HomeMy WebLinkAbout40134655 - Permit?City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 40{34655
Pin #: 76286
Project Address: 1918 S Sycamore St Unit:
Block: B
Bldg:
Tract 289
Address Range:
Historic: No
Suite Range:
Zoning: R2Assessor's Parcel: 015-063-1 1 Lot: 5
Owner:
Address:
Ana Castillo
1918 S Sycamore St
Santa Ana, CA 92707
(714I- 317-9681
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
51 604
51 604
51 604
51 604
s1 60c
51 604
5777C
Fee Type Amount
Wall Heater/Floor Furna 68.14
Bathroom Fan 31 ]2
Laundry Fan Envir. Air 36.21
Range Fan 33.57
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$68.1 4
$31 .72
$36.21
$33.57
$22.e5
$s7.20
$3.e1
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy.
Constr Type:
Code:
R-3
VB
cMc 2019 Notes: Mechanical
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web
Date:
Date:
Date:06/01 t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 site by such permit rs suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
N/A
N/A
No Balance
No Balance
Fee Total
Paid to Date:
Balance Due:
$253.70
$253.70
$0.00
lnspector MID#: 2020-1 59 17 1
t{
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS 0WNER IITII I,I)F:R I)F]I,('A RA'TION
I hcrchy aflirm undcr pcnatly of pcrjury thal I an cxcDpl fron lhc Conttacbr' Liccnsc Luw for thc lblktwin&rcas$ (Sf 70.11.5
Busincss and Profcssi<u Codc): Any Cily or Couily shich rcquircs a lEnnil lo conslrucl. aller inprovc. dcnplish or rcillir al4
struclurc. prior to its issuorcc. illso rcquircs thc appli('rnl for such [rcilnil l() lilc I siSncd stulcnrnl lhrt hc or shc is liccnrcd pursuant
b lhc provisions of thc C(rnlrilctor's Licen*{ kw (Chaptcr 9. Gmrnrcncing wilh Salion 7(x)O of t)ivision 3 of thc Busincss and
l,rolissbns Codc) or th{l hc or shc is cxelnpt thcrcfronr and lhc hasis firr thc allcgcd cxcrrptbn. Any violalion of Scction 70-l I .5 by any
applicnnt lb. il pcrmil subjccls thc applicflnl lo I civil pcnally of not fr)rc lhur livc hundrcd dollars (S5(X)).
_1. as owncr of lhc prrfrcny. or my cnDloyccs with wa8cs {s lhcir solc comJEns{lion. will do lhc work 4tl lhc slruclurc is nol
intculcd orollercdf<rr$h(Sa.TGl4.BusincssandPnrfcssionsCdc:ThcC'onlrack)r'sl-iccnsljwd@snolaPPlytonnosncrof
lhcpF[fny whot{liklsorhnprcvcslhcc)n.mdwhodocssuchworkhhrsclforhcrscl[orlhroughhiso]hcrowncmployccs.
providcd thdt such iflpmrrnEnts rc not inlcrdf,{ or olTcrcd for salc. lf. howcrcr, thc huikling or inprrvcnril is $kl wilhin onc ycu
ofcorr{rlctiotr. lhr Owncr Buildcr will hrrc rhc bunlcn ofprovirul that hc or shc dil not huiH ()r irpmrc lhc pruFaly for thc purIns of
slcl.
_1. {s owncr of thc p()|r ty. arn cxclusilEly conlraclilgl wilh liccnsd conlrilck)s lo conslruct lhc Projccl (S(r. 7044. Rushrcss
trd PnrllxsinGxlc:ThcContrilctor'sl,icenscLilwdocsnolapplylo!nowtrcrofproltrlyshohuildsorimPtovcslhcrcol.
lnd who conlrnctsforsuchprojcctswithaG)nlnct)(s)liccnscdpursuanlk)lhcCollraclor'sLiccnschs).
-l
am cxcnrpl undc. Scclion--. B. & l'.C. li)r lhis rc{v[
( )rr nt'r.
WORKER*S' CONI PENSATION
DFCLARATION
I hcrcby afl'irrn under Jrcnalty of pcrjury onc of thc tirllowing dcclaraliotts:
_lhavcan<lwill maintainaCertificatcofConscntloSclf-lnsurcforworkers'compcnsilliotl.as providcdlbrhyScctionlTfi)ofthc
Latxrr C<xlc. l'or the pcrfornurnce of the work for u'hich thc pcrmit is issucd.
_l havc and will nlaintain workers' comfrcnsation insurancc. ils rcquircd hy Sect ion -37(X) of lhc l-ahor Codc. ltlr thc Jrcrf'ornuncc tlf
thc u,ork tbr which this pcrrnit is issucd. My workcrs' conrpcnsalion insurance calricr antl policy nunltrcr arc:
Policy Numher: ExPires:
_l certify thut in tirc perforrnance of thc work for which this permit is issued. I shall nol cmploy any pcrson in any manllcr
so ils to bccomc subjcct to the workcrs'comlrcnsalion laws of Culifornia. und agrcc that if I should bcconrc subjcct to thc
workers' compensation provisions of Seclion 3700 of thc Latnr Ctxle. I shall. forthwith comply with those pmvisions..
WARNING: Failure to sccure workers'com[rcnsation covcrage is unlawful. und shall subjcct an cmployer to criminal penalties and
civil lincs up lo onc hundred thousand dollars ($100.m0). in addition to the cost of comfrcnsation. damages 8s providcd for thc
Section 3076 of thc l-abor Code. intcrcst and attorney's fccs.
I)ate:,\ pplicllrl:
LICI,-NSUD C( INI'RA CTOR
DFCLARATION
I hcrcby irffirrn undcr pcrraltyof pcrjury that t arn liccnsctl undcr provision of Chaplcr 9 (conurrcncing u'ith Scction 7Un) of Divisiolr 3
ol' thc llusiness arrd Profcssions Codc. iurd nty licensc is in full lirrcc alil cll'cct.
('ontrirt'lrlr
CONSTRUCTION LFNDING A(;ENCY
I lrcrcby amrm undcr lxnillty of Jrcrjury thul lhcrc is a onslruction lcMing agcncy for lhe pcrforroncc of thc *ork tbr shich lhis Jrcnnil is
issucd (Sc. 3097. Civ. C.).
lxndcr's Natrrc:
-
APPLICAN'I' I)FCI,ARATI0N
I lrrchy itflinn undcr pcrrulty ol'pcrjury ottc ot'thc ltrllou'ing tlcclarations:
Dcrrxrlitiorr Pcrrnits-Asbcslos Notificutiorr Fcderal Rcgultlions (l'itle 40. Parl6)
-Rcquirctl
Lctlcr of Notilication
-l
ccrtify lhal lhc lcdcral rcgulutions rc8lrditllt ostEstos rclnovalilrc not applicilhlc k, lhis pmjccl.
_l cffify thill I have rcnd lhis 0pplicution ard stolc lhal lhc nh)ic intirrtrnlk)n is coreI. I n8rc! lo comply with all Cily and Counl)
odinarrccs !trd Statc Laws rchting to huildirg constructiur. ud hcrcby autlxrrizr rcprcscnlatilcs oflhis City {nd Counly lo cnlcr ulhn lhc
ahovc nEnlioncd propcny lbr inspcclion pur[nscs.
Applicanl or Agcnt I );rlt'.
Pt'rrrtilcc nlnt(' (1lr ittl ).
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
[t/isc. Equipment
Duct Work
Pre- lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openinqs
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release
FINAL tl o t)/)bn#sl
Notes, Remarks, Etc.I
Carrier:
l)ntt':