HomeMy WebLinkAbout40132308 - 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 #: 40{ 32308
Pin #: 91659
Assessor'sParcel: 008-211-17 Lot: 16
Unit:
Block: N
Btdg:
Tract: HEIL
Suite Range:
Zoning: R2
w
Phone
Tenant Name:
Edgar Balbuena
1047 W Pine Street
Santa Ana, CA 92703
(949) 354-9283
Owner:
Address
Conlractor
Address;
Fee Type Amount
01116002 5'1604 Wall Heater/Floor Furna 65.57
01116002 51600 General Plan Update 22.08
01116002 5'1604 lssuance 55.04
Qty
1 .00
1.00
1.00
Fee
$65.57
$22.08
$55.04
Phone
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 592-4011
State Lic #: 70411
Lic Type: C-36, B, C-20
Bus. Lic #: 189501
Workers' Compensation lnsurance:Carrier: Travelers Property lnsurance
Policy #: UB9K07110Al825
Expires: 0412912019
Botchi:{4744 - 7/ll/2018 I0! JG
office: CTYH lronsi: 25 :A,:ctir Refi! 4[1u
R(pti!0232?640 - 7/lll2019 10:5n
Tronsoct ion Totql $2$5..i
Genersl PIon Updote Fee
01116002- 51600(00-
nechon icol
fl 1 I 16(102* 516r.:t4000-
ICL Chpck 007078
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Wall heater
Occupancy:
Constr Type
Code:
R.3, U
VB
cMc 2016 Notesr Directchange-out.
Date:
Date:
Date:07t1112018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every pormit issued shall become invalid unless the wo* on the site
authonzed by such permit is commenced within 1 80 days aftet its
issuance, ot if the v/ork authorized on the sita by such pemit is suspended
or ebandoned for a peiod of 180 days aftet the time lhe wo* is
cofimenced.
$22.08
$'r 20.61
$142.69
$0.00
$142.69
lnspector MID#: 2018-'t44550
01116002 51600
011'16002 51604
Fee Total:
Paid to Date:
Balance Due:
Project Address: 1047 W Pine St Address Range: 1047-1049
Hisloric: No
(el ioble Energe flon(tse6ent In,
APPROVALS DATE IDiSIG.COMMENTS OWNER BUILDET DELCARATION
I ficrcby omrm under !.nrlry of Frjury rhsr I m cxcmpt 6.rn rhc C..tmcroF Liccnsc Llw for rhc lollowinS rcason (Se.703 1.5
Blrincrs .nd Prolcssion Codclr Any Ciry o, Co!fly *hich Eqlircs ! Il€dir to connod, dr€. i8{,rov.. .r.mlish.r rcpln dy
nrudurc. p.iorio ns issu a, !l$ Equnes lhc applicd for such pcrn lontrsi8rcdr cftnl thal h.orshc n licci&{ pu^udn!
lo rh. pmvision! oflh. Conlrelols Liccn$d Law (Chnllf 9, Cor@Ei.8 wilh S.clion ?0o0 of Divkion 3 oflhc Busiflcss and
Pmtcssiotrs Codc) or rtlr lr or shc h crcmrr thcrcfmm lnd rh. tEsis aor lfic olhgcn crcq,tioi. An, violrrhnofS*rion 70.1!.t by rry
amlicrnr Lr ap.rmn slbhcrs thc sppli.aor lo ucirilpcnalryotnot mrc$d nec hundrcd doUes {t5oo),
-1,
ss ownd of lhc pmFny. or my cnrplol@s wil! str8.s .r rhcn ph .oq,cn$liotr, wiu do thc wort {d llE stnt1m i.s ml
intcnd.t or oltercd for sh (56.7044, Bosiftss ud Prcfdsions Codc Tlrc Conriacroli Ltcne L,e rlo.r nor rpply ro d osmr ol
lhc pmn ny who hoilds s ttsmEs tlEEr ltd who dcs sh hi( hinsclf or h.rEtaor th&lgh nis o, nct owo cnployes.
pmvid.d lhar such impmEflnr, fl mt inl.,*d orofr@n tur sL. It ho*cw.lh. boildin8 or ir{,rokmnI is sld *ilhin onc J&r
ot onplcrioii. rlr Oeftr Buildd will hlE ttE buld.n 6f Foviry tur l* or r,E di, er t ild d int&w tlE FnlEly for dE p{rFsof
L arown$or$c In,p.nr. ,n.xcluiiv.ly.onrding wnh len{d cont&k,N ro conslrud rh. ,,sircr (SN. ?044. Bu$rcs
and Eotusk n Codc: Thc Co,rr.crols Li.cnsc ljv dNs nor aptlylo !n own$ otpn,pcny who buildsor inprov.s dcrcon.
a.d who o Mls toi ru.h p,oj.crj with { Contfth(r) licsed Dui@ ro rhc Cunio.lo s Lt n* t!w).
