HomeMy WebLinkAbout40134133 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (7'14)647-5853
?4 Mechanical Permit #: 40134133
Pin #: 22067
Proiect Address: 2504 W MacArthur Blvd-a-
Assessor's Parcel: 931-054-07 Lot: 1
Unit: E
Block: NA
Bldg:
Tract 10907
Address Range: 2500-2544
Historic: No
Suite Range:
Zoning: SD6
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Kanana Gitonga
2504 W MacArthur Blvd #E
Santa Ana, CA 92704
(7141 3264175
Alps A/C & Heating lnc
1895 S Santa Cruz
Anaheim, CA 92805
(7141 633-8892
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Furnace/Comp Combo 131 .87
General Plan Update 22.9s
f ssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1 .00
1 .00
Fee
$1 31 .87
$22.95
$57.20
$3.e1
BaLch#:52836 - lI/ 1/2trl9 ID: CCUELLA0ffice: CTYH Trnns*: 118 ? of ?Acct*: Ref*: 4013/1133
Rcpti:0280076L lI/1/?019 {306 PH
Tronsoct ion Totol t321,84
State Lic #: 667953
Lic Type: C-20
.Bus. Lic #: 177939
Workers' Compensation I nsurance.Carrier: PREFERRED PROFESSIONAL INSURANCE
Policy #: ON091S601
Expires'. 1011912020
AIps A/(: & Heat ins Inc
General Plon Updote Fee
[rl 1 16(10?- 5160trtr00-
llechqn i co I
01 1 16(t[t2- 51604tt[t0-
ll icrof i lr & Docurents
Lrl I I6tttt2- 3777[r0[t[t-
ICL Check (t24448
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Miscellaneous
A/C & FAU
Gomez, Pedro
Zuniga, Allissa
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-1
VB
cMc 2016
11t04t2019
11t04t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Change out like for !ike.
Fee Totat
Paid to Date:
Balance Due:
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.
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$22.95
$1 89 07
$3.91
$2t 5.93
$0.00
$215.93
t3. q
lnspector MID#: 201 9-155643
M ECHAN ICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI.CARATION
I hacby allirm undr pculty of pcrjury that t m cxcmpt from thc Contracton' Licm Law for thc hllorving r@n (Se.70-11.5
Buine and Profcssion Code): Any City or County which rcquirc a pcruit to coGtruct. altc. improvc dcmlish or rrpah uy
structuc. prior to its iwca also rcquirc thc applicmt for such pcmit to filc a sign(d ststmot thd hc or shc b licmcd pmant
to thc prcvisioE of thc Contrrctor's Licmscd krv (Chapts 9. Commocing with Sction 7000 of Division 3 of thc Busirc ud
Prcfsions Codc) or thst hc or shc is cxmpt thccfrom ild thc bris for thc allcac{ amplion. Any violation of Sc{ion 7031.5 by any
applicantforapemitsubjetsthc applicsnttoscivilpmltyofnotmrcthefivchundrcddollm(3500).
-1.
as owner of the property.or my employees with wages as their sole compensation. willdo the work and the structure is not
intcndod or offered for sale (Sec.7M4. Business and hofessions Code: The Contractor's Licensc Law does not apply to an owner of
the pnrpcrty who b,uilds or improves thereon. and who does such work himself or herself or through his or her own cmployees.
provided that such improvonents atc not intendcd or offerod for sale. I[, however. the building or improvement is sold within one year
of complaion. the Ourner Builder will have the hrden of proving that he or she did not build or improve the property for thc purposeof
sale).
--1. as owner of the prop€rty. am exclusively contracting u'ith licensed contractors to construct the project (Sec. 7M4. Business
and Pnof€ssion Code: The Contractor's License [-arv does not apply to an oivner of property who builds or improves thereon.
and rvho contracts for such projects s'ith a Contraoo(s) licensed pursuant to the Contractor's Liccnse Law).
_l am exempt undcr B. & P.C. for this reason.
l)itlt'Onner:
\\'0 ltK l'.RS' ('()i\l I'IlNSA'l'l()N
t)r.('l,Alt^'l'loN
onc ot'thc lirllorr irrg tlcclarations:I hereby alTirm under poralty of perjury
-l
have and rvill maintain a Certificate of Consent to Self-lnsure for rvorkers' compensation. as provided for by Section 3700 of the
Labor Code. for the performance of the rvort for rvhich the permit is issued.
Fthe
have and rvill maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance of
w'ork for rvhich this permit is issued. My rvorkers' compensation insurance carrier and policy number are:
l r l'it cs
-l
cerrify rhat in the performance of the work for rvhich this permit is issued. I shall not cmploy any person in anyrninner
so as to become subject to the rvorkers' compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Seclion -1700 of the Labor Code. I shall. forthrvith comply rvith those provisions..
\VARNIN(I: Failure to secure rvorkers' conrpensation is unlarvful. and shall subject an anployer to cf;minal penalties and
compensation. damages as provided for thecivil fines up to one hundred thousand dollars in addition to the cost of
Section Labor Code. interest and fees.
\
LICENSED CON'TRACTOR
DECLARA'I'ION
I hereby affirrn under penalty of perjury that I arn licensctl under provision of ('hapter 9 (conrrncncing rrith Section 7000) of Division -1
of the llusiness and Professions Code. and my liccnse is in firll ftrrce and effect.
Ltp )lcbt QsuLicense
(
CONSTRUCTION LENDING AGENCY
I hmby affm undc pcosty of pcjury thrt rhtr is a con$ructbn kndiog ag6cy for thc pcfomre of thc work for which this pqmit b
ir{uc{ (36. 3097. Civ. C.).
l.entlcr's Narne:
Lender's Address:
A PPI,I('AN'T DE(' LARA ION
I hetc\ affinrr urrder pcnalty of perjury one of tlre follorving declarations:
l)crnolition l)crrnits-Asbestos Notification l;ederal Rcgulations ('l'itle 40. Part6)
llcquircd l,etlcr of Notification
- I cqtify that (he Gdsal regulations rcgtrding ashcstos rcmoval arc not applicoble to this prrrjet.
I colify lhd I have read this applicatioo ild stalc lhat lhc ahrrc infornralion is cord. I alre to comply s'ith all City and ('ount1'
ordinancs and State l,arvs relating to building constnrclion. md hucb;- authorize reprsfllaliv6 oflhis Cily and ('ounty to mlq uF$n the
above mentioned propefly for
Applicant or Agent
Pennitee narne
*,., t\ti tl1
Appliances
Meta! Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed It -14- lq rlP=J f6>
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.I z-t4 -19
Final Test
Meter Release / v",2)
FINAL lu-l 1-q
Notes, Rema rks, Etc.
.*". B6nCrhtrt^rE
Poricy *,,*,C 6f 5b \u\ 22\s\rq[zr>
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