HomeMy WebLinkAbout40135040 - PermitProiect Address: 722 N Mantle Lna
Assessor's Parcel: 400-191-26 Lot: 7
Unit:
Block: NA
Bldg:
Tract 3708
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 . . Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (714) 647-5853
Permit #= 40{35O4O
Pin #: 53982
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Mallory Wilkenson
722 N MANTLE LN
Santa Ana, CA 927014426
(310) 567-1 165
Socal Climate Control & Mer
7334 Topanga Cny Blvd Ste
Canoga Park, CA 91303
(818) 805-3680
01 1 16002 51604
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Furnace
Heat Pump
General Plan Update
lssuance
Microfilm Records
Amount
70.66
97.17
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$70.66
$97.1 7
$23.79
$5e.30
$4.05
Bstch * : 569
Off i ce: CT
Acct*:
9?
YH
IA/27 / ?r12'[rnns*l 6
State Lic #: 1043665
Lic Type: C-20
Bus. Lic #: 376424
Workers' Compensation lnsurance:Carrier: Employee Service Group
Pclicy #: WC027118852CA
Expires: 0710112021
Rcpt*:031(t191tt - ltt
Transnct i on Totnl
Ref * : 4rl135ll4t
?7 /?lr?tr I : 17 Pr
t44S .2t
& llech nnSocn I (:l i mnt e Con t,r o l
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approva! By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
A/C & FAU
Arechiga, Liana
Zuniga, Allissa
10t21t2020
10t27t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cMc 2019 Mechanical for- Replace existing A/C unit and furnace
(located in attic).
$254.97
$0.00
$254.97
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 permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Permitee MID#: 2020-162303
01 1 16002 51600
01 1 16002 s1604
01 1 16002 57770
$23.79
$227.13
$4.0s
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/$IG COMMENTS OWNEN, BUILDEN DELCARATION
I hercby 8ffrm under Fnalty of perjury that I m exempt fmm the Contractos' Liccne trw for thc following ttarcn (Se.fltsI.s
Busincss and Profssion Codc): Any City or County which requircs a pmit lo @nstruct. alto, imprcw. dcmllsh or rcJnir my
structurc. prhr to its issuarce. also rcquircs the applicsnt for such [Emit to filc 8 signed ststemnl th8t he or dE ir lienrcd pusuet
to thc ppvisions of the Contretor's Liccnsd Law (Chapter 9. Commcrcing with Sslion 7000 of Division 3 of the Busircss 8nd
ProfessioN Code) or that hc or shc is exempt tlwfrom ed the besis for thc albgcd excmpion. Any violation of S6tion 7031.5 by 8ny
applicrnt for o pcrmit subjets thc applicsnt to 8 civil penllty of not mrc than five hundrd dollars ($500).
_1. as owner of the propcrty. or my cmployees with wages as lhcir solc com[rcnsation. will do the work ud the stnrture ls not
intcnded or offercd for sale (Ssrc.7M4. Business and hofcssions Code: Thc Contractor's License [.aw does not apply to an owncr of
thc propcrty wln builds or impmves thcreon. and who does such work hirnself or hersclf or through his or her own ernployees.
provided that such improvenrcnts Bre not intendcd or offercd for salc. If. howcver. thc building or improvernent is sold within one )rcar
of completkrn. thc Owrrcr Buildcr will have thc burdcn of proving that he or shc did not build or improrrc the proprty for the purposeof
sale).
_1. as owner of thc propcrty. am exclusively contracting with liccnscd contraclors to construct thc proicl (Scc. 7W. Business
and Prufession Code: Thc Contraclor's Liccnsc Law does not apply lo an owncr of propcrty who builds or improves thcreon,
and who contracls for such projects with a Contracto(s) licenscd pursuanl to thc Contractor's Lhcnsc kw).
-l
am excmpt undcr B. & P.C. for this rcason.
l)irlt,. ( )rr ner.
WORKERS' COMPENSATION
DECLARATTON
I hcreby affirm under penalty of pcrjury onc of the following dc.claralions:
-l
have ard will maintain a Certificate of Consent to Sclf-lnsure for workers' compensation. as provided for by Scction 3700 of the
I-abor Code. for the Srerformance of the work for which thc permit Ls issued.
-l
havc and will maintain workers' compensation insurance. as required by Section 3700 of the l-:rbor Code. for the pcrformance of
thc work for which this pcrmit is issued. My workcrs' compensalion insurance carricr and policy number are:
Policy Nurrrhcr: Expircs:
,
_l ccrtify that in thc pertornurncc ol'lhc work for which this pcrrnit is issucd. I shall not ernploy any f,crson in any ltlanncr
so as to bccomc subjcct to thc workers'conrpcnsation laws of Califtrrnia. and agree that if I should hccotnc subjcct to thc
workcrs' conrlrcnsalion provisions of Section 3700 of thc lahrr Codc. I shall. ltrrthwith comply with thosc provisions..
a
WARNIN(]: Failurc to sccure workcrs'compcnsillion coveftrptc is unlawful. and shall suhjcct an entploycr to criminal grcnaltics and
civil fincs up to onc hundrcd thousand dollars (Slm.fin). in addition lo thc cosl of contJrcnsation. damagcs as providcd for thc
.Scctiorr 3076 of thc Lrtnr Codc. intcrcst attd altorncy's fces.
I ):rtc:
LICENSED CON'I'R,TCTOR
DECLARATI()N
I hcrchy altlrrn urrdcr pcnalty of perjury that I arn liccnscd undcr pnrvision of Chaptcr 9 (contnrcncing with Scctiott 7fiX)) of l)ivisittn 3
of thc Busincss und Prof'cssions Codc. iurd nty liccnsc is in full tbrcc and cfft'ct.
License Class: Liccnse Numbcr:
I)tle:
W
I hcrcby aflirm undcr pnrlty of pcrjury that lhcrc is a construction lcnding agcrcy for lhc pcrformncc of Ihc work for which lhis lrcrmil is
issued (Se. 3097, Civ. C.).
lxndcr's Nanrc:
[*ndcr's Addrcss:
APPLICAN'I' DECI A RA'I'ION
I hcrcby allirrn undcr pcnalty of pcrjury <lnc of llrc folkrwirrg dcclaral iorts:
Dcnrolit ion Pcrrrrits- Asbcstos Nol ifical ion Fcdcral Rcgulal ions ('Iit lc 40. Part6 )
-Rcquircd
Lcttcr of Notilicalion
I ccnify thal lhc lcdcral rcfulali()ns rcSuding uslrcskrs rcnxrval arc not opplicnhlc lo lhis prujccl.
I ccrtily that I havc rcad this arrrrlicntion ilxl $latc th{t thc athve hlbrmntion is corrccl. I alre lo comply wilh 0ll City tnd Counly
oditunccs an(l Slillc hws rclating to building conslruclion. ild hcrcby authoriTr rcprcsenlrlivcs of lhis Cily and Counly h cnlcr uF)n lhc
alrw rmnttrncd prolrcny lbr insperti(rn pu]fnss.
I Applicant or Agent Signature: Date:-
I
Pennitcc nanrc ( nrirtl ):
Appliances
Nletal Fire Place
Evaporative Cooler
Furnace
Compressor
[t/isc. Equipment
Duct Work
Pre- lnsu Iation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room I Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL u. tQ_.20 ffa.loacai 8
Notes, Remarks, Etc.
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