HomeMy WebLinkAbout40135646 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #:4fJ{35646
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 701 E Stanford Sta
Unit:
Block: NA
Bldg:
Tract: 6337
Address Range:
Historic: No
Pin #:
Suite Range:
Zoning: RlAssessor's Parcel: 014-392-01 Lot: 43
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Harkirat Jando
701 E STANFORD ST
Santa Ana, CA 927072347
(626) 391 -1927
Choice Air
3633 Woodpecker Street
Brea, CA 92823
(7141 388-7e86
01 1 16002 51604
01 1 16002 s1600
01 1 16002 51604
01 1 16002 57770
Fee Type Amount
Furnace/Comp Combo 136.71
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
1 .00
Fee
$136.71
$23.79
$5e.30
$4.0s
State Lic #: 855665
Lic Type: B, C-20
Bus. Lic #: 342939
Workers' Compensation I nsurance:Carrier: W.C. Evanston lnsurance
Policy #: SWCI328038
Expires: 03101 12022
Botch* : 5?555 - 6/ I3/2fi21 I0: oriora I esl S0ffice: CTYH Trons*: 95 2 of 2Acct*: Ref*: {0135616
Rcpti:03320392 - 6/ I1/2tr2L I : l9 PH
TrsnEoct i on Totol $41 5.39
Choice Air
Building Use:
Job Type:
Nature of Work:
Genernl Plnn UpdcrLe Fee
0l I 160[t2- 5160tttt[tCr-
llechon i col
trl I l6trtr2- 5160400(r-
l'l icrof ilrrr & Docurenbs
rrl 1 16uu2- 1777trrt00-
$23 .79
_ $ 1g6. 01
$4, [|5
$415,39
Auth*: [tS?869
$223.85
$0 00
$223.85
Single Family Dwelling
Miscellaneous
HVAC
Chavez,Dav,
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2019
06/1 5t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
vigCi
I nsta I I at!?B S#V09*xg69glr ::, _n ;
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Pianning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit rssued 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 fhe 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
$23.7e
$196.01
$4 05
lnspector MID#: 2021-1 66786
xt
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS OWNER BUILDER DELCARATION
I hccby affim uda p@alty of pdjury thrt I m cxcDpt tom thc Contrsclo6' Liccnsc lrw for thc following |ten (56.7031.5
Buine ad Prcfeion Codc): Any City or Couty which requirB a pqmit to snstruct, alts. imprcvc &nolislf or rcpair.my
structe, fior to its ismcq alm rcquirc thc applicut for such pcrmit to filc a signcd statmot that hc or strc b licmcd pmuadt
to thc provisioB of thc Conrrctq'! Lieorcd taw (Chapt6 9, CommcioS with Satioo 7000 of Division 3 of thc Buine ud
Pmfeions Codc) or that hc or she is smpt thscfiom ad thc bosis for thc allcgcd qmptior. Ary violaliotr of Sction 7031.5 by my
applicmtforapfinitsubjeBthc applicuttoacivilpmltyofnotmorcthuhvchundrcddollm($500).
-1,
as owner of the property. or my employe€s with wages as their sole compensation. will do the work and the s0uctue is not
intended or offercd for sale (Sec.70t4, Busincss and Professions Code: The Contractor's Liccnse law does not apply to an owner of
the p,ropoty who builds or improvc thcron and who does such wort himself or herself or through his or her own employees.
provided that such improvonants are not intended or offered for salc. If, howgrrer. the building or imp,roverncnt is sold within one ]€ar
of complaioq the Orvncr Builder will have thc hrdcn of proving ttra he or she ditt not build or improve the propaty for thc purposcof
sale).
-1.
as owner of the property. am exclusively contracting with licensed contractors to conslruct the project (Sec. 7M4. Business
and Pnoftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves lhereon.
and who contracts for such projects with a Contracto(s) licorsed pursuant to the Contractor's Liccnse Law).
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am exempt under Section-. B. & P.C. for this reason.
Owner:_
WORKERS'CONTPEN
DECLARAI'TON
one of the following declarations:I hereby affrm under penalty of pojury
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have md will maintain a Certificate of Consent to Self-Insure for workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which the pcrmit b issued.
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have and will maintain workers' comperuation insurance, as required by Section 3700 of the Labor Code, for the perfonnance of
the work for which this permit is issuod My workers' compensdion iruurance carrier and policy numbcr are:
a
Policy -,zlr ?-L
_l certi& that in the performance of the work for which this permit is issued. I shall not employ any pemon in any manner
so as to become subject to the wo*ers' compasation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with those provisions..
WARNTNG: Failure to secure workers' compersation coverage is subject an anployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in of compensation. damages as provided for the
attorney's fees.
LICF'NSED CONTRACTOR
DECT-ARATION
I hereby aflirm under penalty of perjury that I am licensed under provision of Chapto 9 (commencing rvith Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect. I
D
License t
{t
W
f horby atrrm unda parrty of pajury tha th@ b r srgruclion lcnding !g@y for thc pqfomce of thc rcil br wlfch thb Fmil i
isucd (Se. 309?. Civ. C.).
Lender's Name:
Lender's Address:
APILICANI.DECI.AEAIION
I hfibyaffim unds poalty of pcrjury one of thc follorving deluations:
Dcmolition Pmits-Asbcstos Notification Fcdqal Regulations (Title 40, Pan6)
-Rcquircd
trtter of Notilication
-l
cdiry that thc lusd rcgulatiom regarding rbcslos rmoval 4c not applicablc to thls prcjccl.
hl,-*rrr, ,nnl havc rod this application ad state rhat the aborc infomation is cors{. t agrc to comply with all Ciry and County
le[inance md State Laws rclating to building coBtructiotr ud hqcby authorirc rcprGcntativG of this City md County to st6 ulpn lhc
above mentioned property for
Applicant or Agart Signature:
Pennitee name (nrint): \4.
V,"MaYl
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
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.
Final Test
Meter Release I ,ll ,t t
FINAL qltal>l DIt4s',6
Notes, Remarks, Etc.
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-Licensecontractor'\A