HomeMy WebLinkAbout40134870 - Permit?L
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAgiTO2 - Mechanical
PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:40134870
Pin #: 60594
Proiect Address: 1149 W Sharon Rda
Assessor's Parcel: 001-131-01 Lot: 9
Unit:
Block: NA
Bldg:
Tract: 1434
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Donna Gelnett
1149 W Sharon Road
Santa Ana, CA 92706
(7141 317-6070
Airwest Air Conditioning & I
1886 Santa Cruz Street
Anaheim, CA 92805
(7'.t41 978-7877
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 1 6002 51 60C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Furnace
Compressor
Gas Piping lncidental
General Plan Update
lssuance
Microfilm Records
Amount
70.66
97.17
24.11
23.79
59.30
4.05
Qty
1.00
1.00
1.00
100
1 .00
100
Fee
$70.66
$97.1 7
$24.1'
$23.79
$se.30
$4.05
State Lic #: 733715
Lic Type: C-20
Bus. Lic #: 177348
Workers' Compensation I nsurance:Carrier: Oak River lns Co
Policy #: A|WC034008
Expires: 1111412020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Mechanical
web_user 08t27t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Mechanical
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cMc 2019
N/A - No Balance
N/A - No Balance
$279 08
$279.08
$0.00
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-161 1 18
@
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.a COMMENTS ()11'NI'llt ltt,ll,l)Elt l)l'll,CAR,\ l'l()N o
I hcrcby affrm undcr Fnalty of pcriury lhal I m crcmpt fDm thc Conrrclotr' Lbe[s lrw for th€ following emn (Se.7)31.5 .,
Bwincss 8nd Prcfession fuc): Any City or County which rcquircs a permit lo @nslrucl. alto. itr{rrcrc. dcmlish or rspsir any
structurc. Fior to its issuance. alm rcquircs the applicant for such JErmil to Iilc 0 si8rcd statcmnl that lE or she is liccnsd puMt
to th€ prcvishns of ilE Contrctor's Lien*d txw (Chrptcr 9, Commrcing wilh SNlion 7000 of Division 3 of thc Busimss and
Prcfessions Codc) or that hc or shc is cxcmrrt thercfrcm and the basis for the allcgcd ercmprion. Any violslion of Srcibn 703 1.5 by 8ny
.pplicant for I permit subjets the applicant to I civil penally of not mrc lh8n live hundrqd dolrs ($500).
_1. as o\r,ncr ()l'thc proprty. or tny cnlployecs wilh wagcs as thcir solc contpcnsiltion. s'ill do tlrc u'ork and tlrc struclurc is nol
intcntlcd or oll'ercd lor salc (.Scc.7Gl4. Busilrcss und ltofcssions C<xlc: 'Ihc Cotrtraclor's l,iccttsc [,arv does not ilpply lo an owner o[
thc pnrJrcrly who builds or irnprovcs thcrcrrn. and who clocs such work hinrself or hcrsclflor lhrough his or hcr owlt cntplttyccs.
providcrt that such inrJ:rovcrrcnts arc not irrtcmlc.rl or olTcrctl lirr salc. lf. hos'cvcr. tlrc building or imJrnx'cnrnt is sold within ()llc vcar
9l'cgrnlllction. thc Owncr Buitdcr will havc tlrc burrlcn of proving that hc or shc did rrol huiltl or intprovc lhc pnrprty fbr thc pttrJxrsc ol'
sulc).
_t. as ()w,1cr ol'thc propcrly. arn cxctusivcly contracting with liccnscd conlrirclors lo c()tlslruct ltrc projcct (Scc. 7(X'1. Busiltcss
antt Pnlll.ssielCodc: 'l'hcConlractor'sl,iccnsct.awdocsnotapplyloanowncrofpropcrlyrvhohuildsorintprovcsthcrcon.
arrd whg contracts l'or such projccts with a Contractor(s) liccnscd pursuant to lltc Conlractor's l-iccltsc Law).
-l
am cxcmpt under B. & P.C. for this rcason.
l)ale:0wner:woRxr'ffiron
DEgI.ABAUON
I hcreby alf irmuntlcr pcnaltyof perjuryonc of llte lirllowing dcclaritliotts:
_lhavcandwill lruintainaClcrtificatco[ConscnttoSclt'-lrrsurclorworkcrs'cotnpcnsation.as provitlcdforbySccliott.lTfi)ot'lhc
t-ubor Codc. for thc pcrfrrnnance of lhc work lirr which thc pcnnit is issucd.
_l havcandwill lnaintainworkcrs'conrpcnsationinsurancc.as rcquircdbyScclion3Tffiofthcl-aborCodc.forthcpcrfonnancco[
thc work tirr which this pcrnrit is issucd. My workcrs' cornpcnsatiott insurancc canicr and policy nutnbcr arc:
l'olicy
_l ccrtifythat in the pcrformance of thc work for which this Jrcrnrit is issued. I shall not
so as to hccomc subjcct to the workcrs'compensstion laws of California. and agrcc that if I subjcct to thc
workers' comgrcnsation provisions of .Scction 3700 of thc [-atxrr Ccxlc. I shall. forthwith comply with lhose pnrvisions..
WARNING: Fuilurc to secure workcrs' compcnsation covcragc is unlawful. and shall subject an employcr to crilninal pcnalties and
civil fincs up to onc hundrcd thousand dollars ($100.000), in addition to the cost of compensation. damages &s provided for the
Scction 3076 of thc L,ittnr Codc, interest and attorney's fees.
LICIiNSIID C0N'I'RAC'tOR
I)ECI,AIL\'TI()N
I hereby affrm undcr pcnalty of perjury that I am liccnsed under provision of Chaptcr 9 (comnrncing with Sc'ction 7m0) of Division 3
oI thc I]usincss alrd Profcssiolrs Cotlc. and nty liccnsc is in full forcc and cffcct.
( 'oltl rlrt'lor
W
I hcrcby allirm undcr fEnalry of Jrrjury that thcrc is a mtrsrruction lcnding agcmy for lhc Jrcrformmc of thc work for which lhis lErmil is
issucd (Scc..1097. Civ. C.).
Irndcr's Namc:
-
lxndcr's Addrcss:
ATI'.I':ANI.PE :I.ABAIIIN
I hocby aflm undcr pnalty of pcrjury orc of lhc followinS dslarations:
Dcmlition Pcrmits-Asbeslos Notificstion Federsl Rcgulslirns (Tide ,10, P8n6)
-Rcquircd
Lrltcr t f l{<rtifstion
-t
enify that thc federal rcgulations rcg&ding osbcstos rcmval8rc not applicable to this pmjcrct.
-l
ccfify that I havc rcad this spplicslion aod st8tc that thc aborc infomtion is coml. I sgrE to otrlply wilh sll City snd Counly
ordinarccs snd State Lays rclating to building construction. snd h€rcby ruthorizc Eprcsnt&tiws of this City 8nd County to cnls qnn the
aborc rcntioncd prcpcdy for inspcction purposcs.
Applic0t or Agcnt Sigmturc: Dsle;-
Psmilce nom (prinl)i-
Appliances
lVletal Fire Place
Evaporative Cooler
Furnace
Compressor
JVlisc. Equipment
Duct Work
Pre- lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room I Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release I
FINAL tl't )c lbailn{a {rl
Notes, Remarks, Etc
Carrier:-