HomeMy WebLinkAbout40135817 - Permit(o(\
city of santa Ana 20civiccenterPlaza(M-19), santa Ana,cA92702 Mechanical Permit #:4o^{35817
Pin #: 27973Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1909 W Harvard St Unit:
Block: NA
Bldg:
Tract 4402
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 408-351-31 Lot. 19
Owner:
Address:
Guadalupe Torres
1909 W Harvard Street
Santa Ana, CA 927044730
(7141 864-8470
01 1 16002 51604
01 1 16002 5160C
01 1 1 6002 51 604
01 1 16002 5777C
Fee Type Amount
Furnace/Comp Combo 130.71
General Plan Update Z3.Tg
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
1.00
Fee
$136.71
$23.79
$59.30
$4.05
Phone:
Tenant Name:
Contractor:
Address:
I
Phone:
Heating and Air Con
22868 Akipa Ct
Wildomar, CA 92595
17141 597-e374
State Lic #: 1077120
Lic Type: C-20
Bus. Lic #: 378633
Workers' Compensation lnsurance:Carrier: Norguard
Policy #: ALWC298016
Expires: 0710T12022
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Furance/Comp Combo
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019 Notes:
Planning Qonditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Martin, Eric Date:
Date:
Date:
08/1 1t2021 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Verduzco, Violet 08/1 1t2021
Account#
I
Every permit r$sued shall bec|me invatid unless the work on the site
autlprized by such permit is commenced within 360 days after its
issubnce , or if the work authorized on the site by such permit is suspe nded
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
$4.05
Fee Total
Paid to Date:
Balance Due:
$223.85
$0.00
$223.85
lnspector I VilD#: ZOzl-1G7gTs
TI
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affrm undcr lEn<y of pcrjury thal I m exempt fmm the ContnctoB' Licens kw for the following rc&$n (Ss.7031.5
Busincss and Prcfcssion Cndc): Any City or County which rcquircs a fsmit to onstrucl. sltq, imprcrc, dcmlish or quir rny
structurc. frior to iti issure. als rcquires the spplicsnt for such Fmit to lilc 8 sigred stalemnt that he or shc h liccnsd pusrtil
to thc prcvisions of thc Conlrrctor's Licu*d taw (Chspts 9. Commrcing with Setion 7000 of Divisiotr 3 of Ihc Busircss and
PDfcssknsCode)orthsthcorsheiscxemplllmfromandthebasisfortherllegcdercq{ion. AnyviolrtionofSelbtrT03l.5byrny
applicant for a Jrcrmit subjsts thc spplicant to a civil pentrlty of not morc than fivc hundrcd dollus ($500).
_1. as owner of thc property. or my employecs with wages as their solc compensation. will do thc work and thc slruclurc is not
intcndcd or offercd for salc (Ser.7044, Business and Profcssions Codc: The Contraclor's Liccnse law does nol apply to an owner of
the propcrty wtro builds or improves thcrcrn. and who does such work himself or hcrsclf or through his or her own employees.
providcd that such improvcnrnts arc not intended or offcrcd fnr salc. lf. however. thc huilding or improvenrcnt is sold within one )aar
of cornphtion. the Owner Builder will have the burden of proving that hc or shc ditl nol build or impovc thc propcrty for thc purgnsc of
sale).
-1.
as o\\'ncr of thc proprly. arn cxclusivcly conlractilrg rvith liccrrscd corrlraclors lo conslntcl lhc projcct (Scc. 7(A1. Busincss
and who conlrilcls lirr such projccls with a Corrlraclor(s) liccrrsctl pursu:urt to lhc Corttraclor's l.iccnsc Law).
-latttcxctIlpluntlcrScctiott-.I].&P.C.litrthisreastltl.l):rlt' ( )s ner
WORKERS' CONI PENSA'IION
DECLARATION
I hcrcby afllrrn undcr pnalty of perjury orrc of thc frrlkrwing dcclarnlions:
-lhavclrxlwill
nuintainaCcrtilicalcofConscnttoSclf-lnsurcforu'orkcrs'cornpcrrsalion.as providcdlorbyScctionST00ol'thc
Latxrr Codc. lbrthe pcrlirnnance of thc work lbr which lhc'perruit is issticd.
-l
havc and will nraintain workcrs'conrpcnsation insurarrcc. as rcquircd hyScction 37fi)of lhc l.aborCode. lbrlhc Jrcrfornunccof
lhe work for which this pcrnrit is issucd. My workcrs' conrpcnsatiort insurance carricr and Jmlicy nutttbcr arc:
Policv Number: Exoires:
_l certify that in thc pcrforrnancc of thc work firr which this pcrrrrit is issucd. I shall not ernploy any pcrson in any manner
so as lo hecomc subjcct to thc workcrs'conrpensation laws of Calif'ornia. and ngrcc that if I should hccotttc subjcct to ltre
workcrs' compensation provisions of Section 37U) of the Latnr Codc. I shall. forthwith conrply with those provisions..
WARNING: Failurc to sc.cure workcrs' compensalion coveragc is unlawful. and shall subject Bn cmployer to oiminal penaltics and
civil fines up to onc hundred thousand dollars ($100.fin). in addition to the cost of comlrcnsation. damages &s provided for thc
Section 3076 of thc Labor Codc, interest and attorney's fecs.
Applicant:
LICENSED CONTRACT(IR
DECLARA'I'ION
I hcrchy tl'linn undcr pcnulty of pcrjury that I arn liccnscd undcr provision ol'Clraplcr 9 (cornnrcncing rvith Scction 7(XX)) of Divisiorr .1
ol' tlrc Business antl l'rol'cssions Corlc. ard rny liccrtsc is in full lirrcc atxlcfl'ccl.
License Class: License Number:
Dele: Conlraclon
coxstnucrron lrrotric,rctncv
I hcrcby allirm undcr Fnillry of pcrjury lhd llErc is u c$nslrucrion hoding lEctrcy li)r lhc psformancc oflhe work ltrr which lhis Frcrmit is
issucd (Ss. 3097. Civ. C.).
lrndcr's Narnc:
Lender's Addrcss:
APPI I CAN'I' DI.'CLARAI'I()N
I hcrchy irlllrrrr untlcr grcrralty of pcrjury ottc of thc lirlkru'ing dccluratiotts:
Dcnxrlitiorr Pcrnrils-Asrouslos Notil'icatiorr Fctlcral Rcgulations ('l'itlc Atl. Parr(rl
-Rcquircd
Lcttcr ot'Nolification I
-l
ccrtily thill lhc lcdcrnl rcglulalions rcgudir8 ashcsk)s rctrf,)val{tc nol applicuhlc k) this preia1.
_l ccnify thot I have rcd this applir'illion and slalc lhill lhc ahorc inlilrnBlion is core1. I lEre k, (nnply with all Cily and County
ordinnrecs and Stllc lnws rclating to huiklitrg conslrucli([. and hcrchy iluthorizc rcprcscnlalivcs oflhis City and Counly to cnler ulnn lhc
ahovc [Enlioncd pmpcily for inspccliu purlnscs.
AJlplit'trlrt ()r /\gcnl Siurrirlttrc:I\..r,'.
l'cr rrrilt't: rrlrnrc ( l)l int ):
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
!nsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release I
FINAL )\=71-(/l YPfrfr
Notes, Remarks, Etc.I
C