HomeMy WebLinkAbout40132453 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Mecha n ical Permit #: 40132453
Pin #: 79027
Project Address: 1019 N Baker St
Assessor'sParcel; 405-294-12 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Ownerl
Address:
Contractor
Address:
Phone
Tenant Name:
Cathy Vu
1019 N Baker St
Santa Ana, CA 92703
(7141423-3625
Service Champions
3150 E Birch Street
Brea, CA 92821
(7141777-7777
Fee Type Amount
Furnace/CompCombo 126.90
Air Handling 44.5'l
Add'lVent Sys 43.62
Gas Piping lncidental 22.38
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$126.90
$44.51
$43.62
$22.38
$22.08
$55.04
Phone
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: 196430
Workers' Compensation lnsurance:
Carrier: PacificCompensationlnsuranceCompany
Policy #: WA00060703
Expires: 0312212019
Eotch?:{5313 - 8/13/2018 ID: CCUEI-LAIi
ottice: CTYH Trofis+! l0S 1 of l
Acct+: Refi: {01314.53
Rtpti:0235346? - 8/ 13/7918 11:39 All
ironsact ion Total 13t7.12
Service Chcrp ions
Generol Pltrn uPdote Fee
01116002- 51600m0-
llechan icol
01116ffi2- sr60fin0-
ICL Check 0000001671
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
A/C & FAU
Carvajal, Verny
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2016
$22.08
$292.45
$314.53
$0.00
$314.53
Notes: Nevv A./C unit and furnace
08/19/2018
08/13/2018
Account#
Zuniga, Allissa
Every permit issued shall become invalid unless tha wo* on the site
authoized by such permit is commenced within 1 80 days aftet its
issuance, ot if the work authoized on the site by such permit is suspended
ot abandoned tot a peiod of 1 80 days aftet the time the work is
commenced
lnspector MtD# 2018-145304
Fee Total
Paid to Date:
Balance Oue:
01 1 16002 51604
01116002 51604
011'16002 5160r
01 I 16002 51604
0't 1 16002 5'160C
0'!1'16002 51604
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51604
MECHANICAL.INSPECTOR BECORD
APPROVALS DATE ID/SIG.orvN I.]l !tu tLDFiR DII_CA RATtON
I herch! Jffirm uD.hr nlnrlrr_ {,1 prrurr_ rhrr I xm crcN|r lionr lhc (ilnn.trr Licctrsc I rs lnr rhc lbll,,*ing rcawnr lscc ?0}l 5
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rpnlicrrr rnr attnnirsuhjc.h rhc q'!li.JDrl. rclrilNnrxt(r rornncrho llv.lrtr.drcdiolIn(i5{xr)
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inrci&! or olIcrd for sh (Se ,044, Busims and Pretu$hro Codq TIE Codn.rol. Lic.ns ljw dat not 'pply
ro .n owmr oa
thc pmreny Rl$ hoil& or inpoB lhcmn. un who d&\ sEh w* himsclf or tcrslf or lhoogh his or tcr oon .mrk,ttcs.
pmvidcd lh.t sh impowE s @ Dr htcdcd (otrad for $b If. hogff. tF hiuinS o. inproEr ii$kiwilhinoeF.
ofsrpletior lh. Owncr Buit-hr vill hrw tlE ttiko of pmvIg lhsr & o! dE dA rcl hild o, iirpDw $. p'trpqry for llE purlh$ of
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n! owe, of rhc Folcnn am dchsively conrrad i.s wnn liccnsd .onrBcros lo onntucr rnc pn sr (Ss. 7or4, Burimss
md PnEasion Codc: Thc Conrrmtols Liccnsc Ltrw des .ol apply ro m owncr of pmr.ny who builds or imprcvcs thcrcon,
dnd who conrncrs for sucl poj.rrs *nh a conrBro($ li.ensd ,urs@r ro ir conrudoas Liccos Li{).
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amcrcmfl lndcrSdiotr- A. & P.C. aorrhis Elson
D.rc lr*n.r
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DEII,ASAIIIA
I lErcby arrm undcr lcnalty of prjury onc of th. aolhqing decknrioN:
llrlctrDdwillnrxinrriniCcairirtrrcorConscrrhScllrln\ur.ritrworkes.onrF.{rrt,n.$,Bridrdinhyssrion.lT(x)orrhc
&hn Corlc. ror rle r.nbrm'ncc ol rhc sork lbr whichth. pr nil is i\sui
,\/h.tr(, L'i \'llmrNun tr.rkcr'!^i,ncn\. tr'n 'nvtrJn... r\ rcquirdbySc.ri.trlTmofrhctjhitrCodc.forlhcNrtnrnunccof
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e trs lo h..om subjel k, lh+ worlc*'coq,.nsalion h*s of Califomin. nnd a8i,e thn' il I shlll b.yo@ subrEr lo lhc
*orte6 srlEnsrion lJmvtio.s of Serion lToo ol rh. L!b.r Code, LhaI. fodhwnh mmply *irh tb* ,mvisions..
WARNING: |!'lrrc k, ccurc workcm comp-nyrri.n covcrr8c is unhNtul. rnd shrrl subje-t rn oq,r,,ycr r,, mmrn,l noJhic* ana
civil fincs up to onc hundrcd lhousnd dollan lsl(x).([D). in,'Jditu.lo
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t hcEby atfifln undcr pcnaltyofpcljrry lhal I nor lien$d unncr nDvnbn otChaprcr 9 (cornnNing wirh S..rion Ttxlo) orDivkion.l
of rhe $usircss otrd Pmr$sions Codc. md my liccn{ h in tull r'ore 0d cfiNt.
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SANSIf,UIIIQIIENDIXG.AGINCI
I hceby afro u.d.r Fulry ol Fdury lh8t r,'dc h ! @nsro.liri Ln<ling rgcfty for lh. Frfmmm. of $. Nort for wti.h lhis Fnil Ls
issucd (Sec 109?, Ci! C.).
alrttclNu)Erll$4llQ!
I lmhyJllnnundcr nctrrhy ol pcrjury otr..1rhc nnbwinr lccl.nxri{nr
D.nrrlirior lcrnrir\ \tr{o\ Norifi.di( Irrdcnl Rcguhrn$\ (Tirl.10. I)d6r
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Glrcr0l Nolirtalior
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c€nily rhlt rhc fcdcral rc8llark,ns rcBedinr asbcstos rcrmvalarc nor applicablc t, rhix pnjccr
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ccrrify rhar I narc Md fin spplicltion rrd srarc th0r rh. trbove inforNriotr n coftrr. I af@ to @mplt *nt all Ciry rnd Cou.ry
ordinamcsond Sr6rc t ws rcldilg lo buildine c.nnDdioo. rii h.rcby aurh.nx rc,r.*.lalivcs o
lhovc m ioncd,mp.ny ror inspc.rion
Anfli.xnrorAg.nlSignxhrc m ':^dW-
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
lvlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
T ype 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
Meter Release
FINAL 7-,8 l8 ,uil,q11 /
Notes, Remarks, Etc.
COMMENTS
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