HomeMy WebLinkAbout40134950 - PermitProiect Address: 1014 W Moore Avea
Assessor's Parcel: 410451-24 Lot'.24
Unit:
Block: NA
Bldg:
Tract: 9622
Address Range:
Historic: No
Suite Range:
Zoning: Ri
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714') 667-2738 lnspector Section: (714) 647-5853
Permit #: 4O{3495O
Pin #: 86499
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Salvador Del Real
1014 W MOORE AVE
Santa Ana, CA 927073816
(7141 376-1 348
Greenstar Home Services In
1951 N Main Street
Orange, CA 92865
(e4e) 88s-0102
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Compressor
Genera! Plan Update
lssuance
Microfilm Records
Amount
97.17
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$97.1 7
$23.7e
$se 30
$4.05
Bstch* 1366?-2 I /
0f f i ce: (:TYH Tr
Acct*:
Rcpti:03(1751'19
Trnnsact i on Total
}t-t/2
nn E*
ID I
Refi 3
0/2tr?0
lnc
+I
t2
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensation ! nsurance:Carrier: Liberty lnsurance Corp
Policy #: WA763D508631019
Expires: 10/01 12020
:n st nr Honre Sel
Genersl PIgn Updote F
01 1 t6tr02- 5160r-rtr(r0-
llechan i col
trl1160tr2- 51604000-
11 icrof ilm & Oocurents
trl 1 16[102- 17771t000-
I CL Check Lr3739tl
Planning Conditions:
Planning Approval By: Soto, Ricardo
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
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 permit rs suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
lnspector MID#: 2020-1 61828
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
A/C replacement
, Julie
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2019
09t30t2020
09/30/2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: A/C replacement
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$1 56 47
$4.0s
$184.31
$0.00
$184.31
$?98.I6
/
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILDER DELCARATION
I hereby 8ffrm uidcr penalty of lErjury thrt I m exempt frcm tlrc Coilnctos' Lktnrc tiw for the following rcE$n (Sc.7031.5
Busincss 8nd Prcfession Code): Any City or County which rc1uircs a lvmit to @nnrucl, olls. imprcvc, &mlish 'or rtprir my
struclurc. prior to it$ issecc. also rcquircs the spplicsl for such pcmit to lih a sigred stalcmnt thst lE or she is liccn*d puroant
to thc pmvisions of the Contructor's Licnsd t:w (Chsplcr 9. Comrcing with Setion 7000 of Division 3 of thc Busimss md
Pmfcssbns Codc) or thsl lE or she is cxemlrt thercfrom and thc basis for lhc allcgcd cxemption. Any viohtion of Sethn 7031.5 by any
applicantforapmitsubjorlslhe rpplicatrttoacivilpenaltyofnotmrcthanfivehundreddollus($500).
-1.
as owncr of the propcrty. or my employees with wages as their sole compensation. will do thc work and the struciwc is not
intendcd or offercd for sale (Serc.7044. Business and Professions Code: The Contractor's License l-aw docs not apply to an owncr of
the propcrty who builds or inpmves therson, and who does such work himsclf or herself or lhrough his or her own employces.
provided that such improvenrcnts arc not intended oroffcred for sale. lf. howevcr. the building or improvemcnt is sold within onc )ear
of comphtion. the OwnCr Builder will have the burden of proving that lrc or shc diJ not build or inqrrove the fr-frerty for thc purp)se of
sah).
_1. as owner ol'thc property. am exclusively contracting with liccnsed conlraclors lo conslruct lhc projcct (Scc. 7044. Busincss
and PmfesskrnCode: Thc Contractor's l-iccnsc Law does not applylo anowncr of propcrty who builds ttr improvcs lhcreon.
and who contracts for such projccts with a C<lnlractor(s) licenscd pursuunl to the Cttnlraclor's l.iccnsc Law).
-latttcxcmptuttdcr.Scction-.B.&P'C.forlhisreason.( )n lrer
WORKERS' CONT PENSATION
DECI dRATION
I hcreby affirrn undcr pcnalty of Jrerjury onc of thc following dcclarations:
_lharerndwill mintainaCcnifrcsteofconsenttoSclf-lnsurcforrcrkers'@mpcnsation,re FovidcdforbySction3T@ofthc
hlgr Codc, for the Frformre of the mrk for which the pcmit is issucd.
Hfhrr" "na
*ilt *intsin workcc' com[Emstion insunrce. ss rcquircd by Setion 3700 of the kbor codc, for rhe perfomncc of- thc rcrk fq which this pcmit is is$rcd. My workc6' @rrlEnsalion insumre cuicr aod lDlhy numbs rc:(
t0I0t /-)oPolicy
_l ccrtify that in the perfornuncc of the work for which this pcrmit is issucd. I shall not employ any person in any m&nner
so as to bccomc subject to the workcrs'comfrcnsation laws of California. and agrcc that if I should bccomc subjcct to thc
workcrs' compcnsation pmvisions of Section 370O of thc [:bor Code. I shall. forthwith comply with thcrsc provisions..
WARNING: Ftrilurc lo surc workcrs'compcnsation svc.agc is unhwful. afil shall suhjct an cmploltr lo diminrl lEnohhs and
civil Iincs up lo onc hundrd thousand dollars ($100.000). in addilion to thc cost of comlEnslion. damgcs rs provkled for the
Scclion and allorncy's
t
LICENSI.'D CON'I'RA CT( IR
DECLARATION
I hcrcby allirrn undcr pcnaltyol'pcrjury that I anr liccnscd undcr provision of Chaptcr 9 (comnrcttcing with Scclion 7(XX)) of l)ivisiorr.l
of the Busincss and Profcssions Codc. ard nty liccnsc is in full lirrcc and ell'cct.
q
l-iccnsc
3
CoNSTRUCTION LINDTNG AGENCY
I hcn'hy nffirnr undcr pnalty of pcrjury thal thcrc is o conslruction lcnding {gctrcy lbr lhc pcrfotnarcc oflhc work for rvhich this lErmit is
issucrl (Scc. 3097. Civ. C.).
l.cn<lcr's Narttc:
ASPIJ'TNI.DE J.AEAIU
I Mry aflimundcr Jrcnalty of pcrjury orc of lhc following dNlarolions:
Dcmlition P6mits-Asbcstos Notificdion Fcdcral Rcgulations (Titlc l(). Pan6)
-Requircd
Lrlter of NotifKation
-l
cenify thal thc federal rcgulations rcgording asbcstos renmval src not applicohle lo this prcjcd.
ffi,t ""rrify
tn"r I have rcad this applicarion and strtc that thc alnre information is corrrrt. I sgre to mmply wilh all Cilysnd Counly
lirdinanccs and Statc tiws rchting to buiHing construction. and hcrcby authori4 rclrescnlalivcs oflhis Cily and Counly to cntcr ulnn lhc
lbovc mcntioncd propcrty for
Applicant or Agcnt
(Pcrrnitec narnc (prinl
,,,"d[\el )0
Appliances
Itletal Fire Place
Evaporative Cooler
Furnace
Compressor
Nlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room I Clothes Drver
Residential Ranqe
Other
Hood
Type ! Hood
Type Il Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release 1t I
FINAL 1.15l'b?DKry*I
Notes, Remarks, Etc.I
n"t.'cfl 3o[]o