HomeMy WebLinkAbout40111993 - PermitCity of Santa Ana
20 Civic Center Pla2a (M-19), Santa Ana, CA 92702
Mechanical Permit #: 4011{993
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Project Address: 2425 W California St Suite:
Block: G
Bldg:
Tract: 506
Address Range:
Historic: No
Suite Range:
Zoning: RiAssessor's Parcel: 408-061-33 Lot: 40
Owner:
Address
Lorenzo & lrma Ramos
2425 W California St
Santa Ana, CA 9270M013
(7141 557-0600
Fee Type
Furnace
Compressor
lssuance
Amount
22.50
38.50
31.00
Qty
1.00
1.00
1.00
Fee
$22.s0
$38.50
$31.00Phone:
Tenant Name:
Contractor:
Address:
A PIus Heating & Air Gondit
7600 Garden Grove Blvd.
Westminster, CA 92863
(714l- 901-0500Phone:
State Lic #: 763154
Lic Type: C-20, HlG, B
Bus. Lic #: 0193586
Workers' Compensation Insurance:Carrier: Arch lnsurance Co.
Policy #: 28WC000089
Expires: 0 410112005
Building Use: Single Family Dwelling - D( Constr Type:
Type of Work: Alteration Occupancy:
Nature of Work: Furnace & a/c Code:
VN
R3
cMc 2001
Notes: 1st time installation
Planning Gonditions: Gompressor Located ln Rear Yard
Planning Approval By: Rodrig uez, Carlos Date:
Date:
Date:
0812612004 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Plan Checked By:
Permit lssued By:
Subject to Field:
Amsden, Julie 0812612004
Building Permit Fee Tota!:
Paid to Date:
Balance Due:
$e2.00
$0.00
$e2.00
This permit shall expire by limitation and become null and void if the wo* authoized by this permit
is not commenced within 180 days from the date of this permit, or if the work authoized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account #: 01 1-01-5915 lnspector
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG GOMMENTS Om6-Build6 D*leadon
I hcrcby allim undcr poalty of pcrjury th8t I m cxmp fm thc Cfirstm' Limrc Lrv fd rhc followitrS Bo (s.7031.5 Buincss
and Prcfsion Codc): Any City tr County which rcquirc a pcmit to mstsuct slt6. impovc, deinolish or rcpair Dy structurc, Fitr to its
i$uocc, also rcquic thc .pplicmr ftr such pcrmit to filc a signcd ststmot thrl hc s shc is licmscd pummt ro thc prcvisionr of rhc
Contrutor's Lienscd Law (Chapts 9, Commocing uith Setio 7000 of Divisiil 3 of thc BuinB ild Prcf*ions Codc) or that hc or
shc is cxmpt thcrcfrm ud thE b6is fd thc rllcS.d qmpiion .Any violrtion of Sction 7031 .5 by ey rpplimt fa . pcf,it lubjetr thc
spplicat to I civil paalty ofoot morc thu fivc hundrcd dollm (S500).
_1, c owtra of thc p.opcrty, or my mployccs with w.tcs s thcir solc ompcnsatim, will do thc work sd thc strudurc is not intcnd€d
or offqcd fs salc ( Se.7044, Bsin* ud Prof6ifis Codc: Thc ConF&ts's Licffic Law dG noa apply to u own6 of $c p.opcror
who builds or impovc thcm, ud who dc such wqk himclf or hmlf o thrugh hi: r hcr om mployc, Fovidcd that ruh
improvmmts m not itrtcndcd or otrcrcd fs sdc. lf, howcs, thc building c imprcvmot is sold within onc ytr of omplction, thc
Omq-Buildcr will havc thc burdrD of proving that hc or she not build o improvc fr thc purposc of salc).
_1. a omr of thc propcny, m acluivcly @ntrrctin8 with licarcd cotrrctos to c@struca thc prcjet ( 56. 7044, Buinsi ed
Prcfsio Codc: Thc Cotnctq'r Licarc Lrw dG not spply to u oma of propsty sho builds q imFov6 thffi , md who
coarets fs such projcB wi& I Cotr*tq(s) lifficd Fmwt to thc CoEetor'3 Lircnsc hw.).
_l am exempt under Section & P.C. for this reason.
Datc: Own6:
W9RKERS COM PENSATTON pECLARATTON
I hereby alTirm under penalty of perjury one of the following declarations:
lhavcudwillmaintainaCcrtificarsofConsenttoSclf-lnsurcforwortm'compcnsation,r providcdfcbyScction3T00ofthc
3700 of the Labor Codc, for thc pcrformance of thc
policy numbcr are:
Policy t.K
(This scction complcted if thc permit is for One hundrcd tstoq or less)rnot
_l certify that in the performance of the work for which this permit is issued. I shall not employ any person
bccame subject to the workcrs ' compensation laws of California, and agrce that if I should bccomc subject to
in any manner so as to
the workcrsr I
compensation provisions of Section 3700 of the Labor Code, I forthwith comply those
a
WARNING: Failurc to seurc wortm' ompcnsation ovaagc is ulawful, ud shall subjet u mployr to eiminal pcnalric md civil
fina up to onc hundrcd thoMd dollm (S 100,000),in sddirio to thc 6t of cmpcnsstion, &magc u prcvidcd fa hc Scrio 3076 of
thc Lsbor Codc, inrffit ad anomcy's fce.
LICENSED CONTRACTORS DECLARATION
I hcrcby affim undo pcmky ofpcrjury that I m licmscd und6 provisim of Chagtr 9 (commcncint wirh Sction 7000) of Division ! of
the Business and Professions Code, and my liccnse is in full force and effect.
License License
Date.
CONSTRUCTION LENDING AGENCY
I hcreby affirm under pcnalty of perjury that there is a construction lending agency for the performancc
issucd (Sec. 3097, Civ. C.),
of the work for which this pcrmit is
Lender's Name:
Lender's Addrcss:
APPLICANT'S DECLARATION
Demolition Permits-Asbcstos Notification Fedcral Reguluions (Title 40, Pert 6)
_ Required Lctter of Notification
_tjFtliry fiat the fedml rcSuldiom rc8editrg ubcro moval rc not pplicsblc ro this projet.
tZ I ccrtify thlt I hsvc rad this rpplicaio Dd trrrc ihd thc $ow infmatio is mt. I .8re to conply with all City ud Cunry
ordinuc ud Sarte Lrvr rcluing o building onrructim. ud hcrcby ruhoriu rcpradtativcs of thir City ud Conty to amtcr upon rlc
Applicant or agent
Permittce niune (print):
inspection
20Y
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Insulation
Smoke Detectors Installed
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL
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a Contractor:
a =