HomeMy WebLinkAbout40136065 - PermitProject Address: 613 S Halladay St
Assessor's Parcel. 404-061-24 Lot. 41
Unit:
Block: NA
Bldg:
Tract: 3113
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (714) 647-5853
Permit #: 40{36065
Pin #: 45O{E
Owner.
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone.
Rene & Vilma Olivares
613 S HALLADAY ST
Santa Ana, CA 9270161 16
(7141 e064371
Reliable Energy Managemel
6829 Walthall Way
Paramount, CA 90723
(800) 692401 1
01 1 16002 51604
01 1 16002 s1600
01 1 16002 51604
01 1 16002 57770
Fee Type
Furnace
General Plan Update
I ssuance
Microfilm Records
Amount
70.66
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$70.66
$23.79
$5e.30
$4.05
123 . 7?
14 , tJs
t129 .?6
t157 - 80
Botch;:6t Ess ?/21/zu2l I0: oforolesl:
0ff i ce: CTYH Tronsi ! 10 t of IAccti: ftef *: +0136e65
Rcpti:0341726? - ?/27/2021 l0:(tl All
Trnnsoct ron Total t157.80
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation lnsurance:Carrier: Travelerc Property lnsurance
Policy #: UB9K0T110A202OG
Expires: 0412912022
ReI ioble Enerss florrosefient Inc
Genersl PIon Updote Fee
Lll I l6rlt:t2- 516r-rr-100(r-
ll icrof i lr & Oocurents
01116002- 1777u,0[tt-
flechon r cn 1
rtl I 16002- 3l ott+0(t[t-
ICL Check t"tltt+tt9
Building Use. Single Family Dwelling
Job Type: Miscellaneous
Nature of Work: Furnace Change out
Planning Conditions:
Occupancy:
Constr Type:
Code:
Date.
Date:
Date.
R-3, U
VB
cMc 2019 Notes. Furnace change out only.
Fee Total:
Paid to Date:
Balance Due:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez,Dave4?09t2712021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 the site by such permitis suspe nded
or abandoned for a period of 3N days after the time the work is
commenced.
nspector MID#: 2021-1 69051
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$129.96
$4.05
$1s7.80
$0.00
$157.80
[!
APPROVALS DATE ID/SIG COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler I /:
Furnace I
Compressor I
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damp@r
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release .^
FINAL I
Notes, Remarks, Etc.lt -
-+
I hcby affm unda p6.lty of pqjury that I m qmpt ftoE the ConlrcloB' Lic@ L:w for thc followi4 re[ (Sc.7031.5
Buins ard Proft*sion Co&): Any City or County which roquiro a pcmit to snstnrct, a[6. imprcvc dmolbh or rqair oy
struclurg prior to it! issucc, also rcquirB thc applkmt for such pamit to 8b s si$cd sd6at thd hc or $c b licos.d Fmtar
to thc prcvbioN of thc Cootrrctd'! Liccnscd hw (Chapto 9, Comming with Sction 7000 of Division 3 of thc Buine ud
PmfeiomCodc)orthalhcfishcbqmptthcc&omedthcbabforthcsllcgoda@ption. AnyviolaionofScrbnT03l.5bymy
applimtforapcrmitsubjatsthc rppli@ttoscivilposltyofaotmrcthefivchundrcd&llars(3500).
-1.
a ow of 0E Fopaty, or my mplole with wrgc u thcir slc ompmaioo uill do thc wqt Ed thc $udr b Dt
intqdcd or ofucd for ulc (Sc.7044, Buire md Profeiom Codc: Thc Contnctor'8 Licre Lrw do6 Nt apply to u omq of
thc prcpqty who hrikh or inprcs thmn, md who &c ruh wtt hirelf or haslf or thrcugh his m hc om mplole,
prcvidcd that rwh imprcwu*s rc mt Ltodcd or ofued for sh. l[ howffi, thc builCirg or irqrcvarut is rcld within orc ]a
of onplrbr, thc otrnr BuiEc will harc thc hrda of pmviry tha hc or drc dil rct tuild or iqrcw lhc propqty 6r thc Frpocof
sb).
-1,
a orc of thc propqly. m qcluiwly @Drrding with Ii6E€d coDtr cton to orstruct tlE pmj6{ (Sc. 7044, Brlitrd
ard Pofusbn Codc: Thc Conraclor's Licffi Law doc not lpply to e own6 of prcpaly who builds or imprcvq thmn,
md who mrtracls for suh FojEls with a Codracrd(s) lic6€d puEusfl to tlE Conrrsclor's LLrre Lry).
-l
m cxmpt udr Sction-. B. & P.C. for thb @r.
l):rtc
WORKERS' COMPENSATION
DECI,AITATION
I hereby affrrm under penalty of pcrjury one of the following declaratioru:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workem' compauation, as provided for by Section 3700 of the
I-abor Codc for the pcrformancc of the work for which the pcrmit b issuod.
-l
have and will maintain workers'insurance. as by Section 3700 of the Labor Code, for the performance of
the work for rvhich this pennit is issued.carrier and policy number are:
-l
certi& that in the performance of the work for which this pcrmit is issued, I shall not onploy any person any manner
so as to become subject to the workcrs'compensation laws of California, and agrec that if I should to the
workers' cornpcnsation provisions of Section 3700 of the Labor Code. I shall. forthwilh cornply with
WARNING: Failurc to sccure workers' compensation subject to criminal poulties and
civil lines to onc hundred thousand dollars as provided for the
a
Section Code and attorney's
DI.]CL,,\RA'I'ION
I hereby aflirm under penalty of perjury that I am licensod under with Section 7000)
of the Business and Professions Code. and my license is in full force
License
I hereby under penalty of perjury that agency pcrformance for which this perrnit b
issued (Sec. 3097, Civ. C.).
Lendcr's Name:
Lender's Address:
APPLICANT DECI {IIATION
I hcrr*D,aftmunder pcnalty of pcrjury one of the following declarations:
Demolition Pennits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
Lctter of Notification
-l
certifythat the fbderal rqgulations asbestos rernoval applicable to this
that I have read this the abovc cornply with all City and
and State Laws City and
above mentioned property for
Applicant or Agant
Number:
Pennitee nzune
and
correct. I
,0
upon
M ECHANICAL.I NSPECTOR RECORD
rw(z),
'on rL
0wner:
Carrier:-qlqPolicy Number:-_Expires:
Date: