HomeMy WebLinkAbout40133284 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Sanla Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40133284
Pin #: 51366
qProject Address: 3125 S Rita Way
Assesso/sParcel: 412-022-06 Lot: 14
Unit:
Block: NA
Bldg:
Tract: 6564
Address Range:
Hisloric: No
Suite Range:
Zoning: R1
Ownerl
Address;
Contractor
Address:
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92865
(949) 885-0102
Fee Typ6
01116002 51604 Furnace
0'1116002 51600 General Plan Update
01'116002 51604 lssuance
Amount
65.59
22.08
55.04
Botchi:48647 - 3/7/29t9
off i{e! CTYH Tronsis 3lAcct+: Ref+:
Rcrii:112551296 - 3/3/2otq
Inonsact ion lotol
6enerql Plon l.rpdote Fee(r1116003- 51600000-
llerhon ical
0111600! 516041100-
ICL Check 010546
Qty
1.00
1.00
1.00
Fee
$6s.59
$22.08
$55.04Phone:
Tenant Name:
Phone ti
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
Fumace
R-3
VB
GMC 2015
Notes: Directchange-out
Date:
Date:
Date:03/05/2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
sden, Julae
Every permit issued shall become invalid unless the work on the site
$142.71
$0.00
$'t42.71
lnspector MID#: 2019-149852
01116002 51600
01116002 51604
$22.08
$120.63
Fee Total:
Paid to Date:
Balance Due:
Albert L Thomas
3126 S Rita Way
Santa Ana, CA 927046737
(7r4) 904-0016
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 341245
Workers' Compensation lnsurance:Carrier: Liberty lnsurance Corp
Policy #: WA763D508631018
Expires: 1010112019
Occupancy:
Constr Type:
Code:
Planning conditions:
authoized by such pemit is commenced within 180 days aflet its
issuance, or if the work authoized on the site by such permit is suspended
or abandoned fot a peiod of 1 80 days after lhe time the work is
commencad.
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
appliances
Eva porative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
perFire Dam
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
64rrllkRough Mech.4/4/t/,[?-,
Final Test
Meter Release
f-7/lll|tYA-FINAL 4/4 /t4 /ny'
Notes, Remarks, Etc.
OWNER BUILDER DELCANATrcN
I hftby afiim und6 Fnslry of pdju,y rhll I s .rcmpl fiom thc Corrrcroo Li.€.* kp lor thc follo*ing rc&. (S< 70l l 5
BGin6s ed Prolsio. Cod.): Any Ciry or Counry *hich icqutB, Fmit to mn$tuct. ai6. inprov.. danolih or r+dn .nry
slrucluc, prior ro ils iseuMc., slso rcqunG rh. applicel for such p.mir lo 61. a si8ncd nardcnt rhal h. or sh. b licoa.d t$uar
to rh. provisioB oldE Conlracrdi LiGns.d lrs (Chaprd 9. Coeocin! wirh Sdrion ,000 ofDivision I ofth. Busin* dd
Prcfsions Cod.) or $ar hc or shc ie dmpt lh@6om dd lh. baii5 tor rh. allcScd dop{ion. Ary violalion of Sdion 701 I 5 b, any
applka for r p.mil ubj6kllE applicor lo, civil pdrllyofnot soEth& filc huddrd dolss ($5@).
-1.
s omd of rh€ propdty. or ny dplolte wirh w.s6 s rh.ir elc conpc arion. willdo $.$trI6d ihc arurm i5 ml
idod.d or ofia.d ld $lc (Sa,?oaa, BuinGs &d Plolsioa Codc Th. conlraclol s Lic@. rlw do6 Dol qd, b e or,c of
lhc FnFiy wl$ hil& or irFoc lndon, drd who dG $ct wd{ fiims.lf or h.Mlf or ltnusrt his or hd om @ployc.
Fovidal thd r!.h irpmlffi @mt Lnod.doroltdld aor sL.I( hosda. rh.t ild'ne or ioF$Ercd iE sk *nnin on. ra
olcof,pldion, lh. ()*n r Bnilda wil narc lhc hrd6 ofproli.g thd lE oi ih. did Doi build or inFov. th. pmpsly for tlE purpos of
-1.
