The URL can be used to link to this page

Home My WebLink About40135062 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:4Ol 35062 Pin #: 61983 Proiect Address: 2148 S Svcamore Sta Unit: Block: B Bldg: Tract 597 Address Range: Historic: No Suite Range: Zoning: R2Assessor's Parcel. 015-083-24 Lot: 15 Owner: Address: Long Quang 2148 S SYCAMORE ST Santa Ana, CA 927072729 (7141 261407e 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01 1 16002 5777C Fee Type Amount Furnace/Comp Combo 13O.ll General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 100 1.00 1 .00 1.00 Fee $136.71 $23.79 $5e.30 $4.05 Phone: Tenant Name: Contractor: Address: Man's Air Conditioning & He 2114 W Chalet Ave Anaheim, GA 92804 (7'.t41 234-0351Phone:j I,l State Lic #: 695937 Lic Type: C-20 Bus. Lic #: 376665 Workers' Compensation I nsurance:Carrier: Exempt Policy #: Expires: Building Use: Job Type. Nature of Work: Single Family Dwelling Miscellaneous A/C & FAU Occupancy: Constr Type: Code: R-3 VB cMc 2019 f ilm & Do Notes.Mechanical for replaqement of A/C and furnace unit (Front House) Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Gomez, Pedro Date: 1110312020 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Zuniga,Date:11103t2020 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 51604 01 1 16002 57770 $23.7e $1e6.01 $4 0s Fee Total Paid to Date: Balance Due: $223.8s $0 00 $223.85 Inspector MID#: 2020-162569 jt MECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG,COMMENTS OWNER BUILDER DELCARATTON I herctry sfftrm under Jrcnalty of Jrcrjury that I m exempt ftom the ControctoB' Liccnse lrw for the following rcasn (Se.7031.5 Busiress rrd Prcfwsion Code): Any Cily ff Coutrty whbh rcquircs r tmit lo @nstruct. altq, in{rrcve, &mlish or qnir my structurc. prior to its issurre. also rcIuires thc applicanl for Euch lf,mil to filc s sigred stalemnt thsl he or $hc is liensd puN8nt lo thc povisions of tlE Conlrelor's Liccnsd [ry (Chspter 9. Commrcirg with Section 7000 of Diviskrn 3 of thc Busincss and PrcfessionsCodc)orthalhcorshcisexemptthcrcfrcmsndthebosiifortheallegcdcxemption. AnyviolationofsstionT03l.5byany spplicsnt for 8 tE mit subjets thc applicrnt lo s civil pcElty of not mE lhsn five hundrcd do[us ($500). -1. as owncr of the propcrty, or my employecs with wagcs as thcir sole compcnsation. will do the work and tlrc structure is not intended or offcred for sale (Scr.7044. Business and Professions Codc: The Contractor's Lbcnse law does not apply to an owncr of lhe propcrty who builds or improvcs thcreon. and who does such work himself or herself or through his or her own employccs. providcd that such improvenrcnls are not intendcd or offcred for sak. lf. howevcr. the buiHing or inqrmrrcrrnt is sold within one yâ‚¬ar of completion, the Owncr Builder will harr thc burden of proving that he or she did not build nr inpmvc the propcrty for thc purynsc of sale). -1. as owncr of thc propcrly. am cxclusivcly contracting with liccnscd conlractors to conslruct the projcct (Sec. 7044, Busincss and l'rofessirnCodc: 'l'hcContraclrlr'sLiccnscLawdocsnotapplytoano\r'nerofpropertywhobuildsorimprovesthcrcon. and who conlracts for such projccts with a Contraclo(s) liccnscd pursuanl to thc Contractor's Liccnsc Luw). -l am excnrpt undcr Scction-. B. & P.C. frtr lhis rcason. WORKERS' COMPENSATION DECLARATION I hercby affirm under pcnalty of Jrcrjury one of thc following dcclarations: -l have and will maintain a Certifrcate of Consent to Sclf-lnsure for workers' compcnsation. as provided for by Sc.ction 3700 of the Labor Code. for the pcrformance of the work for which ttre permil is issued. -l have and will mainlain workers'compcnsation insurance. as rcquired by Section 370O of thc Labor Codc. for thc pcrformancc of thc work tbr which this pcrnrit is issucd. My workcrs'insurancc carricr and policy number are: Policy -l certify that in the performancc of thc work for this Jrcrmit is issucd. I shall not employ Bny pcrson in any manncr so as lo beconrc subjcct to lhc workcrs'compensation laws of California. and agrce that if I should becomc subjcct to tlrc workcrs' corrpcnsation provisions of Scction 37fi) of thc l-^abor Code. I shall, forthwith comply with thosc provisions.. WARNING: Failure lo sccurc workcrs' com;rcnsation coverdgc civil lines up to one hundrcd thousand dollars ($100.000). in and shall subject an employcr to criminal pcnalties and ion to thc cost of compcnsalion. damages as provided fo,r thc Scctkrn 3076 of the labor Code. interest and altorney's o*r, =N0 { J. Zo ' I hcrcby affirnr undcr pcnalty of pcrjury that I am liccnscd 9 (comrnencing with Scction 7000) of Division 3 of thc Busincss and Prof'cssions Codc. aud my licensc is in -- forcc alfect. 68e37Liccnsc oarc, Afou L-2;2' I hercby affirm under penalty of perjury that there is a issucd (Sec. 3097, Civ. C.). aScncy perlilrmance of thc work for which this Jrcrrnit is lrnder's Addrcss: AppI ,cAN" ""c, aRA I hcrcty atfrnn undcr Jrcnalty of perjury onc of thc following dcclarations: Dcmolitiorr Permits-Asbcslos Notification Fedcral Regulations (Titlc 40. Part6) _Rcquircd Lctter of Notification -l ccrtify that thc federal rcgulations rcgarding asbcstos rcmoval arc not applicablc lo this project. _l certify lhal I havc rcad this information is corrccl. I agrcr to comply with all City and County ordinanccs and Statc Laws rclating authorizc reprcscntativcs of this City and County to cnler upon thc abovc mcntioncd proJrcrty for Applicant or Agcnt Pcrmilcc namc ard state L o*", N t/j. 2.o' Appliances IMetal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre- lnsulation lnsulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room / Clothes Drver Residentia! Ranqe Other Hood Type I Hood Type II Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release A\ FINAL ll-17-?o V'W)01 Notes, Remarks, Etc.ttJ ll-16-?l'hi alL Frorrt lheelldldL _Expires: t -- l.endcr's Name: