HomeMy WebLinkAbout40132392 - PermitCify 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 #: 40132392
Pin #: 5EO9Ett
Proiect Address: 151 7 N Linwood Ave
Assessor'sParcel: 400-242-22 Lot: 24
Unit:
Block: NA
Bldg:
Tlacl:2322
Address Range:
Historic: No
Suite Range:
Zoning; Rl
E
Contractor
Address:
Patricia G Hoiles
1518 N. Linwood
Santa Ana, CA 927012723
(714) s43-8838
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92865
(949) 885-0r02
Fee Type
01116002 51604 Compressor
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
90.19
22.O8
55.04
Fee
$90.19
$22.08
$55.04
Qty
1.00
'1.00
1.00
Tenant Name
Phone
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344216
workers' Compensation lnsurance:Carrier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D50E6310,|7
Expires: 1010112018
Eotch:
Off ice
Accti:
F€pti:
Rel+: {0li
7/31/2018 t23at77t.
:45097 - ? /3t/2913 I0
3 (TYH TrnnE+: 58
fronsoct ion Totol
Greenstqr Hore S€rv iceB InE
Generol PIon Updote Fee
0u16002- s16u9000-
tlechon icsl
0111600?- 51604000-
ICL Check 10313
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Single Family Dwelling
Alteration
A,lC Change out
Guevara, Jerry
Occupancy:
Constr Type
Code:
R.3, U
VB
cMc 2016
Notes: A/C change out.
Date
Date
Date
07131t2018 Misc. Receipt:
Misc, Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authoized by such permit is comnenced within 180 days after its
issuance, or if the wotk authoized on the site by such pemit is suspended
or abandoned for a period of 180 days after the time the wo* is
commenced.
07 t3112014
Account#
$22.08
$145.23
$167.31
$0.00
$167.31
lnspector MID#: 20'18-145030
01 I 16002 51600
01116002 5'1604
Fee Total:
Paid to Date:
Balance Due:
Owner:
Addressl
Phone:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
<2L'
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS O\YNER AtIII,DT:R DTJI-CARATIoN
I hcrchy rllrn uMrr Fnnlry (n Erjury rhat I Dn cxctrfl ln,n: rhc Cotrkd.ktri Licctr* ln$ nn lhc lbllo$iry rcnqr ls( ?l).ll 5
l]!\inc$ aRl Pofc\\nr CqL): Any Ciry or Counly tr[i.h rcquir$ ! pcn.il lo ('n(turr- llicr. inlpn c. dc x]|,\h or rcnar $y
{r!.rurc. l]rior r. (\ is{r n... ih. rqurcs rh. {tlicrnr i,tr (u.lr Fflnil b iL r siSncd srrcnrtrr rhd lrcor sh. is licctrscd Dursurtl
h rhr liovhi.n\ oirhc Conrtu.tn \ l-iccnrd ljs lchrptcr r. Co ncncing $irh Secrnn,70(x) of Dilili(,n.r orrh.8u!n.\ rnd I
I'tufc$ion\ Cd.tc)orrhrr h.or\hc iscrc rfl rhfi.liotrriiil rhc br\i\ Lrrhc rllcgcd cxcnrui(nr. Any\iolnriotrolSecrion?o3l 5h]rtry
u|],,1i(trllnrrpcanil\ulrccr(lhcinrlicanlIoacivill]cnrhyolnornucrholivchunrcddoll(\(35{x))
-1,
as owM of lh. pDFny. or my cnplorr.s with wdg.s 6 $cir sL @rpc.sarion. wiu rlo rlf woi( ! llE sl turisnor
inlcfld.t or ofrcEn lor qh (Se.7O44. Busincs od Pmacssions Codc: Tne Cm'lEcIor's Lic.trs L!* docs ml q,ply lo & oq( df
thc pbp.ny whot ill! o irpbw.lhcrtr ard *ho des sklt eoii hireltor h.elto. rhmuSh hi d hcr owr cnployccs,
providcd rhar su.I imprewtunlr d mr ill|.dkd 6. oficrd ror slc. lt hoEq, rlr hiuine m irprnwEfl i. $!d whhin om )E
of smpLlbn. thc Owmr Aui6n will lEw llE bu,n n of poving lhd lE or s'E dn ml hild or in{mE dE FotEry for llt lorFE of
-1.
