HomeMy WebLinkAbout40135785 - 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 #:4O1357E5
Pin #:
Suite Range:
Zoning: SD19
6
ProjectAddress: 1121 fl2 N French St
Assessor's Parcel: 398-028-05 Lot: 11
Bldg: Address Range: 1121-1,123
Tract: BOTELER'S ADD Historic: No
Unit:
Block: B
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Diana Jiang
518 Luminous
lrvine, CA 92603
(s49) 293-6747
Coastal Heating & Cooling, t
24217 Carnation Way
Lake Elsinore, CA 92532
(s49) 482-2s9s
PER]ilTT CANCELLEDb;1 co*\rqtr F
DATE.\a\\3)*r
INMfl.rt?
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Fan Coil
Genera! Plan Update
lssuance
Microfilm Records
Amount
61 .20
23 79
59 30
405
Qty
3.00
1.00
1.00
1.00
Fee
$183.60
$23.7e
$se.30
$4.05
State Lic #: 1045446
Lic Type: C-20
Bus. Lic #: 378529
Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company
Policy #: COWC238188
Expires: 0711512022
Botchf :60112 7 /29/2021 ID: HGARCIAOffice: CTYH Trnns*: 20 2 of 3Acct*: Ref*: 40135785
Rcpt+:Cr3369397 7/29/2021 9358 Al1
Tronsoct i on Totol t634.28
lnstallation of mini-split A/C system providing a 10'
interior side yard setback to the north property line.
$270.74
$0.00
$270.74
Building Use: Fourptex OccuPancy:
Job Type: Miscellaneous Constr Type:
Nature of Work: NC lnstallation (mini-split) Code:
R-1
VB
cMc 2019
Planning Conditions: OK to issue for mini-split only, unit is located behind a solid fence and
staircase. Max dBA generated is 52dBA
Planning Approval By:
Plan Checked By:
Permit lssued By.
Subject to Field:
Building Permit #:
Maftin, Eric
Chavez, Dave
qCi
Date: 0T/,2$2021
Date:
Date: 01129/,2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
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 autborized on the sife 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 1 6002 s1 604
01116002 57770
$23.79
$242 90
$4 05
lnspector MID#: 2021-167733
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BT'TLDER DELCARATION
I hercby allirm unds pcnally of perjury that I u excmpi fiom ihc ContracloE Liccns ku for thc following lt&n (56.7031.5
Busincss ard Prcfcssion Codc): Any City or Couily which rcquircs a pcmfu to @nslruct, dtE, improrc, dcmlish or rcpair my
structurc. prior to ils issrc, aho rcquircs lhc applhmt for such pcmit to fih I sigrcd stalemnt thrt he or slE is licn$d pEtilt
to the prcvisions of the Conarrctor's Liccnsd Llw (Chrprer 9. Comrcing wilh SEtion 7fi)O of Division 3 of lhc Busircss md
PrcfcssionsCodc)orlhathcorshciscxcmptthscfromatrdthcbasirforthealbgederemption. AtryviolstionofsctbnT03l.5byany
applicant for I pcmit subjsts thc rpplicant to q civil penalty of nol mrc lhm fivc hundred doll8s (5500).
-1,
as owner of the propcrty, or my employees with wages as thcir sole compcnsation. will do the work and thc stnrture is not
intendcd or offered for sale (Sec.7044, Busincss and Professions Code: The Contractor's License [,aw does not apply lo an owner of
the propcrty who builds or improves thercon, and who does such work hinr.sclf or herself or through his or hcr own employces.
providcd that such improverrents arc not intcnded or offered for sah. lf. howcvcr, tlre building or improvcment is soH within onc )car
of complction, the O*,ner Builder will have thc burden of proving thal hc or shc did not buiH or improve the pmpcrty for thc purynse of
salc).
-1,
as owrrcr of the propcrty, am exclusivcly contracting with licenscd contractors lo construct the project (Sec. 7W, Busincss
and Profcssbn Code: The Contractor's Liccnse l-aw does not spply to 8n owner of propcrty who builds or improvcs thcrcon.
and who contracts for such Fojccts with a Contracto(s) licensed pursusnt to the Contractor's License [aw).
-lamexcmptunderSection-,B.&P.C.forthisrcason.Owner'-woRxn'wlttx
DECLARATION
I hcrehy affirm under penalty of pcrjury onc of the following declaratiorts:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workcrs' compensation, as provided for by Section 3700 of the
Labor Code, for thc pcrformance of thc work for which the permit is issucd.
_l havc and
thc work fior
will 3700 of thc tabor Code. for thc pcrformancc of
and policy numbcr arc:
O
Policy a $tsB or/rs ln
-l
ccrtify that in the pcrformancc of lhc work for which this pcrmit is issucd. I shall not cmploy any pcrson in any manncr
so as to bccome.subject to thc workcrs'compensation laws of California, und agrcc that if I should becomc subjcct to the
workcrs' compensation provisions of Section 3700 of thc Labor Code. I shall. forthwilh comply with tho:;e provisions..
WARNING: Failure to sccure workcrs' conlpcnsation covcrdge is unlawful. and shall subjcct an employcr to criminal ;rcnalties and
civil fincs up to one hundrcd thousand dollars ($100.000).
Scction 3076 of thc l-abor Codc, intcrcst and attorncy's fccs.
in addition to lhc cosl damagcs as providcd for thc
a
LICENSED C()NI'RAC'I'OR
DECLARATION
I hcrcby allirnr undcr pcnalty of pcrjury that I arn licensed undcr provision of Chaptcr 9 (comrnencing with Scclion 7firu) of Division 1
of thc Busincss and Prol'essiorrs C<ldc. aml my liccnse is in tull tbrcc antl cflL'ct.
bLiccnsca
I
W
I heEby sfrmur&r Fmlty of pcrjury that tlre is a @rs&wtbn brding agemy for th Frforc of tic wrt for whbh lhi! Fmt i!
isEd(Ss. 3097, CisC.).
[rrd6's Nrrc
l-cndcr's Acldrcss:
^rpl
,c . N., ,r"c,
I trcrcby allinn undcr pcnalty of pcrjury onc of thc following dcclarations:
Dcnxrlition Pcrmits-Asbcstos Nolification Ftdcral Rcgulations (Titlc 40, I'}art6)
-Rc<lu
ircd lrttcr of Notilicat ion
_l certify that the fcdcral rcgulations regarding asbestos rcmoval are not applicabh to this prcjct.
Af,, ccrtify rhat I havc rcad rhis application and statc that thc with all City and County
and County lo cntcr upon thcordinances and Statc [-aws rclating to building construction.
abovc mentioncd property for inspection
Applicant or Agcnt
(
l)crrrrilcc nurrrc
.6) lu
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
N/isc. Equipment
Duct Work
Pre- lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room I Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release
FINAL
Notes, Remarks, Etc.
4
l)ltc:
-
Conlracror' )A