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Home My WebLink About40134044 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #:4O134o,44 Pin #: 79622Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 Inspector Section: (714)647-5853 Proiect Addressi 2405 W Hall Ave Assessor's Parcel: 412-3'14-16 Lot: 68 Unit: Block: NA Bldg: Tract: 8203 Address Range: Historic: No Suite Range: Zoning: R1 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: NHAM TRUONG 2405 W HALL AVE Santa Ana, CA 927045516 (7141540-87s7 Alps A/C & Heating lnc 1895 S Santa Cruz Anaheim, CA 92805 (714) 533-8892 Fee Type 011 16002 51604 Furnace/Comp Combo 01116002 51600 General Plan Update 01 1 16002 51604 lssuance Amount 131.87 22.95 57.20 Qty 1.00 1"00 1.00 Fee $131.87 $22.95 $57.20 State Lic #: 667953 Lic Type: C-20 Bus. Lic #: 177939 Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company Policy #: CST5014221 Expires: 'l0l19l2019 Alps A/(: fr Hetrtins Inr Geoerol Plon Updote Fee 01116002- 5160000r'- llechon ical 01116002- 5160{00(r- ICL Check 02336{ Notes: Replace existing furnace located in garage & compressor in rear yard. Botch+:52{16 - lCI/glzan I0: onoroleslS0ffice: CTYH Tronsi: 64 I of 2Acct*: Ref*: {01340{1 Rcpbi:O2773617 - tO/8/2Ot9 3!02 Pn Tronsoction Totol t317.93 t22.95 f 18?. ':r7 t317.?3 $212.02 $0.00 $212.02 Building Use: Job Type: Nature of Work: Single Family Dwelling Miscellaneous HVAC Julie Planning Conditions: Planning Approval By: Graham, Jeffery Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Every permit issued sha// become invalid unless the work on lhe site authorized by such permit is commenced within360 days after its lssuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 360 days after the time the work is commenced. Occupancy: Constr Type Code: Date: Date: Date: R.3, U VB cMc 2016 1 0/08/201 I 1 0/08/201 I Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01'116002 5'1600 01116002 51604 $22.95 $189.07 Fee Total: Paid to Date: Balance Due: lnspector MID#: 2019-154976 MECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hacby alfirm unda pmalty of po'jury thal I m crmpt from the ContmdoE' LicGc Law for thc follorving remn (Se.7031.5 Businss and Profsion Code): Any City or County which rcquire a pomil to comtruct. alta. improvq dcmolish or rcpeir any' slructure. prior to ils isuance. also require thc applicant for such pemit to filc a signcd statmot that he or shc is lic6*d puNuut to thc provisioG of the Contraclor's Liccnscd tarv (Chapt6 9. Commcncing with Scction 7000 of Division 3 of thc Buinm and ProfessionsCodc)orthathâ‚¬orshcisexcmptthqcliornandthebroisfortheallegedexmplion. AnyviolationofScctionT03l.5byany appticant for a pmit subjects the applicant to a civil penalty of not more thm five hundred dolltrs (5500). -1. I owns of thc ptropâ‚¬rty, or my cmploye wilh wagc o their sole compmation. will do thc wort md the structm is not intmdcd or offqcd for elc (38.7044. Busine ud Profeiom Codq Thc Contraclor's Licosc law do6 not apply to il ou,no of thc property who builds or improvs tluotr and who do6 such *ort hiruelf or hwlf or thrcugh his or h6 om mploye6. providcd thal such improvffits rc rct intodcd or oflqcd 6r sle. lf. howd6. the huiHing or impror'fiEnt is rcH wilhin onc )a ofcomplaion. thc Oun6 Buiklc will have thc hrdm ofproviog thd he or shc did rct build or improrr fie prcpqty for thc purpos of sh). -1. s omo of thc propcty. m exclusively contracting rvith licmsed contracloE to conslruct thc proj(t (Sa. 7044. Bwines md PrcfissionCode:ThcContractor'sLicenseLawdo6nolapplytoanowncrofpropcflyrvhobuildsorimprovsthcrcon. and who conlracts for such projects with a Contnclo(s) licmsed puBuilt to lhe Contractor's Licmsc Law). I ilrrt crctDll urrdcr Scctiorr . l). & l'.( . li)r lhis rcns()il. ()$ner: rvonxsns' c'oi\rpsxsfl i()N DECLARATION I hoeby affim unda pcoalty ofpojury one oflhc following daluatioro: -l havc and will maintain a Câ‚¬nifrcalc of CoGfit lo Sclflmure for rwrkc' comperoaion. u pretidcd for by S6tion 3700 of thc labor Code for thc pcrfomuce of the work for which thc p6mil ir isued. the hareandrvillmaintainworkqs'compemationinsurance.6 requiredbySrclionST00ofthet,aborCode.forthepafomanccof work for N,hich lhis pennit is issued. My cornpensation insurance can'icr md policy nrrnbcr uc: tt/t * Policy -l certiry that in thc pafomance of thc work for which this pqmit is issued. I shall not onploy any pssn in sny mmn( * c to bccomc subjct to the $od(6' compâ‚¬nstion las,s of Califomia. and agre that if I should bccomc subjm to the *ork6' compen$tion provisioro of Section 3700 of thc Lsbor Code. I shall. fonhwith comply with thos prcvisiom.. WARNING: Failurc lo sure Norkqs' compo$lion covmge is unlarvful. and shsll subjst m mployu to oiminal poahie and civil fines up to one hundred thousud dollaB ($100,000). in addition to lhe cost of cornpcnsation. dmaga o providcd for the Seclion 1076 ofthc inlere( and athmsy's fe6. LI('ENSED CON'I'RA("TOR DECLARA'I'ION I hercby aflirm undo penalt)'ofperjur.v thal I an licersol undo Jrovision of('hapls 9 (conxnencing vilh S(lion 7000) ofl)i\ ision 3 of lhe l]usinss and Profssions Code. md mr license is in frrll force od effst. ba7 ?g=License Numbo: ( otrlrtrclor: - CONS'TRUC'I'ION LENDINC ACEN(:Y I hoehy aflirm undo penalty of periurf that lhs'c is a conslruclt)n lendirrg agency- for thc psfonnailce ofthe \york for s,hich this fmnit is issued (Sec. .1097. ('i\,. (-.). Lend$'s Namc: tands's Addrs: APPLICANT DECLARAl'ION I haetry allirrn under poalty ofperjury one ofthe follo\r'inB declarations: Demolilion Permits-Asbstos Notification lfederal Regulations ('t itle 40. Par16) Required l.elts of Notification I cdify that lhe fedsal regulations regoding ubolos rqnoval are nol applicable to this prcjst. I cgtify lhat I havc rad this applicalion ild statc that thc above infonnalion is corect. I agrâ‚¬ to comply with all City and County ordiranc6 ud Slatc IAvs rclating to building construction. and hscby authorize reprBmtalive ofthis abovc mdtioncd prclEfly for Applicot or Agot Si8nsturc: Pmile nanc ( _ Datc:);i/z* Appliances lVletal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room / Clothes Dryer Residential Ranqe Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release It J r,? FINAL v q /0 uu ttu *r -/ Nofes, Rpmarks, Etc. , k â‚¬(Ls Lr*tt I I Carier: