HomeMy WebLinkAbout40113714 - Permitt
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical permit #:4O1t13714a
t1 I nspection Requests: (7 1 4) 667 -2738 I nspector's Section: (7 14) 647-5853
Suite Range:
Zoning: Rl
Project Address: 2206 S Oak St
Assessor's Parcel: 016-101-03 Lot: POR I
Suite:
Block: J
Bldg:
Tract: 668
Address Range:
Historic: No
Owner:
Address:
Phone:
German R Velasco
2206 Oak St
Santa Ana, CA 927072925
(7141 432-8712
Qty
1.00
1.00
1.00
Fee
$23.50
$16.00
$32.50
$72.00
$0.00
$72.00
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Addition
Addn
Julie
Planning Conditions:
Planning Approval By:Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Plan Checked By:
Permit lssued By: .{-
Building Permit
This permit shall expire by limitation and become null and void if the wo* authoized by this permit
is not commenced within 180 days frcm the date of this permi| or if the work authoized by this
permit rs suspended or abandoned at any time afterthe wofu is commenced for a peiod of 180 days.
Before such wo* can be recommenced, a new permit shall be first obtained to do so.
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3/U-1
V-N
cMc 2001
12t19/2005
Notes: Letter of auth on file.
Fee Tota!:
Paid to Date:
Balance Due:
Fee Type
Wall Heater
Bathroom Fan
lssuance
Amount
23.50
16.00
32.50
Account #: 01 1-01-5915 lnspector MID#: 2004-59747
Subject to Fieldr
r rc\\r \q )17
M EC HANICAL.I NSPECTOR REGORD
t
a
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
7
Rough Mech.M%t /"/.
Final Test t \/T-
Meter Release Ir
FINAL q ?-lA Pfi,'ff2'I/t,
I hmby afrim uda pcoalty of p€rjury th.t I m cxmpt fm thc Corrctom' Licmc Lgw for thc following ruil (scc.7o3l.5, Buiros
md Prcfcssion Codc): Atry City or CNty which rcquim a pcmit !o ffitsuc! 8lts, imprcvc, &molish or rcprir my sBucturr, prior !o its
isuue, also rcquirc thc appliml fc such pcmit to filo a signcd slataMt that hc s shc is limscd pwwt to thc prcvision! of tho
Cotrrctor's Licoscd Law (Chapta 9, Cmacing with Scctim 7000 of Division 3 of thc Buinqs ud Prcf*ims Co&) or thu hc c
shc is cxmpt thm&om md thc bsir fathc allcgcd cxmption .Any violatim of Scctim ?031.5 by uy applimt fr a pcmit subjiu thc
applimt to a civil paslty of not lIW the fivc hunrbcd dollm (S500).
1y', u owa of trcFopcrty, or my mployG with wags 6 thcir solc comps8ation, will do lhc wsL md tJlc stsuctw is not itrtm&d
6r ofrcrcd fc salc ( Se.70,14, Buins od Prcfssim C;&: Thc Cmtelor'! Licasc Lsw dG not apply !o u Mq of thc prcpcrty
who buil& o inprcvs tham, ud who docr ruch wqk hiruclf or hcclf c through his c hc own mployca, prcvi&d thst such
itrtpt'ovmaB m trot itrtcndcd ff offgrd ftr salc. If, hwoa, thc buildiog or imprcvmot is sold vithin mc ycd of complctim, thc
Orwa-Buildcr will hevc thc bur&n ofprcving dlu hc c shc not build orimprcvc for thc purposc ofsalc).
_I, I owner of the
Profcssion Code: The
propcrty, am cxclusivcly contracting with liccnsed construct the projcct ( Scc. 7044, Busincss and
Contractor's Liccnse Law docs not apply to an owner builds or thereon , and who
contracts for such projects with a Contracto(s) licensed pursuant to the Law.).
_I arn
Due:
Scction & P.C.
I hereby aflirm undcr penalty of perjury onc of the following
I havc md will minain a Ccrtificarc of Consmt to SclfJroe fq wckcn' cmposatim, s prcvidcd fo by Scction 37OO of ftc
Labo Code, fo drc pqfmme of thc wct fo which thc pqmit is ircucd.
_I have and will maintain workcrs' compsnsation insurance, as
work for which this pcnnit is issued. My workers' compensation
rcquired by Section 3700 of the Labor Code, for the pcrformancc of the
insurancc carrio and policy number are:
Policy
(This section need not bc completed if the permit is Onc or less)
-/"*rrfthat
in thc pcrformancc of thc work for which this pcrnrit
Sccarne subject to the workcrs ' compcruation laws of California, and
ls I shall not in any manncr so ils to
to the workers'
compcnsation of Scction 3700 of the Labor Code, I
WARNING: Failure to secure workers' compensation
fines up to one hundrcd thousand dollars ($100,000),in
thc Labor Codc, intercst and atlorncy's fccs.
LICENSED CONTRACTORS DECLA&{TION
I hocby aftim udq pqralty of pdury thd I m limcd udr prcvisim of Chaptc 9 (cm6cing with S@tim 7000) of Divisiu 3 of
thc Buincsr ed Prcfsim Codc, md my licaue is in full fqtc md cfrct.
License
Datc:
Number
CONSTRUCTION LENDING AGENCY
I hcby affim udcr padty of pGjury rhat thc is a costruction lcnding agmcy fc thc pcrfomme of thc work for which this pmit is
issucd (S@. 3097, Civ. C.).
Lad6's Nmc:
Lcnder's Address:
APPLICANT'S DECLARATION
Dcrnolition Pcrmic-Asbestos Notification Federal Rcgulations (Title 40, Part 6)
_ Requircd Letter of Notification
-I
that the fedcral regulations asbcstos rernoval are not applicable to this project.
I certify that I have read this that the information is correct. I agree to comply with all City and County
ordinanccs and State Laws
above mcntioned propcrty
Applicant or agcnt
ts
to thc
Pcrmittee name (print):
constnrction,authorize rcprescntativcs of this City and County to enter upon thc
6
shall