HomeMy WebLinkAbout40132541 - PermitPermit #: 40lt254l
Pin #: 23.263
ProjectAddress: 3217 S Park Dr
Assessor'sParcel: 410-263-01 Lot: 35
Bldg:
Tract: 6906
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address
Contractor:
Address:
RENO, TORI
3217 S PARK DR
Santa Ana, CA 92707
(714) 5s7-9987
Dynamic Air Services
21088 Bake Parkway, #104
Lake Forest, CA 92630
(7r4) 804-8886
Feo Type
01'l 16002 51604 Furnace/Comp Combo
01116002 51600 General Plan Update
011'16002 51604 lssuance
Amount
126.90
22.08
55.04
Foe
$126.90
$22.08
$55.04
Bat{h+!{5649 - g/2?/:!tjtg ID: 1pgg6gg.0ffire: CTYH Trons+r 7r ? of 2-Accti: Ref+! 4r:'l32r{lRrpti:02365235 - 9.-i9,11,19 4;.11 t'Tronsoct ion ToLol S,iril.g.i
Ognot ic Air Service$
$?2. t:rg
t181 .94
Qty
1 .00
1 .00
1 .00
Tenant Name:
Phone
State Lic #: 753286
Lic Type: c-20
Bus. Lic #: 358671
Workers' Compensation lnsurance:Carrier: Mid-Century
Policy #: A09484152
Expires: 03/01/2018
Generol Plnn Updtrte Fee
ul116002- 5l60tl0rltt-
t'lechcn icol
0111600?- 51604000-
Viso
CC+ ! **r*i*r*****99Si
Notes: Per contractor, this is a change out.
$3(r5.93
Auth +:07610G
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
A,/C & Furnace
ki Teri
Occupancy:
Constr Type
Code:
R.3, U
VB
cMc 2016
Planning Conditions: A/C on side yard.
Planning Approval By: Gomez, Pedro
Plan Checked By
Permit lssued By
Subject to Field:
08t2912018
Account#
B
Date:
Date:
Date:
08t2912018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Building Permit #
Every permit issued invalid unless the work on the site
authorized by such commenced within 180 days after its
issuance, ot if lhe wotk authorized on the sile by such permit is suspended
ot abandoned for a peiod ol 1 60 days after the time the wo* is
commenced.
$22.08
$'181.94
$204.O2
$0.00
$204.02
MID#: 2018-145763
01116002 51600
011'16002 51604
Fee Total:
Paid to Date:
Balance Due:
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Mechanical
Permit Counter: (7141647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Unil:
Block: NA
Phone;
lnspector
MECHANICAL.INSPECTOR RECORD
ID/SIG.COMMENTS
Appliances
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Meler Release
FINAL lP l1 Tl:y'M.tt z/->>)
Notes, Remarks, Etc.tut
OWNER BUILDER DELCARATION
I herchy uflirm under pcmlry of p.rjury rhar I m cxcmfl !is'n rhc Conra.ro6 Li.cn* I-lw fo, rl'e followitrg r.!sn (SR.7011.5
Busin s and Prolesion Cod.): Any Cny or Counly whkh Equir.s ! Fmil lo conslru.l. .llcr. iry,rclc d.tuliih or rctEi m,
sttu$e. Fior to ns hsuoe. rho r€quircs rh. qDltlnr for seh Fmn lo fiE a ii8*d slarcftnr rhlr lE or eh. i! licchen IUI!@L
ro lnc p,lvhions of tlE Conrmcrols Lkcn*d &w (Chapr.r 9. Comming wirh S.crion ?Om of Division I ofrlE Busincs lni'
Pmlcsions Codc) or rh.r hc or she h cxcdpr rh.elioh aid lhc b€sn lbr rhc rllcBcd cxcnflion. Any violario,r ?l Sc.lion 7o3l.5 hy !.,
opplicr lor r Frnrir rubj.cri rhc ap,,licanl lo acjvilpcnrlryofnol noe rha. tive hu.drcd dollm ($50o).
