HomeMy WebLinkAbout40135829 - PermitProiect Address: 1937 W Meadowbrook Dr Unit:
a
Assessor's Parcel: 4'12-521-79 Lot: 145 Block: NA
Bldg: Address Range:
Tract: 1631 1 Historic: No
Suite Range:
Zoning: SD4
J City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #i 40{35829
Pin #: 2o^125
Owner:
Address.
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Jesse James
1937 W Meadowbrook Dr
Santa Ana, CA 92704
(7141 721-3553
Alps A/C & Heating lnc
1895 S Santa Cruz
Anaheim, CA 92805
(7141 633-88s2
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Furnace/Comp Combo 136.71
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
2.OO
1.00
1 .00
1.00
Fee
$273.42
$23.79
$se.30
$4.05
Bof chi :6113+g - 8/ l6/7V?l ID :
Off i ce: CTYH Trons*: 12Acctf: Ref*: {01
Rcpti:0338(11(15 - 8/ I 6/2tt2l 9: I
Tronsact i on Totgl tSLl I
State Lic #: 667953
Lic Type: C-20
Bus. Lic #: 177939
Workers' Compensation I nsurance:CaTTieT. PREFERRED PROFESSIONAL INSURANCE
Policy #: ON091S602
Expires'. 1011912021
Alps A/L: & HenC r ne Ini
Genero I Plon Updote Fee
r-rl I 160tt2- 5l 6t-ttt[t[t[t-
ll icrof i 1r & Docurents
Lf l I l60tl2- 1-/77rlnJ(t[t-
llechon i co I
Ltl I I 6(ttt2- 516t"t4[r[r(r-
ICL Check 046?66
Notes: Replace (2) furnaces & (2) compressors.
Fee Total
Paid to Date:
Balance Due:
123 ,.77
14 , IJI
t332 ,'72
$5rll , 12
Building Use: Single Family Dwelling
Job Type: Alteration
Nature of Work: HVAC
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2019
Planning Conditions: Compressors located along side yard
Planning Approval By: Guevara, Jerry
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
08/1 6t2021
08/1 6t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
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 permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-1 68 17 1
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$332.72
$4 0s
$360.56
$0 00
$360.56
/
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUIII'ER IIEIIARATION \
I h@by 8l6rm udc pauty of pcjury tha I u a@pt from th€ Crrilractm' Lic@ Is for thc folowitrg Iren (Soc.703l-.5
Bsin6s ard Prof6sion Codc): Any City or Couty which rcquirB I pqmit to @rstdcl, altq, imprcvq danolish or npeir uy
structurc.Fiortoit! isusrcc.alsorcquirBthcrpplimtforsuchpamittofilc8siSncdstatmt thdhcorshcblisscd putlwt
to thc fovi3ioB of th. Cootetor's Licmscd kw (Ctaptq 9, Comacing with Se{ioo 7000 of Division 3 of thc BsiK md
Profcsioro Codc) or that hc or shc is qmpt thqcfrom ud thc basis for thc dl€gcd qmpion. Any violation of Setbo 703 I .5 by uy
applicut for I pnnit subjcls thc applicet to a civil pculty of rct morc the fivc hundrcd dollar ($500).
-1,
I oM6 of thc propqty. or Ey mplo)6 with wagc u thcir mlc ompqsation, will do thc wqk ad thc srudw i! mt
irtqrdcd or ofiard for slc (Sc.7044, BBiK ed ProfcsioB Codc: Thc Contractor's Licqe Lrw do6 trot apply to e ow of
thc popqty who boil& or irqros tlren ad who ds uh rcr* hirelf or hmlf or thrcugh his or hc om mployccs,
prcvidcd thar such imprcwrs e mt intodcd or oftrcd 6r sb. t[ how, thc hduiag u fuprcErcnr ir $ld within onc ]@
of omplctiorl thc Oma BuilCs wil h8w tlrc hrd6 of prcving tha hc or slrc dil mt buiH or improrc thc popaty 6r thc prpo* of
sb).
-1.
r omq of thc pmpsty, e aclEivcly cortracting with lic@sod coilfftoB to mn$ruct tlE prcjcct (Sc. 7044, BuilB
md Pmfosbn Codc: Thc Contrctor's Lic@c Law doB not apply to e omq of prcpqty who buil& or iEprcvB thqotr,
md who omnas for such prcirs whh 8 Corilruro(s) licalcd pwuad lo thc Cotrbstor's Licre ls).
-l
m cxmDt utrds Sction- B. & P.C. for this tEen.
WORKERS'COMPENSATION
DES.AEAIION
I hcby aflim uda poralty of pcjury onc of thc following ddlaratioE:
-lhavcudwillmintsinaCedificateofCoNmttoSclf-lNurcforwrk6'compcsation,s
providedforbySetion3T00ofthc
tibor Codc, for thc pgfomcc of the work for which thc pqrnit b issucd.
&{ havc and witt maintain workc' ompmation iruurucc, 6 requircd by Setion 3700 of thc lrbor codc, for thc pqforlwcc of' ihC rcrk for which this pomit is issucd My workc' compeusaion insuucc cilis srd policy nmb6 &c:o\
oLl Irttt]x
_l certify that in thc performanc€ of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the workers' compcnsation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Sedion 3700 of the labor Code I shall, forthwilh comply with those provisions..
WARNING: Failure to secure workers' compcosation coverage is unlawful, and shall subject an onployer to oiminal pcnahies and
civil fines up to one hundred thousand dollars ($l in addition to the cost of compensation. damages as provided for the
Section 3076 of the Labor Code, interest and attorney's t (
LICENSED CONTRACTOR
DECI.,ARATTON
I hoeby aflirm under pcnalty of pcrjury that I am licensed under provision of Chapter 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
6b4q.t5License
/(
W
I hatDy aIfim uda pauhy of pajury thd th@ is a oo*ruaion kding agmy for thc pcfomcc of thc worl br which thb pf,iit b
isucd (Se. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLT.ANT DEC
I hed}, affirm under peralty of perjury one of the following declarations:
Dcrnolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Requircd
Lrtter of Notification
ffiili*-ffi-#"ffiffiffi-ffiHfi HY;r'.1'":,li*ff H"*
above mentioned property for
Applicant or Agent
Pcnnitee name
Appliances
Meta! Fire Place
Evaporative Cooler tl
Furnace +'it,.A
Compressor -l 1 l"/ "t*(uy
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release I I .--
FINAL C lzlzt O.O ru9
Notes, Remarks, Etc.,I
",,",?El l[bl)l ,
Date:
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