HomeMy WebLinkAbout40132518 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: 1714) 667-2738 lnspector Section: (714) 647-5853
Mecha n ica I Permit #: 4IJ132514
Pin #: 23896
Proiect Address: 2314 S Park Dr
Assessor'sParcel: 140-143-04 Lot: 4
Bldg:
Tract 2458
Address Range:
Historici No
Owner:
Address:
Contractor
Addressr
CECILIA NAVARRO
2314 S. PARK DR
Santa Ana, CA 92707
(714) 948-3935
lnter-City Energy Systems, I
1175 N DEL PLACE
Ontario, CA 91764
(5621 777 -1142
Fee Type
011'16002 51604 Furnace
01116002 5160C General Plan Update
01 116002 51604 lssuance
PE
DATE: ,1
NIlTAtr:
Amount
65.59
22.O8
55.04
Fee
$65.s9
$22.08
$5s.04
Qty
1.00
1.00
1.00
Tenant Name:
RMIT CANCELI.EDcon\State Lic #r 587709
Lic Type; C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensation lnsurance:Carrier: Zurich American lns Co
Policy #: WC03816460
Expires: O7lO1l2O19
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2013
c-
$142.71
$142.7',|
$0.00
rlir
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Mechanical
Notes. Mechanical
oa|2312018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit i$ued shall become invalid unless the work on tho site
authorized by such permit is commenced within180 days aftet its
issuance, or if the wod< authoized on the site by such pemit is susponded
or abandoned for a peiod ot180 days after the time the work is
commenced.
lnspector MID#: 20'18-145627
N/A - No Balance Fee Total
Paid to Date:
Balance Due
Unit:
Block: NA
Suite Range:
Zoning: R1
Phone:
Phone:
b-^
Date:
Date:
Date:-"r-r"M
MECHANICAL.INSPECTOR RECORD
APPHOVALS DATE COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulalion
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release
FINAL
Notes, Remarks, Etc.
OWNER BUILDER DBLCARATION
I hcEby .ffm un.hr Fnalry of pcriury rh l m .,cnpt iDn tlE C,ntabE Lkms ks for llE followiq EEn (Se7oll.t
Buliftss ord Pof63io. Codc): Any ciry or c,ury whih r.quiB a p6on b ontu( rx6. idprow, &rclish or q,.n uy
slrlknft, Fi,rro irs issuth. d$ (jliEs tlE.pplidr for tuhFmit lo fik r si8rEd $alm lhtllEo.slEGlidd Pursurr
ro rtE Foviriotu ol rhc Conrtulff\ LieMd t w (Cnr r 9. Coltmfting *ilh S.dion ?000 of Division I of Ih. B8,rcar ud
Ptufcssions Cod€) or rhlr tr or llE t! dcmpr llEEfroo rrd ttE b.!i! for llt alLg.d dcmPlion. Ary violstion of Ssdon ?011,5 bI uy
sppli@ foraJ,cm subjer rhc lpplkat to r.ivil p.ElIy of nol mrc lhd fiv. hundrcd dolles (35m)
-1.
as own.r of th. peFny. m f,y etrgloyes *i$ q$cs s thcn oE comFns.lioi. Mll do lh. sott ard 0E $.f,1r n ml
intcdcd or oficEd for slc (Sd.?044. Bu.i!6s &d Prcfcmio.s Cod.: Tt Conractoii Lieosc Lrw do.s nol anpl, lo d owrc, of
rhc p6Fry who brildc or inprc*s d&Frr did wlb d6 sn w* hiru.ror hself 6r tntuld hh 01 hr own .,Ployccs,
novided $.r iuch in{m\4mnls e ml htcd.d or o,Lrd for eL.li rbetw.llI hoildinS or inpreE'l t $Id wilhin or Jte
ofotrpLlioll lt o'xtur Buit i vil hrrc th. hd6 of Foving lnd ,E d slE dil El hnu or iEprcw d. lmlmy for ilr pu!.$ of
-1.
I osmr of rh. I,ltBry, m crclusiwly snhli.8 *nh [ccn*d onrhdos lo oonrucr $. ,mjccl tsd. ?044. Bnrims
!!d ftDftsrbn Codc: Th. Contrutor\ Liccns kw docs.ol molyro @ owncr ofpoFny who blilds ot imprcws lhc@n.
