HomeMy WebLinkAbout40135841 - PermitProject Address: 2020 W Camden Pl
Assesso/s Parcel 408-373-03 Lot: 63
Unit:
Block: NA
Bldg: Address Range.
Tract: 4433 Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (7141667-2738 lnspectorSection: (714)647-5853
Permit #: 40{35841
Pin #: 26777
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Maricela Vapor
2020 W Camden Pl
Santa Ana, CA 92704/;602
(7141 623-6086
Econo-West lnc
42332 112 10th Street West
Lancaster, CA 93534
(6611 947-26s3
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Furnace
General Plan Update
lssuance
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
$59 30
$4 05
$23 .-19
$4.05
iL29 .9 6
$157,90
O
t
State Lic #: 711937
Lic Type: C-36, C-20
Bus. Lic #: 371188
Workers' Compensation lnsurance:Carrier. Ins Co of the West
Policy #: WSAS032T180S
Expires: 0110612022
Botch*:60381 - gl18/2$21 I0: onoroleslS
0f f i ce: (:TYH Trans#: 3 I of IAcct*: Ref*: {013-:i811
Rcpt*303381568 - g/18/28?,1 8:37 All
Tronsoct i on Toto I 3t 57 , 8[t
Econo-Uest Inc
Building Use:
Job Type:
Nature of Work:
R.3, U
VB
cMc 2019 Notes:
,,
Replace furnace located in inside closet.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permitissued shall become invalid unless the work on the site
authoized by such permit is commenced within 360 days after its
rssuance, or if the work authoized on the site by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-168234
Single Family Dwelling
Alteration
Furnace
Julie
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:08/1 8t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$12e.96
$4.05
Fee Total
Paid to Date:
Balance Due:
$1s7.80
$0.00
$157.80
T
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hscby affm und6 panalty of pqjury that I m qmpt from thc CortreloB' Licarc kw for thc followirg rwn (Se.7031.5
Buincs md Prcfeion Codc): Any City or County which rcquiro a pamit to onstruct, altc, improvq donolish or rcpair my
struclurc. Fior to its issmcc also rcquiu thc sppli@t for such pcnrit to 6tc s sigocd stalmal that hc or shc is lircGcd pwsd
to the provi3ioN of thc Cootretor's Licoscd Lrw (Chspta 9. Comocing with Sctio! 7000 of Division 3 of thc Bwine ud
Prcfeiom Codc) or that hc or shc b qmpt thac&om ed the brb for thc sllcgcd q@ption. Any violation of Scrbn 7031.5 by my
applimt for I pcmit subjels thc 8ppli@t to a civil pmlty of rct mrc th4 fivc hundrcd dollm (t500).
-1.
as owner ofthe property, or my employces with wages as their sole cornpensation,
intendod or offerd for sale (Scc.7044, Business and hofessions Code: The Contraclor's License Law does not apply to an owner of
the property who builds or improves thcrcorL and who does such work himself or herself or through his or her own employee,
provided that such improvanents are not intendod oroff€rod for sale. I[, howcver, the building or improvcment is rcld wilhin onc ]car
of compleliot\ the Orner Builder will have the burden of proving that he or she did not build or improve the propoty for the purposcof
sale).
_1, as owncr of thc prop€rty, am exclusively contraciing with licenscd contractors to construct the project (Sec. 7044, Buiness
and hof€ssbn Codc: The Contractor's Liccnse Law docs not apply to an owner of property who builds or improvcs thereon,
and who contracts for such projccts with a Conracto(s) liccnsed punrunt to the Contractor's Licensc l-aw).
-I
am exempt under Section-, B. & P.C. for this rcason.
Date:
S@EtsE8SSOMEENSAIIaN
DECI.ASAIION
I hocby aflirm undo pcnalty ofpa;jury onc ofthc following dclratiom:
-l
have md rvill mintah a Cqtificate of Cotlmt to SclfJNuc for workm' compqsalion. r povidcd for by Sdtion 3700 of thc
tzbor Code for thc pcfomcc ofthc wort for which thc pcrnit is i$ucd.
f/harc and *itl .aintain workm' comperustion imumcq I rcquircd by Sction 3700 of the tibor Codc. for thc psfomcc of
ihd work for which this pcmit is isod My work6' smpcosation irourme miq and policy numbcr re:
irn( ,-, tf rt nr t kt rn0 rt,{tY tr g -l t^o ule\f
Policy
_l certi& that in the performance 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' compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Codq I shall. forthwith comply with thosc provisions..
WARNING: Failure to secure workers'compensation coverage is unlawful. and shall subject an anployer to criminal penalties and
compensation, damages as provided for thecivil fines up to one hundred thousand
Section 3076 of the labor Code, interest i
dollars ($100,000), in addition to thc cost of
and attorney's fees.
(
LICENSED CONTRACTOR
DECLARATION
I hercby affirm under penalty of perjury that I am licensed under p,rovision of Chapto 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License ,r^*, L - ) () License Numbcr:
W
I hcrcby alfum uda paaltyof pcjurythd thrc b 8 otrdnctbE ktrdirg egmy forthc psfomc of thcwrt br whichthir pqmit b
iscd (Se. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLICAI\T DEC II\RATION
I ha6y affirm under petralty of pcrjury onc of the following declarations:
Dcmolition Pernrits-Asbcstos Notification Federal Rcaulations (Title 40, Part6)
-Required
Lctter of Notificaion
ffi;,"'*;ffi;ffi;ffi#*iil***with all City and County
and County to enter upon the
above mcntioned property for
Applicant or Agent
Pennitee name
purposes.
""", ng\l161 7t
Appliances
Metal Fire Place
Evaporative Cooler ,r^..
Furnace \D-/L-Ll fu^IU't)
Compressor \-,/
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Drver
Residential Ranee
Other
Hood
Type I Hood
Type II Hood
Grease Duct
Fire Damper
Openinqs
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
^a .-.
FINAL /0- /b-zl Lt;fr-Y,,
Notes, Remarks, Etc.\,
Owner:_
",r",C2?l lbl X
lC/A t contrector:-