HomeMy WebLinkAbout40134417 - Permitf
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:40134417
Pin #: 9734fJ
Proiect Addressi 712 W Hiqhland St
Assessor's Parcel: 010-242-'10 Lot: 16, POR 15
Unit:
Block: 16
Bldg: Address Range: l1O-112.
Tract POLYTECHNIC VlLLblistoric: No
Suite Range:
Zoning: StX0
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone.
Maribel Jimenez
712 Highland St
Santa Ana, CA 92701
1714!-317-3s92
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 6924011
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01116002 5777C
Fee Type Amount
Wall Heater/Floor Furna 68.14
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Fee
$68.1 4
$22.95
$57.20
$3.91
Botchi:541t3 - l/28/2O2$ ID: IIGARCIA0fficel CTYH Trons*3 54 I of 4Acct*: Ref i: tr$t34417
Rcpti:02884323 - t/28/292(r 2!01 Pn
Transoction Totol i60S.SB
Relioble Enerss llonogenent IncState Lic #: 704/14
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsurance:Carrier: Travelers Property lnsurance
Policy #: U89K07110A1826
Expires: O4l29l2O2O
Generol Plon Updote Fee
ru1160Cr2- 5160000(r-
llechan i cs I
trl 1 16002- 516tr4(r00-llicrofih & 0ocunents
01116002- 57770CrUCr-
ICL Check 0(r92trS
t
$125.34
$J.91
$6rtg. $0
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:
Single Family Dwelling
Miscellaneous
Wall Heater
Zuniga,O,,,r."V
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cMc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Replacement like for like.
Fee Total
Paid to Date:
Balance Due:
01t28t2020
Account#
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01116002 51604
01116002 57770
$22.95
$125.34
$3.91
$152.20
$0.00
$152.20
lnspector MID#: 2020-157399
{R
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby affm undq pdalty of pqjury thst I m exmpt fipm the Contractors' License lrw for thc following rcen (5(.7031.5
Buins and Profwion Codc): Any City or Couty which requirB a panit to conslrucl, alt6, improvq dqnolish or r.pair ey
structue. prior to its isuacc. also rcquirc the applicmt for such pcanit to filc a sigDed stalmmt that he or slrc is licffcd pusuut
to the provisioB of the Contractor's Liensed Law (Chapts 9, Commencing with Section 7000 of Division 3 of the Businos ud
Prcfsions Codc) or that he or she is excmpt thqcfrom ud thc b€sis for the allcgcd exmption. Any violation of Scclion 703 1.5 by my
applicmtforapmitsubjatsthc applicuttoacivilpenaltyofnotmorethefivehundreddollus($500).
_1. a omc ofthc trop€rry, or my employe with wags re thch rclc comperoation, will do thc wrk and thc stnrctm is rct
intqdcd or offqcd for salc (Se.7044. Buine ud hofessiom Codq Thc Contrsctor's Licoc hw doc not apply to m oM6 of
thepropqry whobuildsorirryroGth@!LmdwhodoGschwrkhimsclforhmclforthrcughhisorh6oMmploy6,
providcd that such imFovmf,ts rc not intqdcd or offqed for sle. If. howwq. the huilding or impovmot is rcld wilhin one yw
ofcompt*ion. thc Owno Buildq will have thc btrda ofproving tha hc or slrc did not hrild or imprcve tlrc popoty for the purpos of
sle).
_1. o omo of thc prcpdty. m exclusivcly contracting with licrued contractoEto coNtruct the projccl (Sc. 7044. Buine
md Profission Codc: The Contr.ctor's Liccnse Law do6 Dol apply to m own6 ofpropfty who builds or improves ths@n,
ed who conlmcls for such projects with a Contmclo(s) licscd pu6@t to the Contmctor's Licw Law).
I m cx@Dt udq S6tion , B. & P.C. for this rmn.
Date:_ Owner:
WORKERS' COMPENSATION
DECLARATION
I hoeby affum undo poalty of pojuryooe of the following drcluatioro:
_l havc md will mintain a Ceaifrcarc of Cosqt lo Sclf-lnsuc for workcrs' compenstioq o povidcd for by Setioo 3700 of thc
trbor Codc, for thc pofomce of thc work for which thc pamil b isucd.
**;;and will main(ain workers' comp.Nation iNuilcc. 6 required by Setion 3700 of thc Labor Codc, for the pdfomuce o[
for lhis E workas'imurucc crio od policy numbo rc:
ZPolicy
_l cdiry that itr thc pqfomoce of thc work for which this pemit is issucd. I shall not mploy my p6son io ey muo6
s dtob6omesubiGltothewori(s'amposationlawsofCalifomia,udagrrcthstiflshouldbcomcsubjGttothc /workc' compostion prcvisiom of Setion 3700 of the kbor Code I shall. fonhwith comply with thoe prcvisiore.. i
WARNINC: Failurc to wue workm' compmation covmgc is unlawful. md shall subjet m mployo to qimhal peflahiG ud
civil fines up to onc hundred thoMd dollffi ($100,000), in addition to the cost of compcMtion,dmage o providcd for the
Strtion Labor Code interGt @d
1^>
I ICENSED CONTRACTOR
DEC!.ABAIION
I hwby aIIm unda p<ralty of pdjury thd I m licoscd unda povision of Chaptc 9 (comsciDg with Scctioo 700O) of Division 3
of thc BEine ed Profsio6 Codc, &trd my licw is in futl force and cfTcct.
CONSTRUCTION LFITDING AGENCY
I h@by affm ud6 pcnalty of pcrjury that thqc is 8 construclioo letrding ag6cy for the poformcc of the work for which this pamh b
issued (Sa. 3097, Civ. C.).
Lender's Namc
Lender's Adcbcss:
ABIIJCANI.DECI.ABAIIAN
I botby affrrn unds panalty of pajury oac of thc following d*letions:
D@otition Pmits-Asb6tos Notifi€tio! Fcdqal Rcgulatiors (Titlc 40, Pan6)
-Rcquircd
l;ta of Notificdiotr
-l
cdiry that the fcdfial regulatiore rcgoding rbetos rmoval re not applicable to this prcjcct.
futhatt havc red this application md state that the above infomation is corect. I agr6 to comply with all Citymd County- ordinmce ud Statc taws relating to building constructio[ ed h6cby authorizc repr6@tariv6 of this City md Couoty to mtq upon thc
above mmtioncd property for
Applicmt or Agmt
Pmitenmc
*,", \ [?4 rzl
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
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
,
Rouqh Mech..rM6
Final Test I t-
Meter Release t/\
FINAL \4L-w F,liLl{,}
Notes, Remarks, Etc.u\)