HomeMy WebLinkAbout40132474 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (7 14), 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40132474
Pin #: 44344
Project Address: 2801 W Willits St Unit:
Block: NA
Bldg:
Tracti 3915
Address Range:
Historic: No
Suite Range:
Zoning; Rl
E
Assessor'sParcel 109-822-09 Lot: 88
Owner:
Address
Contractor:
Address:
Wayne Clapp
2801 W Willits St
Santa Ana, CA 927041556
l7't4l542-7426
A Wiring Man
1924 Rolling Hills Dr.
Santa Ana, CA 92704
(714) 990-8192
Fee Typo
01116002 51604 Gas Piping lncidental
01116002 5160C General Plan Update
01116002 51604 lssuance
Amount
22.38
22.O8
55.04
Fee
$22.38
$22.08
$s5.04
$??. r:r8
t77 .4:!
Qty
1.00
1.00
1.00
Tenant Name:
Phone
8otch3!{539{ - 8/15/2018 ID: LR0SALES0ffice! CTYH Tronsi: 37 3 ot SAccti: Refi:. 4t'-t132474Rcati:0235542{ - 9,/1il2tr1g 3: pn
Tronsoct ion Totql tSS[. gs
A U ir ing llan
6enerol Plon tlpdnte Fee
01116002- 11600000-
Itechon icol
01r16002- 51604000-ll(ster Cord
CCI ! ***rrt*r***r8296
Notes: lnstall new mechanical equipment
t380.s3
Auth+: 10084P
Building Use:
Job Type:
Nature of Work:
Planning Conditions;
Planning Approval Byl
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Generator
Mar, Escarlet
Zuniga, Alli
Memo
Occupancy:
Constr Type:
Code:
Date: 081151201A
R.3
VB
cMc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date
Every permit issued shall become invalid unless th6 work on the site
authoized by such pomit is commenced within 180 days aftet its
issuance, ot if the wo* authorized on the sita by such pe nit is suspended
or abandoned for a peiod ol 1 80 days aftet the time the wo* is
comnenced.
08/15/2018
Account#
$99.s0
$0.00
s99.50
lnspector
$22.08
$77 .42
Fee Total
Paid to Date:
Balance Due:
Phone:
State Lic #: 679171
Lic Type: B, C-'10
gus. Lic #: 370299
Workers' Compensalion lnsurance:
Carrier: Exempt
Policy #:
Expires:
01 1 16002 51600
0 1 1 '1 6002 5'1 604
MID#: 2018-145429
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DET DELCARATION
I h.Eby .rrm utuLr p.nally of IE jury ltal I m .x.nFl fiDo llE ConrrmroF Ltens kw for thc folb*in8 lwf 64.70:11.5
Blsimss ad Pmfesion Code): A.y Cny ot Courlt uhkh Eqlies . FnDr lo.onnEd. alts. in!'mw. dcmlhh or rnrn dy
sm.lrB, prbr ro irs hsldcc. aho requnB rhc lprlicul for sEh lErmil lo filc s si8rcd slal€mnl thtl lE or ihc b lic.n{d l,usu !
ro,hc prcvisions of$. Conlreloas Liccnsd l,w (Cfiaptr 9, Comcncine wirh Section 7l)OO ol Divishn 3 oflhc Busincsi dd
PmfcssionsCod.) orllEt hc orshc is ci€mpl rhcrcioddd rh. basn lor rhc ullcgcn cxcq,ltn. Any viol ionofsetion70ll.t br rny
apoli.lir tor ! ,.mir subjdls rhc oorli.aor ro a .ival p.ralt, ol oor mrc rhln fiv. hudrcd dolla6 {t500),
,1, as own.r of tlE FDFny. or ny.q,toy&s wnh *sg* * rh.n $le onlEr!.riotr wil &r dE so* .,n dE rtud@ is mr
irrdncd or otu aor slc (Se.704.1. BBih$ .nd PefslioB tuc Th. C,nlmcloas Lie.s L.s &ri d am,ly to d ovrcr of
lhc poltriy who hiills G inrpoB rltetr !d Btb dc tufi sd himclr o. h.r*llor tlmqh tk d hE own .opkrrds.
