HomeMy WebLinkAbout40132333 - PermitCity of Santa Ana
Permit Counler: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mecha n ica I Permit #: 40{32333
Pin #: 32932
Project Address: 2215 S Parton St
AssessoasParcel: 015-102-04 Lot: 20
Unit:
Block: NA
Btdg:
Tract 1281
Suite Range:
Zoning: Rl
q
Owner:
Address:
Contractor:
Address:
ELDOA JERRERA
2215 S. PARTON ST
Santa Ana, CA 92707
(714) 396-3266
lnter-City Energy Systems, I
1175 N DEL PLACE
Ontario, CA 91764
(562\ 777 -1142
Fee Type Amount
011'16002 51604 Wall Heater/Floor Furna 65.57
01116002 5160C General Plan Updale 22.08
011'16002 51604 lssuance 55.04
Qty
1.00
1.00
't.00
Fee
$65.57
$22.08
$55.04Phone
Tenant Name:
Phone
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensalion lnsurance:Carrier: Zurich American lns Co
Policy #: WC03816460
Expires: 0710112019
4oo
.Tt
Building Use:
Job Type:
Nature of Work:
Planning Conditions;
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Fieid:
Building Permit #:
Single Family Dwelling
Miscellaneous
Mechanical
web user
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2013 Noles: Mechanical
Date:
Dale:
Dale:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$142.69
$142.69
90.00
Every pemit i$ued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 180 days ettet its
issuance, or if the work authoized on the site by such permit is suspended
or abandoned fgt a peiod of 1 80 days dftet the time the work is
commanced.
lnspector MID#: 2018-144708
N/A - No Balance Fee Total
Paid to Dale:
Balance Due:
Address Range:
Historic: No
07t1712018
Account#
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrctry affrm undc, p..ahy of lcrj!ry rhd I u cxcnifl fram rhc Conrados Li(M L{w for lnc follo*inB Een (Ss,1031.5
BusiDcs and Pofcssion Codc): Any City or Counly which r.quircs ! IEnit lo snsttocl. rller. irt rovc. d.mlhh or E!€r sy
std.rN. trio. ro ir issuatuc, .ho Eqlircs rhc alpli:air for such Fmil ro fik ! sis.cd sllrcmd $al tE or dE b lic.rEd puEa
ro thc pmvishtrs ol thc Contrsclols Licnsn Ll* (Ch.rr.r 9, Commrcing vith Sslion r00O of Divhhn I of rlr Burine$.nd
Prfeilio$ Codc)ot rhsr h. o, shc i. ercBnl rh.riiondd rhc blsh for rh. llhg.d dcnplion. Any viobiio. otSetion r03l.5 by..y
oppli.aot fo, r p.mjt suhjec rhc atplkr ro..ivil p.mkyofnor me rhln liv. huodrcd dollr3 (S5m).
-1.
I owm, oarh. prcFn, or my cnplorrcs sirh wrBcs s th.L slc com!.nsuio.. s do trE *6k ard rlE nrEl@ i{ ml
inlendsl or of.rcd ror sh (Se ,o,14. Suiims r.d Prcfcssbn. Cod.: Thc C.n!reloas Lian* L!* docs nol 8l,t,ly lo .n owtur of
rh.!6Fny sho buildr or inlhves tlEe., and who d@s $ch slt hinself o, heelt or rhhugh hk or hcr own cmpn,)cs.
pDridcn fi.r srch iqmtrnrs e ml hrcndcd orotu fm sle. l( h.weE lhc hildios or i,rlftm'n t sli eirhin @ Jet
ofon{rldi,tr tlr Owncr Buinc. sill h.E llf, hnd.n oftmvi.g ltul lE or slE dA ml tuild or ir{,oE lh. Fmtsry for llE pqn* ol
-1.
!soBmrof thc tmFny, rmcxclusirlym mcrinS wirh lic.n$d conrrlcrosro onsrud rh. !totrr (S.c.7044. BliiG$
!.d &nirssir Codci Thc Conrr&r.r's Liccos Law d.es n.r arply ro e own$ ofpmp.ny *ho builds or ihrrovca lhcr6n.
lnd wn onrBcls for such pmi€ls wirh . C.flaclo(, licMd pul:Mr ro rh. ConrBclm s Li.us. L.*).
