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HomeMy WebLinkAbout40134417 - Permit (2)f City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #:40134417 Pin #: 9734fJ Proiect Addressi 712 W Hiqhland St Assessor's Parcel: 010-242-'10 Lot: 16, POR 15 Unit: Block: 16 Bldg: Address Range: l1O-112. Tract POLYTECHNIC VlLLblistoric: No Suite Range: Zoning: StX0 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone. Maribel Jimenez 712 Highland St Santa Ana, CA 92701 1714!-317-3s92 Reliable Energy Managemer 7201 Rosecrans Blvd Paramount, CA 90723 (800) 6924011 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01116002 5777C Fee Type Amount Wall Heater/Floor Furna 68.14 General Plan Update 22.95 lssuance 57.20 Microfilm Records 3.91 Qty 1.00 1.00 1.00 1.00 Fee $68.1 4 $22.95 $57.20 $3.91 Botchi:541t3 - l/28/2O2$ ID: IIGARCIA0fficel CTYH Trons*3 54 I of 4Acct*: Ref i: tr$t34417 Rcpti:02884323 - t/28/292(r 2!01 Pn Transoction Totol i60S.SB Relioble Enerss llonogenent IncState Lic #: 704/14 Lic Type: C-36, B, C-20 Bus. Lic #: 189601 Workers' Compensation lnsurance:Carrier: Travelers Property lnsurance Policy #: U89K07110A1826 Expires: O4l29l2O2O Generol Plon Updote Fee ru1160Cr2- 5160000(r- llechan i cs I trl 1 16002- 516tr4(r00-llicrofih & 0ocunents 01116002- 57770CrUCr- ICL Check 0(r92trS t $125.34 $J.91 $6rtg. $0 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By. Plan Checked By: Permit lssued By: Subject to Field: Building Permil #: Single Family Dwelling Miscellaneous Wall Heater Zuniga,O,,,r."V Occupancy: Constr Type: Code: Date: Date: Date: R-3 VB cMc 2019 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Replacement like for like. Fee Total Paid to Date: Balance Due: 01t28t2020 Account# Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within360 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01116002 51604 01116002 57770 $22.95 $125.34 $3.91 $152.20 $0.00 $152.20 lnspector MID#: 2020-157399 {R MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hoeby affm undq pdalty of pqjury thst I m exmpt fipm the Contractors' License lrw for thc following rcen (5(.7031.5 Buins and Profwion Codc): Any City or Couty which requirB a panit to conslrucl, alt6, improvq dqnolish or r.pair ey structue. prior to its isuacc. also rcquirc the applicmt for such pcanit to filc a sigDed stalmmt that he or slrc is licffcd pusuut to the provisioB of the Contractor's Liensed Law (Chapts 9, Commencing with Section 7000 of Division 3 of the Businos ud Prcfsions Codc) or that he or she is excmpt thqcfrom ud thc b€sis for the allcgcd exmption. Any violation of Scclion 703 1.5 by my applicmtforapmitsubjatsthc applicuttoacivilpenaltyofnotmorethefivehundreddollus($500). _1. a omc ofthc trop€rry, or my employe with wags re thch rclc comperoation, will do thc wrk and thc stnrctm is rct intqdcd or offqcd for salc (Se.7044. Buine ud hofessiom Codq Thc Contrsctor's Licoc hw doc not apply to m oM6 of thepropqry whobuildsorirryroGth@!LmdwhodoGschwrkhimsclforhmclforthrcughhisorh6oMmploy6, providcd that such imFovmf,ts rc not intqdcd or offqed for sle. If. howwq. the huilding or impovmot is rcld wilhin one yw ofcompt*ion. thc Owno Buildq will have thc btrda ofproving tha hc or slrc did not hrild or imprcve tlrc popoty for the purpos of sle). _1. o omo of thc prcpdty. m exclusivcly contracting with licrued contractoEto coNtruct the projccl (Sc. 7044. Buine md Profission Codc: The Contr.ctor's Liccnse Law do6 Dol apply to m own6 ofpropfty who builds or improves ths@n, ed who conlmcls for such projects with a Contmclo(s) licscd pu6@t to the Contmctor's Licw Law). I m cx@Dt udq S6tion , B. & P.C. for this rmn. Date:_ Owner: WORKERS' COMPENSATION DECLARATION I hoeby affum undo poalty of pojuryooe of the following drcluatioro: _l havc md will mintain a Ceaifrcarc of Cosqt lo Sclf-lnsuc for workcrs' compenstioq o povidcd for by Setioo 3700 of thc trbor Codc, for thc pofomce of thc work for which thc pamil b isucd. **;;and will main(ain workers' comp.Nation iNuilcc. 6 required by Setion 3700 of thc Labor Codc, for the pdfomuce o[ for lhis E workas'imurucc crio od policy numbo rc: ZPolicy _l cdiry that itr thc pqfomoce of thc work for which this pemit is issucd. I shall not mploy my p6son io ey muo6 s dtob6omesubiGltothewori(s'amposationlawsofCalifomia,udagrrcthstiflshouldbcomcsubjGttothc /workc' compostion prcvisiom of Setion 3700 of the kbor Code I shall. fonhwith comply with thoe prcvisiore.. i WARNINC: Failurc to wue workm' compmation covmgc is unlawful. md shall subjet m mployo to qimhal peflahiG ud civil fines up to onc hundred thoMd dollffi ($100,000), in addition to the cost of compcMtion,dmage o providcd for the Strtion Labor Code interGt @d 1^> I ICENSED CONTRACTOR DEC!.ABAIION I hwby aIIm unda p<ralty of pdjury thd I m licoscd unda povision of Chaptc 9 (comsciDg with Scctioo 700O) of Division 3 of thc BEine ed Profsio6 Codc, &trd my licw is in futl force and cfTcct. CONSTRUCTION LFITDING AGENCY I h@by affm ud6 pcnalty of pcrjury that thqc is 8 construclioo letrding ag6cy for the poformcc of the work for which this pamh b issued (Sa. 3097, Civ. C.). Lender's Namc Lender's Adcbcss: ABIIJCANI.DECI.ABAIIAN I botby affrrn unds panalty of pajury oac of thc following d*letions: D@otition Pmits-Asb6tos Notifi€tio! Fcdqal Rcgulatiors (Titlc 40, Pan6) -Rcquircd l;ta of Notificdiotr -l cdiry that the fcdfial regulatiore rcgoding rbetos rmoval re not applicable to this prcjcct. futhatt havc red this application md state that the above infomation is corect. I agr6 to comply with all Citymd County- ordinmce ud Statc taws relating to building constructio[ ed h6cby authorizc repr6@tariv6 of this City md Couoty to mtq upon thc above mmtioncd property for Applicmt or Agmt Pmitenmc *,", \ [?4 rzl Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar , Rouqh Mech..rM6 Final Test I t- Meter Release t/\ FINAL \4L-w F,liLl{,} Notes, Remarks, Etc.u\)