HomeMy WebLinkAbout40135114 - Permit (2)Proiect Address: 2865 S Fairview St-a-
Assessor's Parcel: 931-675-39 Lot: 1
Unit: E
Block: NA
Bldg:
Tract: 10220
Address Range: 2801-2gTT
Historic: No
Suite Range:
Zoning: R4
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:4fJ{35114
Pin #: 79549
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Melissa Saffer
2865 South Fairview Street Unit #E
Santa Ana, CA 92704
(7141 315-9191
lcomfort Heating & Air Conc
707 Arroyo Ave #B
San Fernando, CA 91340
(818) s81 -5177
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Heat Pump
Air Handling
Fan Coil
General Plan Update
lssuance
Microfilm Records
Amount
1 16.19
47.95
61 .20
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$1 16 19
$47.95
$61.20
$23.79
$5e.30
$4.05
State Lic #: 1006346
Lic Type: C-20
Bus. Lic #: 375755
Workers' Compensation I nsurance:Carrier: lnsurance of the West
Policy #: WSAS0S072501
Expires: 0912412021
a
Building Use:
Job Type:
Nature of Work.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Alteration
Heat pump change out
Kelaher, Selena
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-1
VB
cMc 2019 Notes: Heat pump, alr handler, and fan reptacement within
existing unit. Contractor letter of authorization on file.
Chavez, Dave
P.a'
11t24t2020
11t24t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permit ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#'. 2020-162927
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$284.64
$4.0s
Fee Total:
Paid to Date:
Balance Due:
$312.48
$0.00
$31 2.48
t
M ECHANICAL.I NSPEGTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hftby affm und6 p@alty of pdjury that t u qcmpt ftom the Contncton' Liccns Law for thc following r@n (S6.7031.5
Busin6s od Profsion Codc): Any City or Coutrty which rcquirc a pomit to onstruct, alta. improvc dcmolish or rcpair ay
structuc. prior to its issuucq also rcquis thc applicmt for such permit to filc I signed statcmot rhat hc or shc is licasad pwant
to thc pmvisioc of thc Contrrctor's Lienrcd Law (Chaptfr 9, Comcncing with Sstioo 7000 of Division 3 of lhe Buins ud
Prcfesions Codc) or thst hc or shc is crmpt thwfiom ud the bosis for thc allcgcd €xmption. Any violstion of S€ction 7031.5 by 6y
applicant for a pcmit subjers thc applicut to a civil pcnalty of not morc th4 fivc hundrcd dollm ($500).
_1. as owner of the property. or my employees with wages as their sole compcnsation. willdo thc rvork and the stnrcture b not
intended or offercd for sale (Sec.7044. Business and Professions Code: The Contractor's Licerue l,aw does not apply to an owncr of
the propoty who buil& or irprovc tlrenou and who does such work himself or herself or through his or her own employees.
provided that such impovanrents are not intended oroff€rcd for sab. I[, howel'er. the building or improvemert is sold within one )€ar
of complaion. thc Orvner Builder will have the hrden of proving that hc or she did not build or improve the property for the purposc of
sale).
-1,
ES owner of the prop€rty, am exclusively contracting with licersed contractors to corstruct the project (Sec. 7M4, Business
and Profcssion Codc: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contraclor's License Law).
-l
arn exenlpt under Section-. B. & P.C. for this reason.
Drte: Owner:
WORKERS' COTITPENSATION
DECLARATION
I hereby aflirm under penalty of perjury one of the follorving declarations:
-l
have and will maintain a Certificate of Consent to SelElnsure for workers' conlpensation, as providod for by Section 3700 of the
Labor Code for the pcrformance of the work for which the permit b issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the pcrformance of
the work for which this pcnnit is issued. My workers'insurance carrier and policy number are:
O
Policy tD ' 54,-Ll
-l
certi& that in the pcrforrnance of thc work for which this permit is issued. I shall not employ any person in any manner
so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to thc
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith cornply with those provisions..
WARNING: Failure to sccure workers' compansation coverage
civil fines up lo one hundred thousand dollars ($100.000), in
Section 3076 of the labor Code interest and attorney's fees.
is unlarvful. and shall subject an anployer to criminal penalties and
addition to the cost of compensation. damages as provided for the
o^r", ' ll'7V-? D
I ICENSEI) CONTR.AC'I OR
DECLARATION
I hereby affrnn under penalty of perjury that I am licensed under provision of Chapter 9 (conrtnencing s'ith Section 7000) of Division 3
of the Business and Professions Code. an<l rny license is in full force and effect. I
ll>/> 63 t+ bLicense
o*",' I l- l, I- ? D contrecrorli--
I
C(INS'I'RU("1'lON l.IrNDlNG A(;EN('\'
there is a construclion lending agency fior the performance of the rvork for rvhich this po'mit is
Lender's Address:
,rltc . Nt "ECt ^
I lro$y affrnn under penalty of perjury one of the follorving declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
-l
cstiry thst thc fcdEal rctulstioB rcgading BbBtos moval rc not eplicablc to thb prcj€{.
Ucqity thil I luvc Ed this applicarion ad stdc thd thc abovc irformdion is coret. I agrc to omply with 8ll City and County
lfdirucc md Statc kw Elding ro building constnrction {d hmby ruthorirc rcFecrtativc of this City ud County to 616 upon thc
above mentioned propedy for
Applicant or Agent
Pennitee name (r
Appliances
Meta! Fire Place
Evaporative Cooler
Furnace t2l7l74 bktr 8 7
Compressor t1,h l>rl h,,,r/J.#'7
ItIisc. Equipment t -l I
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release It I
F!NAL lU7l7////0/,1-w ry
Notes, Remarks, Etc.lt
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