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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: