HomeMy WebLinkAbout40132512 - PermitProject Address: 2242 N Spurgeon St
Lot: NA
Unit:
Block: ll
Suite Range:
Zoning: Rl
E
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Mechanical Permit #: 40132512
Pin #: 7O2OA
Owner:
Address:
Anne Delgadillo
2242 N Spurg€on St
Santa Ana, CA 927062953
(71414',124273
Service Champions
3150 E Birch Street
Brea, CA 92821
(7141777-7777
Fee
$43.62
$22.08
$55.04
Botchi:45554 - 8/23/2t-t!g iD: 1_pgg61-E^tlffire: (:TYH Frttns+: 24 I cf 1Accl+r F:ef +; 4 r.,l J?il ?Rcpti:02360997 - S./2I./2(rlg 1r!39 pn
Tronsoct ion Totf,l $!2tJ.7 4
Serv ice Chorp ions
Amount
43.62
22.O8
55.04
Qty
1.00
't.00
1.00Phone
Tenant Name:
State Lic #; 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: 195430
Workers' Compensalion lnsurance:Carrier: Pacific Compensation lnsurance Company
Policy #: WA00060703
Expires: 0312212019
Generol Plan Updnte Fee
0111600?- 51600000-
llechon icol
01116002- 51604000-
ICL Check 00000017{2
$22,0S
t9s.66
ttzg.7 4
Planning Conditions:
Planning Approval 8y
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Alter Vent System
R-3, U
VB
cMc 2016 Notes:
\K
Date:
Date:
Date;
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
Hernandez, Kathy
Every pemit issued shall become invalid unless the wo* on the site
duthoized by such pennit is cgmmencad within180 days aftet its
issuance, or if the wo* euthodzed on the site by such permit is suspended
or abandoned fot a peiod of 1 80 days aftet the time the work is
commenced,
lnspector MID#: 2018-142223
011 16002 51600
01 1 16002 51604
Fee Total
Paid to Date:
Balance Due:
$22.08
$98.66
$120.74
$0.00
$120.74
Assessor's Parcel 003-l l0-11
Bldg:
Tract: DERICOT
Address Range:
Historic: No
Contractor:
Address:
Foe Typo
01116002 51604 Alter Vent Sys
011'16002 5160C General Plan Update
01116002 51604 lssuance
Phone:
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
0412312018
Account#
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDET DELCAf,ATION
I h.eby rtnm unds pcnalty of F4rr,Inar I d crcnpt from rtc Conrturor' Ltcns L!* for rh. following ltsn (Se 7011.5
Busi@rs und PDtc$io. Codc): An, Ciry o, County shkh rcqlires a lemn ro .dnnrud. ,lrd. imp,orc. .bmlhh or EI,!tr rny
slNtm, prior ro ils is.trucc, llso Eiuircs lh. .pplicer for fl.h pcmit io fih a siSmd saLmnl lhll lE or shc is liensn p! ulnl
io lhc novjsioos 6rrE Cqthdn r Li.co*d Law (Claprer 9. Conoe.cing wilh Sccrion 70fi) of Division 3 oflh. Busincss lnd
Pofcssions Codc) or lhll lrc tr slE n c*q)l lh.EiiDn sd rlE basis for lh. .ll.!.d crcnplion. Any rhloliotr ofS*lbn 7011.5 by rn,
lpplicanr for ! n mn slh.i{rri tnc spplio lo a cieil l,cnalty of .or mrc rhM fivc hudEd dollos ($500)
-1,
as ovncr of lhc FsFny, o! my cdpht.cs with wagcs {s rhcir sL onp.nsalion. will .b lnc wlk orn dE turd@ ir ml
inrcn&d or otr€rcd for slc (Sc.7044. Ausirss snd Ptofcsions Cslc: Thc Coitrlclor's Liris ti* der mr apDly ro ,n 6wna of
lhc pDFny wrb hiil& or in{mEs if,@n. ud who &as sh m& hjm\cu 6r hc&lr or lhrcugh hh o. ts ovn cmplotr.s,
pmvidcd rhd s!.h iq,mttu, s E hr inlcid.d orotu lor slc. ll trEE. tlE tlildiu tr i,qmer issld*irthotuyw
of conplclion. dE Own r Auihd wil tqw tlE bu{hn ol pbvin8 lh{ lE m $c dn d hild or irpor fi. pbrny for t,E 0!qns of
-1.
