HomeMy WebLinkAbout40133867 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #: 40{33867
Pin #: 47554PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Project Address: 2900 S Bradford PI
Assessor's Parcel: 933-1 20-77 Lot: 1, 211
Unit: D
Block: NA
Bldg: Address Range: 2gOO-3OgO
Tract: 758317161 Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address.
Phone:
Bradford Place Santa Ana West HOA
15661 Red Hill Ave #210C
Tustin, CA 92780
(7141 285-2626
24 HRC dba 24 Hour Restor:
PO Box7124
Laguna Niguel, CA 92607
(888) 5244687
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
Fee Type Amount
Furnace 68.16
Clothes Dryer - Residen 41 .92
Repair Vent Sys 45.33
Bathroom Fan 31 .72
Range Fan 33.57
General Plan Update 22.95
lssuance 57.20
Qty
100
100
100
300
1.00
1.00
1.00
Fee
$68 16
$41.92
$45 33
$es 16
$33 57
$22.95
$57.20
State Lic #: 895339
Lic Type: B
Bus. Lic #: 371971
Workers' Compensation Insurance:Carrier: Great Divide lnsurance Company
Policy #: WCA200939816
Expires: 0712612020
Botch*:Sl626 8/22/2019 ID: nPINEDA0ffice: CTYH Trons*: 67 3 rf 3Acct*: Ref *: 4rJ133867
Rcpt*:02721143 8/22/2tU9 4r?? FH
Tronsaction Total $lrlJgl-l .+2
21 HRC dbo 2+ Hour Restornt i on
Generol Plon Updote Fee t?,i.f!.i
01116tr02- 51600[100-
.{Fl0gft&Fgltnnfqnffi,s reprace txturee. $34 i ' 3'i
Viso tlrt-t8tt.4}CC+:r**rrr*rr***4802 Auth*:06145G
$364.29
$0 00
$364.29
Building Use: Condominium
Job Type: Alteration
Nature of Work: Fire RePair
Planning Conditions: All materials to match existing.
Planning Approval By:
Occupancy:
Constr Type:
Code:
Date:
Date.
Date:
U, R-2
VB
cMc 2016
08t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Fire
Fee Total:
Paid to Date:
Balance Due:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
eri
01 100408
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
$22 9s
$3+ 1 .34
lnspector MID#: 2Ct19-1521 00
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranoe
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 rl [ ,y'l
FINAL 5l (n ui )foA{\ 4\w0 /
\\\Notes, Remarks, Etc.II
oWNER BUILDER DEI,(:ARAT]ON
I hereby amrm un<lcr pcnalty of psjury that I m excmpt from the ('onlractorc' l,icerc kv for thc folloiing rcmn (Sa.?011.5
Businss md Profesion Code): Any City or County $hich requirs a lmit lo construcl. alto. improve donolish & rcpair any
struclurc. frior to its issuancc. also rcpirs the applicant for such pemit lo file a signed slatqnol lhat h€ or shc is licosed pu6pml
to thc ;rovisions of the Contractor's Licenrcd Larv (Chaple 9. Commencing uith Sstion 7000 o[ Difision -l of thc Rusinss and
Prcfesions Code) or that he or she is exempt thqefrom and the basis for the alleged eremption. Any violation ofSilion 70-r I 5 by any
applicsntforapennitsubjctsthc applicanttoacililpenaltyofnotmorelhanfivehundreddollars($500)
_ t. o o*ner oflhe Fopeny. or my emplolm rvilh rragts u their s)le compflsation, will do the riort and thc strudrc b nol
intodd or offsed for Mle (Sc.7044. Businns and Prof*sions Code: I'he Conlmcter's l-icmse l.au' do6 nol apply lo an owner of
the pmpedf, rrho builds or improvs thmn. and rvho dos such Ncrt himsclf or hmclf or through his or he orvn employs.
providcdthatsuch im1rer'onmtsreretintodedoroffarlfirrsle. lf.hosoq.thehrildingorimproronentismldrrithinonclw
ofcornplaion the O$ nq Builrts will havc the htrd6 ofproving thd hc or shc did mt hoild or improvc lhc plopqty for thc purpo* of
sle).
_ I. as osnr ofthe Jrop6ty. m crclusi\'.ly contractilg $,ith licmsd conlmctos to construcf the poj.c{ (Ss. 7014. BGinRs
and ProfesshnCodc:'IheContractor'sLicmsel-aNdo6notapplytoaooNncofpropertyNhobuildsorirnproleslhson.
and who conlncls for such lxojcts rvith a ConlEcto(s) licmsed puBuant to the ('ontractor's l,icos Las).
-l
on erempl under Sation-----
-.
t'. & P.C. for lhis rcmon.
I)alc:
DECLARA'T'ION
I hereby alTirm under penalty of perjury one of the follorving declarations:
__t haye and rvill maintain a Certificate of Consent to Self-lnsure for s'orkers' compensation. as provided for by Section 1700 of the
Labor Code. for the perflonnance of the work for rvhich the pennit is issued.
_l haye and s'ill rnaintain s'orkers' compensation insurance. as recluired by Section .1700 of the l-abor Code. for the peffolmance of
the u'ork for s'hich this permit is issued. My s'orkers' compensation insurance carrier and policy number are:
Policy fi v nirac.
_l certi& that in the performance of the rvork for rvhich this perrnit is issued. I shall not employ any person in any manner
so as to become subject to the workers'compensation laws of California. and agree that if I should become subject to the
workcrs' compensation provisions of Section -1700 of the Labor Code. I shall. forthrvith comply with thosc provisions..
WARNING: Failure to secure rvorket's'coverage is unlarvful. and shall subject an anployer to criminal penalties and
addition to the cost of compensation. damages as provided for thecivil fines to one hundred thousand tn
Section inlerest fees.
6 2Z zo \'l
DECI-tRA'I'ION
I hereby affinn under pcnalty of perjury that I arn licensetl under provision of ('hapter 9 (commencing w'ith Soction 7000) of [)ivision -1
of the tlusiness and Professions Code. and rny license is in full force and eflect.
License B l-icense Nurnber:b q
8
I hereby affrrm undcr penalty of perjury that
issued (Sec. 3097. Civ. C.).
isa lencling agency performance of the rvork for rvhich this p,ermit is
l.crtrlt't 's Nalttc
Lender's Address:
APPLICAN'T DEC LARATION
I horb)'afiinn under penalty of perjury one of the follos'ing dcclarations:
Dernolition Pernrits-Asbestos Notiflcation Federal Regulations (Title 40. Pan6)
-_
Required l,etter of Notilication
with all City and County
and County to enter upon the
s\ z*\
Pennitee
I
1
Dnte:ztHK(
the lHeral regulations regarding asbestos removalare not applicable to this project.
I have read this application
Larvs relating to
above for
Agent