HomeMy WebLinkAbout40135044 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 4O{35O44
Pin #: 45O9O
Project Address: 3210 S Center St Unit:
Block: NA
Bldg:
Tract 764r'-
Address Range:
Historic: No
Suite Range:
Zoning: AlAssessor's Parcel: 412-092-20 Lot: 36
Owner:
Address:
CARLOS P SOTO
3210 S CENTER ST
Santa Ana, CA 927046609
(949) 619-9835
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Furnace/Comp Combo 136.71
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
1.00
Fee
$136.71
$23.79
$s9.30
$4.05
Phone
Tenant Name:
Contractor:
Address.
Jose A Veliz
322 E Smith Street
Long Beach, CA 90805
(eos) 562-24e2Phone.
State Lic #: 1004945
Lic Type: C-20
. Bus. Lic #: 363187
Workers' Compensation I nsurance:Carrier: Norguard lns Co
Polity #: VEWCISGO10
Expires: 0310312021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
A/C & FAU
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019 Notes. Mechanical for A/C and furnace change out
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Graham, Jeffery -/
Zuniga, Ot,,rrN.
Date:
Date:
Date:
10t28t2020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
10t28t2020
Account#
Every permit rssued 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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$196.01
$4.0s
Fee Total
Paid to Date:
Balance Due:
$223.8s
$0.00
$223.85
lnspector MID#: 2020-162462
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affum undcr pnalty of pcrjury thal I m erempt from thc Contruclom' Lbcns Law for the following rcrsn (Ss.7031.5
Busincss and Prcfession Code): Any City or County whkh rcquircs a fsmit to @nstrucl. allq. impmvc. demlish or rcl,air rny
structurc. prirr to its issu!rce. also requircs thc applicant for such Jrrmit to filc I siSrtd ststcmnt thlt lE or slE is liensd puN.nt
to the pmvisions of thc Contretor's Licensd lrw (Chapter 9, Comrcrcing with Setion 7000 of Division 3 of lhc Business ond
PrcfcssionsCodc)orthathcorsheiscxcmptthercfromsndtheb6sisforthcalhgcdexcmption. AnyviolstionofStrtionT03l,5byany
rpplicsnt for a lf,rmit subjats thc rpplicani to I civil penalty of not mrc thsn five hundrcd dollus ($5fi)).
-1.
as owner of the or my cmployces i with wsges as thcir sole compensation. willdo thc work ard the structure is not
and hofcssions Codc: The Contractor's Liccnse Law does not spply to an owner ofBusincss
the proJrcrty who builds or funprovcr thereon. and who does such work himsclf or herself or through his or her own cmployees.
provided that such improvenrnts are not interded or offered for sale. lf. howevcr. the building or inprorrerEnl is sold within one ytar
of conqrhtion. the Owner Builder will have the burdcn of proving that he or shc did not build or inqrrove the proprty for thc purpsc of
sah).
-1.
as owncr of the pro;rcrty. am cxclusivcly contracting with licensed contraclors lo construct lhe proict (Scc. 7W. Busincss
and Profe.ssion Code: Thc Contractor's License Law does not apply to an owncr of propcrly who builds or improves thcreon.
and who contracts for such proicts with a Contracto(s) licensed pursuant lo lhe Contractor's Liccnsc law).
-l
am cxcnrpt undcr B. & P.C. for this rcason.
f l.rl a.J lu.nor'
WORKERS' COMPENSATION
DECL^ RATION
I hcrcby affirm undcr penalty of perjury onc of the following dcclaralions:
-l
have and will maintain a Certifrcate of Conscnt to Self-lnsurc for workcrs' cnmSrcnsalion. as provided for by Scction 3700 of thc
Labor Code. for the pcrformance of the work for which the permit ls issued.
_l havc and
thc work for\
will rnaintnin compcnsation insurancc. as hy Section 37il) of the l-abor Codc. for the performancc of
rcarrier arf nolicf numhr arc:issucd.
I 0t
Policy
-l
certify that in thc performance of thc work for which this pcrmit is issucd. I shall not employ any person in any manncr
so as to bccomc subjcct to thc workers'compensation laws of California. and agrcc that if I should bccorne subjcct to the
workers' comgrcnsation provisions of Scction 3700 of the Labor Codc. I shall. forthwith comply with thosc provisions..
a
WARNING: Failure to liccure workcrs' compcnsation coveragc an cmploycr to crintinal pcnaltics und
i<ln. danugcs as providcd for thc
Scction 3076 of thc latnr Codc. intercst and attorncy's
I hereby alfirm undcr pcnalty of pcrjury that I am licenscd under pmvision of Chaptcr 9 (commencing with Scction 70m) of Division 3
of thc Business and Profcssions Codc. and my license is in fuU.forcc and cffcct.
t00[-iccnsc Nurnhcr:
W
I hmby sfftrm undcr penrlty of pcrjury thst tJs! is 8 onstructirn lcnding sgcEy for lhe pcrfom of ]hc work for which lhis Frmil is
issued (Ss. 3097. Civ. C.).
lrndcr's Nanrc:
lrndcr's Addrcss:
"''.ANT "rcLARI hcrcby allrnn undcr penalty of pcrjury onc of thc lbllowing dccluralions:
Dcmolit ion Pcrnrits- Asbcstos Notifical ion Fcdcral Regulat ions ('I'it lc 40. Part6)
-Requ
ircd Letter of Not ification
_l ccrtify that thc t'cdcralregulalions rcgarding asbcslos rcrnovalare nol applicahlc to this projcct.
_l ccrtify thal I have rcad this abovc information is correct. I agrcrc to comply with all City and County
orrlirranccs :rrrtl Slalc L-aws rcprcsentalivcs of this City and County to
lhlvc nrcnliorrcd propcrty l'or
Applicanl or Agcnt 1
I'cnrritcc rrurrrc (
Io
I
0
,J8 upon the
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residentia! Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Fina! Test
Meter Release
FINAL llqr,D /l/ C c,vr'eia_s vzy
Notes, Remarks, Etc.
Expires:
-Date:
fr,
D
Eo;tzo -a
\b
_
4)
r=
-
rnEots
r-&m w,
*{
a.+o,
,.
{
.o o*oo 6"3 0r
b,
r\Nooc:l
t{
.o*
={z rn U,
U)3 5o:f
,o.o:,o-o$o o,
;oI
s-
i
*;
E
E
1-
-
-,
D
r
r
I
*r
^
.
fr
l
sE
$
H
n C)3 .3 tr
lx9.
-t .Dl,
r cuo ]\
,
9\
.
r
h,o hJ L,
@(6
'
5 o)
frE -lo
Aa ot,
-aV
-a3
o:,
oo o"
-lo 3 JD f-
.
\
G:f
,
CAof5 tD 3(D
t+
-o o{r
,-
i
.5o
;o;t
.+c:,CLo-l !m7 r-,o'T
l
-t
rnnc_C7 C5o.o -tr+5o 0)s (r
,o{r
,-
l
.
Joa F{
-oF+o o -o
r
c)p F -l:,6'
.-
b
J 0)
F.
l
-
.-
{
-5o 6'd(o 9-=(o
Eoil
(o ilo ='
a ,.
{
.eo o)
:,o.oo -la c)
t+
lD