HomeMy WebLinkAbout40132510 - PermitMec ha n ica I Permit #: 4fJ13251lJ
Pin #: 49473
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4\ 647 -5853
Proiect Address: 2944 N Fernwood Dr
Assessor'sParcel: 002-251-01 Lol: '10
Unit:
Block: NA
Bldg:
Tract 1939
Address Range:
Historic: No
Suite Range:
Zoning: Rl
T
Owner:
Address
Contractorl
Address:
Candance walker-Kilinsky
2944 Fernwood Dr
Santa Ana, CA 9270611'10
(7141425-3758
Mighty Ducts
2075 N Shaffer Street
Orange, CA 92865
(714) 998-7879
Fee Type
01 116002 51604 Furnace/Comp Combo
011'16002 5160C General Plan Update
01 1'16002 51604 lssuance
Amount
.126.90
22.O8
55.04
Fee
$126.90
$22.08
$55.04
Qty
1.00
1.00
1 .00Phone
Tenant Name:
Botr:hi:15557 - 8/23/2919 I0: NGAR(IIAoffice: CTYH Tronsi: 15 2 of ?Acct+: Ref+: 4r1l32t1r:r
Rcpt+:0?360821 - 8/23/70t8 1(r:12 An
Tronsoct i on Totol t305.91
nishte oucts
Phone
State Lic #: 748387
Lic Type: D-64, C-20, C-33
Bus. Lic #: 347710
Workers' Compensalion lnsurance:Carrier: Falls Lake Flre & Casualty
Policy #: FLA00,|770
E\pires: 1010112018
Generol Plon updote Fee
0111600?- 51600000-
Itechan icsl
01u6002- t160{000-
ICL Check 00210{
t22.08
tlSl . 9/t
t30i.93
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Single Family Dwelling
Miscellaneous
A/C & FAU
Soto. Ricardo
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 2016 Notes: Replacement
Date
Date
Date
oBt2312014 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zunaga, Allissa
Every peftnit issued shall become invalid unless the work on the site
authoized by such permit is commenced vtithin 1 80 days aftet ils
issuance, or if the v,totk authorized on the site by such pefinit is suspended
or abandoned for a peiod of 1 80 days after the time the wo* is
commenced.
o4t2312018
Account#
$204.O2
$0.00
i204.02
lnspector MID#: 2018-'145601
011 16002 51600
011 16002 51604
$22.08
$181 .94
Fee Totat
Paid to Dale:
Balance Due:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DELCARATION
I hcrby omd undc, pcnalry of Fdu.y fial I m ck'i! fsm rhc ConlftcloG Lien* Llw fo. tta lolloving Elsn (5(.7011.5
BBin ss nnd Phfersio. Codc): Any Cily or Counly thih rcnuiEs a Fmn lo onslrucr. .lts. in{,ot, dcmlhh or rlan My
sltuctm, lrh! to irs Gsumc. d$ EquiEs rhc sFrlicant for ruch Itrhn ro nb a sisncd srsrcft.t thor lr or rlE ir liccns.d puNqt
to llE prcvisions .l rh. Conlelols Lk.n*d tlw (Cltaptct 9. ConmcminS wilh S.ction ?000 of Division 3 of thc Blsines o
Prot ssions C.dc) or lnlt lr tr sh. is er.mpt tlErcfion rnd llE hasis for lnc rlhScd crcq)lkrn. Aiy li.'hlior of Selb. 70:11.5 b, an,
.pplicmr fo! o l.rmil subjcds thc lplliclnt lo a civil pcnllty of ml mrc lhd fivc hlndtd dollm ($500).
-1.
.s opNr of rhc OnFny, or ny cmplor.cs with wdees as fict sh ompcnsarion. will do llF wo* . tlE slrLt{@ i\ nol
intmtu or oficEd aor eh (SN.7OI4, Busiftss dd Profcssions Code: Th. Conlraclm s L*cne Liw d.ti ml a$ly ro m ownd ol
rhcth,,eny wh6 build{ or inipEKr oE@tr arld sho des skh e* hiorlf or hcrcti or lhmu8h hh .r lEr own.mplo}rcs.
prcidcd thlr sEt impmmnls @ mr intsd.d orotu aor st. It lDws.lh. ttrildirs G iqlmBnr is sld *ithin om ,ed
of on{,htt tr lh. OwEr Buitlfi will hrE ttF burd.n of povia8 tld fu or sh. dil mt hoild or inlmw lhc pollcny for tu lnrlbe 6f
-1.
asowrcr otrhc pmpcny. !meiclusilclrconhcrins {irh ticcn*d conradoB lo co.srrud rhc phjd (Ss 7044, Busres
rnd hd6si,n Codc: Thc Contdor'3 Liccnsc ks der no! aptly ro an ownd of l,ropcrty sno builds or imFrcrcs lhcrcoo.
nnd who conra.ts for such [ojccls wirh 0 Conrrlcro(, licen$d p!r!a ro rhe Contricrols Lken* Llw).
