HomeMy WebLinkAbout40132504 - 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
Mecha n ical Permit #: 411132504
Pin #: 2177lJ
Proiect Address: 1422E Cherrv St
Assessor'sParcel: 396-253-32 Lot: 10
Unit:
Block: NA
Bldg:
Trccl:7481
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address:
Contractor
Address:
Juanita Vazquez
'1422 E Cherry St
Santa Ana, CA 92705
Builder Services Group dba
475 N WILLIAMSON BLVD
DAYTONA BEACH, FL 3211.
(3861 304-2222
Foo Typo
01'l 16002 51604 Furnace/Comp Combo
01'l'16002 51600 General Plan Updale
01116002 51604 lssuance
Amount
126.90
22.O8
55.04
Qty
1.00
1 .00
1 .00
Fee
$126.90
$22.08
$5s.04Phone
Tenant Name:
Phone
State Lic #: 1034361
Lic Type; B, C-61, C-2, C-20, C-33
Bus. Lic #: 368185
Workers' Compensation lnsurance:Carrier: ACE AMERICAN INSURANCE COMPANY
Policy #: WLRC4858147
Expires: 06/30/2019
$iii:3b1,$i6Hfigfi&: ."-
llechon icol
0111600?- 51601000-ICL Check 0ISq0
422.O8
l18l .9{
t3tt5,?3
Building Use:
Job Type:
Nature of work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
A/C change out
Gomez, Pedro
Chavez, Dave
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016 Notes: Replacement of existing A/C system. Same lcoation.
Like for like.
$204.O2
$0.00
$204.02
08t22t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
<-'ra'.4
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days aftet its
issuance, ot if the wo* authorized on the site by such pemit is suspended
or abandonod lor a peiod of 1 80 days after the lme the wo* is
lnspector MID#: 2018-145585
01116002 51600
01116002 51604
$22.O8
$181.94
Fee Total:
Paid to Date:
Balance Due:
Planning Conditions: Approval for A/C conden3er change out only, like-for-like. No other work
permitted.
SFFi:;:'Efifi - i#1i1:,:r, rD, LR,'ALE.
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'
I ronsqct ion Fotol g:j :;.9J
Builder Services 6rour dbn TrLr
o8122t2014
Account#
Date:
Date;
Date:
MECHANICAL.INSPECTOR RECOHD
APPROVALS DATE ID/SIG.COMMENTS OWNER trUILDER DELOIRATION
I hcrctry .mid undcr F.a[y oi pcru.y $d I m cxcn 6on rtc Conba.lou Li.cns rjv aor rhc followinS Easn (S(.7o31.5
Busiflc$ Bnd Poitssion Codc): Any Cily or Counly whi€n Equn s . pcmil lo clisltucl. altti inpro!.. dcmlhh or qEn 3ny
sltucruc. prtu ro irs iss!M., aho Eqlircs tlE lppltet for slch !.ml ro filc a signcd slaLm.i thd lx o,3& is lie.*n purucnl
lo lhc pmvisions of r Conlrccln s Liccnkd trs (ChrlLr 9. Conmming whh Scclion 7m0 of Division I of lhc Busimss ond
Prcfcssiors Codc) or rh lE or shc is q.n{,t rhcEiiom ad tne barn for rlr rllc8ld crq,rion. Any liolarion of Sdrion 7011.5 b, any
opplka.t for a pem subjcts rhc aptlic. ro r civil I'cmhy of nor mrc rhan lir hundr.d dolldr ($50O).
-1.
s owmr oarh. Irlpcny. tr my cmplortrs {irh *!gcs a rh.E sk orp.nsdion. *iI do Ih. wlt ed tlE sfirciE b mr
i eid€d or ofrcrcd lor sL (Sd.r044. Busi*ss ud Prolcsbtu Codc: Tnc Colnrelor's Liccnc tlw d@s mt qply lo e owffi ol
rrE Fop.ny *ho hild. or inprDB E6tr Md who dc ffh s* hituclf or lEBrf or rimu8h hi or lE o*r chDloyc.s.
