HomeMy WebLinkAbout40135067 - PermitProiect Address: 818 W Park Lna
Assessor's Parcel: 002-037 -54 Lot. 55
Unit:
Block: NA
Bldg:
Tract: 1471
Address Range:
Historic: No
Suite Range:
Zoning: Rl
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
.,t Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 40{35067
Pin #: E5{5E
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Lester Schunk
818 W Park Lane
Santa Ana, CA 92706
(949) 375-6246
Service Champions
3150 E Birch Street
Brea, CA 92821
(7141 777 -7777
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Alter Vent Sys
General Plan Update
lssuance
Microfilm Records
Amount
46.99
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$46.99
$23.79
$59.30
$4.05
$?3 ,79
*4 . [t5
f 1t t6 .?9
$134.13
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: 196430
Workers' Compensation lnsurance:Carrier: Everest Premier lns Co
Policy #: RM8WC00054-201
Expires: 0410112021
Bo t ch * z37tt67 - II /3/ 2(120 I0 : EL I ZABE TH
Itffi;-:criH Trnnsil?! lof I
ftiti: Ref l: 101s5067
RAti:031 Ct+t2l LI/3/202(t. 1:4tt FH
T.ilisit ion Tota I tt34 ' 13
Building Use:
Job Type:
Nature of Work:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Ductwork
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2019 Replace ductworkNotes:
Fee Total:
Paid to Date:
Balance Due:
Planning Conditions:
Planning Approval By:Date:
Date.
Date:Amsden, Julie
Every permit issued 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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MrD#'. 2020-162582
11t03t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Recerpt:
Total
01 1 1 6002 51 600
01 1 16002 51604
01116002 57770
$23.79
$1 06 29
$4 0s
$134 13
$0.00
$134.13
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG. | -, COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room I 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
Rough Mech.
Fina! Test
Meter Release lt A'
u.frukAFINAL lll|slzo W\tu-]Llu 7Ul
Notgs, Remalks, Etc. ; / ,lt-A,tO,
tht<J/i pl{Luqttlryr hs,lsFrr / H UltJ 1il4(-/
()}VN I.:R I} TI I I,I)I.:R
I hcrcby afiim urdr penslty of Frjury thal I m eremJ,l hom the Contrrctm' Lkrns tlw for thc folbwing ftamn (Scc.7031.5
Buriness and Prcfession Code): Atry City or County which rcquires r Jrmit to @nstruc{. rlt6, itrprcrc, demlish or rrlah my
Btructw. lrbr to its issurec, als rcquircs tha spplicml for such pemit to lile 8 sigred ststemnt thlt he or shc b lieosd plN8nt
to lhc pmvisioN of tlt Contrcttr's Lienscd [rw (Chaplcr 9. Comrcing with Scclbn 7000 of Divisioo 3 of the Busircss and
Pmfessions Code) or thsl he q shc is €xerpt theGfrom 8td the bosis for thc rllegcd crcnpaion. Atry violdion of Setbn 703 I .5 by sny
applicsnl for I pemit subjc]s rhe spplic8nt to I civil pcBlty of mt mrc thsr liv€ hundrcd dollus ($500).
-1,
&! owmr of the pmpcrty. or my employees with wages s thcir slc compensstion. wil do the wort( 8d thc stlutuc ir mt
inteoded m offered fs sh (S6.7014, Buirc$ sd Prcfesrions Codc: The Contrrctor's Lkcns ky dcs mt spply to u owrcr of
lhe pmperty who boiu.s or inprcB tlson and who dm srch wrk hiroelf or hemlf or thrcugh his tr hcr own cmph,€es.
prcvklcd thal such inpmwnls @ mt irlcodod tr orfercd for sh. lf, howE thc buildirg or irprowreil ir sld uithio orc )qr
of strpletion. thc Owmr BuiHer will haw thc hlden of poving tlut he or drc di, mt huild or inprow thc pepqty fq thc pupos of
sle).
-1,
asownerof the property. amcxclusivelycontracting with liccnscd conlrectorsto construct thc project (Sec. 7W. Busincss
and Professbn Codc: The Contraclor's Licensc Law does not apply to an owner of propcrty who builds or improves thercon.
and who contracts for such projects with a Contracto(s) liccnscd pursuant to thc Contractor's Liccnse taw).
-l
am exempt under Scction- B. & P.C. for this rcason.
WORK EILS' CONI PENSA'I'ION
DECLARATION
I hcrcby affirrn undcr pcnalty of pcrjury onc of thc following dcclaratiorrs:
-lhavcandwill
nuintainaCcrtificatcofConscnttoSclf-lnsurctbrworkcrs'colrrpcnsation.as providcdftlrbyScction3T([ofthc
Lahrr C<xlc. forthc Jrcrftrrnmnce of thc work lirr which thc pcrmit is issucd.
and will mainlain workers' compcnsation insurancc. as required by Scction 3700 of thc l-abor Code, for thc Jrcrformancc of
work tbr this pcrmit issucd.insurancc carricr and plicy numbcr are:
J
Policy
'- l4rJZl
-l
ccrtify that in thc performance of the work for which this ;rcrmit is issucd. I shall not employ any lrcrson in any manner
so as to bcconrc subject to thc workers'comgrcnsation laws of California. and agrcc thal if I should be<orne subject to thc
workers' compensation pmvisions of Scction 3700 of the Labor Code. I shall. forthwilh comply with those provisions..
WARNING: Failurc lo sccurc workcrs' compensation covcrugc is unlawful. and shall subjcct an cmployer to criminal pcnaltics and
civil fincs up lo one hundrcd thousand dollars ($1(X).0001, in addition to thc cost of comlrcnsation. damagcs as providcd for the
Section 3076 of the Labor Code, intercst and attorncy's fees.J-'At
o,r". I (-3 -k)1,.o
LICF'NSFN CON'I'RACTOR
DECLARTt'l'I0N
I hcrchy affirnr undcr pcnalty of pcrjury that I anr licenscd undcr pnrvision of Chaptcr 9 (conrrnencing with Scctiorr 70fi)) of Division 3
of thc Busincss and Profc'ssions Codc. arxl rny liccnsc is in fbll frrrcc and cffcct.
72tt70
Applicarrl or Agcnt ,,,". I l-3-Zo2€)
Pcrmilec namc tp,i^o, J fdy'4 s
Liccnsc Nurnhcr:
( 'onl r:rclrlr: -. rE
W
I hcrcby alfrm un&r Fnalty of pcrjury thal tlsc is I oNtruclbn lendhg sgcrcy ftr thc peIfoffie of thc mrk for whkh this Imil b
issued (56. 3097, Civ. C.).
lrnder's Nanrc:
lrnder's Addrcss:
^pH
,c^NT,r"u R
I hcrcby affinn undcr penalty of pcrjury onc of the tbllowing dcclarations:
Dcnrolition Pcrmits-Asbestos Notification Fedcral Regulations (Title 40. Part6)
-Rcquircd
lrttcr of Notification
-l
ccrtify thal thc tbdcral rcgulations rcgarding asbcstos rcmovalarc not applicable to this proict.
ccrtify that I havc rcad this applicalion with all Cily and County
and County lo enler upon thcordinances and State l:ws rclating to
abovc nrcntioncd property for
4
l)ale:0wner:
WCooofvz O I Expires:
/?
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