-l
!n crcmpl undcr Scdion-. B. & P.C. for lhh taron.
IAATEf,S:.COMPINSAIAN
DEII.AIAIII]N
I ncNby uirtrm undcr ncntrlly of Dciury one ofthc folloains dcclarutions:
Ihrvculdwrllntrir rinaCcnificrrcofC!trs.nrtoScllltr{rclnrlorkcc coml.n\lrion. N pn,ridcdtrhys..rbnl7mofrhc
Irtxtr C(xh, r.' rhr,.rfff ,tutuc of rhc $.rk fd which rhc n rnri i\ nsuL{
I hnvc snd will m.inlain *orkcN .orycnsolion insuramc, as Eiuncd by Serirn 3?00 of lhc Lbor Cqlc. fo, rrE Frfo,rl1mc of
l\1 comr.nsdion inslr.mc carict ud poli., nlmhq e.:
0,/d
-l
mrrify rh.l h rhc ncrlormrc of rh. wort fo, whi.n $h rJcmit is irsu.d. I !h.U mr cnploy any p.rsn in uy MmI
$ 6 to b.com .lhjccl ro ln. wo*qc onp.nerion b$ oa Calif6mia, and a8rcc lhlt if I should b.{oft sobjel lo rhc
mik s' coopcneiion pDvisions of Sd on S?m of rh. t$or Codc. l nE[. fonnwifi orply wnh lb* pmeisio8..
WARNING: hjlurc lo wurc s{trkcs conFnglion cohrusr is lnlowluL &d shall subjer &.nplorr ro aiminol I'cMllics and
civil fin$ uI lo om hundrcd lnousnd dollus ($100,0m). in rddirion lo I "il;,Sa&ion l!076-r!h.ldnr Cod. i.r.E{ snd
,."), Q/zlt t& a*,\l--Se-on'
LICEdIEDIONIBASIAB
IIECI/MIIAU
I h.ftby rllinnundcr FndlryolFrjurt rhd I n liccnsd undcr lmvhiotr of Chaflcr 9 (conurcrciry *ilh Sccli{,n 7In0) or Divinon .l
.f rh. Busi'r$ and Proris\nrrCod.. mJ nrv lic.rsc i\ i'r tulltur.rdrdcllt.r
CZO v? vBgY
caauBticllllNr[NDlNtilli[Nrr
I h.rb, x8irm undcr J.nrlly oi pcrjury rh rh.rchr.o.$flction lcndi,rB ng.ncy for th€ l]crformrc oflhc mnk f.r whth rhis Fmn i\
hsucd (Scc 1097. Ci!. C.)
AIELICANLDECI,IE{IION
I tltby ammr undcr pcnah, of pcrjury om otthc nnb*irs d.clorali{nr\
l).m,liri, Pcrnit Ashc{os Norificrrnnr F.dcral Rctuhri.i\ ('rirlc40, PdO
-Rcquncd
knd or Norific i,n
I cdr iay rhar rh. fcncd rcgllarions EgordinS ,st{slos rcnbvll sc nol a,rpltrblc ro rhis Imre.r
I cnirvr&r I l8u mxd tfiis ion ad sr0lc rhrt rtc above informrion h Lnmn. I dgrd rosmplywnh ollCily!trd Counly
0,1 rxn(.\ r (Lsrrl.lN!\ion. dxl h.rcbysurhorizc rc,'rcscnloliles ofrhi\ Cn,
ohovc motioftd pmp.ny for in
Appli.anr or Ag.trr Si8ndurc
P"tr')r,{
Appliances
Evaporative Cooler
Furnace
Com pressor
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
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release I I I
FINAL \\c \14 I )11,',{ (
Notes, Remarks, Etc.
Metal Fire Place
L.ndo r Addrcs.
-
I
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