HomeMy WebLinkAbout40132465 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 4O13246i
Pin #: 82463
Project Address: 1531S Pacific Ave
Assessor'sParcel: 40A-273-04 Lot: 21
Unitr A
Block: NA
Etdg:
Tract: 4442
Address Range:
Hisioric: No
Suite Range:
Zoning: R2
1
Owner:
Address:
Contraclor
Address:
Roberto Rodriguez
1531 S Pacific Ave
Santa Ana, CA 927044312
(714) 546-6s31
Maravilla Foundation
5729 Union Pacific Avenue
Commerce, CA 90022
(323) 8694500
Fee Type Amount
011'16002 51604 Wall Heater/Floor Furna 65.57
01116002 51600 General Plan Update 22.O8
01116002 5'1604 lssuance 55.04
Qty
1.00
'1.00
1.00
Fee
$65.57
$22.08
$55.04Phone
Tenant Name
Botch+
0ff ice
Accf+:
:45360 - 8/U/z[rS I0r LRoSALES: CTYII Tronsi: 53 IRef+: 4 t|l32
Rcpt+:0235{661 - 8/t1lzttt& ?114
Tronsoct ion Totol t li ?.6
llorov illo Foundnt ion
State Lic #: 622969
Lic Type: C-36, B, C-20, HIC
Bus. Lic #: 199027
Workers' Compensation lnsurance:Carrier: Everest Nat'l
Policy #: CA10002765
Expires: 0710112018
of
461
PNI
s22.08
i 1?0. 61
t143, t:r(r
($0.31)Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Pemit #:
Duplex
Miscellaneous
Wall Heater
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016 Notes: Wall heater.
Date
Date
Date9/
Misc. Receipt:
Misc. Receipl:
Misc. Receipl:
Total
Chavez,Dave
Evety permit issued shall become invdlid unless the wo* on the site
authoized by such pefinit is commenced wilhin 180 days after its
issuance, ot if the work authoized on the site by such peflnit is suspended
or abandoned tor a peiod of 180 days aftet the time the worl< is
commenced.
$'142.69
$0.00
$142.69
lnspector
01116002 51600
01 1 16002 51604
$22.08
$120.61
Fee Total:
Paid to Date:
Balance Due:
Phone:
6enerol PIRn Updste Fee
0ll t6ql2- $1600m0-
llechon i col
01116002- 5160{000-
Cnsh
Chonse
oal14./201a
Account#
MID#: 2018-145391
MECHANICAL-INSPECTOB RECORD
APPROVALS DATE ID/SIG.OWNER AUILDER DELCARATTON
I hcrcby.fttrm undcr Fnally ol,,crjury lhat I m.x.hpr rmm rh. (1)nloclos Ltcnrc L3w ror the louowing rcrsn (5(.7011.5
Busincs n Prohstun Codc): Any Ciry or Cohry shth rquncs a tf,mir ro .a'nstrucr. alcr, in ovq &mlhh .r rlan M,
ir .rm. prhr ro ils is$afte. dho rqlies rhc spFlta for slch Fmi ro fiL a riSncd skrcmfl rlBl lr o. shc is licn$d ,uutrr.r
to lh. tmviihns of f, Contrclols Lic.n*d t:p (Ch.p'., 9. Commming wilh S.cthn 70OO of Division I of tlt Busin$s lnd
P,trtc$ionr Codc) or rhlr lE or rhc is cicdfl lncrcfroh ad rhe h$is for rhc lllcs.d cicnprio.. Ary violdion of Sdbn 7ol 1.5 by my
lppli.an{ for ! p.mit suhjkB llE at pliconl lo e civil FmlryorNllmrc lnln fivc hundrcd dolles ($500)
-1.
$ ovmr oi rhc t'roltny, or ny cfrpbrr{s wirh wlBcs as rhcn $b or{u.a' io.. sill do ihe wk erd th. siEtE is ml
i cnd.J or o(crcd lbr sl. (5(.7044. Busincs rd Pma.ssionr C.<lq Thc Cont|.dt Lkcne t w docs nol lprly lo an owner of
rhc pnrEfty who huilds or insrows thcNn, !.d who &Es uh mrt nimsclf o, ficrclf o. rtrcush his or hcr osn cnploy..s.
