HomeMy WebLinkAbout40134847 - PermitProiect Address: 20 Civic Center Plza
Assessor's Parcel: 008-036-35 Lot: 1-10, POR 3
Unit:
Block: A, B
Bldg:
Tract: ROSS ADD
Address Range:
Historic: No
Suite Range:
Zoning: GC
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 4o-134847
Pin #: 5309{
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
CITY OF SANTA ANA
PO BOX 1988
Santa Ana, CA 927021988
Trane US, lnc.
3253 E lmperial Highway
Brea, CA 92821
(888) s73-e005
01 1 16002 51604
01 1 16002 53603
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Compressor
PIC - 650/o
Fee Exempt
General Plan Update
lssuance
Microfilm Records
Amount
156.51
0.65
-34s.38
23.79
s9.30
4.05
Qty
1.00
156.51
1.00
1.00
1.00
1.00
Fee
$1s6.51
$101 .73
$-345.38
$23.7e
$5e.30
$4.0s
State Lic #: 1066318
Lic Type: C-36, B, C4, A, C-10, C-20,,C-38, C46
Bus. Lic #: 31 1 415
Workers' Compensation lnsurance:Carrier: Traveler's Property Casualty Company of America
Policy #: UB8M3 5413A2051 K
Expires: 0411712021
Building Use:
Job Type.
Nature of Work:
City
Miscellaneous
Roof Mtd Equipment
Kwak, Jason
Amsden, Julie
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cMc 2019 Notes: Replace (1) roof mounted AC unit. FEE EXEMPT - CITY
JOB
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-1 60904
08/19t2020
08/1 9t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
N/A - No Balance
N/A - No Balance
N/A - No Balance
Fee Total.
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Appliances
lVleta! Fire Place
Evaporative Cooler
Furnace
Compressor
[t/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room I Clothes Dryer
Residential Range
Other \
Hood
Tvpe I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL ,-lv'h t- Ul >r'-t?J*5 w\Y
Notes, Remarks, Etc.
t
\.
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I hercby affirm undcr pcnalty of Frjury thst I m cxcmpl ftom lhe Conlrsclo$' Lhens Law for ilr following rcssn (Stc.7031.5
Busincss ard Prcfession Codc): Any City or County which rcquircs o permir lo @nstruct, altq. impEvc. dcmlish or Epsir any
structurc, prior to its issusncc. d$ rcquircs the rpplicrnt for such lEmit to lilc I sigred stslercnt thsl lE or slte b lien$d puNant
lo the ,rrcvisions of tlE Cootractfi's Lhensd bw (Chaptcr 9, Commrcing whh Setion 7fi)0 of Division 3 of lhc Busircss md
Prcfcssions Codc) or that hc or shc is cxcmpt thwfrcm snd the basis for the ellcgcd ercmption. Any viol8tion of Selhn 7031.5 by sny
applicont for 8 pcrmit subjcrts ttE applicf,nl to 8 civil pcnslty of not mrc than fivc hurdred dollus ($500).
-1.
as owner of the prof,crty. or my employces with wages as thcir sole compensalion. will do thc work and thc strrcture is rmt
intcnded or offered for sah (Serc.7044. Busincss and hofcssions Code: The Contractor's Liccnsc [-aw docs not aPply to an owncr of
the proprty who b,uilds or inrproves thcrcon. and who drrcs such work himself or herself or through his or her own cmployees.
providcd that such improrrcnrcnts are not intended or offersd for sah. lf. howcver. thc building or inqnovenrnl is sold within onc )car
of conrpletion. thc Owncr Builder will have thc burden of proving that hc or shc did not build or improve the propcrty for the purpse of
sah).
_1. as owner of the pmperry. am cxclusivcly contracting with liccnsed contraclors lo conslruct thc project (Scc. 7W. Busincss
and hofesshn Code: Thc Contractor's Liccnse Law docs nol apply to ttn owner of propcrty who builds or improves thereon.
and who contracts for such projccts with a Contracto(s) licenscd pursuant to lhe Conlraclor's Licensc kw).
-l
am exempt under Section-. B. & P.C. for this reason.
I)tle:
WORKERS' CONIPENSATION
DECLARATTON
I hcreby alfirm undcr pnalty of Jrcrjury one of thc following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsurc for workers' comlrcnsation. as provided for by Section 3700 of the
Labor Code. for the performance of thc work for which the permit ts issued.
-l
have and witl mainlain workcrs' compnsation insurance. as requircd by Section 3700 of thc labor Code. for the pcrformancc of
thc work frrr tlris is issucd. My workcrs' compcnsalion insurance carricr zuxl plicy numbcr arc:
_l certify that in the pcrformancc of thc work for which this pcrrnit is issucd. I shall ttot cmploy any pcrson in any manner
so as lo bccomc subjcct to thc workcrs'comJrcnsalion laws of California. and agrc'c lhal if I slxruld hccome subject to thc
workcrs' compcnsation provisions of Scction 37fi) of the Latnr Codc. I shall. forthwith comply with thosc provisions..
WARNING: Failure to sccure workcrs' compcnsation covcrage is unlawful. and shall subjcct an employcr to criminal penalticx and
civil fines up to one hundred thousand dollars ($100.000). in additkrrr to thc cost of cornpcnsution. damagcs os providcd for the
of L-abor Code. inlcrest and allorney's
LICENSFD C(IN'I'RACTOR
DFCLAR,\'TION
I hcrchy atlrrn under pcnalty of pcrjury that I am liccnsctl urrdcr provision ot'Chaplcr 9 (cotnnrcncing with Scctiott 7(Xru) of Division .1
of thc lrxl c'll'cct.le3DE-
W
I hcrchy allirn uodcr lEnnlty ofFrjury thal thcrc is a conslruclion londing {gctrcy li)r lhc pcrl(trmilncc ofthc work for which lhis tf,,nlit is
issucrl (Sec. 3097. Civ. C.).
hndcr's Nunrc:
I-cnder's Addrcss:
APP, ,.ANT IrFCI {*..'.,*
I hcrchy affinn undcr pcnulty of pcrjury onc of thc following dcclaratiorts:
Dcnmlition Pcrnrits-Asbcslos Notificalion Fcdcral Rcgulations (Titlc -10. Parl6)
-Rcquircd
lrttcr of Nolilication
-l
ccrtily thal thc fcderal asbcslos removalarc nol applicable to this projcct.
_l ccrtify that I have rcad this is corrcct. I agrc.e lo comply with all City and County
ordinanccs and State [:ws ol'this City and County to cntcr uJxrn thc
,ru,",fl^l?-)a>
ahovc mcntioncd propcrty for
Applicant or Agenl
Pcrrrritcc narrrc
slllc thll
representativcs
Orvner:
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