HomeMy WebLinkAbout40135102 - PermitCity 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 #: 4o^{351o.2
Pin #: 98014
Proiect Address: 413 N Linwood Avea
Unit:
Block: NA
Bldg:
Tract: 319
Address Range: 411413
Historic: No
Suite Range:
Zoning: R1Assessor's Parcel: 398-393-13 Lot: 18
Owner:
Address:
CAROLYN SCHAFFER
413 N LINWOOD AVE
Santa Ana, CA 927014326
(7141 6974327
01 1 1 6002 51 604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type Amount
Furnace/Comp Combo 136.71
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
100
1 .00
100
100
Fee
$1 36 71
$23.79
$se.30
$4.05
Phone.
Tenant Name:
Contractor:
Address:
Toto Air lnc
12734 Bessemer St
North Hollywood, CA 91606
(818) 387-s021Phone:
State Lic #: 1057901
Lic Type: C-20
Bus. Lic #: 376825
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 926Z898
Expires: 0111512021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
HVAC
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019 Notes: Replace furnace located in attic
Planning Conditions:
Planning Approval By: Arias, Fernanda Date:
Date:
Date:
11t18t2020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie 11t20t2020
Account#
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 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 s1604
01 1 16002 57770
$23 7e
$196.01
$4.0s
Fee Total:
Paid to Date:
Balance Due:
$223 85
$0 00
$223.85
lnspector MID#: 2020-162025
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 I nstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer (
Residential Range
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I I 1-- t
FINAL -7,1 9rD v\ry6'
II
,\
-/
I hsclry affm unda pcnalty of pcrjury that I m acmpt from the ContractoE' License lrw for th€ follorving IEen (Se.7031.5
Buines od Prof*ion Code): Any City or County which requiG a pgrnit to coGtruct, alta. inprcvc dsrolish or rcpsir my
strucluq prior to its isumce also raquirB thc spplicmt for such pemit to filc 8 sigo€d starmot lhar hc or slE is licms€d plNut
to thc provbioN of thc Contretor's Licenrd t:w (Chapt6 9. Commcing with Sction 7000 of Division 3 of thc Busirc ad
Prcf*ionsCodc)orthathcorshcisqcmptthscfrommdthcbmisforthcallqcdqmption. AnyviolationofSelbnT03l.5bymy
applicant for a pcnnh subjcts thc applicmt to a civil pffilty of not morc the fivc hundrcd dollm ($500).
-1.
as owner ofthe propcrty, or my employees with wages as their sole comperuation. will do the work and the structure is not
intqrdod or offerod for sale (Sec.7M4, Business and Professions Code: The Contraclor's Licanse Law does not apply to an owner of
the propcrty who hrilds or impnoves thcroru md who does such wort himself or herself or through his or hcr own employees.
provided that such impnovarents dE not intendcd oroftrod for sale. I[, howcvcr. the hrilding or iryrovcnrent is sold within one ]€r
of complaion, the Orvner Buildcr will have the hrden of pnoving ttra he or she ditl not build or inprove the popcrty for the prnposeof
salc).
-1.
as owner of thc property. arn exclusively contracting with licemed contractors to construcl the pnoject (Sec. 7044. Business
and Proftssion Code: The Contractor's License Law does not applyto an owner of property who builds or improvcs thereon,
and who contracts for such projects with a Contracto(s) licenscd pursuant to the Contractor's Liccnse l,aw).
-l
am exempt under Section-. B. & P.C. for this reason.
l)qlo'Owner:__lue8KEis'corwrNsr -DECLARATION
one of the follorving declarations:I hereby affrrm under penalty of pcrjury
have and will maintain a Certificate of Consent to Self-lnsure for workers' conlpensation, as provided for by Section 3700 of the
Labor Code, for thc perfonnance of the work for which thc pennit is issued.
have and will maintain 3700 of the Labor Code.for the pcrformance of
work for which this and policy number
4 Itslzl
_l cerri& that in the performance of the work for which this permit is issued. I shall not employ any person in any manner
so as to bccome subject to the workers'compensation larvs of California and agree that if I should become subject to thc
workers' comporsation provisions of Section 3700 of the L^abor Code. I shall. forthwith cornply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to oiminal paulties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of
Section 3076 of the labor Code interest and attorney's fees.
damages as provided for the
T TCENSFN CONTRACTOR
nrnLtrL{TtoN
I hercby affnm undcr pcodtyof ffiury tha I am licensad undcr provision of Chapter 9 (commancing with Scctbn 7000) of Division 3
of the Business and Profcssions Code, and my license is in full force and effect.
Nunrber:C-eo
(lontraclor:3
W
t hotby affim unda pcnalty of pajury tha th@ b I oonructios kding rg6cy for thc pqfoffic of thc wrk for which this psmit b
bsu.d (56. 3097. Civ. C.).
Lender's Name:
Lender's Address:
APPI ICANT NECL^ RATION
I hor*yatrrmunder penalty of perjury one of the following declarations:
Dcmolition Permits-Asbeslos Notification Fedcral Regulations (Title 40. Pafi6)
-Required
Later of Notificaion
-l
certi& that the federal regulations regarding asbestos removal are not applicable to this project.
certi$that have read this application and state that the above informatit'rn is correcl. I agroe to comply with all City and County
rreptresentativcs of this City and County to enter upon theandStateLaws rclating building conslruction.
above rncntioned property for inspection purposcs.
Applicant or Agent
name
and hereby authorize
?-O o
Notes, Remarks, Etc.
Numrrer: qI-GA {QB I
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Applicant:1
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