llE slrEl@ is tul
inloicd or ofcEd for slc (56.7044. Busincs lnd Pror.ssions Cod.: Thc Conrracroas Lien* Lle d.Ds nor opply lo e ow*r ol
lh. pmllny sho hilds., iqmE tE6.. ond who dm. sh {o* haos.lr or hcNlf or lhr.ugh hir or hd own cmployccs.
provid.d Ind such itrlNtmnlsN ml h'cnd.dorolreEd forsL.lt ho@rr.lh.ltuiui4 or nqhtm n$HenhinoE,te
ofcolpbliotr tlr Osftr Bui*tr will haw llt hdo ofFovi.g ur h.dshcdilml tlild or in{mE lnc ImFny for ltt plrlhe ol
-1.
rsow.of
'h. tmlcny, rmcxchsivclymtrlraclinS wnh kcnscd conlmcim lo onstIlct lhc prorcl (Scc.7O!1. Buritus
Md A.ission Codc:Ihc Conrrekr's Licc.r Law docs Nr anply ro !o oanfi orpDp.ny who huilds or improvcs thcrcon,
6nd who onrmcls for such pn,ifls $irfi a Co mto(9 licenscd puBuanr ro rnc Clntacror'$ I.iocos t s).
I! ckmDl u lcrh{trcL,B.&P.C lor thi. rc!$n
ua8f,E&i:cqM@sAla!
DECLAAAIIT}N
I bcr.by rrfirm u.dcr Fnllry .f p6j! ry one of th. follo w ine d.c lqll ions:
-l
ha* oid *ill minrsin a C€niftatc of Consnt ro S.lf- lnsurc for mrk.G oryEnslrion. a lftvid.d for b, Serio. l70O of rh.
rjbn Codc. lor lth pcrtbmm. of lh. sut aor which lhc permir h issu.d.
-l
havc and willmainrain sortcd compcnsarion iosurrncc. !s rcqlncd by SNrion l?u) ofrhc tnb.r Cbdc. rot th. r(lfoirErc. of
i1r_&1 lnc.ft
t?
_l..ditrlhd in rhe p(Iomrmc ol rh€ wort tir whi.hrhkpcrnn ir iqsu.d.l sh.ll ml cmployonypcMn ir rfly.Mmr
s N ro trrom subj.ll lo lhc wutcs' conrrc.stion h*s of Califohi!, a !8N lfial if I snolB b.om iuhiccrl. rh
work.( ompcnsorion pmvisionsofScction 3?0tlof thc L3t[r Codc.I shall. fontvirhoq,l, wirh rhos pmehions..
WARNIN(; Ixilurc h {c!rc slrkcis .. rFn\Jrion cot.ngr
.'n'l firc\ uf h. ,'r. hdnJrcd rhutrlJ J JolLr\ '!lr)o,flvr',sc.r )i 1076ul ihr li}x
Itl A
\c /t4
I
DXlll3NT,IJ:i
I hcrc$y nfatrnr undcr pcnully of p.rjury thal I am licensd lndcr prcvision ofChlpler 9(.onfttuiis snh Sccriln 7000) olDivision I
oa rhc Btrsirc*n.d Prorissions Codc. and myliccnF h ir tull
€,29 Cto O
O
I hcrchyrfitnrundcr p.ntrlrynlrrjuryrhir lhcrc isicotrsrucri.n lcnJir8 r8crc,Ior lhc nc.tolnun c orrhc
i*ucd rs.c 1097 Civ C I
I enify rhd rh. lcncol rcgullriotrs
l.cdilyrhir I hrvc Md rhisrlfl rocomFlywirh all ciryrnd counry
ddi r.! x rlSrr.l.r\'\ nlr!otrhis Cnt and Counryro.trrs upon lh.
nh,vr nf, ri,rrd prcnrny ir *"14L
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL ^\-\s l-lx4t\.i
Notes, Remarks, Etc.
Grease Duct
Above Hard Lid
bnd.ar Addrc$rpprlr:ir,rinpiili,rirnn=
I ln$y imnn undcr pctrllry oipcrjury onc n,lhc lolkwin8 dccl,r0rhns:
Dcnmliliofl PcnnirrAsbc{o\ NorificiinD Fcdcrul Rc8uhti()nr(litlc 40, Pdn6)
R.qtrtcd lxircr o, NorifMrbn