HomeMy WebLinkAbout40132448 - PermitPermit #: 40132448
Pin #: 61lJ12
Unit:
Blocki NA
Bldgl
Tract: 1192
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
AssessodsParcel: 015-192-02 Lot 105
Owner:
Address:
Augilberto Lopez
2106 S Rene Dr
Santa Ana, CA 92707
Qry
100
100
1.00
Fee
$6s.57
$22.08
$5s.04Phone
Tenant Name:
Builder Services Group dba
475 N WILLIAMSON BLVD
DAYTONA BEACH, FL 3211,
(3861 304-2222Phone
State Lic #: 1034361
Lic Type: B, C-61, C-2, C-20, C-33
Bus. Lic #: 358'185
Workers' Compensation lnsurance:Carrier; ACE AMERICAN INSURANCE COMPANY
Policy #: WLRC4858147
Expires: 06130/2019 ".r-
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:Notes; Change out
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Sub.iect to Field:
Building Permit #:
Zuniga, Allissa
Date:
Date:
Date:08/09/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pefinit issued shall become invalid unless the wo* on the site
authorized by such pemit is commenced within 180 days atter its
issuance, or if the wotu authorized on the site by such permit is suspended
ot abandoned fot a period of180 days afiet the time the work is
connenced.
$142.69
$0.00
$'t42.69
lnspector MID#: 2018-145390
01116002 51600
0'1116002 51604
$22.08
$120.61
Fee Total
Paid to Date:
Balance Due:
city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: 1714).647-5853
Project Address: 2106 S Rosewood Ave
Fee Type Amount
01116002 51604 Wall Heater/Floor Furna 65.57
01116002 5160C General Plan Update 22.O8
01116002 51604 lssuance 55.04
Contractor;
Address:
Single Family Dwelling
Miscellaneous
Wall Heater
R-3, U
VB
cMc 2016
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace I 7l^^ lr /C<nntn t K1_
Compressor L 4
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork b/.u lt P GluofL -t6-7
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F. D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.4 l'vol ur 6rvt>rfx 't.K7 -Final Tesl
FINAL ilttltr{rh4ptD lez.---
Aotes, Remarks, Etc.
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OWNER BUILDER DALCARAIION
I hscby .firn undcr Fnalry of leiury thar I m cxcmpr 6!n rhc ConhcroB Lt.nsc kw lor rh. followinS EMn (Sc.r0:11.5
Brsin.ss ud Prcltision Codc)r Any Ciry or Coury which rcqlics a lcrml lo.onsldd. .h.r. ihnrow. demlnh or EIEi My
srocrurc. pri, to irr iisuec, alrc rcquiE rh. q'plhml for su.h pcrmil to fih ! sigtud slalcmir lhol lf, or ihc is li@ns.d pu^uut
to rh€ Fovisions of r,E Conlrrcrd\ Lien$d tiw (Ch!,,lcr 9, Cohmmioe warh S6ion 7000 of Divisrn I of lhc Busincss .nd
Pmlcsrionr C6dc) hr $ir tE or she ii erc,ll)l th.rcfron 0r.l rhc b&ih tor ihc alk8.d cx.mplion. Any viobfion of Sftrhn 701L5 by any
opplica.l ior r p.mil suhjels lnc .pplkanllo!civilFnallrofnol mrclh.n filc hondeddollaB (t500).
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ar os.cr ofrnc pmFny. or my cnplorys {irh w&Ucs us rhch $lc.rmpcns,rion, {ill &, $. wnt md lhc slrrturc n tul
i.ord dofrcr.d for sL (58.7044. aurims,.d Prufcssi,,.sCridc Th. C. raclols Licns Llw &Es ml appl, ro u oeft.or
thc Dmpcny wtr t{ildc or itrr0oB rltMn. anrl whd d@r $ch tr& hinrclr o. tusclr or 0muah his or hcr own e'q,loyN3.
