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: