HomeMy WebLinkAbout40135693 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:40{35693
Pin #: 37539
/-,*/'Proiect Address: 1903 E Fruit Sta
Assessor's Parcel. 400-171-06 Lot: 4
Unit:
Block: NA
Bldg:
Tract 9208
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
lnes Guerrero
1903 E Fruit St
Santa Ana, CA 92701
(7141 585-3670
Futura Energy lnc
131 42 Barlon Road
Whittier, CA 90605
(562) e41 -7459
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Furnace/Comp Combo 136.71
General Plan Update 23.19
lssuance 59.30
Microfilm Records 4.0S
Qty
100
1.00
1.00
1.00
Fee
$136.71
$23.79
$5e.30
$4.05
BotchS:59762 7/Ilatt?I I0: HPIHEDA0ffice: CTYH Trons*: l8 2 of 3Accti: Ref i: {0135693
Rcpti:03341377 7/li?EtZL ?321 All
Traneoct i on Totol t598,48
Futuro Enersv Inc
State Lic #: 985827
Lic Type: C-36, B, C-10, C-20
Bus. Lic #: 351485
Workers' Compensation Insurance:Carrier: TRUMBULL INSURANCE COMPANY
Policy #: 76WEGGB731Z
Expires: 0712512021
Generol Flon Updnte Fee
Ul I 160tt2- Sl6lltl0t](t-
llechon icol
011160fi2- 516114000-
Il icrof i lr & Docurents
r11 1 160[t2- 3777tt00(r-
V isa
CCi: rr**r*rr***?263
Notes: Replace furnace & a/c compressor
Fee Total
Paid to Date:
Balance Due:
$23 .79
_ $196.t1
$4,05
$59g .48
Authi: [t21 f 56
$223 8s
$0.00
$223.85
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
Alteration
Furnace & A/C
Guevara, Jerry 06t29t2021
07t01t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga Arisry
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cMc 2019
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 the sife 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
$23.79
$1 s6 01
$4.05
lnspector MID#: 2021-167136
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affm undo poalty of pcrjuy that I m cxcmpt ftom thc Contractors' Licmle [aw for the followiag rcn (Sc.7031.5
Buincs ud hofeion Codc): Any City or County which rcquire a pcmit to corctruct, alt6, improvc, danolish or rcpoir uy
structuc, pior to its isumce. also rcquirs the applicet for such pcrmit to fil€ 8 signed stalmat thar hc or shc b licoscd puset
to thc prcvisioB of thr Contractor's Liccnsd Law (Chapts 9. Comcncing with Setion 7000 ofDivision 3 oFthc BwiB ed
Prcfcsions Codc) or that hc or shc is cxcmpt thftfrom ed thc b6sis for thc allcgcd cxmption. Any violation of Sctbtr 7031.5 Uy ey
applicet for a pmrit subjets thc spplicmt to I civil pcnalty of not morc thu fivc hundrcd dollrs ($500).
-1.
as owner of the property, or my employees with wages as their sole compensation,
intended or offered for sale (Sec.7044. Bu'siness and Professions Code: The Contractor's License [aw does not apply to an orvner of
thc propoty who builds or improves ther@rL and who does such work himself or herself or through his or her own employees.
provided that such improvernents arc not intendod or offsed for sale. l[, howerrer. the building or improvemeot is sold within one yed
of complaion" the Ourner Builder will have the hrden of proving tha he or she did not build or improvc the property for the purposeof
sale).
.-1. as owner of the property. am exclusively contracting with licensed contractos lo construct the project (Sec. 7M4. Business
and Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projocts with a Contraclo(s) licerued puniuant to the Contractor's License taw).
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am exempt under Section-. B. & P.C. for this reason.
Date:( )rr rrtr'
WORKERS' COMPENSATION
DECLARATION
I hereby alTirm under penalty of perjury one of the following declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workers' conlpensation, as provided for by Section 3700 of the
Labor Code. for the pcrformance of the work for which the perrnit b issued.
J I ha'eand/E work for
Section 3700 of the Labor Code. for the performance of
carrier and policy number are:
poricyN,,,b., --t Ut )FCzqBJ?l ) Expires:
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certi& that in the performance of the work for which this pcrmit is issued. I shall not enrploy any person in any.*o'
so asto becomc suQiect to the workcrs'compemation laws of California. and agroe thd if I should become subject to the
worters' compcnsation provisions of Section 3700 of the Labor Codc I shall forthwith comply with those provisions..
a
WARNING: Failure to sre *ork6' compenstion covogc is unlarvfirl. ad shall subjct e mployq to qininal poslties md
civil fina up to ooc hundr€d thoMd dollm (t100.000). h addition to thc sst of compcmtion. d8ro96 I providcd for rhc
Section 3076 Code. interest and attorney's
-t
LICFNSED CONTRACTOR
DF'l AILITION
I hereby affrm undcr pcnalty of pcrjury that I anr lic€ns€d under povision of Chaptcr 9 (commencing with Section 7000) of Division 3
of the Business and Profcssions Code, and my license is in fuU force urd effect.
2-Number:
W
I hotby aflm uoda pctulty of Fjury thd ths€ is 8 condilctbn kadin8 agacy for thc pqfdmmcc of thc rcrt 6r wlich this pqnil b
isued (Se. 3097, Civ. C.).
Lender's Name:
Lender's Address: p-r tcANr
"".LARA,I hercby affinn under penalty of perjury one of the follou'ing declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (I'itle 40, Part6)
-Required
Later of Notification
-l
cerri& that the federal regulations regarding asbestos removal are not applicable to this project.
-l
certi& that I have read this application and state that the above with all City and County
and County to enter upon theordinances and State laws relating construction. and
above mentioned property for
Applicant or Agcnt
Pcrruilcc narne
a-
!1
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type ! Hood
Type II Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release ll Al
FINAL (a(h,h /fi{o
Notes, Remarks, Etc.I V
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Date:
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