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HomeMy WebLinkAbout40134908 - PermitProiect Address: 141 I S Pacific Avea Assessor's Parcel: 109-263-12 Lot: 62 Unit: Block: NA Bldg: Tract: 1508 Address Range: Historic: No Suite Range: Zoning: Rl City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (7'14)647-5853 Permit #: 4Ol 349OE Pin #: 11450 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Victor Higareda 1418 S Pacific Ave Santa Ana, CA 92704 (7141 331-2166 Alps A/C & Heating lnc 1895 S Santa Cruz Anaheim, CA 92805 17141 633-88s2 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Compressor General Plan Update lssuance Microfilm Records Amount 97.17 23.79 59.30 4.05 Qty 1.00 1.00 1.00 1.00 Fee $e7 17 $23.79 $59.30 $4.05 State Lic #: 667953 Lic Type: C-20 Bus. Lic #: 177939 Workers' Compensation lnsurance:Carrier: PREFERRED PROFESSIONAL INSURANCE Policy #. ON0915601 Expires: 1011912020 Botch*:56482 9/ll/2tt?fr I0: I1PINEDA0ffice! CTYH Tronsi: 53 I of 7Acct*: Ref*: 101349fi8 Rcpti!03063593 9/Il/2Ct2$ 12:06 PH Trqnsact i on Totol $375.85 Alps Alt & Hent i ns Inc Generol Plqn Updnte Fee 0t I 160tt2- 516(rtr0(t0- ilechon i co I Lrl I l6tr(r2- 516(r40[r[t- 11 i crof i Im & Document s 0I 1 I 6(r(12- 3777trtr(r l- ICL Check 036292 Notes: 1st time installation of a/c Planning Conditions: Planning Approval By: Soto, Ricardo Plan Checked By: Permit lssued By: Subject to Field: Building Permit #. Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its rssuance, 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. Inspector MID#: 2020-1 61 437 Building Use: Job Type: Nature of Work: Single Family Dwelling Alteration A/C Julie Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cMc 2019 09/1 1t2020 09/1 1t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.7e $156.47 $4 0s Fee Total. Paid to Date: Balance Due: $184.31 $0.00 $184.31 I MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hereby allirm undcr pcmlly of pcrjury that I m exempt from thc ConlIqcto6' Licenrc lnw for the following rcasn (Sec.7031.5 Business ard Prcfession Code); Any Cily or Counly which rcquircs a fEmit to enstruct. alto, improrc, demlish or rctEir rny slruclurc. prior to ils issurnce, also rcquires thc +plicant for such Fmil to filc s sigrcd statcmnt lhal hc or shc is liensd pususnt to the prcvisions of thc Contrcttr's Liccnsd t w (Chaprcr 9. Comrurcing with Sslion 7000 of Division 3 of thc Dusircss rnd PmfcssionsCodc)orlhatheorshciscrcmptthcrcfromandthebasisforthcsllcScdexemption. AnyviolationofscaiooT03l.5bysny applicant for 8 pemit subjGts thc rpplicant to s civil pemlty of not mrc than five hundrcd dollus ($50O). -1, as owner of thc propcrty. or my employees with wages as thcir xlle compens&tion. will do the work and the stnrrurc Ls not intcnded or offercd for salc (Scr.7044. Business and Professions Code: Thc Contractor's Liccnse l-aw does not apply lo an owner o[ the prof,crly who builds or impmves therf,$n. and who does such work himself or hcrrclf or lhrough his or her own employees. providcd that such improvcnrnls are not intended or offered for salc. If. however. thc building or inprovenrcnt is sold within one )rcar of complction. the Owner Buildct will have the burdcn of proving that hc or shc did not build or improve the property for thc purynsc of sale). -1. as owncr ol'lhc propcrty. artt cxclusivcly conlracting with liccnsctl conlraclors lo conslruct lhc projcct (Scc. 7fi4. Busincss itnd ProlcssionCoclc: '[hcC<lnlrilctor'sl.iccnscl.awdocsnotapplytoanowncrofpropcrlywhohuildsorimprovcsthereon. antl who conlracls lor such projccts with a Contraclor(s) liccnscd pursuarrl to thc Conlraclor's l-icensc Law). -l arn cxcnrpt undcr Scction-. B. & P.C. lbr this rcuson. ( )rr lrrr: WORKERS' COMPENSATION DECLARATION I hcrcby affirnt undcr penalty of perjury one of lhc following declarations: -l have and will maintain a Certificate of Consenl to Self-lnsure for workers' compcnsation. as provided for by Section 3700 of the Labor Code. for thc performance of thc work for which the pcrmit is issued. -l havc and will by Section 3700 of the Labor Code, for the lrrformance of and policy number are:thc work for issuc'd.canicr a a C pl nlu['olicy o -l ccrtify that in thc performancc of thc work for which this permit is issucd. I shall not employ any person in any manner so as lo bccome subjcct to the workers' comJrcnsation laws of California, and agrcc thal if I should become subjcct lo thc workers' comJrcnsation provisions of Section 3700 of thc l;rbor Codc. I shall. forthwith comply with thosc pmvisions..t WARNING: Failurc lo sccurc workcrs' compcnsation covcr.rgc is unlawful. and shall subjcct an employer to criminal pcnalties and civil tincs to onc hundrcd thousand dollars (Slm.fin), in addition lo thc cost of as providcd for the Scction intercst and altorney's fccs. LICENSED C(IN'IIIACTOR DECLARA'TION I hcrcby allirrn undcr penalty of pcrjury lhat I arn liccrrsccl undcr provision ol'Chuptcr 9 (comnrcncing with Scction 7Un) of Division -1 of thc lJusiness and Prol'cssiorts Codc. ard nty licensc is in full frrrcc iurd clTcct. c20 U6HS3l.iccrtsc l)nle:'?_a W I hercby affrm undcr pcmlly of Friury that therc is s oNlruction lcndirg 8gercy for the Frfom of thc wr* for which this pcmil b issued (SG. 3097, Civ. C.). Lcndcr's Namc: [,cndcr's Addrcss: A PPLICAN'T DT'CLARATION I lrcrchy aflinrt undcr pcnalty of pcrjury onc of thc followirrg dcclarations: Dcnrolition Pcrnrits-Asbcstos Notil'icalion l.cderal Rcgulations (l'itlc 40. Part6) -Rcc;u ircd l-cl lcr of Notilical iorr -l ccrtify that the fedcralregulations asbcstos renrovalnre nol applicable to this projcct. -l ccrtify that I havc rcad this statc that the atnve inlbrmation is corrcct. I agrcrc to cornply with all City and County ordinances and Statc [-aws rclating to of this City and County to entcr upn thc above mcnlioncd propcrty for insJrcction ^,,r^,qlt't,,Applicant or Agent Pernritce namc (print conslruclion. and aulh()rizc Appliances N/etal Fire Place Evaporative Cooler Furnace Compressor lt/isc. Equipment Duct Work Pre-lnsulation Insulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room I 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. Fina! Test Meter Release FINAL ll'l')'-tV tywl/d 7&+( Notes, Remarks, Etc. Exoires: t Conlrnclor: