The URL can be used to link to this page

Home My WebLink About40135792 - 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 #: 4O135792 Pin #: 3E73,5 F'/u Proiect Address: 909 E Avalon Avea Assessor's Parcel: 003-21 2-28 Lot: 68 Unit: Block: NA Bldg: Tract: 1529 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Maria Zamora 909 E. Avalon Ave. Santa Ana, CA 92706 (7141 743-3e41 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 Repair Vent Sys General Plan Update lssuance Microfilm Records Amount 46.99 23.79 59.30 4.05 Qty 1.00 100 100 1.00 Fee $46 99 $23 7e $5e 30 $4 05 t?3 .79 $4. [|5 $ 106-, 29 t134,1:{ Botchi:60177 - g/3/2021 ID: onDoroleslS Office: CTYH Trqns*: l5 I of IAccti: Fef * : {01 35792 Rcpti:(13371686 8/3/2A21 ?'.L7 AII Tronssct ion Totol $134.13 Serv i ce (:honp i on s State Lic #: 799170 Lic Type: C-36, B, C-2, C-20 Bus. Lic #: 196430 Workers' Compensation lnsurance:Carrier: Everest Premier lns Co Policy #: RM8WC00054-211 Expires: 0410112022 I Building Use: Job Type: Nature of Work Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Replace Ducts Chavez, Dave nOt Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cMc 2019 Genersl Plqn Updnte Fee 0l I 160[t2- 5l6tt(lL10tJ- llicrof ilm & Docurents 011160u2- 3777trtt80- Ilechon icsl Ul 1 16002- 5l6tl4tl0[t- I (:L Checlr Cl469l I Notes: Replace ducts for SFD HVAC system. Fee Total: Paid to Date: Balance Due: 08t03t2021 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 fhe site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 s1600 01 1 16002 51604 01116002 57770 $23 79 $1 06 29 $4 0s $1 34.13 $0 00 $1 34.1 3 lnspector MtD# 2021-167806 MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby affum under lEn.lty of Frjury thst I m cxempt from thc ConketoE' Lhcns liw for lhc following m$n (Sc.7031.5 Busincss sld Prcfcssion Code): Any City or County which rcquircs r pcmit lo onstruct. rlls, imprcrc, dcmlilh or rcI[ir ey slruclw. prior to its is$ree, also rEquires rhc spplicsnt for such pcmit lo filc I sigEd stalcmnt lhal h or $c is lien$d p|Nanr to lhe prcvisions of fic Coilrrclor's Lbcnsd L{w (Chsptcr 9, Comrcing with Setion 7000 of Division 3 of thc Busircis ud Prcfcsrions Codc) or that lE c slE is eretrpt thcrcftom and the basis for thc alhgcd exempbn. Any vblation of Sccrion 703 I .5 by my spplicant for a lEmit subirts thc applicsnr ro I civil pcmlty of mt mrc thil five hundred dollsrs ($500). _1, as owncr of thc propcrty, or my cmploye{s with wages as their soh compcnsation, will do thc work ard thc stnrcluc Ls not intended or offered for sale (Sec.7044, Business and Profcssions Code: The Contractor's License [-aw does not apply to an owncr of thc propcrty who builds or improves thermn. and who docs such work himsclf or hcrsclf or through his or her own employecs. providcd that such irnprovcnrcnts arc not intcndcd or offcrcd for salc. If, however. the building or improvenrcnt is sold within onc ),ear of cornphtion, thc Owncr Buildcr will have the burden of proving that he or shc did not build or improve the propcrty for thc purpose of salc). _1. as owncr of thc property, am exclusivcly contracting with liccnscd conlractors to construct thc projcct (Scc. 7W, Busincss and Profr:ssion Code: The Contractor's Licensc Law docs not apply to an owncr of property who builds or improves lhcreon. and who cotrtracts for such projccts with a Contraclor(s) liccnscd pursuant to thc Contraclor's License Law). -IamcxcmptundcrScction-.B.&P.C.forthisrcason' WORKF' RS' COM PT'NSATION DF'CI AR.ATION I hcrcby affirm undcr pcnalty of pcrjury onc of the following dcclarations: -lhawudwillmintsiDaCcnifEatcofcoreDttoSclf-lnsuEforvorlm'@rpcnsatbn,s provlledforbysetion3T00ofahe trtsr Codc. for thc psforc of rhc wh fu which thc pqmit is issucd. -fl mrc ana witl mhtsin workfl'@mpcffation imnre, s rcquired by Setion 3?OO of the kbor Codc, for rhc pcrfor:mc of thc wqk for which this permir ir is$Ed. My worlffi' smpcBation insurc mbr ard policy numbcr rc: ( Policy , _l ccrtili that in the performancc of thc work for which this permit is issued, I shall not employ any person in any manner so as to bcconrc subject to thc workers' compensation laws of California. and agrcc that if I should bc.conrc subjcct to thc workcrs' comlrcnsation provisions of Section 3700 of the labor Codc, I shall, forthwith comply with thosc provisions.. WARNING: Failurc lo sccure workers' comgrcnsation coveragte is unlawful. and shall subjc.ct an employcr to criminal pcnaltics and civil fincs up lo onc hundrcd thousand dollars (S100.00O), in addition lo the cost of compensation. damages as provided for thc Scction 3076 of thc labor Code, interest and attorncy's fccs. I I ICI.'NSFN CONTRACTOR DECLARATI(TN I I hcrcby alfirnr undcr pcnalty of pcrjury that I am liccnscd undcr provision of Chapter 9 (comnrcncing with Scction 7Un) ol Division 3 of lhc Busincss and Profcssions Codc. and nry liccnsc is in full forcc and cffect. a Liccnsc )Nurnbcr: W t h.rcby s,rrm urdcr Ff,sty of Frjury thal tlre ir a on*ruabn bndiry rgcrcy for ih. pdfm of dE wL br wibh this psmi b ilsuc{ (Se. 3097, Civ. C.). [.rdcr'3 N!m; Lrndcr's Address: APpI tCANr DFCLARAIION I herebyaftmunder penalty of perjury one of the following dcclarations: Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6) -Rcquired Letter of Notification _l enify thst thâ‚¬ federsl rcgulatioru rcgading &ibestos rcmv8l m not rpplicabh to this prcj.Tt. lA/tsrify rfrrr f furc rcrd rhir 8pplicstion ard st8tc thst thc rborc infornutioo is corcct. I rgrc to @mply with rll City md Counay ' oiimnccs and State Lrws rchring to building @nstructioo, 8rd hercby 8uthoriz rcprcsntariB of this City srd County to cnls rpon tlE above mcntioncd property for Applicant or Agcnt Pcrnritcc nanrc Appliances Metal Fire Place Evaporative Cooler Furnace Compressor [t/isc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Drver Residential Ranqe Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release rl FINAL 9/t,a /2, Notes, Remarks, Etc.(/I l-/ ---j) l)ate:_ Owner:_ ts Canier: EZ Y S "{J I ( rxpires:lP> I)nte:O)/Jl conrracroX 'A{- I w^(*>{ffZ *, orl 03[Jl rh|L\f L;n4Z I rfirda I