HomeMy WebLinkAbout40135997 - Permit-_l
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #i 4Oi35997
Pin #: 73795
"//'Proiect Address: 2614 W California St-a- -
Assessor's Parcel. 408-062-02 Lot. 2
Unit:
Block: D
Bldg:
Tract: 506
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
FELIPE VELAAQUEZ
2614 W CALIFORNIA ST
Santa Ana, CA 927044018
(7141 662-23e6
Reliable Energy Managemel
6829 Walthall Way
Paramount, CA 90723
(800) 6s24011
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Wall Heater/Floor Furna 70.64
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
1 .00
100
100
lu: ornoro I esI
6 of 7
{(r135?97lI r22 AHtl rU57.83
Fee
$70 64
$23 7e
$s9 30
$4 05
t23 ,7?
t4 , tl$
$129 .q1
tlrtl57,S3
tc 30 Sntchi :6t15?2 -
0f f ice: (:TYH
Accti:
Rcpt*:[34u?165
Tronsoct i on Tc
.i
7
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation I nsurance:Carrier: Travelers Property lnsurance
Policy #: U89K07110A2026G
Expires: 0412912022
h(el roble h.nersv ..1r,,-L;I ,
j.tP
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
Wall Heater
Zuniga, Allissa
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
benePol rlgl
rr1 1 10U02- 51
11 icrof i lrn &
rrl l 16Lru2- 5i
llechon i co I
Ltl I l6[r[12- 51
I CL (:h eclr
Notes: Wall heater change out
Fee Total
Paid to Date:
Balance Due:
dcE e
Jtt0-
ufipn
Occupancy:
Constr Type:
Code:
Date:
Date:
Date.
R-3, U
VB
cMc 2019
09t0212021
Account#
Every permit issued 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 site 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 7e
$129 94
$4 05
$157.78
$0 00
$157 .78
lnspector MID#: 2021-168605
TI
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER I'EI,CARATION
I h*by afnm und6 pflalay of pajury thar I m exmpt from th€ Coofactots' LicN L.w for the following Iren (Se.7031.5
Buine ard Profmion Codc): Any City or Couty which rcquirG a pqmit to @Etruct. a.ltc, improvc, damlish or rpair uy
strucluc. prbr to its iswcc. also rcquic thc applicet for such Frmh to 6lc I signcd stalmat thd hc or slE b liccnscd pwant
to the prcvisioB of tlrc Cortrrctor's Liccnscd Law (chsptq 9. Comcncing with Sction 7000 of Division 3 of thc Buine ud
Prcfcsions Code) or that hc or she b dmpt thscfrom md thc bsis for thc allcgcd amptiotr. Aoy violEtion of Sctioo ?03 1.5 by my
applicet for 8 pctruit subjats rhc applicet to a civil pcnalty of mt more tho livc hundrcd dollus (5500).
-1,
as owner of the propcrty, or my cmployecs with wages as thcir rcle compensation, will do the work and the stnrture b not
intended or offered for sale (Sec.7044, Business and Professions Code: Thc Contraclor's License Law does not apply to an owner of
the property who builds or improvcs thcnon, and who docs nlch wort himself or herself or through his or her own employee.
provided that such improvanrents arc not intcrdcd oroffcrcd for sah. If. howevcr, ttre hilding or improvcrncnt is sold within onc )rar
of cornpl*iorl the Orvner Buildcr will havc tlrc hrdcn of proving thd tle or strc did not build or improve the property for the purposc of
salc).
-1,
as owner of the propcrtyt am exclusively contracting with licenscd contractors to construct the projecr (Sec. 7044, Brsincss
ard Pnofession Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improves thereou
and who contracts for such projects with a Contacto(s) licenscd pursuant to the Contractor's Licensc law).
-l
am exempt under Section-, B. & P.C. for this reason.
flqlp'
WORKERS' COI|TPENSATION
DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
-l
have ard will maintain a Certilicate of Consent to Self-Insurc for workers' compensalion, as provided for by Section 3700 of the
L^abor Code. for the performance of thc work for which the permit is issued.
-l
have and will maintain 3700 of the tabor Code. for the pcrfonnance of
the work for which this and policy number are:
tJr
tl f4X ILL
_l certi& that in the performance of the work for which this permit is issued. I shall not employ any pcrson in any manner
so as to beconre subject to the workerr'compernation laws of California. 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..
.l
WARNING: Failure to scrure workers'is unlawful. and shall an anployer to criminal pcnalties and
addition to the darnages as provided for the
\
I
<
I hereby affrm under penalty of pcrjury that I am licensod under provision (commencing with Section 7000) of Division 3
of the Business and hofessions Code, and my license is in full force and effect.
td '? o u/q/ql.icense Number:
\
W
I halby sffm und6 pauhy of pajury tha thc b 8 onnructbn lodirg agqEy for thc pafom of thc mrt br which thb pqmit b
issucd (Sc. 3097. Civ. C.).
Lender's Nanre:
l-ender's Address:
APPLICANT DECLARATION
I ho&y aflinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notifrcation Federal Regulations (Title 40. Part6)
-Required
t-ater of Notification
-l
certi& that N federal regulations rcgarding asbestos removal are not applicable to this project.
-l
certi0 that I have read this application
ordinances and State Laws relating to
above mentioned property for
Applicant or Agent (
Pcrrnitee name
al
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rough 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.
Final Test
Meter Release r[t
FINAL rolzola,r Jnttno
Notes, Remarks, Etc.\l ,
I
4
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