HomeMy WebLinkAbout40134385 - Permit (2)Project Address: 2138 N Hesperian St Unit:
Block: NA
Bldg:
Tracl:. 1724
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor'sParcel: 001-073-21 Lot: 24
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:40134385
Pin #: SaOZlr,l
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
ARNOLDO HERRERA
2138 N HESPERIAN ST
Santa Ana, CA 927062431
(714) 878-5879
lnter-City Energy Systems, I
1,I75 N DEL RIO PLACE
Ontario, CA 91764
ls62l 777-1142
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01116002 5777C
Fee Type
Furnace
General Plan Update
lssuance
Microfllm Records
Amount
68.1 6
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$68.1 6
$22.95
$57.20
$3.91
Botch*:53913' l/16/2020 ID: C(:UELLAR
0ffice: CTYH lpsnefs 76 ? of 2Accti: Ref*: 40134385
Rcpti:02866527 ' l/16/2020 2134 PH
Tnonsoction Totol 1304.42
Inter-Citc Enersc Ssstersr Inc
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensation lnsurance:Carrier: Zurich American lns Co
Policy #: WC03816460
Expires: 0710112020
Building Use:
Job Type:
Nature of Work:
Notes:
General Plon Updote Fee
0l l 16002- 5160tr00(t-
llechon icol
01 I 16('02- 516(r40trtr-tlicrofilr & Ooculents
ttl I 160(t2- 5777(10(10-
V iso
C(:* : xx***rr*rrrr6397
Furnace replacement
t22.95
t 125. 36
t3.91
3301.42
Aut,hi:025910
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-157169
Zuniga, O,,,r." fi
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cMc 2019
01t16t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
01116002 51604
01116002 57770
$22.95
$125.36
$3.91
Fee Total
Paid to Date:
Balance Due:
$152.22
$0.00
$1s2.22
Single Family Dwelling
Miscellaneous
FAU
MECHANICAL.INSPECTOR HECORD
APPROVALS DATE !D/S!G.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aflirm under penalty of pcrjury thsl I m cxempt frcm lhc ContrBctoR' Liccns lnw for the following rcasn (Sec.7031.5
Busincss ond Profcssion Code); Any Cily or Counly which rcquircs a lrrmit lo construcl. altcr. improvc. dcmolish or rcpair my
slruclurc. prior to its issuecc. also requires thc applicant for such pcmil to file a signcd slatement lhal he or she is licenscd pursuol
to the provisions of thc Conlractor's Liccnsed Law (Chapler 9, Commencing with Scction 7000 of Division 3 of thc Busincss and
PrefcssionsCodc)orthathcorshcisexcmptthcrcfromandthcbasisforthcallcgedcxcmption. AnyviolalionofsNtionT03l.5byany
spplicanl for a Frmil suh.iecls the applicant to a civil penalty of not mrc than live hundred dollss ($500).
_1. as owncr of thc prcImy. or my emplo)ccs wilh wsgcs as their $le compcnslion, will do tlrc work and the strutre is ml
interxled or offcred for slc (Ss.7O44. Business and Professions Codc: Thc Conlractor's Liccnse [lw d@s not apply lo an owner of
the prcFny who huilds o. inprores thcmn. md who dms ruch mrk himsclf or herself or though his or hcr own cmployees.
providcd th6t such impmvercnts re rct inlerdcd or offcrEd for sk. If, howcs, lhc building or inqrrcwmnl is sH within orc ,€a
ofcotr{,lctiotr the Owncr BuiHcr will harc thc burdcn ofprcving that he or she did mt buiH o. imprcrc thc prcJsry for the puqn$ of
sh).
_1. as owncr oflhc propcrly. am cxclusively conlracting with licetrscd contractom to construcl thc pmjecl (Scc. 7044. Busincss
and ProfesshnCodc:ThcContractor'sLicenseLawdocsnolapplyloanownerofpropertywhobuildsorimprovesthcreon.
and who contmcts for such prcFcts with a ContEcto(s) liccnscd pursuill lo lhe Contraclor's Liccnrc [aw).
-l
mercmpt under scction- B. & P.c. for this rc&son.
Datei-
-
Owner:-
-WORKERS' COITPFNSATION
DECLARATION
I hcrcby afllrilr undcr pcnalty ofpcrjury onc ofthc fbllowing dcclarations:
_l havc and will rointain a Ccrtificulc of Conscnt to Scl[-lnsurc for workcrs' compcnsalion. as providcd li)r by S&1ion -]7(X) of lhc
Latx)r Crxlc, for thc pcrforroncc oflhc work for which lhc pcrmil is issucd.
\avc and will maintain sorkcrs compcnsation insurancc. as rcquircd by Scction l?U) of lhc tibor Codc. for lhe pcrformancc of
thc work lirr which this pcrmil is issucd. My workcrs' conlpcnsalion insurilncc caricr drd lx)licy nunlbff uc:
Policy
_l ccnify lhat in thc performncc of thc work for which this permil is issued. I shall not ctrlploy any person in any manncr
so as to becom subject to thc workers' compcnsalion hws of Califomia. and agrcc lhat if I should bccorc subjecl to thc
workos'compensationpmvisionsofScdion3T00ofthcLaborCodc. lshall.fonhwilhcomplywithtlmspmvisions..
WARNING: Failure lo scue workcrs'@mpcnsalion covcmgc is unlawful. ild shall subFct m employer to oiminal pemltics and
civil fincs up to orc hundrcd thousnd dollm ($100.000), in addition to th€ cost of compcnstion, damges as prcvidcd for rhe
Sstion 30?6 of thc kbor Code. intcrest md allorrcy's fes.
ucELsEDl:ANrlA.c.IgB
DECLARA'TION
ol thc Bu\inc\s iltrd I'roltssiols Code. nnd tny liccnsc is in lull lirrcc iln(l cllccl.
<,&)()Liccnsc Nunlhcr:n (iIlrilclor:
CONS'I'RUC'IION LTJNDIN(; AGT'NCY
i\sucll (Scc -1097. Civ. ( . )
l.crrLl('r'\ Nilrrx :
Lrndcr's Addrcss:
AfIIJI;ANLIIEILABAIIQN
I lLnhy illl'irm undcr pcnalty ol prrjury orc of thc lollowing dcclaral bns:
Dctrn)lilion Pcrmils'Ashcslos Notification Fcdcral Rcgulalions (-l'illc 40. Prn6)
-Requircd
l,ettcr of Notilication
-l
certify rhat lhc fedcEl rcgulations rcga.ding asbcslos rcrmval trc not Epplicable to this pmjcct.
wirh all Ciry snd Counly
k)
atx)vc nrcntioned propcrty
Applicant or Agcnt
Pcrmilce namc
und stillc lhtrl thc
and
/Lo
thc
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 Ranqe
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.
FinalTest
Meter Release
F!NAL L-lo-2a HloS
Notes, Remarks, Etc.
I)illr: /\ppli(ilnl:
l)atel