HomeMy WebLinkAbout40134890 - PermitProject Address: 3683 S Bear St
Assessor's Parcel: 931-166-09 Lot: 1, 2, 3
Unit: J
Block: NA
Bldg:
Tract: 10212
Address Range: 3601-3G8S
Historic: No
Suite Range:
Zoning: R4
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 #:40134890
Pin #: 66469
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Pam Mercado
3683 S Bear St #J
Santa Ana, CA 92704
(7141 488-2778
Climate Air Masters lnc
1139 N Anaheim Blvd.
Anaheim, CA 92801
(7141 s33-0402
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
100
1.00
Fee
$136.71
$23.79
$5e.30
$4.05
State Lic #: 695854
Lic Type: C-36, B, C-10, C-20
Bus. Lic #: 312465
Workers' Compensation I nsurance:Carrier: SIRIUS AMERICA INSURANCE COMPANY
Policy #: WC47G10
Expires: 0612512021
Botch* : 5643[t - ? /8/21:
Off i ce: CTY$ TrgnslAccti: I
Rcpt*303116 tlt+ 9lE
TnonsoctionlTotol
Iirnnte Airlllcrstel
Building Use. Condominium
Job Type: Miscellaneous
Nature of Work: A/C & FAU
Planning Conditions: Equipment to be screened.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Enriquez, Gissel
Zuniga, Allissa
Occupancy:
Constr Type:
Code:
Date:
Date:
R-3
VB
cMc 2019 A/C change out like for like and furnace
09/08/2020
09t08t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
01 1 16002 s1600
01 1 16002 51604
01 1 16002 57770
$23.79
$196.01
$4.05
$223.85
$0 00
$223.85
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on fhe site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MID#' 2020-1 61326
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hercby affLm urder penally of pcrjury that I m cxcmpl from tlrc Contncto6' Lhcns lrw for thc followitrg rcasn (Sec.7031.5
Business and Prcfession Code): Any City or County whhh rcquircs I ,f,mil to @nslrucl, allq, improw, demlish or EJEir any
6lruclurc, pdor to ils issume. also rcquircs thc rpplicant for such pcmil to lih o sigEd statcmnt thal he or dE is licnsd plruot
to thc pDvisions of the Contrctor's Liensd t w (Chaptcr 9, Comming vith Sfflion 7(m of Division 3 of the B$ircss and
ProfcssionsCodc)ortharheorsheisexemplthercfroma[dthcbcsisforlhcsllegcdcxcmption. AnyviolatiinofSsiionJo3l.5bysny
spplicant for s pcmit subjccls lhe spplicrnt to a civil penalty of not mrc than fivc hundrcd dollils ($500).
-1.
as owncr of the proFerty. or nry employces with wages as their solc compcnsation. willdo thc work and lhe structure Ls not
intended or ofFered for sale (Scr.7(X4. Busincss and hofcssions Codc: The Contractor's Liccnse Law does not apply lo nn owncr of
thc propcrty who builds or improves thercon. and who docs such work himself or hersclf or lhrough his or hcr own employces,
providcd that such improvenrcnls are not intendcd or offercd for salc. lf. howcver. thc building or irqrroverrcnl is sold within one year
of cornpletion. the Owner Builder will havc the burden of proving that hc or she did not build or improve thc propcrty for thc purynse of
sale).
-1.
as owner of the propcrty. am cxclusively contracting with licensed contrectors to conslruct the proict (Sec. 7W. Business
and ft,ofesshn Code: The Contractor's License Law docs not apply to an owner of progrcrty who builds or improvcs thcreon.
and who contracls for such proicts with a Contractor(s) licenscd pursuent to thc Contractor's License Law).
-lamcxcmptunderScction-.B.&P.C.forthisrcason.lhtr::( )n ner:
1VORKERS' CONI I'ENSA'I'ION
DIiCLARA'tI()N
I hcrcby affirrn under pcnalty of pcrjury one of thc following declarations:
-l
havc and will maintain a Certificatc of Consent to Self-lnsure for workers' compensation. as providcd for by Section 3700 of the
Labor Code. for the performance of thc work for which thc permit is issucd.
4 have and will maintain workcrs'compensation insurancc. as rcquired hy Scction 37fi) of thc Labor Code, for lhe grcrformance of
work pcnnil is My workers' compensation in.surance carricr and plicy numbcr are:
t
a
t
LPolicy
o
_l ccrtify that in the pcrformance of the work for which this pcrmit is issued. I shall nol ernploy any person in any manncr
so as to bccomc subject to thc workcrs'compensation laws of California. and agrec that if I should become subject to the
workers' compcnsation provisions of Section 3700 of thc Lahlr Code. I shall. forthwith cornply with thosc provisions..
WARNING: Failurc to sccurc workcrs' comlrcnsation coverage is unlawful. and shall subjcct an cmploycr to criminal pcnaltics and
civil fincs up to onc hundred thousand dollars ($100.m0). in addition lo thc cost of conrpcnsation. damagcs as providcd for thc
alt()rncy's
I hcreby affirm under penalty of Jrerjury that I am liccnsed under provision of Chapter 9 (commerrcing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full forcc and effect.
tLicensc
W
I hemby 8fftrm urtdcr pcndty of Frjury that thw k 8 @nstructhn lcnding agercy for the pcrfre of lhe uork for whbh this lEmil is
issued (S4. 3$t7, Civ. C.).
Lcndcr's Name:
lrndcr's Addrcss:
^ppl
,cAN,,rEcLA
I trrcby atlirm undcr pcnalty of pcrjury onc of thc following dcclarations:
Dcmolition Pernrits-Asbcstos Nolification Fedcral Rcgulations (Titlc 40. Parl6)
-Rccluircd
lrtter of Nolilication
-l
certify lhat thc fcdcralregulations rcgarding asbcstos rcmovalare not applicablc to this proict.
with all City and County
Applicant or Agcnt
?
Pcrrnitcc narrrc
and County lo entcr ufnn the
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Insulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room I Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type II Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test n
Meter Release IA
FINAL .-.9--h?O \./&+1tl
Notes, Remarks, Etc.\ \/
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