HomeMy WebLinkAbout40136002 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical
PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714) 647-5853
Permit #:4Oi36002
Pin #: 31
Project Address: 2714 W Anahurst Pl
Assessor's Parcel: 408-223-03 Lot: 132
Unit:
Block: NA
Bldg: Address Range:
Tract 2260 Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
MARIA COLON
2714 W ANAHURST PL
Santa Ana, CA 92704r'.506
(562) 281-3737
Reliable Energy Managemel
6829 Walthall Way
Paramount, CA 90723
(800) 6s2401 1
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Wafl Heater/Floor Furna 70.64
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1 .00
1 .00
Fee
$70 64
$23 7e
$5e.30
$4.05
Bstchf :611372
if f ice: CTYH
Acct*:
icpt*:0340216(
Tronssct i on T
tuenerqI ulon up60ue Fee
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11 icrof i lm & 0ocunents
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ICL Check lJlu37?
Ref i : 101361102
7/2A?l IIz22 All
$1 r U57.8 3State Lic #: 7044_14 '
Lic Type: C-36, B, C-20
Bus. Lic #: 189601
Workers' Compensation I nsurance:Carrier: Travelens Property lnsurance
Policy #: U89K07110A2026G
Expires: 0412912022
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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
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Change out wall heater
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cMc 2019
09t02t2021
Account#
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, 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.
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.7e
$129 94
$4 0s
$157.78
$0 00
$157 .78
lnspector MID#: 2021-1 68612
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MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hftby afftm und6 panalty of prjury thd I m qmpt ftom thc Contrrtos' LicN lrw for thc followhg twtr (Sc.7031.5
Buiocs ard hofsion Codc): Atry City or Cou[ty which rcquirc a pcmh to @Btruct, ghq, improvg darolish or Epair uy
struclEc. prior to it! ilswcc slso rcquiG thc eplicat for luch pcmt to filc a signcd stalmt thal hr or Sc b licdscd ptrudt
ro thc provisioG of thc Contr8ctor's Licasod Lrw (Ctapt6 9. Commcing with Sctiotr 7000 of Divisiou 3 of thc BciB ed
Profeiom Codc) or thst hc or shc is qmpt thsctom md thc b6is for thc alhgcd ampion. Any violation of Sc.tbn 7031.5 by oy
applimt for a panrit subjets thc applicilt to I civil pcElty of not morc the fivc hundlcd do[aB (9500).
-1,
as owner of the property. or my employees with wages as their sole compensation. will do the work and the stnrture b not
intcnded oroffered for salc (Sec.7044, Business and hofesions Code: The Contractor's Licerse Law does not apply to an owner of
the property who builds or improvc tlreroru and who does zuch work himself or hcrsclf or through his or hcr own employee.
providcd that such improvanants arc not intended oroffcred for sale. I[, howwo. thc building or improvement is sold within onc ]Gar
of complaion, the Orvner Buildcr will have the hrden of proving tha he or she did not build or imprrove the propaty for the purposcof
sale).
-1,
as owner of the property, am exclusively contracting with licensed contractos to construct the project (Sec. 7044, Busincss
and Ptofission Codc: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracls for such projects with a Conhactor(s) licarsed pursuant to thc Contractor's Liccnsc law).
_l am excmpt under B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATION
I hereby allirm under penalty of pcrjury one of the following dcclarations:
_l have and will maintain a Certifrcate of Consent to Self-lnsure for workers'compensation. as p,rovided for by Section 3700 of the
Labor Code, for thc pcrformance of the work for which thc pcrrnit is issued.
_l have and will maintain workers' comp€nsation insurance, as required by Scction 3700 of the Labor Code, for the performance of
the work
G
for which this permit is issued compensation carrier and policy number are:,
Policy z
_l ccrtify that in the performance of the work for which this perrnit is issued. I shall not employ any person in any manner
so as to bccome subject to the workers' compensation laws of California. and agrcc that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwilh comply with those provisions..
r,
WARNING: Failure to sccure workers' compensation coveragc is unlawful. and shall subject an to criminal and
civil fines up to one hundred thousand dollars ($100.000), in addition to the cost of for the
Section 3076 of the Labor Code. interest and fe€s.
/ 9t
LICENSED CON'TRACTOR
DECLARA'TION
I hereby affirm under penalty of perjury that I am licensed under provision rvith Section 7000) of Division 3
of the Business and Professions Code, md my license is in full force ard effect.
2 )
I h@by affm uds pqu.lty of pajury thd th@ is I ondructio! kodir8 agdy for thc prfuffic of thc mtt for which thb panit is
isucd (Sc. 3097, Civ. C.).
Lender's Name:
Lender's Address:
A,'LICANT DECLARATT,N
I hereby affirm undcr pcnalty of pcrjury one of the following declarations:
Demolition Pcrmits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter o f Notification
_l certiff that the federal regulations regarding asbestos removal are not applicable to this project.
t-l catify that I have read this I agree to comply with all City and County
ordinances and State Laws of this City and County to enter upon the
above rnentioned property for
Applicant or Agent
Perrnitee name
state that
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment ra
t)At-c l-l(2qvpru to-134t u1,/.77\
Duct Work \-/
Pre-lnsulation
!nsulation
Smoke Detectors Installed
Rough Ductwork
Vents
Toilet Room / Clothes Drver
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release -t t-l ,
FINAL t9 rt A >KV>i
Notes, Remarks, Etc.---
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