&s owncr or lhc pm,Enr. r'n €rclusiv€ly conlr&.linB f,ilh lianscd conteror ro mn(tud llE rmiccr (S(. ?GE. Au\in6s
"nd PDlnrirn Codc: Thc Conhacrn\ Li..nsc Lrw doc\ nor applyro tr. own.r oaproFdy who builds or improves Ihcrcon.
ond who ontuls aor such pojc.k *ifi a Conindo(n lilcos.d pu6Mr to lh. G retoli Lic{ns Law)
, er crcrur undr SBrion . B. & P.C for'hE len
WON(ETS' COMPIIISATION
DECIAEAIIIIN
I hcEby llfirm undcr pcElty of Fdjury o* of thc folhwinS ddqolionr:
-l
h.ve an will minllin . C.rift.t of Conmr to Sclf.lnsor. for soteB @mD.Bari6r. a prcai(fi fo. by Sm&n 1700 ol the
kbor Cod.. for rhc pfiforn1fu of rh. w* for ehich rh. p.mir is iss!.d
I hnv.rnd will mrinrain workma compcnsdnr in{u.rtr.c. ds rqxircd by S.ctim l?m ollhc ttrbor Codc.lor thc pcrtor{ncc ol
rhc wor* lor whichrhisf.rnrir is Mywo.k c s rtcnsarion insnranft cmicr. I[li.y numbcr ac:
L,o-t-t*
-l
ccnifylhul in rhc pc.fonrotre ol lhc worl for whichlhis Firnn h hsucd,I sholl nor cmjrlo, ao, pc6on in lny tunmr
$ rs t, l,doft suhjccr ro rhc eorler conpcneri.n lass of C!li(,ni!, aid sg@ rhxr ir I shruld trcom subjct h rlE
wortc^ conEnsation lrovisions ofScclion 3700 otlhc ljtor Cdq ! shall. tonhwirhonDly wirh rh.* Fmvhions..
ull.llliul:aNrn crca
DIICLAAAITQN
I hcruty rinruntlcr Nnnlryol ri.ljury rhur I ! li.cn$dudcrpn)!i\i,,ooaCtuprdr91...rnri.ingwirhsc.rion7ux,ofDivi\ionl
oI rhc Bu\ircss8trd Pnrb$hns o)dc. lnd nry liccn$ is ir lnll loie andcfccr.
(s--->"17555e
,".,-.2:}J:1! conl-.,o'J.
coNuf,lJguoN.L[NDEclcrNl]l
I h.Ehy afiirn undcr FMxy or F jury lh.t lhft L\ ! con$dclio! Lndan8 ag.my for fi. Feformmc of lhc worl for *hi.h lhic taoi it
nsucd ( 56. 1097. Ci!. C ).
att,.lclNfuErl./t8tlr{Jl!
I lt[byiillmund.rlcn nyol Frjuryotrcoarhc r.llowin! dc.LrdDns:
DcnDlnion Pcrntirs Asbcsros Nori6c ion Fcdc.rl Rc8uhrionslTnlc.lr). Pan6)
Rrquircdt ($orNorifi.rrion
I .dify thit rhc t d.ral rcguLlions rcgard,ng !\b.{or rcmvdl m not aplli.rbk lo tht prujct
-l.cnify
thlt I hav. rcld rhis lptliurion a.d srarc rhd thc sh,vc info,mrn,n n coft.r. I lgB ro conrly wilh ou Cny and Counrt
odin0nccs md Slarc l,us EhrinS ro huildinS consrruclion.ivcs oarhn Ciryand C.lnrt l.r cnr9 uB{ rlE
nbovc m ioncd po!.ny for insl'ccrion
Arplicatr or Ag.nt Sitnaru6:,?-3t-t a
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I I
FINAL e tltt)t(ZtYl&b l/lz-"
Notes, Remarks, Etc.I
->
\!ARNIN(;: F ilurc k, scurc wo .ri comr.nsnrion .ovctug. i\ unlawlnl and shdl rubJe.r r cnlloycr ro oinnfil I'cdlic! n
.ivil findl!t h onc hundrcd rhou\lnd dolle\ (ilo).mo), ii rddirnnt ro rho co{ ol .onlll.nrdri(rr, drnqcs !s providcd f{tr rh!
SArnlr ru-h r ric Lh1C,{,. 'nr.ft\r r dLrr(+v'\hr.
^,",a4trX ^pp,i*,:x )rt> >TG.A<-r>
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