_1, as owrcr of rlrc Fotf,nr. or my chplorE6 wirh wl8cs !s rhcn sh mtr{E.s8rio.. oill do rhc rdk r.d th. srEru. b mr
i&nd{d oroffercd for sh (Se 7044. BusiEss and Pmf.asions Codc: Tne Co ,elor's Li.cn* t w do.s nor ,pply lo e owd or
rhc pmpcny whr brikli or itrq)bK rbcftn. 0rd who des kh fr* himsclf or hoslf or lhmuSn hk or ncr own cq,loyccs.
tbvidcd rhar such impmhEna m tur inrcd.ndoit@d tor sb lt tbuMi tlE brildi.S or mprorcm.r is $U whhin orc rsr
of conFlcrk n. rhc Owmr auiE . *ill &r rlE hnd.n of tmvin8 rhar lE or shc dA mr hild or in{,ow rhc |fDpqry f6, iE pupos oa
-1.
as o*icr of rhe Iml,cny. an.r.hsilcly onractins enh liensed conft.roF ro ..nsru.r lhe lmje{ (se. 7044. Busim*
ord EdskrnCode: Thc Conrmror's LiccNr t w docs.or lpply to !nown.r ofrroFnyrho blilds or idlloves rher6n.
and who conrrcls aor s.h Ircitls sirt a Conl@ro(, ltcnEn p!6u!nr to rnc C.nuado/s Liene Lls).
-l
m.xcnrpt und$ Sd
UOASESE.COUEENSAIION
OEEI.AEASS
I hcrehy atfirm und€r p.nalty of pcrhry onc ol $e ,ollowinS d*laanions:
-lh!v..
will mintoin s Ccnificlrc of Conscnr b Sclf-lnsuc for wortes smPctrstion. &s pmvidcd for by S(rion 3700 ol lh.
t:t r Cod., for rh. Frfolr]1!re of the wolt for which thc Fmi is hsucd.
-l hsvc and will manrlain *orlc6 comp(nsrtion i.surnncc. as rcqlncd by SNtion 3700 of lfic ljbor C.de. tu rhe Ffomm. of
lhc *ort aor vhkh lnls !.rmil is nMd My *orlcl .ompcnslion insunna caEicr !d poli.y numbd @:
-l
ccniry fiat h thc pc brnnrc. of lhe e.rt for which lhis p€n.il k isslcd. l shrll oor cmrloy sny ,l.aon in eny nmmr
sr arro b.d,e rubjrcr ro rhc ao.*m mnrFneri.n hqrorcatiromi,, md aerc.lhar if I should h.{onrc subjccl lo lL
w.lkdc .onrl.6mri6n pbvisions or Sdiion 17fi) ol lhc lllrr CdL. I *h,ll. fonh*ilh complt *nh thos tmvnionr..
WARNING: Fdlurc lo *curc sorkcrj conpcnsalio. ovcn8 i\ unltrwtul. ed sholl slbjet !. cmplortr lo oiminal FMhi.. 8nd
civil lincs uI lo oiE huf,dEd lhousand dollus i{r,, danuucs rs ti{tid.d l{n rhc
12qI
Drcli-&utax
I h.Eby imrn lnder p.tuIy of Jrrruy rh{l I ao lim{d !t*!.r l,ovi-rion olchaplo 9 (coImBin8 *ilh Selnn ?000) of Oivhion 3
of lhc Ausimrs a Prof.ssions Codc. ud my ,iccnr is in tull fom and crfEl.
LZO 753 L?L
/24 //
I hcdb, affird u.dcr Fulryof
hsucd (Scc lO97.Civ. C ).
th,r rhd. isa.\,nnrudhn hndins d8cfty for rhc pcdormm. oflhc vo* aor lhichlhh tErhi n
AIELI!TNLDElIiAJIIj)N
I h.rlny ilinn u ntlcr !.nrlrl ol Frury om rl rlr foll.sin!.t.lrrri{tr}:
Dcnn)l nitr P.nnns A\b.{.\ Norih.[($ I cdcril R.guhrt{! lTirl. J{) l'r6r
Rcqun(,1 Lc!rcr ol Norilicrri.tr
I ccnily lh.t rhc Ldcral nglltrlions Egadir8 rst stos romvd arc ml lpplic0blc lo lhG po,.rl.
i(ni ld inrcrhrr rtu nhrc nnnflndinr is comcr.l aeBlo.omplywirhall Ciryond Counry
.qrcs.rar ive\ of rhis Cily ard Cou.ly lo cnl6 ulbn lhc
,"", 8/zq/t8
lh n3 Avr* g br,?lia*<z
IAPPROVALSDATE
Metal Fire Place
Final Test
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