HomeMy WebLinkAbout40132451 - PermitCity of Santa Ana
Permit Counter; (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical
Project Address: 938 W Riviera Dr
Assessor'sParcel: 001.222-08
Unit:
Block: NA
Bldg:
Tract 2053
Address Range:
Historic: No
Suite Range:
Zoning: R'l
q
Owner:
Address
Conlractor:
Address:
Service Champions
3'150 E Birch Street
Brea, CA 92821
17't41777-7777
F€e Type
01'116002 51604 Alter Vent Sys
01116002 5160C General Plan Update
011 16002 51604 lssuance
Amount
43.62
22.O8
55.04
Fee
$43.62
$22.08
$55.04Phone
Tenant Name:
Phone:
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #; 196430
Workers' Compensataon lnsurance:Carrier: PacificCompensationlnsuranceGompany
Policy #: WA00050703
Expires: 0312212019
Bstchi:45299 - 8/9/2fi18 I0: LR0SALESoffice: CTYII fr(nsi: 16 1 sf 1Accti: R€f+: 4r-r1324i1
Rcptt:02351393 - 819/2(r1g 3:59 Pn
Tronsoct aon fotdl tl':4i,74
Service Choap ions
Generol Plan Update Fee
011t6002- 5t6o&m0-
llechon icnl
01116002- 31601000-
ICL Check 033{3s
i??.08
t99.66
$Izt't.7 4
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
Vent System
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 2016 Notes: Vent.alteration
Date:
Datel
Oate:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa
Every permit issued shall become invalid unless the work o.l the sile
authoized by such permit is commenced wilhin 1 80 days aftet its
issuance, ot il the work authoized on the site by such pemit is suspended
or abandoned for a pedod ol 1 80 days after the time the wo* is
commenc€d.
08/09/2018
Account#
$120.74
$0.00
i120.74
MID#: 2018-145302
011 16002 51600
011 16002 51604
$22.08
$98.66
Permit #: 40132451
Pin #: {0255
Lot: 13
Andrea Fairbrother
938 W Riviera Dr
Santa Ana, CA 927061545
(7141321-564/.
Qty
1.00
1.00
1.00
Fee Total
Paid to Date:
Balance Due:
lnspector
MECHANICAL.INSPECTOR RECORD
APPROVALS IDiSIG.COMMENTS OWNER AU&DER DELCARATION
I hcrchy rllirh udd Fnahy of lcrj!ry thar I cm cicmpr tum the ConrBtoF Licen* Liq for rhc lollosing een (Scc,70ll,5
Businc$ arld Profcssion Codc)r Any Ciry.r Counry *hi.h ,cquncs 3 F1ni ro oNtru.L 1116. intl,ove rhmlish or EIat cny
stddB. pri,r lo iri issue.. ats rcquircs rhc.tpli.er ro! such p.mh ro ,jlc a siercd (dem rtal lE or slE is li.cnsd Irls.r
ro rh4 Imvhions of rlt Conr6croas Lieisn ljw (Ch,pl6 9. Commming wilh Sccriotr 7000 of Divisio. I ol rlr Busin.$ nnd
Pofcsrioni Codc) or lh.r h. or ihc iscxemfl rhcEiiom $d rh. basis for r hc slleged exe mfl ion. Anyviddrii,notScdionr03l.5byooy
lmli.anl for a pernir iubjNl! rhc amlic.nl ro { civil ncMhy of nor mc lh.n firc hundrct dolld (1500).
-1.