pbvidcd rhi( such inpokc.s m et irt n&d or onc,*d for sb. lt howei tlE huildnl8 or inpbwmnr is $ld within om )@r
of@trOlcrion $e Oei6 Blil&r eill hrw rhc h!&n ofrmving Oar lE or shc dil nor t ild 6r inprew 0E pblEry for dr plrFs of
l. asowrcrofrhe I,orrcdy, amci.hrihlyd 6dins *ir! lieo*d conrrdor ro.dniMr rh. pmlyr isf.7ol4. Busns
!n! hoEssiotr Codc: The Conrractol. Liccn* l-!w docs n.t olplyio an ownc. ofproFny sho blildr o, inp,ovca rhcEon,
d who (nrturi for rlch Imjftls wnh a co n ro(o licenscd tu6@r ro rhc ConrR.locs Licc.sc tls)
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aocxcmfl !d.r Setion- B. & P.c. forrhn l.en
Lxl0 r)rn.r
!A8f,E8E:C!IMIESAIIqN
IECII8AIITN
t hcrcby irtrn lndo p.nqh, of rdjury one of fie aollowinE d(larfions:
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narc !d will dinr.in a C.nifaor. of ConFir ro S.lf-lnsE fm *dt6s oqrtudioi. er Fuihd for b, Sdtaor l7{l0 of dr
tlh(r Cod.. fo, lhc FrfolM. of lhc mi( for which lh. Fmir ii i!su.d.
_l hovc lnd aill Dainrain workcrs cohpcnsatn'n insunncc. !s rcquircd b, Setion :17fl) .f rh. tiho. Codc. for thc pcrftrMmc of
rhc so {or *nich rhh p(mrit is i{rkd. My $orkcn compcnsrioi i.sldna cldcr d l6lhy ouobc, m:
lrs ,4te-' -;"
't ttt t.|74
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eniti ${ in th. F.formnc. ofthc worl lor which $is p.rni k i$!cd.l shlll nol cmploy an, FRon in lny mnM
s N ro tEnm slbrcl b rn porth otr'pcrsrion has ofclliaomio. dnd .aB lhd il I ihould b..om subjer ro tlE
mrtctr' compcnsorion polnioN of Sdion l?00 of llE t bor Codc. I dEll. fonhqilh odrly eilh llte povirhn...
WARNINCT Failurc lo s.tric w6rkc^ 6n .nsarion.ohagc ir onlDsrul. .rd sh l subjcd m cnrhrr ro siminol Fnlllics and
.ivil nns up ro oN hundrcd (hournd dollds ($l{D,I{,$). in a.tdiri.n ro r tun, damgcs N prolidcd for lhe
Setio. 1076 ollhc Lr!.r C.da inr.r.q Md rrrrmy\ les
,rn, ?/Z .,-hv *
UCEIIEDJONI8ACIOB
DEILAEd.IIAN
I hcEhy affirm unrlcr pcnalty ol !'crjury thar I am licensn undcr pmvnion otCh.rlq9 (conrmmios wirh Sdlin Tlxlo) ofDivi\ nl
ol rhc Ausircs Md P$fcs(ions Codc. ffd my liccnsc is ii full foMnd cifcct.
i""n." Nuu,t ,,
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coNsrxucrllNrDlll$rc-acfNlr
I hcrcby a,ftmnnncr FmltyolFrjuryrhol lhsc n o c.n(nrrion lcndins aaen.y rhr lhc psforroncc olrhc sorr lor $hi(h rhn Fnni' i\
isu.d (SLr 1097.Civ C )
AIfLIIANLDICLASAIION
Iffiylnj undc. pcnrlty olpcrjury orc ollhc follo$inB del!.atio.sl
Dcnlnirbn Permih AshcsrosNotific(n,. Fcdcral Rcsola'ionr (Tnt *)- Pd6)
Rcquncd bttcr of Norifi cotion
l$niryrh,r rlr r.dcrar rclulnrrns rcsddnrB $l. (o\ rc n,v!rd. nor iplli.abL b lhk roJcr
C (Ltn'lJrhJrItu'rrn,.lrhtrunnl'rrrrtnrrln.rh. rltrblc inturnurim n.urc.r.Irsr.rro...r yqithallCirya.d(ounry
ordi'rnccs rnd Srric l,rw\ rlatin8 h huildin8 con{turrn[ a.d hcrh]nurhori2d rctr.sctrrdivcs ofihis CirynnJ Co!trry k) cnrcr up.tr rlr
abotc m ioned Dbtany fo. iBpedion pnrrDs.5,
eWtiur, o, a*n S;g^*L=&4 ^., il./tt
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
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
lnstallalion
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL {a,t/r*iNiS
Notes, Remarks, Etc.
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