HomeMy WebLinkAbout40114884 - Permit+City of Santa Ana
Permit Counter: (7 14)647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical permit #:4@,{{4884
I nspection Requests: (7 14) 667 -2738 ! nspector's Section: (7 14) 647-5853
Project Address: 2206 S Oak St Suite:
Block: J
Bldg:
Tract: 668
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 016-101-03 Lot: POR I
Owner:
Address:
German R Velasco
2206 Oak St
Santa Ana, CA 927072925
(7141 432-8712
Fee Type
Clothes Dryer
Bathroom Fan
Range Fan
!ssuance
Amount
24.75
16.85
16.85
34.00
Qty
1.00
2.00
1.00
1.00
Fee
$24.75
$33.70
$16.85
$34.00
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Change out
Occupancy:
Constr Type
Code:
R-3
V-N
cMc 2001 Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
,"r#*,
Date:
Date:
Violet yl\ Date:10t02t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit
,l
Fee Total:
Paid to Date:
Balance Due:
$10e.30
$0.00
$109.30
This permit shall expirc by limitation and become null and void if the worl< authoized by this permit
is not commenced within 180 days frcm the date of this permit, or if the wo* authorized by this
permit is suspended or abandoned at any time afterthe work is commenced for a peiod of 180 days.
Beforc such work can be tecommenced, a new permit shall be first obtained to do so.
Account #: 01 1-01-5915 lnspector MID#: 2006-72455
a ,t,
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
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 Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.r/K/oY 2p,@
Final Test lt/
Meter Release tt a -?,
FINAL t \u?\VVW >7
\I
I hercby affirm uodcr pcoalty of pe"jrrry tbat I am cxcmpt form thc Contractors' Liccasc Law for thc following rcasor(rcc.7031.:Business'
rd Profusioo Co&): Aay City or Couty which roquiE r pcroit to 6BEud, dt6, iDfovg doolirh or rtprir iay stnrctrre pior o.it1
irstEc, .Lo tlquiH tbc rpplicut for suc.h p6nit to filc a sigrcd Jtrt@t thd hc or !b! is licoscd pwurat o thc lmvisioE uf thc
CoDmdtr't Li6lcd hw (Cbryta 9, CoDreilg with Scrion 7000 of Divirion 3 of thc Buins rnd koftrrionr Co&) or thlt bc tr
shc ir aop rhac&oE rDd thEb.ri! fortbc rlrgod mltiol.A!y vblation of Sctioa 7031.5 by ey applicet for r pcrnir $bjet thc
lppticur to a civil porhy of mt Borr th& fivc hun&cd dolhn (5500),
_I, u ow of thc poFty, or ny coploye whh *4c u thcir sb @opasltioD, vill do thc wo* ud th. slrucre is mt iatadcd
or oftrcd for sdc ( Scc.7044, Buh6r ud Pro&sriou Co&: Ttc Coatncor'r Liw Law do6 mt eply to D ow of thc pmpaty
who buil& or imprcve thma, rad wlo &a crch wor& hiretf or hoclf c throug! hir or h6 om @plo)rcci providod tbet ruch
improvoats rc mt inadpd or oErrcd for rb. I{, howrc, thc building or improvmt is old wirhio orc }q of ooplaio4 tbc
Ovu-Buildq will havc thc buda of Dmvilg tblt bc or shc mt build or imFovc for thc Frporc of :dc).
_I, u ow of thc Fop.rty, ro qcluivcly 6fferti[8 with liccorcd olmrtor to couttuct rbc Foj6t ( Sc. ?044, Buinar &d
Pr,oft*rbn Co&: Tbc Colrrdor'r Li@ lrw do6 oot +ply to e ow of prcpaty who buil& or inprova rbaoa , ud who
coarncrs for such pmjeu wfuh r CoDrncto(O licacd puwt to llc CoilrErot's Lic6c liw.).
I u qapt u!d6 Sctim .8. & P.C. for this reD.
o*;!/O-?.-OC a*.'Gortzarr 8- Ve)z-@o
W
I h6*ry 8trm urda panly of pcrjuy onc of thc followilg dclrdor:
I hrvc ud will uiarria r Cqtifcatc of Cowr o Sclf-Isw br mrto' oryeraioq u providcd br by Scrioo 3700 of thc
kbor Ca&, for thc paforc of thc wort 6r whicb thc pqEit is isuott
I hrvc &d witl uittli! worlqr' coryanuion i!$rc, s rcqufud by Sctim 3700 of thc hbor Codc, for rhc pcrbmcc of thc
worl for wbich this pquit ir isod My uortc' oopanabr ire mic ud policy aubc uc:
Policy Numbcr: Expires:
(This scctioo o" oi Uss)
_I ccrtify that in thc pcrformancc of thc work for which this pcrnit is issuc4 I shall not cmploy aoy pcrsoo in any Bsmcr so as to
bccame subjecr to thc workcrs ' compensation laws of Californiq and agrcc that if I should bccome subjcct to thc workcrs'
compeiltation provisions of Scction 3700 of thc Labor Codg I shall, forthwith comply with those provisions..
WARIIIING: Failm !o src wortcrs' coEposation ovaagc ir ulmful, rad shall subjet u oplolc o cininal panlti* ud civil
filc. up to oE huD&od tho"-"d &llas (S100,000),in rddhion rc tbc o* of cmposarioq durge s providcd for thc Scrior 3076 of
thr kbor Co&, int68t rnd armcy's ftc.
@
I hacby afEr ulda pcoafty ofpajury tbat I u licascd uada p,rovirion of Chrytc 9 (omociag with Sctioa ?000) of Divisio! 3 of
thc Buirc ud Profesiou Codc, ed my liffic is in full forcc aod cfrcct.
Liccosc Class: Lictosc Numbcr
Date:
CONSTRUCTION LENDING AGENCY
I h@by affim undq poafty of pajury that tbc is a mstruction boding a86cy for thc pqfotMcc of thc worr( for whhh this p€reit i!
Civ. C.).
I-cndcr's Address:
Dcmo lition Pcrmits-Asbestos Notifi cation Fcdcral
_ Rcquircd Irttcr of Notification
APPLICANT'S DECLARATION
Rcgulations (Title 40, Pan 6)
_I certi$ that the fcdoal rcgulations regarding asbcstos removal are not applicablc to this projoct.
_ I ani$ tba t bavc rad liis qlplicdion 6d st tc thlr thc rbovc hfomdio! is srod. Lgre to coDply vilh .I City ed Couly
ordiaree ed Stdc l:s rclatiag ro building oasrnrcrio4 &d hcby urhorirc rcproatuiva of this Chy rad Couaty lo at6 upo! thc
Ebovc Eatiorcd propdty for iEpEtio! putpos.
Applicant or agcnt
Permittec namc (print):
-lnspection Forms 03.31.06
M ECHANICAL.I NSPECTOR RECORD t
e
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