-l
m e x.npt $d6 Serion- B, & P.C. for rhh M$n.
l)nr.
xllBtrs8s:.qQMPasa]x(a
DECI.Af,A.UO!
I hcEby olfirm ude4cndly ol pcrJury orc oafi. folhwin8 ded.rions:
Lrh{ Cod..lir rlr |t fonnnN. ol rhc s,trli i, qhich rlrc Jr.rir r i\ r{r.d
_l hcvcandwill m.inrain qorkcB' conFnslrion insu,ukc. !r rquircd by Sdion:1700 olrh.l$o, C.d..lor th. pcrfollrmc of
thc strt for *hi.h ltis pemil is h-rd My work6 ompctrstion insuBmc qricr &rl poli.y nunlE dci
ft6f rNsUPftMr sgP^tCE tNL
t1l?4 I rrir yF,zr v-o-] I I o *\<1 21 o
I edi! rhd in rhc l).rronnuno ofrhc wort n" which rhis pcrnrn is hsuctl, I shrll not cmploy l T
$ !s ro b(om subjcct ro thc {ori6 ompcnsltion h*s ol Cllifomi!. md lBrcc rhar if I rtuuld tr!o@ $bid ro tlr
worksl onrFnsrlion provisions of Scclion 1700 of lhc titor tue, I shau. fonhoirh ontly enh lhle phvisions..
IVARNINC: Failurc ro <rrc qorkEF conlltnsdion covcrasc is ula{ful, Md shrll subrd M cnplo}rr ro ainri.al FtulrGs and
civil fiGr up 10 oc hudrcd !
xx_-Ftrg
h.ueld dous (tl0o.00o).
inGEn .d anomy'i fc.
-
ADDIot-
I Mnhytrnnflrundcr pcmlryolpcrrurylhrr I n liccnslundcrprcrisiotrolChrllcr9(.onnncicin!wirhsc.riotrTlx lolDivisn l
ol rh. Bueic\,trd PioLssnnN Codc, xl nry li.ctrsc ir intullf(rer clltcr
lq
Irr lr <
I hcrchy ofim trndcr ncnlllyolpcriuryrhr! lhcrc il r connrucl
i\\ucd (Sr..1097. ( iv C.l.
kndins lscncy r.r rhc p.nanrurcc orrh work ntr whth lhh rnnil is
AIIUIANLD!iEL^3ATj]N
I bNbydlnrr trnlcr pcnrlrr oiJxrjury orc or rhc lalbqirrr d(lxrrri,!r\
I)on()lirnD I'crrnir\ A\h.no\ Nor'llcaii(n l-cd.r l Rc!ularirnx fl itlc +0, Pnn6)
Rcquncd b(cr.l Norll.rlof
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ccnify rh,l $. fcd.El rc8lblhns E8aditrg ssbcslos rcmva! rc rel otrlicatlc ro rht poj.<r
l.cniry 'hd
I t$vc Ead rhlr ap0lidtio.,.d alc I corer.l !8rc roomtly*ithall Carya.d Counr,
ordinanc.s uDd Slale bws rcldinsro pE$.l.riws oarhis Cny lrd Counryro cnrerllnn rnc
/,"::,,:"j:4
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled I 2<\
Rough Ductwork Vao-rtZz t-'-a",il&:v
Vents
Toilet Room / Clothes Dryer
Residential Range
Other /uJ-.'1,2D./8 Z C.-*,??_)
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I
FINAL ),za46z O<ue,E ;-/
Notes, Remarks, Etc.
c
MECHANICAL.INSPECTOR RECORD
_ C@tmior_
t aL,1'. \, n.
ttlt<- T-'
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