&i owmr ot rht Iron ny. ,m ciclusircly conrrsrinB *irh lian*d mirGros ro dnsttur rhc nolrt (Se. ,044. BNins
lrd Profcssnn Codc: Th.Conlmlols Li..nsc tiw dcs nor optlyro anowkr olproFrly who builds or iq,mvcs lhcron,
rnd who oflhcrs for slch nbjccrs rirh , Conld.torls) Iiccn*d ,us!a ro rhc Cr,nh.toas Lirn* lrel
I rn'.rcmnr unJ.r S(ri.I &PC l'orlnisrcas'n.
ITOTI(EIS' COMPENSATON
DECLAAAIION
I hs.l,y artrm ur&r pcndly oI pcjury om oalhc followinS dsld ioDs:
Ilrvctullwillmrn r'nrCc rfi.dcofcon\cnr lo sclf ln\url,, w.rtdJ compctrsttotr. us nmvid.d lor bysccrnnr:1700 ol rhc
Lrhtr (i r. f(tr rhc p.rfornrn.c of rhc w.rl f.r which rtc psntil n $kd
Zylmvc rnd willmri rir worlc^ comFnsdion insufln c. d\ rcquncd hy scd ion rrm or rh. Lftor (hdc, tor rhe p.rlorromc ol
P)this p€mn n is$cd. My uorkds' sqrndion in lM. cMtr .id polay numbcr @lc(
Z
I enify $al ii rhc r..lorn@c. of$c worl for ehichrhi\ peinir is isslcd. I sh,ll.ol cnploy..y p.6on in any mmr
m s lo 6.{om subiel lo th. *ortm snqrcnsli.n l,ss oac3lifomio. and .grcc lhlr if I stnuld ltotr subjccl lo tk
wo*.is' omp.ns.tion prclisions of Scclion 3?00 oi lhc tjtrr C.dc. I sh,ll. forlhwith compl, eilh thos pmvhionr..
WARNINC F,ilurc to s.urc work tr conp..sarion sv.6g. ii unl,wtut. and sholl subjd m cmploltr lo oidiul IEMhies lnd
.ivil ,lncs ut io oB hxndrcd ihouund dollrs (31U,,m0). in addhi.n ro rh. corl ofcompcn*lion. dlm8.s as pmridcd for lhc
ulllsru_qQlirBAclaB
Dlrll.lts/UloN
Ilrcrcby.innrundcrpcnrlryoIrErjuryrhirIrmliccncdu.rpn'visionolChrnlc,9(connmncina*ilhSsrirn?(xm)orI)ivisi{,,-1
of rh. ax\incl\ md Ptuf.sions Cod.. dri ny li..ns. is in rull in( Md clf..r
C Cza 7??r7a
COIIiIBUCIII,INIINDING.f,GENCI
I turcby rftinn und.r Fn0lryolpcrjury rhlr lherc h ! <,nsrrucriotr lcodin8 !3crcr lor ltc pcriornurcr oirhc *orl lor $hi.h rhi\ Fmir il
issucd (Scc. :10S7, Civ. C )
AEELICANI.DECLAMIION
I ffiy nfrm unds pcDliy of pc.jury om of thc lollowing d.clmiions:
Dcmlilion Pcrmils'AstEslos Nolificalion Fcdcml RcEulations (TilL.l0. Pun6)
-Rcatrtcd
blr.r oi Noliftrdhn
Z -l
cs! ity ihlt rlE fcn El rcguhrions rc8&ding asbcslos Emvd m ml .t{,1i.!blc lo lnis proFcl.
I c.niry rhd I hlvc r.ad rhiq rtplicnliof, md nrt rhtrl rhc .tnrc inromlion k coftd. I .gG lo sr{,ly wnh aI Cil, and Colnty
irdinanccs rnd Srrrr lrss rhring b hildin! co!{dcrn,n. md hcrctry 3urhorii. rrpn\cnrdirr\ ofrhi\ Ciry a.d
h,vc tunii,,rd !n'p.ny ln. i'r\rcri,)
Amlica or Agenr SiBtururs_Y-_I g
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Toilet Room / Clothes Dryer
Residential Ranoe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meler Release
FINAL t//rc/*'b??rya v?F=t
Nqtes, Remarks, Etc.
/*32 Vz -d-fr,"- /Ds, ^",
c.T- C,/.2/ /*t)44
@-"2<azz7-tn
ID/SIG.
Vents
Other
W
L.ndd r Add{s'
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