HomeMy WebLinkAbout40132508 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l nspection Requests: (7'l 41 667 -27 38 l nspeclor Section: (7 1 4) 647 -5853
Mecha n ica I Permit #: 40132508
Pin #: 62360
ProjectAddress: 1709 S Spruce St
Assessor'sParcel 408-281-08 Lot: 33
Unit:
Block: NA
Bldg:
Tract 4163
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address:
Contractor
Address:
Javier Molina Lopez
1709 S Spruce St
Santa Ana, CA 927044303
(7',141724-2587
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 6924011
Fee Typs
01116002 51604 Furnace
01116002 5160C General Plan Update
01 1 '16002 51604 lssuance
Amount
65.59
22.08
55.04
Feo
$65.59
$22.08
$55.04
Qty
1 .00
1 .00
1 .00Phone
Tenant Name:
Phone
Botchi:{5557 - 8/23/2018 I0r NGAftCIA
off i,:e: CTYH Trons+: 9 1 of ?Acct+! Ref+: 40l32lr'lg
Rcpt+!02360798 - 8/2312018 9!55 AII
Transoct ion Totol $283.40
ReIioble Enerss llonoee ent Inc
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensalion lnsurance:Canier: Travelers Proporly lnsurance
Policy #: UB9K071l0Al826
Expires: 0412912019
Generol Plon tlpdote FeeBl 6002- 51600090-
n€chon icIl
01116002- 51604000-
ICL Check 007255
t22.U8
r120.63
1285.40
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By;
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
s,
Occupancy:
Conslr Type
Code:
R-3, U
VB
cMc 2016 Notes: changeout
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every permit issued shall become invalid unless fhe work orl the site
authoized by such pemit is commenced within180 days aftet its
issuance, ot it the wod< authoized on the site by such permit is suspended
or abandoned for a peiod oi,180 days aftet tha line the wo* is
commenced.
08t2312018
Account#
$22.08
$120.63
$142.71
$0.00
$142.71
lnspector MID#: 2018-145602
01116002 51600
01116002 51604
Fee Total
Paid to Date:
Balance Due:
Single Family Dwelling
Miscellaneous
FAU
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BI'ILDER DELCARATION
I lErchy arrm lndcr pcndr, of pdjury rhd I M excnu 6om thc Contr&roB Lt!!e t e for lhc lollowin8 @$n (S..701t.5
Ausancsr ad Aotcssion Cod.): Ary Cary or Colnty which rcquicr . !.rnl to or(ru.l ,ns. inpmvc. tLmli\n or qEn m,
rudle, rior ro irs i!.ure, .1$ Equift. lhc .pplicdr lor tkh F ni ro nE 0 siE@d $rcrnr lhlt ll or shc k lic.nEd l,uNanl
ro rh. F)virioor of dr Conrebds Li.cn*d &w {Ch.prer 9. Conmfting wirh Se.tioo 7m0 .r oivision I of lh. aNincss and
PoL$ions Codc) or lnd lE or slE is cxcdfl lh.rcfon and llp barir lor ln. alk8cn cxctr'plion. Any viohlion of S(lior 701I t by my
dtt,licair lor apcimir subjsck rhc lpplica ro acililFmlryolnor mrcrhan five hundcd doUas (5500),
-1,
as owncr of lhc pmFny, or my emllolrcs wilh wases os lhcn $E compcnslion. will do thc sort and dE {rltr@ i.s Dr
intcfrt d o, ofiercd fo, ek (S6.7(X4. Buiimri and Prof.$ions Coder lhc ContElor'3 Lkc.ic tiw doca nol +Ilt to atr owEr of
'hcrmtdly
whol lds m inpmts tlEmn. !d *ho dG sh md( himsclf or h€Bclf or lhrclsh his or hd op..tplor!c!.
pmvid.d rhi 3uh inprom s ft mt inr.id n oiftEn ror $L ll hov.Er. rhc h{ihin8 or inpmwmnl is sh *i&in orc FU
olo.IJLri,r! rlE Oqft. &ildd qill haw rtE ttrd.n of!ftvn8 lh.r lt or slE di! hl hiiH or iqmw lhe l,bpory lor tlE purloE of
-1.
asoBncrofrhe pnpcnr- anciclurirlrco.rracrins $irt liccnsd conrrucroF ro co.no.r rh. roirr (se 7044, aus0rcss
and P$rl\iir. Cl'J.: Th. Contldoa3 Lic.nsc kv doc* mr nttly b an ow..r ofir.Fcrlywho buildr or imlmts rhcrco..
