HomeMy WebLinkAbout40135472 - PermitProiect Address: 51 32W First Sta
Assessor's Parcel: 108-74243 Lot: 42
Unit: B
Block: NA
Bldg:
Tract: 8939
Address Range:
Historic: No
Suite Range:
Zoning: R2
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanica!
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 40135472
Pin #: 46359
Eiv
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
David O'Brien
5132 W. First Street
Santa Ana, CA 92703
(7141 2274352
Semper Solaris
10713 Norwalk Blvd
Santa Fe Springs, CA 90670
(619) 7154054
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Furnace
Compressor
General Plan Update
lssuance
Microfilm Records
Amount
70.66
97.17
23.79
s9.30
4.05
Qty
1 .00
1.00
1 .00
1 .00
1 .00
Fee
$70.66
$97 17
$23 79
$5e.30
$4.05
t23 .79
1227.13
$4 , tl5
i446,51
Botch+:58823 - 4/11/2tt?t I0: HGARCIA
Off i ce3 CTYH Trnns*: 2 2 of 2Accti: Ref*: 40135{72
Rcpti:03259 621 4/ l4/2Ct2L 12:54 PH
Tronsoct i on Totol 1446. 51
Semper Solnr i s
State Lic #: 978152
Lic Type: B, C-10, C-39, Cr06
Bus. Lic #: 365759
Workers' Compensation I nsurance:Carrier: Midwest Employers Casualty
Policy #: BNUWCO1 S24BT
Expires: 1011012021
Genernl Plon Updote Fee
1f 11160112- 51600000-
llechan i cnl
t-11 I 16002- 51604110tt-
Il icrof i Im & Docunents
r11 I 168[12- 1777tt0CI0-
I (:L (:hecll 0345
Notes: HVAC system. AC condenser at rear
Fee Total:
Paid to Date.
Balance Due:
t Brilding Use:
. Job Type:
'Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Miscellaneous
HVAC
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
R-1
VB
cMc 2019
Orozco, lvan
Chavez, Dave
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MtD#'. 2021-165517
04114t2021
04t1412021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23 7e
$227 13
$4.05
$254.97
$0.00
$254.97
M ECHAN ICAL.I NSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNER BUTTDER DEI..CARATION
I hccby affm uDdE poslty of pcjury thd I m qmpl from thc CodaloE' Lic@ lx for tltc folbwing rcn (Se.70315
Buincs ad Prcfsion Codr): Auy City or County which rcquin a pamt to mnsruct, altq. inprcvc. danolish or rcpair my
struchrc. Fbr to its isrc, also rcquirc th3 appliffit for $ch pcnit to 6lc a signcd stslmt thrt hc or slE b licqscd prsun
to thc provisiom of thc Cotrtr&c{or's Licoscd Law (Chapt6 9, Commcing with Sctior 7000 of Divisior 3 of thc BuiK 6d
Prcf*iorCodc)orthrthcorshcbqmptthqc&om&dahcbrsbforUcsllcgodadption. AnyviolatioaofselionT03l.5byuy
applirot for a p6mit subjcts thc 4plicmt to a civil pmlty of not mrc thao fwc hundrcd dollan ($500).
-1,
a omq of thc Eopqty, or my mployE with wagB s thcir olc ompqsaion, will do thc wq* ad tlE !tuutre b mt
intqrdcd or ofrcrd for slc (Sc.7044, BBiB md Proftsgiom Codc: Thc Crotnclor's Licw t w do6 lot qply to & ow of
ihc prcpqfy who buil& or inpros tlspn ard who doe ruh wrt hidf or h@lf or thmugh his or ha om qlplols,
prcvidcd that such improvumts rc mt imodcd or oftrcd for sale If, howrc, thc hrildi4 or inpoowut is sld wilhitr ooc )s
of ompknion, thc O{va6 BuiUc will haw th hrda of proving tha hc or drc dll mt hrild tr inprcrc 0rc pmpcty br thc prpcs of
elc).
-1.
I om6 of thc Fopqty, m qclwiwly cortractitrg with licdscd ontracloB to oEtruct th€ projct (S*. 7044, Buiae
ard hoftssim Co&: Thc Costractor's LicG@ Law do6 rct rpply to u oM6 of prcpdy who builds or improB th@r"
md who otrtsacts for such Fojccis with I Coofscto(s) licq8cd puEuaot lo thc Cortaclor's Lirc Ls).
-l
m cxmpt urd6 S€{iotr-, B. & P.C. for this t@n.
O*ner'
WORKERS' COMP"NSAIU
DECLARATION
one of the following declarations:I hereby alTinn under penalty of pojury
_l have and will maintain a Cerrificate of Consert to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
l-abor Code for the pcrformancc of the work for which the permit is issucd.
_l have and will maintain Section 3700 of the Labor Code, for the pcrformance of
the work for which this carrier and policy numbr are:
Irolz tPolicylo| ( | -l_l certi& that in the performance of the work for which this pcrmit is issued. I shall not employ any person in any manner
so as to become subject to the workcrs'comp€nsation laws of Cdifornia, 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 thosc provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful,subjerct an ernployer to criminal perulties and
civil fines up lo one hundrcd thousand dollars ($100.000), in addition to the damages as provided for thc
Section 3076 of the labor Code, interest and attorney's fees.\t
DTCII\RATION ..
I hcreby aflirm under penalty of perjury that I am liccrucd undcr provision of Chapto 9 (commencing with Section 7000) ol Division 3
of the Business urd Professions Code, md my licensc is in full forcc ad effect.
q 5License
CONSTRUCTTON LENDING AGENCY
there is a construcrtion lcnding agency for the performance of the work for which this perrnit isI hcreby affrm under pcnalty of perjury tha
issued (Sec. 3097, Civ. C.).
lrnder's Name:
APP' ICA^IT DECLAMT
I hcr*D/ afnrm under penalty of perjury one of the following declarations:
Dcmolition Pennits-Asbestos Notification Federal Regulations (Title 40, Pan6)
_Required Later of Notification
with all City and County
and County to ent€r upon the
-,Ll-yhl
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rouqh 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.0- la-2 |**f tl>
Final Test
Meter Release
FINAL ?-t?-? t D,^<, IZ
Notes, Remarks, Etc.Art, fufge*. r(S*.or-,