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HomeMy WebLinkAbout40134949 - PermitI City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #: 4o^{34949 Pin #: 722230t/ Proiect Address: 2605 W Monte Carlo Dra Unit: Block: NA Bldg: Tract: 9754 Address Range: 2601 -2607* Historic: No Suite Range: Zoning: R4Assessor's Parcel: 101-1 32-51 Lot: 16 Owner: Address: Jonathan Shen 2605 W Monte Carlo Dr Santa Ana, CA 92706 (626) 757-e6e3 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Alter Vent Sys General Plan Update lssuance Microfilm Records Amount 46.99 23.79 s9.30 4.05 Qty 1.00 1.00 1.00 1.00 Fee $46.99 $23.79 $s9.30 $4.05 Phone Tenant Name: Contractor: Address: Absolute Airflow 7600 Garden Grove Blvd Westminster, CA 92683 (833) 482-2626Phone ? L a State Lic #: 1049023 Lic Type: C-20 Bus. Lic #: 376428 Workers' Compensation I nsurance:Carrier: West American lns Co Policy #: XWW2060310239 Expires: 1012512020 Building Use: Job Type: Nature of Work: Condominium Miscellaneous Ductwork Occupancy: Constr Type: Code: R-2 VB cMc 2019 Notes: Ductwork Planning Conditions: Planning Approval By:Date: Date: Date: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Plan Checked By: Permit lssued Amsden, Julie 09t29t2020 Account#Subject to Field: Building Permit #:01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.7e $1 06 29 $4 05 Fee Total: Paid to Date. Balance Due: $1 34.1 3 $0.00 $134.13 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance, or if the work authorized on fhe sife by such permitis suspended or abandoned for a period of 360 days afterthe time the work is commenced. lnspector MID#: 2020-1 61810 I MECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby afiirm undcr pcnalty of pcrjury thst I m cxempt ftom thc Contrscton' Lhens lrw for thc followitrg rc&sn (5€.7031.5 Busincss ard Prcfession Codc): Any City or County which rcquircs a tmit to @nslruct. altr. improvc, demlish or rcpair my structurc. prhr to ils issure. sls rcquiEs the applicet for such [f,mit to fih a sigrcd statcmnt that he or slE is licensd pur$ant lo th€ pmvisions of the Contrrctor's Licenrd tru (Chaptcr 9. Commcming with S6tion 7000 of Divisic-of the ftircss and PrcfcssionsCodc)orthstheorsheisexcmptthrefrcmandthe bosisforthesllcgcdcxemption. AnyviolstionofsE{krn703l.5byrny applicant for a Jrcmit subjmts thc applicant lo a civil pcnslty of not mrc thu fivc hundrcd dollars ($500). -1. as owner of the propcrty, or my employees with wages as thcir solc compcnsation. willdo thc work ald the stnr{ure ls not intcndcd or offcrcd for sale (Sec.7044. Business and hofcssions Code: The Contractor's License l-aw does not apply to an owner of the property who builds or improrcs thcreon. and who does srrch worft himself or hcrself or through his or her own employecs, providcd that such improvcrnents arc not intendcd or offercd for salc. If. however. thc building or improvement is sold within one )rcur of conqrhtbn. ttre Owner Builder will have the hrrden of proving thol he or she dkl mt huild or inrprove thc propcrty for thc purpsc of sah). -1. as owncr of thc propcrty. eun cxclusively contracting with liccnscd conlrilclors lo conslruct lhc projccl (Scc. 701.1. Busincss arrd PnrtbssionCodc: ThcContractor'sLiccnscLawdocsnotapplytoanowncrofpropcrtywhobuildsorimprovcsthercon. and who contracts for such projccls with a Conlractor(s) liccnscd pursuanl lo thc Conlraclor's Liccnsc t-aw). -lamcxctllptunderScctiolt-.B.&P.C].f.orlhisrcuson.( )rr lrt r:%ilxiftfi* I hcreby trInrm undcr pcnnlly ofpnjury one ofthe follosing dehrations: /-lh*candwill mainlninaCcnifrcatcofConscntlosclf'lmurcforworkm'com[rcnsalion.as tmvidcdforbySslion.lT0Oofthc ljbor Codc. for lhc JErfornuncc ofthc work for which thc pcrtrril is issucd, 1AAmvcanawitlnuinlrinworkers'compcnsalionin$urancc.as rcquircdhyScction3Tfi)oflhcLaborCodc.forlhcpcrformrccof' thc work for which this ;rcrrnit is issucd. My workers' comJrcnsalion insurancc caricr and grlicy numbcr uc: .4",",, \,ltSS(N AhrGrr cQA \,.'."r- , -l errify thrt in thc lxrformarce of the work for which this prrnit is issucd. I shrll not cmploy any pcrson in any manncr $ as lo trcorrc suhjcct lo lhe workcrs' compcnsation lass of Californir. and agB lhat if I should hcrom suhjsl Io the a sorkcrs'conrpcnsntionprevisionsofSetion3Tfi)olthctntnrCode-lshall.lbrthwithcontplywilhthrsprovisions.. I{ARNIN(I: Failurc to swe workcrs'comFnslion covcmgc is unlowful. and shall suhjccl an emplo}€r to oiminal pmlrhs and civil fincs up to orc hundrcd thousand dollars (Slm.ux)). in sdditk[ to thc cost of compcnsation, damagcs as pmvidcd for lhc .Scction .3076 of thc l.atnr Codc. intercst and attorrcy's fccs. I ICENSED C(IN'TRAC'IOR DFCI ARATION I hcrehy atfinn undcr pctrulty of pcrjury that I arn liccnsed undcr p()vision ol'(lhaptcr 9 (corttttrcncing with Section 70m) of Division 3 of thc Busincss and Profcssions Codc. and nly liccnsc is in full lilrce rnd clll'ct. C()NS'I'RUCTION LENDING AGFNCY I hcrchy alllrm undcr lEmhyof Frjury that lhcre is a constructi(trr lcnding agcncy for thc Frformlncc ofthc work for which this prmit is issucd (Scc. .1097. Civ. C.). lrnder's Neme: l.cndcr's Addrcss: APIIJCANI.DECIdSAIIIIN I hcr.tyaffimrundcr lEnalty ofJErjury onc ofthc folkrwing dslarutions: Dcmolilion Pcrmits-Asbcshs Nolificolion Fcdcral Rcgulutions (Titlc 4(). Pan6) _Requircd lrllcr of Notificolion -l ccnily lhat lhc fcdcral rcgulations rcgarding oshestos rcmovalarc nol applic.blc to lhis pmjet. AA ccnify tnut I havc rcad this application ud ststc that lhc rhrve informlion is conet. I agre |o mmply with all Cily and County filinanccs and State tiws rchting to building construction. ond hcrcby authorizc rcprcscnt{livcs of lhis Cily snd Counly to cnlcr ulmn lhc abovc rncntioncd profrcrty for insJrcction t L Appliances tVletal Fire Place Evaporative Cooler Furnace Compressor [tIisc. Equipment Duct Work Pre-lnsulation Insulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room I Clothes Drver /\ Residential Ranqe Other Hood Type I Hood Type Il Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rouqh Mech. Final Test t Meter Release tt /1\ FINAL v,lblLt X]^\5 I ) Notes, Remarks, Etc.nll \./ I)tle: &icen cctur*, S Liccnse Numbcr: \OKOZ g \r",", 1(>r f :o conrracro., S,ls\rrrc fiirAuul