HomeMy WebLinkAbout40134620 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:4O134620
Pin #: 49172
Proiect Address: 931 S Cedar Sta
Assessor'sParcel: 011-235-08 Lot: I I
Unit:
Block:NA
Bldg:
Tract 3078
Address Range:
Historic: No
Suite Range:
Zoning: Rl
d
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Jessica Torres
931 Cedar st
Santa Ana, CA 92701
(714) 913-0667
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
Furnace
General Plan Updale
lssuance
Microfilm Records
Amount
68.16
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$68.16
$22.95
$s7.20
$3.91
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsurance:Carrier: Travelers Property Insurance
Policy #: U89K07110A2O2c6
Expires: 0412912021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Mechanical
web_user
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within360 days after its
lssuance, 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.
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cMc 2019
05t20t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Mechanical
Fee Total
Paid to Date:
Balance Due:
N/A - No Balance
N/A - No Balance
$152.22
$1s2.22
$0.00
lnspector MID#: 2020-158997
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oWNER BUII,I)I:R DI,]I,CARATION
I hcrcb], afllrnl undcr pcntlty ol pcrjury lhrt I nrr cxertln liom lhc Conlrrclors' [-iccnsc Law li,r lhc fi)llowirlg rcason (Scc.?0J1.5
Busincss nnd Prcfcssion Codc): Any City or County which rcquircs n fcrnrit lo conslrucl. rllcr. iilrnrovc. dcnmlish or rcprir any
\truclurc.priork)its issudncc.nhorcquirc\thcapplicanlli)rsuchlErnlilk)filcasigncdsl{lcnrnl lhrlhcorshcirliccnscd pursulnl
to rhc provi\ions of lhc Contracklr's l-iccnscd lrw (Chaplcr 9. Coilrtrlcncing wilh Scction 7(X[) ol Division J of thc Busincss rnd
l,rolcssk)nsCo(lc)orthuthcorshciscxcnlplthcrcliomandthchrsi*li)rlhclllcgcdcxcmption. Anyviolxti()nofSeclionT0]l.5hyany
nfplicrillli)rilFrmilsubjccl\lhc dpplicanlktacirilpcnaltyofnoltrx,rclhlnt]vchundrcddollilrs(S5{X)).
l. as trrvncr ol thc p(rpctry. or nry t'ilrplryccs with wagcs rs lhcir yllc coiUcnsrlion. \ ill (l(r thc $rt'k ind thc slrtturc i\ lxi
srlc).
_1. as ownc. of the pmpeny. am cxclusively cont,acling with licenrcd conlmctoN to construct thc pmitt (Se. 7(X4. Busimss
ard Pmfssion Codc: The Contractor's Liccnsc Law d@s not apply to an owncr of protEny who builds or improves lhetcon.
and who contmcls for such pojccts with a ConlEcto(s) liccnsed pursuanl to the Contractor's Licen* kw).
llnrcxcnrp|Undcrsccli()ll-.I],&P,C.li)rlhistcnson.
I)sle:
WQBtrEBLI;QDISENSAIION
DECIIIEAIIQN
I hcrchy alfirnr unrlcr pcnall y of F-rjury onc of lhc following dcclxrtl krts:
_t halcnndwill minlainrCcnillc0tcofConscntk)Sclflnsurclor\orkcrs compcnsalion.n\ providcdlbrbyScclk)n-17U)oflhc
Latxrr Crxlc. lirr Ihc pcrlorftrncc o[ thc work lhr which thc pcrmit is irsucd.
_l hrvc nnd will nrilintain worken' c(rnpcnsalion insurancc. ns rcquircd by Scclion 3T(X) ol lhc l.uhor Cr)dc. for lhc pcrk)rnmncc of
lhc work li)r which this pcrntil is issucd. My workcrs' coilrpcnsatk)n insurancc ctnicr and g)olicy nunrhcr trc:
Policy Numbcr: ExPircs:
_l ccnify that in the [*rformance of lhc work for which lhis pcrmit is issucd. I shall ret cmploy Bny pcrson in any msnnct
s as to bccom subFct lo thc workcrs' compcnsation laws of California. and agrc (hat if I should bccom subjcct to thc
workcrs' compensation pmvisions ofScction 3700 oflhc Lat[r C:odc. I shall. fonhwilh comply wilh thos povisions..
Srrlion .]()7(r ol lhc l.ahrr Crxt'. irrlrrcsl :ln(l xll,rr[Y s lcc\
l)alr:
LICENSED C()N'I'RAC'TOR
D1.]CI,ARA'I'I0N
(,l lhc llu{incs\ rnd Prrl'cssionr (ixlc. utl nly liccnsc is in litll lirrcc xnd clltct.
Liccnsc Class:-l,iccnsc Nuillhcrl
l)ate: Contraclor:
W
I hcrcby alfirnt lndcr lEnalty of pcrjury thot thcrc is a cof,slruclion hnding agcncy for lhc pcrfornuncc of lhc work for which lhis frrnlil is
issucd (Sec. 1097. Civ. C.).
l,cndcr's Nlrnc:
kndcr's Address:
AfILII;ANI.DECLABAIII'N
I hLrcbyallirmundcr pcnalty ol t^-rjury onc of lhc tbllowiiS dcchrdlk)ns:
I)cnxrlition [,crnril\-Asbcstos Notificatkn Fcdcral Rcgulations ('l illc.l0, Pafl(])
-Rcquircd
Lctlcr of Ndificalion
-l
ccrtily lhilt thc ltdcral rcgulrtions rcgilding ackLsb\ rcrn(t!rl rrc rril illPli(ilhlc lo this proiccl.
iltr)1'c nrcilli()nc(l p()l)cdy lor inspcclioil purF)sc{.
Applicrtrl or Agcnl Signxturc:_ Dalc:
Pcnnilcc nrnrc (prilil): _-
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
lvlisc. Equipment
Duct Work
Pre-lnsulation
llsulation
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
t
Rouqh Mech.7112,/zcr,,ts -<V,4n
FinalTest (
Meter Release
FINAL lol tzla)urlrbc
Notes, Remarks, Etc.