pbvid.d rhal $ch inDormnrs @ ml t'lcndcd orofrcEd for sL. lf. hoqq. tlE t{ildirS or i,prcrcmnl is sld snhin orc t@
of.omphtion. rhe Oem, Aliko will h{k 0r hdc. of p,sving th,lhcor snc did mt t iU or iqmve Ur IiF Ety for th. lurlxB of
-1,
as owner ot ftc popcnr. ffi crcluriwly conlrdin8 *ilh licorrd conlmclo6 lo con$tucr rlE prolrl (se. 7oir4, Au$rc$
and PDftssih C{dc: Thc Coihcroa s Lie.* Llw d@s mr omly to an owncr ol [mFcny vho blilds or in Dw3 th.ron,
dnd {ho @or@B lor $cn f,ot{s wirh s C,nhcro(, ltcnEn I'lFuor ro rh. Cooll-aci 's Lic..s Lw).
Lm crcmD! undcr seron . A. & P.C. for rhN rca\c.
iry(lr(ins' coMPENSATl(rN
IIECI.AXAIION
I hcchy .flirn under p.nrlry .f ,djury om of ltE folk,winS d..lamlions:
-lhlvca
tr ill roinrlin a Ccn iu.nr. of con$trr tu s.li lnsurc ao! Eolkcn coryEnsrio., a\ Jrevid.d tnr bt sstion :l7tn oi rh.
tibor c'odc. ,or llE lrrlbrmuE ol rhc *ork fo! qhi(h rhc F.n'i i\ nsucd
_l htrlc lnd *illmainrain woilcN compcnsarion ihuranc., as r.qunld by Scctnrn 3?00oflle khorCodc.lo,lh. p.afo umcof
whth rhis pcnnir is ksuL{ My workfts nr$nNc clFi.r ntrd F,lic, nufrbcr a.l
l.cdiarrhar inrhcrcrlornEnccoflhcwort *hich rhh Dcrh h niucd, I rh,ll nor cmploy lny ttc6on in any @ntu,
so sIo trcom slhrcrr ro rhc wolkd{ onwniirion laqi olc.lia6mia, ahd aBN lhBl ifI should t com suhirr lo.l*
workcs'comtcnsalionpn,vistn{ofSc.rionlT0Ootrh.LuhtrC(dc,lsh.ll.nrnhrithconrlysi
WAnNINC Faiturc lo wurc *rrkc6 conFosarhn
.ivil fincs ut ro onc hutrdrcn lhousnd dollss ($l dtrms* a. pr6rid.d hx !h.iljfr
ucl:! DtoNtMl)a
DICLAAAUOI
4- (O (1c 1) I
I]O!$f,ICUQ!IDNDINGSGE!.q
I hcrcby aoirm undcr Fnllr, of pcrju,y lhd th.rc h a .o.s!rudbn b.dirg agcmy for ltF FrforNrc of lfic hrk for {hhh rhk p.rnir k
issucd (S(. 1097. Civ. C.).
AEUlANfDrcIrlSU!.)ti
I lrrchrunhrundcr pcn{ky olprrjury onc ofrhe rollosins dccllBrn,n\.
frcnxnirt,i Pcrnrils A\b.{o{ Norifi.arioi Fcdcrrl R.SuldidF (Tirlc,l0. Pina)
R.qrircd larrf of N.rifi.di n
-l
ccnify rhal rhc ltdcrl rcsrhlb!\
I ccn'lirh r lhrl. rcrdrhi( nDpl i\.onc.r I n!rcc t,.ondt wirh dllCiryrnd Coutrry
o inunc€s und Surc Llwr
8h)!c nE.rioncd pmFny
L.,rt
,:.JWffi-
Appliances
lvletal Fire Place
Evaporative Cooler
Furnace
Compressor
l\4isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh 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 Tesl
Meter Release
FINAL 4ttr>hfi\^^roAl ar4 )
Notes, Remarks, Etc a I l t\
l)rt.:- Ovncr:
I hcEby lirtrn undcr penalty of F..jury !ha! I am liensd undcr lovision ofch,pls , (mftmin8 *ilh Scdion 7000) of Divition 3
or $. Busircs md Pmfcssions Codc. !d my lkcns k in liill foc ed cll.d.
L.ndrl A.ldF$:
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