providcd thd such impmwmnts N ml hlended or olM for slc. li lrEs. rlr 1 illins or nrfrehnE is sh wilhin m. ru
ol corpkrioll. rhc Owrcr Bdlrr eill h,rc th. hndm orE.vane rh,l h€ or sh. dil ml hild m itFmE thc ltolEly ,or llt P!q.s df
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un Pr!ftsbn Cod.: Th. ConrEcror's Licc.* Llw docs mr lmly ro an oorft of prcpcny *ho buil& or improvcs ltcr€on.
and who onr@r. fo. su.i pojsts with . C.itmcro(9 li.cncd plRun.l lo lh6 Conlmclor's LiccnFc L.{)
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SAXr!&T:(aMTEIIAIION
I'ICI.ABAIII]N
I hcBby antm undcr p.nnlryofpcrj!ryoneofttu followine dcclntrlions:
I hrv. irld will minrdin a Ccnificlk ol Conscnl ro S.lf.InsuE for qorkes cohpcngliln. $ Imrided ror by S.clion 3?0o of lnc
tlbor Codc. fo. rhc p€,i'mnc. of lh. ml* lor which lh€ !.mt ir issu.n
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hav. snd will minlaitr wortcG compensation nNurrrcc. !s rctuted l,y Sc.rioo 1700 6fihc Labor Cod.. for lh. Frformrcc of
lhc wort lbr which lhh p.rmil is nscd My workcs o'npcnslliotr inslrucc c!rh, ard p6licy ru6&r ucl
PoltyNorb.i Erptu
-l..niay
lhll in th€ pcrformftc oflhe *ort for whth rnis perml is Lru.d. I rhall ml cir{ oy any FMn h lny manmr
$ as ro becom rubjd to rhc vor*cB omp.ns.lion lass ol Crlilomia, !.d a8r rhd if I sholld li.om subje o (E
*ortc6 onTxnrNrion pmvhi..s of s.clion 3700 ofrlE t h.r Cod., ! nElL fonhwirh str{,ly wilh rh.* poriritB..
WARNING: Fdil!rc ro $cuc workea' @qxisrion cow6E. ir unl|wtul. ind shall subjNl s cmploFr lo diminrl F@ltB and
civil lincs lti ro oE hlndrcd rhouend dolba ($100.000). i. lddirio. b tlE cGl of omFturlion, d.tuBcs as ,mvidcd fo. tl*
Seclion 3076 .f rhc t hor C6dq intcrcn and .iromy\ L*.
rrel:Ntl:tlcoNt&lclf)B
DIiCLAXTUAT
Ihcr.byrfinnundcrpcnallyo, pcrltry rhd Ir lircn{rltrndcr!x,vi\n,nol(hrPrd9rcom.tncilre$ilhSccriotr7{XX))orDni\i,n:l
ol rhc Busircs i.d Pmlt$ion!Codc. fri nry liccns i\ in tullnrcu{l.rlrcl
CO flAUI:UANTENDING.{GEII:T
I ficEby orlm lnds Fnahy of l).d!ry rh.r rhce is . oinerhi hidiiB ,gcrcy ior ttE Frfoffi of lic wk for shhh lhh pqnn b
isiu.J ls.c.1097. Civ. C.t.
Ltfllca.NfDEc!$all0!
I hor$, dlim hd$ ptnalr, of r,.rrry onc orrhc rulhwii8 d.clmrhns:
Dc.ulitnn PcnnnsAsbc{os Notili.ation ljcdcrulRcsulutions ('fill.40. PDn6)
-Rcquircd
Lencr ol Norilctrri,r
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cc.rif, rhd ltc feddal rcE]lhtioB esdding $h.sros rcmlal @ nor amliclbL b fiis Imj.{
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c.nify lhrr I harc cad lhG .pplic{ion ud shlc ln{ dE sboE inforrErion is oNl. I agre lo @tply whh .ll Cily .nd Counly
oidiones lnd srarc L,qs rhlirg ro building coBnacdo.. old h.rcby aurlDna Epr.rc.rariEs of rhis cny dd cout, !o cnre DF. tE
aboE ftnrhEd pm& y fo inrD.crion prpor'
Amli.anr or Agc.r Si8ndurc:
Vents
Hood
Meter Release