N owmr of lhc ropny. or my cmployNs {ilh w!8cs as thcir slc .ompcnslion. *ill do llE wk rid 0E nnrlm ir ml
intcdlcd d.ftcEd for sle (Se.7Ol4, Busircss lnd h.fcsions Codc, Tlc C.mr&r6Cs Lien* tlw docs nor 0Fply ro .n owmr ol
lhc pmFny who blilds or imtmws rlten. ltd who dc $ch sll( ninlsclf or hcrslf or ltDu8h th o llcr oq cnphycc.,
pmvidcd that such imlrDwmnls 4 ml i.l.nd.d or offlEd for src. Il rNcwi lhc hiildir8 or inp,ovcmnl is sld airhin onc Fe
oa.o'qilcfion. tlr O*tur Au d.r *ill h8r dr htdcn oaFDvinB tlEr lE or slrc dil mr hiild or inqNr tlE FltEly f6. tlE lupoc of
-1,
asosncrolrhe pnperry. rnexclusilcly.ontracrins wirh liccnsd.onrr!.r.nr. on$rud rh.Ia,]..r (s.c.7044, 3usrc$
ard Pmi*sir. C.d.r Thc conir{ciols Liccnsc L,w dds Bn.rply ro !n o*nn ofrop.ny*ho builds or imlmlcs thcr.on-
a.d *to coirels for s!.h ,ftj.rls *irh o ContrEro(, ltcflsd !u6u ro rhc Conrncrols Li.cn* L!s)
-l
mcremt und6 Sfttio.- B, &P,C. for lh]s E.son
lr r O{Nr
!I}Bf,E8S:IOMI!!SAIIONp&cIdSaII(a
I lrrcb, lffirm u nder pcnalty ol pcrru.y od of rlE followinB daladrions
-l
h.r strd will minl.in ! Cmifrdc ol Corsnr r. Sclf-ln!!rc for 6rkss dmrcnsdion. e pbvid.d for by Sn on 3700 of $c
rlbor Cod., for t,E Frfolrrm of rh. mrt for $,ntn lh. p.mil is k.ud.
_lhuvcatrd*illmaintuinso cncom!..!!lioninsurancc.0srcquncdnyScclion:lT0OolrheLihorCodc,fttrrhcpc,tortuccnt
lur trh(hrhF Nirnr N r.uc{ Mvsnlln\'!ornNtr\dmn 'n.u.u\crJnicr J'xtrricynun /^ a/F, u
/-U A C-O--O o'z o4
-l
eniry $at in rlE pc.rormE 6l rlE wort lor whkh rhk pc.mn is iliucd. I shall rcl .nDl6y any Fm. i. $y lMmr
s a3 b tEofl subj.rl lo lhc mrt6 omlens.lion laws ofcllfomia. d {ge th.l if I snoukt.omsubFl lollE
workm corr..salior pmvhions ol Sc.tion lT0O of lnc htjor @c, l sttrll. fonhwnh omrly Bilh llns tmvisions..
WARNING: Fdilurc io sm work rs coryEnsrion covcngc L, unhwful Md stall subt{ cn l.y!r lo siminal Fmllts and
.ivil fincs ur lo oft hundEd thousnd doll,s (Sloo.0ur i! addhion lo rlE cosl of onocNrion. d.m*cs 3i DbvB.d ror rhc
z_
IICEISEDJONIIACIAB
DEqIdIAION
I hcrc$y !fftrm lndcr pendry of l*rjury thdt I an liccn$d undn previsior ofchsptq 9 (onfttuins airh S€cion Il00) of Divtion l
ol rhc Buiin.ss dnd Pmfcssio.s Cod., n ny licctr* k in full foN and cnicl
c €7/)Z
IONjII&JEIII}NItrNDINC.dIiENII
issrcd (Sc. .1097. (ir C.).
APzuIAN[DEEL$AIION
I lrnti! ]llldrdndrr Ittrrlrt olprrlury one of rhc lnlkNing dr(larti{,n\
Do r)lirn{ Pcii ir\ \b({oi Nooh.drn'n rr&nl Rcgrhrii,n\ (l irlc 10. Prl6)
ItquirL.d I-c(cr ol Norh.nri([
_l c.nify thol rhc fcd@l ..lularioB Ee(dirB sb.sloi rcmval e ml aptlh.bh ro rhi' pDirt
*l ccrlity ihal I h.vc rcod lhis lic0lion ond srurc rh rn 0bv. informlion iscorccr.I !8rc ro conpurntr-all Ciry cod Colnry
odinntucs and srd. bws rch(bu itd in8 .o nslruct ion. od ho.by aulrhrie rcpFsnhlivcs ollhis Cily and Coutrry ro cntcr upotr r,E
alnrc nrnr iomd
'mpcny
for lz /
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
T ype I Hood
Type ll Hood
Grease Ducl
Fire Damper
Openings
lnstallation
F.D. Drop Test
Rough Mech.
Final Test
Meter Release I I
FINAL (/L1 \g ,,{lJt4 r 0
Notes, Remarks, Etc.I I
DATE
Above Hard Lid
Above T-Bar
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