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HomeMy WebLinkAbout40135102 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: 4o^{351o.2 Pin #: 98014 Proiect Address: 413 N Linwood Avea Unit: Block: NA Bldg: Tract: 319 Address Range: 411413 Historic: No Suite Range: Zoning: R1Assessor's Parcel: 398-393-13 Lot: 18 Owner: Address: CAROLYN SCHAFFER 413 N LINWOOD AVE Santa Ana, CA 927014326 (7141 6974327 01 1 1 6002 51 604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Amount Furnace/Comp Combo 136.71 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 100 1 .00 100 100 Fee $1 36 71 $23.79 $se.30 $4.05 Phone. Tenant Name: Contractor: Address: Toto Air lnc 12734 Bessemer St North Hollywood, CA 91606 (818) 387-s021Phone: State Lic #: 1057901 Lic Type: C-20 Bus. Lic #: 376825 Workers' Compensation I nsurance:Carrier: State Fund Policy #: 926Z898 Expires: 0111512021 Building Use: Job Type: Nature of Work: Single Family Dwelling Alteration HVAC Occupancy: Constr Type: Code: R-3, U VB cMc 2019 Notes: Replace furnace located in attic Planning Conditions: Planning Approval By: Arias, Fernanda Date: Date: Date: 11t18t2020 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Amsden, Julie 11t20t2020 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 s1604 01 1 16002 57770 $23 7e $196.01 $4.0s Fee Total: Paid to Date: Balance Due: $223 85 $0 00 $223.85 lnspector MID#: 2020-162025 MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors I nstalled Rouqh Ductwork Vents Toilet Room / Clothes Dryer ( Residential Range Other Hood Type I Hood Type Il Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release I I 1-- t FINAL -7,1 9rD v\ry6' II ,\ -/ I hsclry affm unda pcnalty of pcrjury that I m acmpt from the ContractoE' License lrw for th€ follorving IEen (Se.7031.5 Buines od Prof*ion Code): Any City or County which requiG a pgrnit to coGtruct, alta. inprcvc dsrolish or rcpsir my strucluq prior to its isumce also raquirB thc spplicmt for such pemit to filc 8 sigo€d starmot lhar hc or slE is licms€d plNut to thc provbioN of thc Contretor's Licenrd t:w (Chapt6 9. Commcing with Sction 7000 of Division 3 of thc Busirc ad Prcf*ionsCodc)orthathcorshcisqcmptthscfrommdthcbmisforthcallqcdqmption. AnyviolationofSelbnT03l.5bymy applicant for a pcnnh subjcts thc applicmt to a civil pffilty of not morc the fivc hundrcd dollm ($500). -1. as owner ofthe propcrty, or my employees with wages as their sole comperuation. will do the work and the structure is not intqrdod or offerod for sale (Sec.7M4, Business and Professions Code: The Contraclor's Licanse Law does not apply to an owner of the propcrty who hrilds or impnoves thcroru md who does such wort himself or herself or through his or hcr own employees. provided that such impnovarents dE not intendcd oroftrod for sale. I[, howcvcr. the hrilding or iryrovcnrent is sold within one ]€r of complaion, the Orvner Buildcr will have the hrden of pnoving ttra he or she ditl not build or inprove the popcrty for the prnposeof salc). -1. as owner of thc property. arn exclusively contracting with licemed contractors to construcl the pnoject (Sec. 7044. Business and Proftssion Code: The Contractor's License Law does not applyto an owner of property who builds or improvcs thereon, and who contracts for such projects with a Contracto(s) licenscd pursuant to the Contractor's Liccnse l,aw). -l am exempt under Section-. B. & P.C. for this reason. l)qlo'Owner:__lue8KEis'corwrNsr -DECLARATION one of the follorving declarations:I hereby affrrm under penalty of pcrjury 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 thc perfonnance of the work for which thc pennit is issued. have and will maintain 3700 of the Labor Code.for the pcrformance of work for which this and policy number 4 Itslzl _l cerri& that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to bccome subject to the workers'compensation larvs of California and agree that if I should become subject to thc workers' comporsation provisions of Section 3700 of the L^abor Code. I shall. forthwith cornply with those provisions.. WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to oiminal paulties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of Section 3076 of the labor Code interest and attorney's fees. damages as provided for the T TCENSFN CONTRACTOR nrnLtrL{TtoN I hercby affnm undcr pcodtyof ffiury tha I am licensad undcr provision of Chapter 9 (commancing with Scctbn 7000) of Division 3 of the Business and Profcssions Code, and my license is in full force and effect. Nunrber:C-eo (lontraclor:3 W t hotby affim unda pcnalty of pajury tha th@ b I oonructios kding rg6cy for thc pqfoffic of thc wrk for which this psmit b bsu.d (56. 3097. Civ. C.). Lender's Name: Lender's Address: APPI ICANT NECL^ RATION I hor*yatrrmunder penalty of perjury one of the following declarations: Dcmolition Permits-Asbeslos Notification Fedcral Regulations (Title 40. Pafi6) -Required Later of Notificaion -l certi& that the federal regulations regarding asbestos removal are not applicable to this project. certi$that have read this application and state that the above informatit'rn is correcl. I agroe to comply with all City and County rreptresentativcs of this City and County to enter upon theandStateLaws rclating building conslruction. above rncntioned property for inspection purposcs. Applicant or Agent name and hereby authorize ?-O o Notes, Remarks, Etc. Numrrer: qI-GA {QB I (- Applicant:1 =