HomeMy WebLinkAbout40134550 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2 Mechanical Permit #:40134550
Pin #: 2E647Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 615 S Euclid St
Assessor's Parcel: 932-610-24 Lot: NA
Unit: F4 Bldg: Address Range:
Block: NA Tract R.S.62-38 Historic: No
Suite Range:
Zoning:R4
Owner:
Address:
Phone:
Tenant Name:
Conlraclor:
Address:
Phone:
Raymundo Flores
615 S Euclid
Santa Ana, CA 92704
(71414',,8-1788
Free Energy Savings Co. db
4751 Arrow Hwy
Montclair, CA 91763
(909) 44s-0450
Bstch*:S{7}1 - 3tg/2O2O ID: smorol
oiiiie: crYX fpsnsfs 102 -l-glAccti: Ref*: 40134880
Ripti:02911762 - 3/e/2(t2a lli!? .tHtronioclion Totql t459'41
01 1 16002 51604
01 1 16002 51604
01116002 5160C
01 1 1 6002 51 604
011',t6002 5777C
Fee Type
Furnace
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
68.16
4.'19
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$68.1 6
$4.1 I
$22.95
$57.20
$3.91
r.-te
n!
State Lic #: 1034739
Lic Type: C-36, B, C-20, D-65
Bus. Lic #: 375314
Workers' Compensation lnsurance:Carrier: American Home Assurance
Policy #: WC080376501
Expires: 0710112020
Fnee Enersv Snvinss Co. dbn Qu
Generol Plon UPdote Fee
1r1116002- 5160000(t-
llechon icol
01116002- 51604000-llicrofih & Oocurents
LrlI160(!2_ S77X'000-
V iso
CC+: r*rr*r*****x4996
$22.93
rr29.55
t3-?1
1459.41
Authf:08521{Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Fourplex
Miscellaneous
FAU
t{'t Hernandez, Kathy 03t09t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: change out
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-1
VB
cMc 2019
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.
01116002 51600
0't116002 51604
01116002 57770
$22.9s
$129.55
$3.91
$156.41
$0.00
$156.41
lnspector MID#: 2020-158315
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I haeby affim und6 paalty of psjury that I m cxmpt fiom the Contractors' License Law for the following r6on (S@.?031,5
BBin6s ild Profcion Codc): Any City or County which requirs a permh to corutruct. alta, improve, dmolish or npair my
structue pdor to its isumcc, also require thc applicilt for such pemit to filc a sigtrcd $stmot that hc or $e b licosed pwat
lo thc prcvisioN of the Conlractor's Licensed law (Chapt6 9, Comencing with Setion 7000 of Divisioo 3 of the Busins ild
Prcfcssions Codc) or that he or shc is cxsnpt thqcfrom and thc bsis for thc allcgcd cxmpion. Any violatioo of Scction 703 1.5 by uy
applicant for a pcmil subjets the applicet to E civil pcnalty of not more lhm five hundrcd dollas ($500).
-1.
6 owner of the prope(y. or my employs with wages 6 their sole compmsation. will do the work dd thc struclwe is not
intoded or offscd for sle (Se.7044. Bsinss and hofsiom Code: Thc Conlraclor's Licme Larv dos not apply to m ou'ns of
thcprcperty whobuildsorimprcvsth6@n,edwhodo6suchworkhimselforhmclforthroughhisorhoomemploycs,
provided that such improvmots rc not intmdcd or offqed for sale. If, howfls. the building or imprcvmmt is sold within onc ya
ofcomplelion, thc Orvnq ttuilds will have the huden ofproring tha he or she did rct build or imp.ove the prctEly for the purpo*of
sle).
_1. m omer of thc propmy, m exclusivcly contraaing with licensed contractoE to costruct th€ projed (56. 7044. B6in6
md PnrfssionCode:TheConlractor'sLiccnseLawdo6notapplytomownsofpropertywhobuildsorimprovesthssn.
md rvho contractsforsuchprojcctswithaContncto(s)licflscdpuNumttotheContractor'sLicemeLarv).
_l m exernpt under Sfrtion_. B. & P.C. for lhis reoon.
Df,te:_ _. _ Owner:_
WORKERS'COMPENSATTON
PECLABAIJg!
I hereby affim undo ponlty ofpojury one ofthe following delaations:
-l
have md rvill mintain a Cenificalc of Coreqt to Self-lreure for workos' conrpensalion, d provided for by Sction -1700 of the
tabor Codc'1^o for lhe pofomance of the work for which the pmnit is isued.
will maintain lvotkets comperoalion insurance. c required by Sation 3T00 of the Labor Code, for the pofomilcc of
,which this pmnit is i$ued. My workqs' cotrrpensation imurmcc cuio md policy number uc:the work
Policy a -/ -ed
_l c€niry that in thc pdfomucc of the work for which this pemit is issucd" I shall noi mploy uy pqen h my menq
m c to become subjct to the wo*6' compcNation laws of Califomi& ed agrcc that if I stroutd becorne suUiet to ttrc
wo*m' compoation prcvisioN of Scclion 3700 of thc Labor Code, I slEll, funhwilh comply with thorc prcvisioG..
WARNINC: Failure lo s6uc workm'compensation covoage is unlawful. md shall subjet il mploys to oiminal peiultis md
civil ftna up to onc hundrd thoused dollm ($100,000), in addition to the co$ of dmagcs a provided for thc
Sstion 3076 of lhe tibor Code, inttrBt ild anonEy's
o,r,,e -10'At
LICTNSED CONTRACTOR
TIECI,AIITI,TION
I hcby affm undo pcralty of psjury thal I m licanscd uda provision of Chaplq 9 (mmmcing with Sctio! 7000) of Division 3
of the Buines ud Profsiore Codc, md my licruc is in full force md cffct.
{7Liccnse
O>
CONSTRUC'TION I FNITTNC ACENCY
I hffeby offrm unds penalty of pqjury thal lhqe is a corolruction lqding agency for the pofomauce of the work for which this pemit b
issued (Sa. .1097. Civ. C.).
Lender's Name.
Lender's Addrs: _
I hmty affinn under penalty of pojury one ofthe following declaations:
Demolition Pmrits-Asbeslos Nolification Fedeal Rcgulations (Title 40, Pm6)
-Required
Lclltr of Nolifi cation
Z4l cqtiry that thc fedqal rcgulalioN regrdiog ubstos moval ue not applicablc to this prcj*t.
'/ t "otity rrral havc rad this applicEtion ad statc that thc abovc infomaion is corccl. I agre to @mply whh all City md Couty
ordimcB md Statc lrws rclating to buildirg construciio& ud hqcby authodze rcFsordiv6 of this City od Cowty to 6tq upotr tlE
abovc mmtioncd orcffiv for immimmse. q
appricmr oregmr si *^*", Al-( 4rr@ Ahr) aD ^", 3 -/ )' A O
Pmitenmc .-,/ b4-A) a Dt (/ das
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 ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release IA
FINAL 'r-\v,-7n Y'U.\o
Notes, Remarks, Etc.v\)