8d $ho 6rrdr3 for sch pdF{ri sirh. Contraclo,{3} ltc.sd pus@l to rlE Cotueloas Li.rn* Lrq).
lm.rcmnr undn S(rrn ,B & PC, forlhirro{n
!!]AtrE8S:CAMPIXSAtrON
DECLAAATON
I hcrby affirm un{hr pcMlty of psjury oft ot1h. followin8 dclaElionsl
-l
irE un *ill mhr.in ! C.niff,.rc otc.Bnt b Scl lff for erk6 @np.ns.rion. s Pmvidcd for b, S€lio. 1700 of ln
lrbo, Cod., lq tlE p.rfmtu. otllE sot for whkh llE Fmir ir irsucd-
-l have rnd BiU tuinr.in *o*dr' conpcnsltkrn insrnncc. as rcquircn by scclion 3?00 of llr Llbor Codc. lor thc Pcrf('llrEre of
rhc work for whth thh p.mil is is$cd. My port6 cotrvEoslrhn i.surM. cet. dd lDlicy nunhd el
I ccnify lhal in llE pcrfnrm*. offie wo* for which rhis p.rmi is Gsrd. I sholl nor.mlloy rny Pcson in 4., tun$
s as ro tE€om sub.icr lo rh. workcrs compenslion la*s of Crlifomia, lnd +N rhtl if I thould tLrom slhi*i lo ih.
$od{sl coq*netioi liovisions ol Scclion 17(x) of lhc Laho Coac. I shall. fonhwirh con ly wilh llns nmvi4ionr..
WARNING: F.aluE ro Nrc *orlcr' ompenethn 6tosc h mliwtul. dd shlll s{bjtcl an cnlt)loFr lo aimind p.ehi* ud
civit nnca up ro.R hrndrcd lholsand dotler {5100,000), in rddilion lo ln€ cosl of conlEnntio.. dlm8cs as Prcvijcd fdr rh.
Serion 3076 of rh. LltDr tu., iilced a.d {,ri.Gy s fc.r.
l) k.: \IDli.rnr:
u(:lx$LlllNrnacrcED!o.4&trpu
I hcrchy nlltm undcr Fnnlryofpcrjurt th,r I m lidcn{al undcr pnrvisn,n or Chrfld 9 (.onnNtrcitrs *ilh Sccli.n'7{loo) orDivhi{rn l
oa rh. Businc$ r Pn'lcsrinr Gde. rxl nrr licci\. s h full loR! rnd etltcr
Conlr..roi-
ABELICANLDECIAXAUO]T
I h.dry afiirnr u ndc. rnrlr, o, ,.rju.y orc ol dc lbllownr8 dehrrt ion\:
Dcfrririof, P.rnirsr\\h.{os Nolilic ion F_edcral RcEuhln,ns ('Inh,$, Pan6)
Rcquncd t ncrof Norili.dion
l.cnifyrlrt rlr ltJc!trl rcsulsr i(,n\ r.p!diqqn\h.{osrcnmvdlnrc nor ntrplicrhlc t, rhir ri,)jLtt
-t
enilyrhlr I ldc rc l rhi\ rpplicarion.nd sldclhnllhu nhrvr iitunn otrkconccl t usre h d'mPlt wirh .ll Cily rnd Counlv
ordi.ln csrDd St.r tiws rcllliign'buildinA.onnflclidr. md h.rcby urhori,rlcprdcnhrivcsofrhi\CilyandCouniyrocnrdnlx,rrrE
.hovc mnrioncd l'lopcny {or insldr ioo purross
TAtpltd or ABc SisnaN
(ITNSTRUC I()N LIJNDIN(] ACTN(]I-
Ihcrcty rlrtnruidcr p. nlry.ll)crjrythd lhsc i\ rconnrudiotr lcndiisrgcn.y ror rhc pu'irnuncc otrhc work nrwhichlhn Pcnni n
l$ucd (scc.l0i)7. (:iv (.).
L{dr'\ NJir _
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