HomeMy WebLinkAbout40134754 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 927c,2 Mechanical Permit #: 4o^134754
Pin #: {5{Og
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Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 I Section: (7 1 4) 647-5853
Proiect Address: 1227 S Oranqe Ave
Assessor's Parcel: 014-013-08 Lot: 7
Unit:
Block: G
Bldg:
Tract: 266
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Benjamin vallejo
1227 Orange ave
Santa Ana, CA 92707
(7141 227-2615
01 1 16002 51604
01 1 16002 s1604
01 1 16002 51600
01 1 16002 51604
01 1 16002 s7770
Fee Type
Furnace
Compressor
General Plan Update
lssuance
Microfilm Records
Amount
70.66
97.17
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$70.66
$97.1 7
$23.79
$5e.30
$4.05
Phone.
Tenant Name:
Contractor:
Address:
Owner-Builder
I
,
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type:
Code:
R-3
VB
cMc 2019 Notes: Mechanical
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web_user
Date:
Date:
Date:07109t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 site by such permit is suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
N/A - No Balance
N/A - No Balance
Fee Total:
Paid to Date:
Balance Due:
$254.97
$2s4.97
$0.00
lnspector MID#'. 2020-1 60048
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNENBULDERDELCANAflON 'I hercby affm under pcnally of lrrjury rhrr I m excmpr ftom thc ContEctoF' LLure llv for thc following m$n (56.7031.5
Busincss and Profession Cndc): Any City or County which rcquircs a tsmil to @nslrucl, ah6, imprcrc. demlish or rcpair my
structurc. Jtrior to its issurre. 8lrc rcquircs thc applicant for such permit to lile a siSnct ststcrcnt thal he or she ir licensed pusmt
to the povisions of thc Contrelor's Licensc{ Law (Chapter 9. Comncing with S6tion 7000 of Division 3 of tlE Busircs md
Prcfessions Codc) or that h u shc is exempt thercfrom and the b$is for the rllegcd excrption. Any violstioo of Sction 703 I .5 by sny
spplicant for 8 lrcrmit subjccts the spplicanl to s civil pcnalty of not mrc thil fivc hundrcd dollus ($5fl)).
_1. as owncr of the proF,crty. or my cmplcryces with wages as their sole compensalion. will do thc work Brd the structurc is not
intenclcd or olfcrcd for salc (Sec.7M4. Business nnd Profcssions Code: Thc Contractor's License Law does not apply to an owner of
the proJrcrty who builds or inrpmves thereon. and who docs such work himsclf or herself or through his or her own employecs.
provided that such improvenrnts are nol intended orofM for sale. lf. howcvcr. the btrilding or in{trovcnrnt is sold wilhin onc }rcar
of complction, the Owner Builder will have the burden of proving that he or shc did not build or improvc the propcrty for thc purynseof
sah).
_t. as owncr ol'thc propcrly. amexclusivcly corrlracting with liccrrscd conlraclors lo conslrucl lhc projcct (Scc. 7(114. Busincss
and Pnrlbsskrn Codc: T'hc Conlraclor's l-iccrrsc l-aw rlocs not apply lo an o\r'ncr oIpropcrty u'ho huilds or ilnprovcs lhcrcon.
and u'ho contracls lirr such projccts with a Contraclor(s) liccnscd pursuanl lo lhc Cortlractor's I.iccnsc l,arv).
-l
artt cxcnlpl uttdcr Scclion-. l]. & P.C. lirr lhis rctson.
l)ale:Owner:_
WORKERS' C(It}I PENSATI(IN
DECLARATION
I hcrcby alfirm undcr pcnalty of pcrjury onc ol'thc folkrs'irrg dcclaralions:
_l havc and will ntaintain a Ccrtilicatc of Conscnt to Scll'-lrrsurc lirr workcrs'cotttglcnsulion. as providcd lilr by Scclion 37(X) of thc
Labor Crxlc. ltrrthc pcrfornurnce of thc rvork frrr which thc pcrnrit is issucd.
_l havc and will rnaintailr workcrs'cotnpcnsation irtsuralrcc. as rcquircd hyScctiotr ITOOof lhc LahorCltldc. forlhc pcrftrrnuttceof
thc work tirr which this Jrcrrnit is issucd. My workcrs' conrlrcnsalion insuritncc carricr and Jxrlicy ttunrbcr uc:
Policy
_l ccrtifythat in thc pcrlirrmance of the work for which this perrnit is issued. I shall not employ any pcrson in any manner
so as to hccomc subjcct to thc workers' conrpcnsation laws of California. and agrce that if I should becomc subjcct lo the
workers' comlrcnsation provisions nf Scction .37fi) of thc l-abor Code. I shall. forthwith comply with thosc provisions..
WARNING: Failure to sccurc workers' compcnsation covcrage is unlawful. and shall subject an employcr to criminal pcnsltbs and
civil fines up to one hundred thousand dollars ($100.m0). in addition to the cost of compcnsation. damages as providcd for the
Scction 3076 of thc Labor Code. intcrest and attorncy's fccs.
l)irtt':Aoolicsnt:
LIC F'NSED CON'I'RA C'I'OR
DECLATTATION
I hcrchy allirrn undcr pcnalty of pcrjury that I arn licensctl undcr provision ol'Chaptcr 9 (cotttnrcncilrg with .Scctitltt 7(ru0) of l)ivision -l
of thc Busincss and Proll.ssions Codc. and nry liccrrsc is in full lirrcc and cfl'cct.
Licensc Class: License Numbcr:
('ortl raclrlr
W
I hcrchy f,ffirm undcr fEnnltyof frcrjury lhal thcrc is a crnstructku lcnding agctrcy for lhc [rcrforluncc oflhc wotk for which this Jrrmit is
issucd (Scc. 3097. Civ. C.).
lcndcr's Address:
'PPLT.ANT IT".LAR
I hercby alfirm undcr penalty of pcrjury onc of thc following dcclarations:
Dcnrolition Pcrrnits-Asbestos Nolification Fcdcral Rcgulations ('title 40. Part6)
-Rcquired
Lctlcr of Notilication
-l
ccrtify Ihilt lhc fcdcral rcguhlius rcEUding asJf,'rk)s rcmoval arc nol ilpDlicahlc b this proist.
_l ccnity that I htrvc rct(l this npplictrtiol ad statc lhtl thc rk)vc ilfi)rmilli(n is corccl. I agtc! k, comply with illl Cily trnd G)unly
ordinanccs and Strlc Laws rulating to huilding conslrucli(nl. ond hcrcby oulh)rizc rcprc{cnlativcs of lhis Cily and Counly lo cntcr uFrn lhc
atxrrc n*ntioncd prrJrcrty li)r inslEction purlm$cs.
Applicanl or Agcnl
| ,.*,*. nr,r,"
I \.rra.
Appliances
lMetal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rouqh Ductwork
Vents
Toilet Room I Clothes Drver
Residential Ranqe
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openinqs
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I \I .n
F!NAL \a-\t -1-o DffiTO I
Notes, Remarks, Etc.I