providcd rhrr such inproEmnre m nor intcndcd .i ofici.d for sh. ll tx,rNcr, rtr tuir na or itrpmEmnt is sld wnhin orc ycs
of.omnbrir, rhc O{ncr auiB$ will hrw rhc lrrdcn of rmvi.s rhd lr or shc di:l nor buill ., i.rpoh rhc ,mFiy for lnc pu{,$ ol
I. N oa@r orrhc rrctcny. oo.x.lusivclyconlr&ting wnh lkcdsd conrreronlo snsru€l llE poid (Soc. ?044. B8in$s
Bnd kr6sion Cod.: Thc ContBtoas Lic.nE L.* des mt slply ro !n own r of tro|)cny eho blildr o! inlrow! rhcMr
and eho @flEfi for such FEiFrs *nh a C6tn6d6(O |tccnsd pus@r ro ihc Conturd . Lia.s t2w)
I rtucxcnrtr !ndcr Sccrn)
lllxtrEBt:c0!IfEtarl0!
D[CI.A.8AI1ON
I h.rcby affirn und& Ic6,hy of p.rjury onc of lhc rolloving d.chnrioN:
I x6or Onl.. turlhcNni)flnu.. ol rh. $frk ntrshi.hrh. pcanir i\ n\urd
J hsvc lnd *illmintoin workr( comp. sution as r$unL{ by Sccrnnr l?m of lhc Llbor Codc. toi rhu pc(on@c of
insuruncc cndcr lnd policy nuhbq d.:
-l
an iay ttul in lh. plyrormmc of lh. q for which thh pcmn is issucd.I shall nor .mrio, !n, nc6on in tny nsmr
s rs ro lE om strblxr io ih. worttrc onF.erion h$ or Calilo..i& nnd r8er rhd if I sbuld hccom sbirl lo llr
eorr.B mrIrrurio. povkions of Sst ion l?00 or rh. tllr, Cod.. I \hall. lonhwifi omply wnh thos pmvisiotrs..
1V,1RN!NC: Flilurc t, flurc qorlt.^ on{rn\rrion.a cEEc r\ utrlxwlnl ni'l \lt,ll subjd ,n .nDlorr lo aininal lf,Ehi.\ ond
.r.onp.n{lion. dame.s as pmvidcd for thccivil nncs up ro otrc hlndrcd rhod\and
utENtrl)_cQlit3llrlolt
UlCIlBrllll)N
I hoEhy dfiinn uDd.r Fnilly.fNlury thd I inr li.ctr*l uM* tnurisn$.fCh.Ocr 9(.onnrrncing *ilh Sccri,n 70lx)) ol Divni,,n:l
ot rhr Ilr\inrs and Pbfr\si(nis Codo. dd nrylirci{ n ii tull for(ril(l,c.r
o"", \^5\\ .-,*""
II}ISIBICIIONJ.ENDIMICEIqT
I h.Eby.fi.6und.r Fnallyolperjury lh thcE h r olntuclion k.ding !8crcy for lh. p.rformk of rhctu,k for *hict $is tfmn i!
isrucd (56. 1097. Civ. C,),
N",iiyrhd rhr tcdcralrqulari,'n\ rusu.dins !\besro\ reflslil arc norrpplicrhlc h rhistue.r
rhlr I hnrc rcnd r his llpliclrion ord (0rc rhir $c fi,vc innnurbn is cotrcct I o8re b oDpl, $irh rll Ciry rnd couhr,
oilinaftcs ahd Sr|rc tiws Elnrint ro buildiig con io..inlh.rlbyaurhoizcrcprcsc divcsof thisCnyatrdCounlylocnlqlljonlhc
ovc tE.rioo.d pmFny lor in
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
l\4isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork 1.7 tlrllQl b cflk fa
Vents
T oilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.('r,Yl'otW ffi)
Final Test
Meter Release
tK---'
Notes, Remarks, Etc.
\
COMMENTS
Grease Duct
t1lr 0
FINAL \ln,\,k ?alwt
Sccrioi 3076 ofrhc libor Codc, inrce{ !.d unomy \,.",t^\x-\
lrndels Addles:
-
appr rciiil ii,tiiirF
I M,y3rm uodq pcnrlryof pcrjury onc oarhc roltowirS dc.lardiotrs:
Dcmlilhn ftrmiis.AstEslos Norificrtion rrdcEl RcBlbtions Onlc40. PlnO
-Rcqltcd
tlncr oa Ndaf{ ir
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