HomeMy WebLinkAbout40135121 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 047-5853
Permit #: 4o^{35'121
Pin #: 33655
Project Address: 1919 W Secrest Way Unit:
Block: NA
Bldg:
Tract: 4572
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 408431-19 Lot: 3
Owner:
Address:
Jose Lopez
1919 W Secrest Way
Santa Ana, CA 92704
(7141 6e7-84e7
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Furnace
General Plan Update
lssuance
Microfilm Records
Amount
70.66
23.79
59.30
4.05
Qty
1.00
1 .00
1.00
1.00
Fee
$70.66
$23.79
$5e.30
$4.05
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Truteam of CA
475 Rivera St
Riverside, CA 92501
(esl ) 683442s
State Lic #: 1034361
Lic Type: C-36, B, C-20
Bus. Lic #: 368185
Workers' Compensation I nsurance:Carrier: Old Republic lns
Policy #: MWC31557120
Expires: 0613012021
hon r
16fi1t
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Furnace
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019 Notes. Change out furnace - same location
Planning Conditions:
Planning Approval By:Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
rymsden
, Julie 11t25t2020
Account#
Every permitissued 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 permit is suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$129.96
$4.05
Fee Total:
Paid to Date:
Balance Due:
$157.80
$0.00
$157.80
lnspector MID#: 2020-162962
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS ()\\ N l.:lt lltl I l.l) l.lt l) 11 l,(',\ R,\'l'l( ) N a
I hacf aflim unda pcnalty of pdjury that t m ucmpt from thc Contractors' Licens liw for thc following lwn (Ss.7031.5
Buinss and Prcfwion Code): Any City or County which rcquire a pcfmit to congruct. aha, improvq denolish or rcpair uy
struclu€, prior to its isuucc, also rcquiE the applicmt for such Frnil to 6lc a sigocd statmot tha hc or drc b licosed puwt
to thc prcvisioB of thc Conractor'3 Lienscd t:w (Chapt6 9, Comacing with Setion 7000 of Division f of thc Buins ud
Prcfsions Codc) or that hc or shc is cxmpt th@from 8d thc bosis for thc allcgcd cxmpion. Any violation of Scrion 703 1.5 by uy
applicmt for a pemit subjets thc applicut to a civil pemlty of oot morc the fivc hundrcd dollm ($500).
I
_1, 0s owner of the property. or my employecs with wages as their sole compensation. will do the work and tlrc structuc b not
intendcd or offered for sale (Sec.7044, Business and Pr,ofcssions Code: The Contractor's Licensc [-aw does not ryply to an owner of
the property who builds or improves th€ron, and who does such work himself or hcrself or through his or her own employees.
provided that such improvanents are not intended or offoed for sale. If,, howwer, thc building or improvemcnt is sold within one )car
of complaion, the Orvner Builder will have the hrdcn of proving tha he or she did not build or improve the prcperty for the purpose of
sah).
_1. as owner ofthe propcrty. am exclusively contracling with licersed contractors to construct the projecr (Sec. 7044. Busines
and Profission Code: The Contractor's License Law does not apply to an owner of property who builds or improves thcreon,
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's Licensc [aw).
-l
am exempt under Section-. B. & P.C. for this reason.
f)o ia.fl-nor.
WORKBRS' COI\I PI,NSA'[ION
DECLAITA'TION
I hereby alTirm under penalty of po'jury one of the following declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workers' contpensation, as provided for by Section 3700 of the
work for which the pennit is issucd.
Section 3700 of the t^abor Code. for the performance of
carrier and policy number are:
u (
/s12 2l
issued. I shall not employ any pcrson in any manner
and agree that if I should become subject to the
shall, forthrvith comply with those provisions..
WARNING: Failure lo sccure workcrs' compensation coverage is unlarvful. and and
civil fines up to one thousand dollars ($100,000). in addition to the the
Section 3076 l.atxlr and attorney's fecs.
I ICFNST'N CONTRACTOR
DF.C| ATIATTON
I hcreby aflirm under poralty of perjury that I am liceruod under provision of Chapter
of thc Business and Professions Code. and my liccnse is in full force and effect.
9 (commencing with Section 7000) of Division 3
License
o
W
t hcrrty affm undo paalty of pGjury thd thft fu 8 snstruclbr hoding aSmy for thc pqfotmcc of thc wrk for which thb pqmit i3
isucd (Sc. 3097. Civ. C.).
Lender's Name:
Lender's Address:
,r, ,c NT "EC,
.RAT
I hercb), aflirm under penalty of perjury one of the following detlarations:
Demolition Pennits-Asbcstos Notil'rcation Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
r I certifr/that the
fuk*irytr,"t Ihave
federalregulations regarding asbestos removalare not applicable to this project.
read this application and state that the
ordinances and State l-aws relating to building
above mentioned property for inspection purposes.
Applicant or Agent
Perrnitee narne
the
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
!nstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I I ,l,l -,
F!NAL tLl'll u 2flvr57
Notes, Remarks, Etc.I
\r) .
r^.
t'
_License
Dile: f Conlraclor: