HomeMy WebLinkAbout40134065 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (7141647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Mechanical Permit #:40134065
Pin #: 47257+(
Projeet Afdress: 3406 S Park Dr Unit:
Block: NA
Bldg:
Tract: 7000
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor's Parcel: 410-211-12 Lot: 57
Owner:
Address:
Phone:
Tenant Name:
Conlractor:
Address:
Phone:
Enrique M & Concepcion Gonzalez
3406 S PARK DR
Santa Ana, CA 927073853
(714) 856-0894
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800)6924011
Fee Type
01116002 516(X Furnace
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
68.16
22.95
57.20
Qty
1.00
1.00
1.00
Fee
$68.1 6
$22.95
$57.20
Botchi:52535 - l0/15/2919Office: CTYH Tronsi: 46Acct*: Refi:
Rcpti:02778302 - tt)/11/2(tl9
Tronsoct ion Total t444
Rel ioble Enensc llonoserent Inc
Generol Plon Updote Fee
(rtl16002- 51600000-
llechon icol
01116002- 51604000-
ICL Check 008845
ccu
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsurance:Carrier: Travelers Property lnsurance
Policy #: UBgK071 10A1 826
Expires: O4l29l2O2O I
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Miscellaneous
Furnace
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cMc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Change out furnace.
Fee Total:
Paid to Date:
Balance Due:
1011512019
Account#
Building Permit
Every permit issued 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.
01 1 16002 51600
01 1 't 6002 51 604
$22.95
$125.36
$148.31
$0.00
$148.31
lnspector MID#: 2019-151290
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hacby aflim unda paalty of perjury thd I m cxmpt from thc Conlraclos' Licens hw for rhc following rc@n (Sc.7011.5
Bwine and hofeion Code): Atry City or County which rcquire a p6mit to con$ruci, a.ltc, improva danolish or rcpair my
strucluc, Fior to its isumcc. also requirs the qplicot for such pcmit to filc a siSncd statmmt that hc or shc b licfficd pNad
to the provisioN of thc Contractor's Licensed kw (Chapts 9, Comcncing with S(tioo 7000 of Divisioo 3 of thc Bwitrs ed
Prcfruions Code) or that hc or she is excmpt thgefrom ud thc b6is for lhc allc8ed q@pion. Any violstiotr of Scction 7031.5 by any
applicilt for a pflnit subjcts the applicmt to a civil pcmlty of not morc thil fivc hundrgl{onA}($500).
-1.
I omq of the propcrty. or my emplo}l6 with wags s thcir $lc compcBation. will do tfre wort'md thc atructrc is not
intmdql or offred for sle (Ss.7044, Buitrs md Profcssioro Code: Thc Conlractor's Licmse Law do6 not apply to m omer of
thc pmpcrty who builds or improvc thmq ud who doc sch wort himself or hmelf or thrcugh his or hcr om mploym,
providcd that such imprcvmts Ee not intodrd or offgcd for salc. lf. howrys, thc huilding or improvmmt is mld within onc )q
ofcompllion, thc Ownc Buildq will havc thc hrdsr ofproving thaf hc or shc did not hrild or improve thc prcpoty for thc ptupos of
elc).
_1. uomq of lhc propqty, m eiclsively contractiog with licdEcd contractoElo coMcl the projc( (S{. 7044, BNirs
and ProfcsionCode:ThcContractor'sLic@eLawdo6f,otapplytouownoofpropertywhobuildsorimprovdth6oo.
md who contracts for such projars wirh a Contmcto(s) licqEd puEwt to thc Contraclor's Lic@ tlw).
-l
m crmpt uds Satioo . B. & P.C. forthis rmn.
WORKERS' COI\lPENSATION
DECI.AEAIION
I hoeby affirrn undr pqalty of pojuryone ofthe following d(lamtiom:
by Section 3700 ofthc
for the pofommcc of
q&1170Policy
-l
cqtiry that in thc pqforlruce of the work for which this pcmit is issucd. I shall not mploy ey pcrsn il oy mmna
s 6 to b€omc aubjet to thc work6' compqr$tion laws of Califomia od agc that if I should beomc subjct to thc
wo*6' comp@tion prcvisiore of Seaion 3700 of the lrbor Codc. I dull. fonhwith comply with thos prcvisiore..
WARNING: Failure lo sue workm' compovtion covmge
civil fines up to onc hundred thousd dollffi ($100.000). in
is unlarvful, md shall subjet a mployo to qiminal pqraltie ud
addition to lhe cost of comp€Nation. dmg6 o providcd for thc
::::"t6i'iYTiT*- ;#"'5*'tl^ Gl,W
LICENSI'I) CON'TRACTOR
NF(]L{]LATI()N
I hereby aflirm undr pmahy of perjury that I an licoxd undo provision ofchaplq 9 (commcncing wilh Setion 7000) of Division -1
of the llusinm ud Profssiom Code. md rny license is in full force md eff(t.
6 t9LiccreeNumbs:
Drle:lo t l5l l4 Conlrf,clor:
CONSTRUCI'ION T ENNINC ACENCY
I hocby aflim undr penahy of ptrjury that thqe is a construclion lending agmcy for the pafommce of the work for which this permit b
issued (Se. 3097. Civ. C.).
l"ender's Name
Lender's Address: _
altttcAl.IJ)ectd8AuoN
I hcnty affinn under poalty ofperjury one ofthe following declaations:
Demolition Pqmils-Asbestos Notification Fedgal Regulalions ('t itlc 40. l'a(6)
-Required
[,clltr of Notilication
-l
cqtiry thd thc 6d6al rcgulatiore rcgudhg rbqtos rooval ue not appticable to this projct.
-l
coriry that I havc rad this appli€tion ad $atc thd thc obovc infomation is cor€t. I agrc to omply with 8[ City ed Comty
ordinmcB md Statc LM rclatiDg to building consffuc,lion, ed h6cby authoria rcprGqrldivs of this City ud Comty to otE upon thc
abovc motioocd prcpaly for
Applicill or Agot
Pmit@nme
purpos.
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
FINAL z/ttt '/ aO -r4 ry44{1
(Notes, Remarks, Etc.(
*," [ol{!l I