&d wno .ontMri aor sucn FoicLJ! *irh ! CoorBdrn(9 licefl$d plrsuaoi ro rhc Contktr\ Liccn* tjw).
-l
anex.n u dcr Seroo- B. & P.C, lbrftn Eoson
III8trE8S:CAMMTAIITS
DEq,AAATON
I h.rc6y olitrm under Fn lly of!.riu.y om ofllE fouowir8 delanlbm:
-l
hnw 8n will mintain . Ccnifrlt. or Conscnr ro S.lf-lnw for wortcn omFnsdion. &s rrcvidcn for by 56 on l70O of Ih.
L!b.. Cod.. td Ue F.fo.rlEre of ihc w6rt fu vhich rh. Fmit ii ,ssEd.
-l
hfllc lnd will m.inlain worlcs comp.osll ion iNurarcc. os rcquncd by Sd ion 17{x) ol rhc Llbor C.dc. for rh. F.tomnc. ol
rhc *ork forvfiichlhispcm is nsrcd My sorkcr' cohpenetion inslre.c cdicr a r p.ky nunb.r d.:
Poli.yN!hh.r:Jrpirc!
WARNINC: tuib,. ro surc work r' d,ml.nsrkrn mvcRsc is !nlusa!|. ind shuu suhF.r e .nrtloFr ro sininal tEMlras and
civil lnrrs up lo orc hundrcd rhoo\]nd ,lollrn (!l(I].llX)), in i.n, damgcs $ prcvidcd for thc
Co{lc. inr.rtn rftIrrttrnoy s
I hcE$y atfirm lndcr pcnally of p.rjury thol I an li.cns'd lndcr pmvnion ofchq,ls 9 comftncing {nr! Srrion Ttxr) ofDivisn,n l
ol rh. B!\incs$nd Pr.fcsnrE G'dc. dd my li.ctr* k in full fom drl .fi.r*f"*"qffij--)s tc
,**ffi :*r .oc *o'* ror *hth,his r'mit .sI h.rcby afrrm undcr Fialry of p.rruy rh,l
iislcd (Scc.3097, Civ. C.),
APPLICANLDESAAA.IIAN
l)ErhyrlImrndrp.nrlryof p.rjuryotrcoarhcf.lkrwin8dc.l arions:
Dcnmlilion Pc nils'AsiEslos Nolilicntior ltd.ral Rc8uht bns Onlc &.I'rn(,
-Rcqutcd
l.rrcr ol Norifurtn'
-l
ccnily lhlr rhc fedcdl lclrllariom Egndin! 4bcsro\ rm)vd @ nor oprliclbL b rhis lrcjc.l
-l
ccnily thar I havc rcad tnis .pplkurion sd srorc rlut thc lbor informrion is cotrEt. I as@ ro ompl, wnh .ll Ciry and Cou.ty
ofttin!tuc\ anri Srrrc Lf,ws rldirg ro rc,rc{nrarivcs of rhis Cily !trd Counly lo cild llnn t*
,how ftn'irmd ptup.ny lor 4aelttlt
Appliances
Metal Fire Place
Ev aporative Cooler
Furnace
Compressor
lt/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation A
Smoke Detectors lnstalled {
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Tesl
Meter Release /)
FINAL o -ls-r ww'tL
Notes, Remarks, Etc.
Ownerl
-l.cnifr
rhd in rh. nqformrc of rlE work for whi.h lhas l,crmi is i\iu.d. I shlllnor cnploy.nyF $n i. any lMrcr
s a lo b.c.m 3ubirl ro thc wo*c onpensalion hws ofc.lilomb. &d rBB lh.l if , slDuld baom sotj.rl lo tll
woltdr onwnslnn provl\iohs ol Seli.n 3100 of th. ltbor C.dc I stull. fonhwilh coryrly wilh lho* pDviiiotrr..
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