6 0*T6 ofrh. proFty, d .xclusi!.ly conlro.ling with licm.d conrmtoB lo oistrud rtt Dftjccl (S(, 7044. Bc.ns
Md AnE sin Cod.: Th. Conlr.clol s Li.s. Law <,oc nor apply rc d om6 o aprcp.ny $ ho builds or inprorcs lha@n.
ud who ot Bcrs lor such pojdls wirh . Conrsclo(, lic@.d p6!d lo th. Cod4crors Lt.@ Lis).
_l @ cxonpl @da S6tion- B. & P.C. lbr rhi! 160{.
lroa6E85:-c0ltrDNrtArlaN
DECLASAUON
I n6!ry arm lodd Ftalty ofFj'ry o@ otth! to[osi.s dc.lantioa:
-l
h8vc ed will ruinrain a Cdificat. of Cocdl ro S€lflBurc for erlm conrp.neiion, a Fovidcd for b, Selion 3rO0 oatn
kbor Cod.. lor thc pdtol:lec of lh. s tor r,t)ich lh€ p6hit b isucd.
_l hav. &d will nairtain wotk.tr' coopsalion iNu&cc. 6 rcqui!.d by Sdlion l70O oflh. Labor Codc. aor lh. ldfomdc. of
thc sorl fo, *hi.h $i5 pdon b i$u.d. My w*6 coeFladio! ire{@c. cam6 ad lolicy numbq Ec
,,,,.,,b1yrJ4
{-7
-l
cdliry 0'al in lh. Flolr@.. of the sork for which lhh ,.mi is i!su.d. I rhdl nol @ploy @y pden in &y nr nd
s B to bdom. subjd io rn eo*6' omFosion bE oacaliaodi,. ed agr thd if I should b.coN subj.tl lo lh.
*ork6' comp.Mlion provisiotu oasetion l?00 oflh. tibor Codc I shall. lonhwilh @mpty Eith lhos povi!io6..
WARNTNGT Failrc lo su. wort@' composrio. .ov@8. i5 unhstul. md snrll subjal & oployd lo 6imii.l podns ud
civil fh6 up ro on. hun(H rhoumd dollm ($100.000). in .ddilion lo rhc cosr ol codp.Nlio.. dmagd 6 prorldcd tur rhc
UCINSEDIONIIACrc.BlllcraElllo!
I hcoby amrd uods poalr, ofncrjurylhat I m liccN€d udcr po\isio olChaptd I (co,nmocing \ith Scqion 7000)ofDirision l
of lheBusins d Proa6io6Codc. od mylicdsc is in fullforcc. cfGcl
?lgssrL
bre"nolr.r
co!$au(1raNtflDllc I;!cI
I hcEb, arrn und6 pcnalryofpcrjorylh.l lhee is. Nnsrrucrion lendng aemcy lor thepsfom cc olln€ xork fot which rha poiil i5
issu€d (S&. 1097, Civ. C.).
ATTLICANI.DEqIAAAIIO!
I h6tby alhn uidd pd6hy ofpajury oic of rb. fouowing ddl@riors:
D@olition P@neA.b6to! Notilicalio! F.d@l lcgllaiioB Onk 40. P!n6)
-R.quirEd
L.lls of Nodncldon
-l
cdiry lnd th. t dsal rcgul.lioG r.Srding sbdos rmovrl s. nol applic.blc to lhis poj61.
I cdi& thar I hNc Md $is fica!o!c inforulio. ir corel.I rgBloonplywilh all Cnysnd Cou y
( dd hs.by aurhori4 rcpr6autivB oao! Ciry dd Couly to al* upon tlEodiraocB ed Stlrc Llwr rhlitB
abovc monioo.d propdy lb,
Appuc&r or Aed Skllllc
ad1
{
II
I
Metal Fire Place
Cod€. imcrd and lnorncy r lG
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