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HomeMy WebLinkAbout40135826 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:4o^{3582fi Pin #: 67817 ,/.n7*Project Address: 2144 N Greenleaf St Assessor's Parcel: 002-081-08 Lot: 7 Unit: Block: NA Bldg: Tract: 879 Address Range: Historic: Yes Suite Range: Zoning: Rl Owner: Address: Phone Tenant Name: Contractor: Address. Phone FREDERICK TURNLEY 214/- GREENLEAF ST Santa Ana, CA 927062534 (7141 585-7105 Service Champions 3150 E Birch Street Brea, CA 92821 (7141 777 -7777 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Amount Furnace/Comp Combo 136.71 General Plan Update 23.T9 lssuance 59.30 Microfilm Records 4.05 Qty 1.00 1.00 1.00 1.00 Fee $136.71 $23.79 $se.30 $4.0s $23 .79 $196,(tl $4. [|:i $337, 7[l Bobch+:6113?g - 8/l3l?tt21 I0: ovlctoPl{ lf f icei (:TYH Trons*: 57 I of 2Acct*: Ref # : lul 35826 tcpt*:t13378196 8/13/2trZI 12:26 PH Transoct i on Total t337 .7$State Lic #: 799170 Lic Type: C-36, B, C-2, C-20 Bus. Lic #: 196430 Workers' Compensation I nsurance:Carrier: Everest Premier lns Co Policy #: RM8WC000S4-211 Expires: 0410112022 iEr v r ce t.h 0fip r or [ienersl l-'lsn Updo[e l'ee 01 1 16tttr2- 516ttti(ttt0- I'lechon iccrl 01 1 161102- 516rt+[r[r[r- rl icr'of i ltrt & Dacuments r-rl 1 16(rtr2- 177 Ttt8rtu- Building Use: Single Family Dwelling Job Type: Miscellaneous Nature of Work. A/C Change out I Plannlng Conditions: Occupancy: Constr Type: Code: Date: Date. Date: R.3, U VB cMc 2019 Notes: Change out of existing A/C unit. Fee Total: Paid to Date: Balance Due: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Martin, Eric Chavez, Davez? 08/1 3t2021 08/1 3t2021 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 suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23 79 $196.01 $4.0s $223.85 $0 00 $223.85 lnspector MID#: 2021-1 68088 M ECHANICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION I hoety affrm undo penalty of pajury thst I m cxmpt frcm thc Conraclon' Licre Lrw for thc following'ren (Se.?031.5 Bwincs srd Profeion Codc): Any Chy or Couty which roquirc a pannit to @Ntrucl, altq, improvc darclbh or rraair uy struclrc, prior to its isme. also rcquirc thc applicur for such p6mit to filc a signcd stdmat $d hc or strc b lic6€d pwut to thc provisioG of thc Cotrtraclor's Licoscd Law (Chapt6 9, Comcncing with Sdtion 70fl) of Division 3 of thc Buirs ud Prcfeions Codc) or that hc or shc is qmpt thqcfrcm and thc basis for the allcgcd croption. Any violation of Sdion 701I .5 by oy appliffit for a pcmit subjets the spplicet to a civil pcmlty of not morc th4 live hun&cd dollas ($500). -1, dS owner of the property, or my employees with wages as their sole compersalion. will do the work and thc structue is not intended or off€red for sale (Sec.7044. Brsiness and Professioru Code: The Contractor's Lic€nsc [-aw does not apply to an owncr of thc p,roperty who builds or improvs thcron. and who does such work himself or hcrsclf or through his or hcr own employ€e, provided that such improvanents are not intendcd orofftrcd for sale. I[, howwcr. the building or improvement is sold within one ]ryr of compktion the Orrner Buildcr will have the burdcn of proving thd he or she did not hrild or irnp,rove the propcrty for the purposc of sale). _1. as owner of the propcrty. arn exclusivcly contracting with liccnsed contractors to consitruct the projcct (Sec. 7044, Business and hofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projccts with a Contracto(s) liccnsod punuant to the Contractor's Licensc Law). -l am cxempt under Section-, B. & P.C. for this reason. f)q I r''O*ner' WORKERS' COM'ENSAT DECLARATION one of the following declarations:I hoeby affinn under penalty of pojury -l have and will maintain a Certificate of Conscnt to Self-lnsure for workers' compensation, as provided for by Section 3700 of the I-abor Codc for thc pcrformance of the wort for which thc pcrmit b issued. _l have and will maintain work€rs' compensation insurance, as required by Section 3700 of the l-abor Code, for the performance of the work for which this perndt is issued My workers' compensation insurance carrier and policy number are: a .t,//61 13>Policy _l ccrri& 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 workcrs'compensation laws of California, and agrec that if I should bccome subjcct to the workcrs' compensation provisions of Section 3700 of thc l-abor Code I shall. forthwith comply wilh thosc provisions.. WARNING: Failure to sccure workers' compcrsation coveragc is unlawful, and shall subject an onployer to oiminal poahies and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compcnsation, damages as provided for the Section 3076 of the Labor Codc, interest and attorney's fe6. o,r", d/ 13/2/rc d{L LTCENSED CONTRACTOR DECTI\RATION I hereby affrm under pcoalty of perjury that I am licensod under pnovision of Chapter of the Business and Professions Code, and my license is in full force and effect. ) 9 (commencing with Secrion 7000) of Division 3 \.c7D l7c License tj CONSTRUCTION LENDING AGENCY there is a construction lording agency for the performance of the work for which this permil isI hereby affrrm under poulty of pcrjury that issucd (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: AfII.ICANI.DECI,ASAIION I hadyaf&rn undc porahy ofperjury onc ofthc fotlowing dclarations: Dcmolition Pmits-Asb6tos Notification Fedml RegulatioB (Titlc 40. Pan6) -Rcquircd kltfi of Notifietion -l cqliry thsl thc Hqsl regulatioro regrding cbclos rmoval ac not applicable to this prcjet. DLI cdify that I havc red this application and statc that thc abovc iafomdion is corel. I agrc to smply with all City and County ordinancB 6d Statc hw rclating to building corotruciion, ed h@by authorire reprcotative of this City ad County to otq upon thc above mentioncd property for Applicant or Agent Pennite-€ name D^,", N/3/)l Appliances lvletal Fire Place Evaporative 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. 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