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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-,