HomeMy WebLinkAbout40134707 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:4O1347OT
Pin #: 27933
Proiect Address: 922 E HunterAue-a- -
Unit:
Block: NA
Bldg:
Tract 2482
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 404-034-09 Lot: 33
Owner:
Address:
Roberto Maria Santa
922 Hunter Ave
Santa Ana, CA 92701
(7141 261-1 308
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Furnace
General Plan Update
lssuance
Microfilm Records
Amount
68.1 6
22.95
57.20
3.91
Qty
1.00
1 .00
1.00
1.00
Fee
$68.1 6
$22.es
$57.20
$3.e1
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Reliable Energy Managemer
7201 Rosecrans Blvd
Paramount, CA 90723
(800) 6s2-401 1
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation I nsurance:Carrier: Travelerc Property lnsurance
Policy #: UB9K07110A202GG
Expires: 0412912021
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_user
Date:
Date:
Date:06/1 8t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued 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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
N/A
N/A
No Balance
No Balance
Fee Total
Paid to Date:
Balance Due:
$152.22
$152.22
$0.00
lnspector MID#: 2020-1 59556
MECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hacby affim undq pcnalty of pcrjury thd I m qmp ftom thc Contructw' Licqrc law for thc following rwo (Sc.7031.5
Buines and Prcfsion Codc): Any City or Coutrty which rcquirG a pqmt to @nstruct. alta, imprcvc, rlcrnolish or rcpah my
struc{uq prior to its isumcc. also rcquirc thc applicet for such pcBnit to filc E signcd stalmmt that hc or shc is limcd pmwt
to thc prcvbioG of tlE Contrrctor'! Liccnrcd t:w (Chrptq 9, Comacing with Sclion 7000 of Divisbn 3 of rhc Bwine ud
Prcfcsios Codc) or that hc or shc is cxrnrpt thqc&om ed the bssis for thc allcgcd amption. Any violation of Sdion 703 I .5 by ey
applicatforapctrnitsubjetsthc applicuttoscivilpmltyofnotmrcthmfivchundrcddollus($500).
-1.
as owner of the propefiy, or my employecs with wages as their sole compensation, will do the work and thc structure is not
inteirded or offered for sale (Se.7044. Business and hofessions Code: The Contractor's License Law does not ryply to an owner of
the property who builds or improves thcreoq and who does such wort himself or herself or through his or her own employees.
provided that such improvancnts are not intendod oroffired for sale. I( however. the building or improverneot is sold within one )€ar
of cornplaioru the Orvner Builder will have the burden of proving thd he or she did not build or improve the propetty for the purpose of
sale).
-1.
iN owner of the propcrtyr am exclusively contracting with licensed contraclors to construct the project (Sec. 7044. Btsiness
and Profissbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licased purcuant to the Contractor's License Law).
-larnexemptunderSection-.B.&P.C.forthisreason.Date:_
I hereby affinn
Owner:---
WORKERS'CONTPE
DECLARATION
one of the follorving declarations:under penalty of pojury
-l
have and will maintain a Certificate of Conscnt to Self-Insure for workers' compensation, as provided for by Soction 3700 of the
Labor Code for the performance of the wort for which the pcrrnit is issued.
-l
have and will maintain workers' compensation insurance, as required by Section 3700 of the labor Code, for the performance of
the work for which this permit is issued My workers' compensation insurance caxrier and policy numh are:
Policv Number: Exoires:
-l
certi& that in the performance of the work for rvhich this permit is issued. I shall not onploy any person in any manner
so as to becorne subjcct to the workers'compensation laws of California. and agree that if I should become subject to the
workers' compcrsation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with thosc provisions..
WARNING: Failure to secure workers' compeuiation coverage is unlawful. and shall subject an onployer to criminal penalties and
civil lines up to one hundred thousand dollars ($100.000). in addition to the cost of compcnsation. damages as provided for the
Section 3076 of the Labor Code, interest and attorney's fees.
Appllcant:
I ICF'NSTD CONTRACTOR
NECI {RATION
I hereby affrm under penalty of perjury that I am 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 Number:
W
I hrcby amrm und6 penalty of psjury that th@ is a coNtruc{ioo lording agocy for thc pofollmcc of thc work for which this pamit is
issued (Se. 3097. Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT NF'CI ^ RATION
I hcr*y affirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Fedcral Regulations (Title 40. Part6)
-Required
Letter of Notification
-l
certi& that the federal regulations regarding asbestos removal are not applicable to this projed.
-l
cdiry thal I hryc Ed this application od statc thd thc abovc infomalion is cor61. I agre to smply with all City ard County
ordinmcB ild Statc t m rclaing to building construciiorr and hreby authori* rcprcstativa of this City ud Couty to 6tq upotr thc
aboE malioocd proFrty for iropafioo purpore.
Applicant or Agent
Permitee nalne (print ):_
Appliances
Metal Fire Place
Evaporative Cooler t I
Furnace tur,?-k7 k),ffiT1
Compressor I f
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
-Type I Hood
Type !l Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I I
FINAL II llr,l',^0 1//
Notes, Remarks, Etc.t I
('oltlritclor: