HomeMy WebLinkAbout40132407 - PermitCity of Santa Ana
Permit Counter (7141 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechan ica I Permit #: 4lD132407
Pin #: 32981
Project Address: 2732 N Olive Ln
Assessor'sParcel: 002-283-07 Lot: 30
Unil:
Block; NA
Bldg:
Tract: 2089
Address Range:
Hisloric: No
Suite Range:
Zoning: Rl
E
Owner:
Address:
Jeannette M Walder
2732 N Olive Ln
Santa Ana, CA 927061161
(7141972-9490
Basic Air, lnc.
1157 Salinas Ave.
Costa Mesa, CA 92626
17't4l 4694542
Fee Type Amount
01116002 51604 Furnace/Comp Combo 126.90
01116002 51600 General Plan Update 22.08
01'116002 51604 lssuance 55.04
Qty
'1.00
'1.00
1.00
Fee
$126.90
$22.08
$55.04Phone
Tenant Name:
Phone
State Lic #r 909834
Lic Type: C-20
Bus. Lic #: 347450
Workers' Compensalion lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9086207
Expires: 1Ol22l2O1A
Botcht!{S!47 - 8/2/2OrB I0! LR0SALE5office: CTYH Tronsi: 17 2 ot 2Accti: Ref+: 4 r-rl3?487
RcPt+:02346697 - 8/2/2frr8 !2|fl pn
Tnonsoct ion Totol tSIS.D4
8ns ic A ir, Inc.
Generol Plon Updnte Fee
01116002- 51600000-
ilechan icol
0u 16002- 51604000-
Viso
CC+: **rx**r***rI878B
_ t2?. CrS
_ $181 .94
i378.tr4
Auth +:00?961
Building Use: Single Family Dwelling
Job Type: Alteration
Nature of Work: A/C & Furnace
Occupancy:
Constr Type
Code:
R.3, U
VB
cMc 2016 Notes
Planning Conditions: A/C IJnit ln Rear Yard
Planning Approval By
Plan Checked By:
Permit lssued By:
l\,4 , Melanie
Subject to Field:
Building Permit #
Every permit issued invalid unless the work on the site
authoized by such pemit is commenced within 180 days after its
issuance, or if the worl< authoized on the site by such pemil is suspended
or abandoned for a period of 1 80 days aftor the time the wod< is
comfietved.
ouoa201a
Account#
S
Date:
Date:
Date:
04to2t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$181 .94
$204.O2
$0.00
$204.02
MID#: 2018-145099
01116002 51600
01116002 51604
Fee Total:
Paid to Date:
Balance Oue:
Contractor:
Address:
lnspector
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL /o/r/,(Z/1/1^ rt).-'o-..'
Notes, Remarks, Etc.
OWNER BUILDER DALCANANON
I hcEby afatrn under pcnrlty of p.+ry th,t I u cxcmpl fron lhc .Inlrulou Liane L{* for ltE follo*ing @o. (S4c.7Ol l .5
Arsituss snd Pmfcssion Cod€): Any Cir, or Cou y shkh r€iunes ! poni ro fti$ru.r. dI6. inlmve. &mlish or EFir my
siru.t4, rior ro irr isswc, 0ho r.quiEs ihc q,pli.&l lor .uch Fmi lo lil. ! riemd nllcm rnlr lE or sll. k lien*d lu'.er
16 rhc preisionr ol rli Cofituror'. Lien*d tle (Ch!rr4 9. Con@eing wirt sdioa I]m of Dithion 3 of tlE Busincss ud
PDfc*ioi. c6dcl or rhll lr o sh. is excnpl lheELoo rnd $e bosas fo. lhc .1h8cd cx.m!lio.. Anyvblaliq{ofsc.lion?0ll.5byan,
.ppliclnl loru tEoi subjet tlE amlicel lo r.ivil pcEliyof nol rurc lhd fivc hundrcd dotl&s (5500).
-1.