I In.rcnu undcr Sccl
l)Hr.
J!I]8trE&i:.CAMTEN'AIION
DECI.ASAIION
I hctby affim undcr Dcnlhy ot psjury onc of lhc follovin3 dsbralions:
-l
haE sd will einroin s Cc.rifrat ofconhr ro S.tf-lnoE for m s otrDcnsadon. {. Din dcd forbystrlion l?ooofln
Llkr tuc. fm lh. Frfollr]m. of lh. *olt aor which lhc Frmil k issucd.
_l halc and ,ill iainloin oortcrr' .onpcNarioi insrEn.c, 6 rcqlircd hy S€rion lr0o or rhc trbrr Codc. fo. E p<rfo,mrcc of
rh. work lor whi.h rhh p.nnir is hsucd. My qorkcn .on{xniarion insumncc c6icr ud fnicy trumbcr dc:
-t
ccnitilh0t in lnc pcrii,rmrcc oflhc wort fur qhich rnis pcrnil is issued, I rhrll nor cntl,y roy !c*on in any mankt
s ar io tr.$m sxhi(r ro lhc sd(6 smlrcnelon hw1 or Calilornio, and sSEc rhnr if I sh.uld tE om subj.{l lo lhc
so*s{ @r{Ensali6, pevkions of S.ciion l7O0 of lhc Lrlbr Codc. ! sh,ll, fodh*ilh comply wilt llss povhk ns..
WARNINGi F.ilorc lo sm work R' onlt.nsdion ar@E is unbwtul. snd sh.ll rubirl d cmpbF lo diniml Fnlb ard
.ivil fincs up ro o* nundrd rhousn<l dollss ($100.000I h lddhion ro rhc .osr ol.onlltosrion, dlnEgcs .s phvidci for dE
Scrion 30?6 olrh. bbor Codc, intcEsl lnd alromy's tN3.
D.l€: Appliotrl:
ucr:xuil)laNllJ(loB
Dt;.cla8 rllrN
or rhc ltusinc$ and Prnt$b!\Gnlc.fll my licctr\c is in rillr(trc. rndcrlrr
D.lc: Ct"l
CAN$ITIJI:II{]NIINDIIC.&EEXCI
I h.Eby rlttD u dcr lxMlty of F.jury ln rhsc is i .onstrucrion Sndnrs rBck_y for rh. Itrfqmn.c of rhc wor* rot whkh rhn tf,rnil n
is\u.J isc. -1097. Civ C.).
AIIJ.ICAtrLUICI.ABA.IION
Ihdrtry flinnund.rr.nsxyofp.rruryokorrh.n,lh*nrgdsl {idrsl
Dc,relition Pcnnik-A\b.slos Nolific.lio. ljcdcrrl Rcgulrrions Ont 40- P!n6)
_Rcqrircd l.rrcr oI Norifi crrion
-l
cerify rhit rlE lc&ol EBuhions Eg.rning asb6l6. Emval @ d ,ppltlbh lo this pmj.rl
-l
ccniii rhlr I hnvc rcad rht lpplicdion snd stlrc rhal rhc stnvc infotufion ir comr. t lgc lo cotrply with !U City !d Colnly
odimes and Siorc Las. Ehri.e ro bui[nr8 .o6hcrbn. sri ]rBbysurhori.Epre* aircsoflhi.C y and Couniyro cnr6 upon rtE
lbovc mnrion d Im!,.ny lor i.sFcdion I[rIDsB.
lm e nJm rpirnl
Appliances
l\lletal Fire Place
Evaporative Cooler
Furnace I V7.1Eh(,-1 fY"
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork ' Ltoh,fr/Aq>-/b--
Venls
Toilet Room / Clothes Dryer
Residential Ranoe
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.I Ah frrt^ofB,-tg>
Final Test
Meter Release
FINAL &IU tA C.tv\frn - ,(\ -/
Notes, Remarks, Etc
tk
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Applicur o. Ascnr Sisnaturc:-
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