HomeMy WebLinkAbout40133966 - PermitI
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #i 4Ol 33966
Pin #: 62657
Project Address: 2321 N Baker St
Assessor's Parcel. 001-173-l 3 Lot: 17
Unit:
Block: NA
Bldg:
Tract 1740
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Cal Rosseti
2321 N Baker
Santa Ana, CA 9270G
(7141 875-7345
Ron McMaster dba McMaste
2 McLaren #C
lrvine, CA 92618
(s4s) 481-7sss
Fee Type Amount
01 1 16002 51604 Furnace/Comp Combo 1 31 .87
01116002 5160C General Plan Update 22.95
01 1 16002 51604 lssuance 57 .20
Qty
100
1.00
100
Fee
$1 31 .87
$22.95
$57.20
Botch+:52080 - 9/t8/7A19 I0: NGARCIA0ffice: CTYH Trons*: 20 2 of sAccti: Ref*: 40133966
Rcpti:02750825 a 9/I8/2A$ 12:59 PH
Tronsoct ion Totol f483.93
Ron llclloster dbo llcllsster A irState Lic #: 726607
Lic Type: C-20
Bus. Lic #: 3417OT
Workers' Compensation lnsurance:Carrier: Sentine! lnsurance
Policy #: 72WECZU8138
Expires: 02lO2l2O2O
llechon icsl
01116002- 5160400fl-
Generol Plon Updote Fee
0l I 16002- 516(r00t'0-
V iso
CC+: rt*rr*rrr*r*S458
$ 189 .t:tl
i22.9?i
$183. 93
Auth*: ff8395c
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
FAU/Comp
Fregoso, Vince
Hernandez, Kathy
09/18t2019
09/1 812019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: c/o
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2016
01 1 16002 51600
01 1 16002 51604
$22.es
$189.07
$2t 2 02
$0.00
$21 2.02
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MID#: 201 9-154470
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I hscty affm undo pcnalty of pajury that I m qmpt from thc ContnctoB' Lico* Iaw for thc following mtr (Sc.7031.5
Buins sd hoftsion Co&): Ary City or County which rcquirc a pomit to construct. alt6, improvc, dcmolish or rcpair my
structurq prior to its isuucc, also requiG thc applicilt for such pemit to file I signcd stdmat thd h€ or slrc b licctrscd pw6t
to the FovisioG of thc Contretor'! Liensd Law (Chapts 9. Comocing with Sction 7000 of Division 3 of thc BuinB md
Prcfesions Codc) or that hc or she is qmpt th@from ud thc basis for thc allcgcd amption. Any violation of Scction 7031.5 by ey
applicant for a pmit subjcts thc applicmt to a civil pcnalty of not morc thm five hutrdrcd dolles ($500).
-1,
0S owner ofthe prop€rty. or my employees with wages as their sole compcnsation. will do thework and the structurc is not
intendod or offcred for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improvc thcreon urd who does such work hhrself or herself or through his or her own employee.
provided that such improvaneots are not intendcd or off€rod for sale. I[, howerrer. ttrc building or improvemcnt is sold within one ]Gd
of complaion, the Orner Builder will havc the hrd€n of poving thd he or she dil not build or inprove the propaty for the pluposcof
sale).
-1,
as owner of the prop€rty, am exclusively contracting with licerued contractom to construct the project (Sec. 7M4. Brsiness
and Proftssion Code: The Contractor's License l-aw does not apply to an owner of propcrry who builds or improvc thereon.
and who contracts for such projccts with a Conhaclo(s) licansed puniuant to the Contraclor's Liccrse l-aw).
-l
am exempt under Section-. B. & P.C. for this reason.
l)ltc
WORKERS' COMPENSATION
DECLARATION
I hereby affirm under pcnalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-tnsure for workers' conlpenmtion, ali povided for by Section 3700 of the
I-abor Code for the p€rformance of the work for which the pennit is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance of
the rvork for which this permil is issued. My workers' compensation insurance carrier and policy number are:
Policy Number: Expires:
-l
certi& that in the performance of the work for which this permit is issued. I shall not employ any pcrson in any manner
so as to become subject to the workcrs' compensation laws of California. and agree that if I should become subject to the
workers' compersation provisions of Section 3700 of the Labor Code. I shall. forrhwith comply with those provisions..
J
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties and
civil frnes up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the
Section 3076 of the L-abor Code. interest and attorney's fees.
D,r", q //g/lq
LICENSED CONI'ITACTOR
DECI..ARA'TION
I hereby affrrm under penalty of perjury that I arn licensed under provision of Chapter 9 (comrnencing rvith Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License Class: License
Dil", q//</lat
W
I hwby affm undo pqulty of pajury that th@ is I @ostruclbn hading agwy for thc pafortlmc of thc wort for which thb pqmit b
isucd (Sc. 3097, Civ. C.).
Lender's Name:
Lender's Address:
,r, rc NT ""cr RArtoN
I t!rcby aflirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notificaion
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cqtiry thd thc fedgal regulatioro rcgading abBtos rmoval ue not applicable to this prcjel.
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cstify that t havc red this application ad statc that thc above infomation is corot. I agrcto complywith all City and County
ordinanca od Statc trws rclating to building coNtruction. md hseby .uthorizc rcprMtativ€ of this Cily md County to 6tq upon thc
abovc mqtioncd prcpqty for iGp€,tion purDos. --z t t
,rppricuro.rgorsi*,^,*,
'f 1(n [EF- ^", 418/r?
Pennitee name -t 1-rd
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
Openings
lnstallation
F. D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release a
FINAL / /-J'Zo (- eri tvotts -Zq
Notes, Remarks, Etc.
Orvner:
fr