HomeMy WebLinkAbout40135075 - Permit?City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:4Oi35075
Pin #: 90238
Proiect Address: 1318 N Loqan St Unit:
Block: B
Bldg: Address Range:
Tract: SMITH'S SUB Historic: No
Suite Range:
Zoning: SD84Assessor's Parcel: 398-182-16 Lot 6
Owner.
Address:
Roanna Gaston
1318 N Logan St
Santa Ana, CA 92701
(7141 787 -7261
01 1 16002 51604
01 1 16002 5160C
01 1 16002 s1604
01 1 16002 5777C
Fee Type Amount
Furnace/Comp Combo ',36.71
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
100
1 .00
1 .00
100
Fee
$136.71
$23.79
$5e.30
$4 05
Phone:
Tenant Name:
Contractor:
Address:
Phone:
MDDR lnc Dba Econo Air
555 Vanguard Way
Brea, CA 92821
(844) 6s3-2666
State Lic #: 445220
Lic Type: C-36, C-10, C-20, C46
Bus. Lic #: 179268
Workers' Compensation I nsurance:
Carrier: Service American lndemnity Co
Policy #: SAMTWC0041100
Expires: 10101 12021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
FAU/Comp
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019
Notes: auth on file
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to'.Field:
Building Permit #:
Pezeshkpour, Ali Date:
Date:
Date.
11t06t2020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$"rnandez,Kathy 11t06t2020
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
01116002 57770
$23 79
$1 96 01
$4 05
Fee Total
Paid to Date:
Balance Due:
$223.85
$0 00
$223.85
lnspector MtD#' 2020-162637
M ECHAN ICAL.I NSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS OWNERBUILDERDEICARATION t
I lHcb, affim undE pcnaly of pejury tha I m qmpt ftom thc ContnctoB' Licmrc Llw for thc following ren (Sc.703t.5o
Bwins sd Proftssion Codc): Aoy City or County which rcquiro a pcmit to oBtruct, alta. imprcvc damli:h or npah uy
sttucruc. priu to it3 ilswc, slso rcquiB thc eplicilt for s$h pcrmit to filc a signcd $dsmt th8t hc or lhc b licmcd puoa
to thc provisioE of thc Contrelor'! Lienrcd L:w (Chapts 9, Commcrcitrg with Scrion 7000 of Division 3 of thc BGincas ed
PrcfNioE Codc) or that hc or shc b qopt thcc&oo and thc bcis for thc alcgcd mption. Any viohtion of Sctiotr 7031.5 by uy
applimtforEpqmitlubjetsthc gpplicettoacivilpcoiltyofmtmorcthfifivchundrcddollan($500).
-1,
a ffi of thc poparn c my mglo1a with wag6 I thcir $lc onpasaion will do thc uoil ud th€ srudrc b mt
intqdcd or offmd for ulc (Sc.7044, Buim md Proft$ioro Codc Thc Contnctor's LiccM lrw do6 trol spply to u omc of
thc prcpqty who huil& or imprcs tlE@n, md who doc uh rcrt hiructf or h*lf or thrcugh hb or h6 om mployo.
provkiod thar such impovmts rc mt iaodcd oroftrcd 6r sh. I[ how. th buiEing or in4rcwncm is rcH within w ]q
ofonpl:tbn, thc Orvtrs Buitds will harc thc burda ofpoviry tha hc or shc did mt buiE m improrc thc prcpaty br thc purporc of
elc).
-1.
u oma of thc ![opGty. m ffluivcly contracling with licans€d coilractoB to oEtuci thG ptojet (56. 7044. &Bins
ard Proftsin Codc: Thc contnclor's Liccre Law doq mt apply to e omq of propsry who buil& or imprcvB tbqotr'
ud who srhactr frr swh prcjets whh 8 Cortsacto(3) licascd prlEutrt lo thc Contnclor'! Liw Lsw).
_l m cxmpt urda S61ioD-. B. & P.C. forthis lu$n.
}YORKERS' CONT PENSA'I'ION
DECLARATION
I hereby affirm under pcnalty of perjury one of the follorving dcclarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' c()nlpensalion, as provided for by Section -3700 of the
labor Code. for the poformance of the \,\'ork for u'hich the pennit is issued.
{t hou" and will maintain workers' cotnpensation insurance. as required by Section -1700 of the Labor Code. for the performance of
the u'ork for rvhich thls permit is issued. My workers' cornpensation insurance carrier and gnlicy number are:
o
Policy \tl o lol lu)o
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an anployer to oiminal paulties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the
Section 3076 of the tabor Code, interest and attorney's fees.
o)O
LTCENSED CONTRACTOR
Dr.cl ArtATroN
I hereby affrm under paralty of perjury that I am licensod under prrovision of Chapter 9 (commencing with Section 7000) of Division 3
of thc Business and Professioru Code. and my license is in full force and effect.
Licensecr.rr, ()Or(td
LicenseNumber:4qS)Lo
D",., l.l / 6 /I 6)0
W
I ho*y affirm udo p@slty of pajury thd thc b . @nstruclbo koding ag6cy for thc pqfomcc of thc wrk hr which this pmit b
isucd (Se. 3097, Civ. C.).
Lender's Name
Lender's Address:
^ rr, ,cAN, ""c, RAT
I herelry afnrm under poralty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
-l
csriry thst thc lidcral rcgulatioro rcgarding rbatos moval ac not 4plicable to this prcjc{.
-l
cdiry thd I havc Md this application ed statc thd thc abovc informaion is concl. I agc to smply with all City aDd County
ordimcB ed Statc Lrw rcl8lirg to building cor$ructiorr ed h@by authorirc rcprstativB of thb City md County to at6 upon th€
above mentioned property for inspecfion
PLApplicant or Agent
rtsPennitee
purposcs.
** t\ /(/)olo
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 Ranqe
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
Meter Release I -/
FINAL l4'?."1h D\PKD"r
Notes, Remarks, Etc.
Date:Owner:
_l certifu that in the performance of the work for which this pcrmit is issued. I shall not ernploy any person in any manner
so asi to become subject to the workers' compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code I sha[. forthwith cornply with thosc provisions..
-