&s @ncr ot ir lolEny, o, my cnplole. snh e!C.r as rhe ir c,lc conpcnr.'n,n. *ill & ltE *ork 5d lh. ntutr is ml
i.l.rftn or offcrcd for eL (Sd.?044. ausircs ".d EDf.sionr Co.ts TrE C.nrftroas Licn* L3w.tEr nor sl,Ily ro 6 ower of
th. rrepcny wh. ttrild\ or iqmEs rLmn. aod w'[ d6 sh slt timsclf o, hcMlf or rheugh hk d her osn .mplorrcs.
pmvidcd lnli su.h impmwmnG N mr intcndcd or ofiird forst.l( tFrcrcr. d. buildina o. irymEmd is $u whhin.m rBr
ofcon{'lctioll rtt Osnq BuiLhr pillhlrc,E hud.n ofpro{lg tlur hc or stE did mi hoild or inrroE tn pmFny for tu pu4bc oa
I. s owkr or,hc pi.Fny, n.xclusivclyconlr.cling wnh li.cnscn conlrnclos lo consr€l ltu rmrcl (Sec.70a4, Busnc{t
lNl PirGsion Codc: Thc Conllmlols Licens Lsw docs nor olply lo an osflcr of pDlcdy who builds or imptovcs thcron,
,nd who conrreri lor s!.h ,6.iFrs wirh a Conhdo(s) liccnscd ,usu,nl lo rhc Contmctois Lia.s tip).
I sncicnDr hdcr sdion ,B.&PC lor rhir Me.
EABf,EBa..CI}MIENIAITQ!
DECI,AMIIO!
I h.rcby am.o uoih, lEnally ol ldjury oE of the followi.S de.l@dons:
-t
hrw .,n will mintii, . CcnifEsre of Conrnl ro S.lf.lnsure for *ork6 onDcmarhe a p6!i&d fo, by Se'ion 3700 ol lhc
L$or Ciilc. for rhc pcrform ol
'hc
md( for shich thc pemi & i!s.d.
-I harc and will minhin worlcs ompcnsalion insur.rcc as r.quir.d by Scclion 3?00 of th. L.bor Codc. aor lh. pcrr()fuc ol
thc wmt for pnkn lhis Frmil is issucd. My *ortcs €onqEnslion i.slEtc dtrir !t polic, rumlEr 4ei
Poli.yNu rlrr:-lixpirc\
WARNINC: ljailurc lo scurc uorkcs compcnsario. corcmse is !trlasa!|, !'rd \hall subirr an cmpk)r{r ro rir Dsl !c ri.s and
civil lincs up lo onc hundrcd lhouslld dollm dp.nstion, &mecs {s prolided for lhr
Serion 1076 of rh. lrtfl CnJc inr.rci 3nd
DECIJf,AIIO!
I hcEb, afiiri !.d( p.@lty of Frjury rhal I an liftnscd undn ImvGion of 9 lconnEncins pilh Selion 7000) of Divkion .l
of thc Ausincss !trd Pn,fcssions Codc. {d my
c-01 83
I h.rhy ir'lirr uMcr Frrkyorpr.jurylhal lhcrc h a comrrudion htrdin8 ascncy t)r rhc rcrforonc. orrhc w.rr 6t *hkh rhh lc,nril is
h\ucd (Scc -10'17. Ci!. C )
ATIITCANI.DES.AMIXA
I he!, an'or udc, F.rlry of Ftiuy om of rlE followi.S dckBlio.3:
Demlition P.rnire^sbcstos NorifMrion Fe&rrl R.albrions (Tirlc.l0. P3n6)
-Rcquircd
llllcrof |iorifuion
MECHANICAL.INSPECTOR RECORD
Pre-lnsulation
-l
crnify rhar ii rhc nclforturc ofrhc wor* for whth rhis rcimi h irlucd, I shlll nor eq)loy any pc6on in ony mmncr
tu as to tEcom rubjcd lo lhc worlcl omp€nelion l,es of Cdiaomio, lnd nBEc lh ifI should li{oft $tj6r lo ttE
M{.rs conFoslion pmvisioos of Sccl io. l?00 oi lhe tihor Cbdc. I duu. foflh*ilh cohply qith lho's povisionr.
I fcdcml rc8lhlioN ESardin8 sbcslos rcmvll lrc nol al,Pliobh ro rhk pmF..
I
lndCounlylo.nr.r trF'nrhc
Pn'Irn, lnr in\Ii.(i,r !urI,*r.
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