HomeMy WebLinkAbout40134587 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Mechanical Permit #z 4O1345AT
Pin #: 90560
Proiect Addressi 1718 S Towner Sta
-
Assessor's Parcel: 013-212-24 Lot: 65
Unit:
Block: NA
Bldg:
Tract 1521
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Tenant Name:
Joseph flores
1 718 S towner st
Santa Ana, CA 92707
(71418014352
Jamison Heating & Cooling
2383 Daphne Place
Fullerton, CA 92833
171413974'.t32
01 1 16002 51604
01 't 16002 51604
01 1 16002 5160C
01 1 16002 51604
01116002 5777C
Fee Type Amount
Furnace/Comp Combo 131 .87
Compressor 93.73
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$131 .87
$93.73
$22.95
$57.20
$3.91
Contractor:
Address:
Phone:
State Lic #: 1015392
Lic Type: C-20
Bus. Lic #: 367276
Workers' Compensation lnsurance:Carrier: Norguard
Policy #: Jawc080842
Expires: 0512612020
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Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Mechanical
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless lhe 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 suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cMc 2019
04t22t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Mechanical
Fee Total
Paid to Date:
Balance Due:
Balance
Balance
N/A - No
N/A - No
$309.66
$309.66
$0.00
lnspector MID#: 2020-158676
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web-users/
MECHANICAL.!NSPECTOR RECORD
APPROVALS DATE ID/SIG -COMMENTS OWNER BUILDER DELCARATION
I hoeby aflim undo p<u.lty of pcrjury $ar I m cxmpt ftom thc Contractors' Liccnse law for thc following rcen (Ss.7031.5
BsitrBs and Profsion Codc): Any City o. County which require a pamit to conslruct, alts, improvq dcnolish or rcpair uy
structuq prbr to its isumcc. also requit6 the applicet lor such pennit to file I signed stdmot thd hc or shc b licrucd pwuut
to the Fovisios of tlE Conractor's Licensed hw (C.haptq 9. Comenchg with Sction 7000 of Division 3 of the Buine md
Prcf*iotrs Code) or that hc or shc is cxmpt thqefrom ed thc b6is for the allegcd exmpion. Any violation of Setion 7031.5 by uy
applicantforapmitsubjctsthc applicanttoacivilpenaltyofnotmorethmfivchundrcddollos($500),
-1.
u omr of the property, or my cmploye with wage a their sole compcnsalion, will do fie work ild thc struc1w is not
intodcd or offscd for sa.lc (58.7044. BuitrN ud Profsiom Code: The Contrsctor's Licce kw do6 not apply to m ow6 of
the pmpqly who builds or impovs $oo& ed who do6 such rort himclf or hcmlf or thrcugh his or hc om mploye,
providcd that such imFov@ols rc not intqd€d or ollqcd for sb. l[ howao. the huilding or inpovmot is sld within one ]w
ofcomplelion, thc Own6 Buildq will hsvc thc hudcn ofproving tha he or shc did not tuild or irnprcve thc prcpoty for th€ puposof
salc).
-1.
c omo of thc prcpaty. m cxcl$ivcly contmcting with licscd contractoBto consbuct the project (Ss, 7044. Buhw
md Proftsbo Codc: Thc Contrsctor's Lictre Law doe not apply to a owna of propcrty who builds or improvs thsan.
ud who contracts for such proj6ls with a ConrEclo(s) licmcd puEwt to thc Conlrrctor's LiceN taw).
-l
m cxmpt uodo Setioo . B. & P.C. forthis rmon.
Date:_
TVORKERS' COI\IPENSA'I'ION
DECLARATION
I hereby alfirrt under penally oflujury one ofthe follorving dcclarations:
-lharemdrvill
mainlainaCdificateofcoNenttoSelf-lnsureforworkers'conrpensalicrn,c providedftrrbySstionST00oflhe
tabor Code. for the perfonnance oflhe s'o* for $hich the pfinit is i$ued.
-l
have and will nraintain workers compcruation irourance. c required by Setion .1700 of lhe Labor ('ode. for (he ptrfomece of
thc work for rvhich this pennit is issue<1. My workers' compemation insurmce cariq ad policy number tre:
Policy
-l
cdiry that in the p6fom6ncc of the work fo. which this pemit is issucd. I shall not oploy any pc6on in my mm6
m a to beome subjat to thc workffi' compcosation laws of Califomia" md agr that if I should becomc subjet to lhe
wort6' compcwtion provisiom of Seclioo 3700 of thc tabor Codc I shall, fonhwith comply with thos provisio$..
WARNING: Failurc to scue workss'compmation covmgc is unlawful. md shall subjrct m qnployq to qiminal perultie ild
civil finc up to one hundred thoussd dollm ($100.000). in addition to thc cost of compcwtion. dmag6 I provided for thc
S6tion 3076 of the kbor Code, intqBt ed rftomey's fm.
LICT'NSFN CONTRACTOR
DF'CI,ARATION
I hrcby affm undc pmlty of pcrjury that I m licmsed undu prcvision of Chapta 9 (com@cing with Scction 7000) of Division 3
of thc Buine md Prcfsioro Codc, md my licruc is in full force ad effet.
LicreClas: licaqNmbc:-
CONS I'RI]C'TION LENDING ACEN('Y
I hoeby aflirm under penalty of psjury that thoe is a conslruction lending agocy for the psfommce of the rvork for which this psmit is
issued (Sec. 3097. Civ. C.).
Lender's Name
Lender's Addrss: _
I hoelry aflinn undcr pmalty of pc{ury one oflhe following declarations:
Denrolilion Pcrnrits-Asbeslos Nolification Federal Rcgulalions ('Iille 40. Patt6)
-Rqluired
Ldler of Nolification
-l
cstiry that the fedoal rcgulatiom rcguding obctos rmoval ue not appticablc to this prcjet.
-l
cediry that I havc red this application md statc that thc above inlomation is corct. I agre to comply with all City and County
ordintrcs md Statc laws rclating to building comtruction, ed hseby authorize repremtativB of this Cily md County to mts upon thc
above mmtioned prcpsty for inspeaion purposs.
Applicut or Agmt Signahrre:
Pmite @c (print)i_
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh 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
Rough Mech.
Final Test
Meter Release I -\a^ -.-\) .-y',
FINAL (/I
'/-a ,ytl )71*{ o r
Notes, Remarks, Etc.rl ru
Date:_
I
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