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Home My WebLink About40134806 - PermitProiect Address: 3401 S Timber Sta Assessor's Parcel: 410-161-06 Lot: 19 Unit: Block: NA Bldg: Tract 7002 Address Range: Historic: No Suite Range. Zoning: R1 City of Santa Ana Permit Counter: (714) 64 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 7-5800 lnspection Requests: (714) 667-2738 Section: (7 14) 647-5853 Mechanical Permit #:4O1348OG Pin #: 90760 Owner: Address: Charles J Welman 3401 S. Timber Street Santa Ana, CA 92707 01 1 16002 51604 01 1 1 6002 51 60C 01 1 1 6002 51 604 01116002 5777C Fee Type Heat Pump General Plan Update lssuance Microfilm Records Amount 97.17 23.79 59.30 4.05 Qty 1.00 1.00 1.00 1.00 Fee $97.1 7 $23.7e $5e.30 $4.05 $?3 .79 $156.47 $4. Lt:, $4S6.96 Phone: Tenant Name: Contractor. Address: Owner-Builder Phone: State Lic #. Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Bntch+:56112 8/6/2lr?r-r ID: {:CUELLAF: 0f f ice: (:TYH Trnns* i 1 1 of' 3Acct*: Reft: +tll3rrSt-16 Rcpt*: (r3tt253g4 g/ 6/2lt2lt S: llr An Tronsqct ion Totql $+86 .?6 (:h nr I es J tle I Jrrnn a Genernl Plon Updctte Fee trl 1 160[12- .:l6tt0(tfi0- llethsn i cq I 0l I 160[12 - 51 6Lt400U- Fl icrof i ln & Documents 01116002- 17770U[0- I (:L Check (l0l.rll002? 16 a 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 A/C unit Graham, Jeffery Zuniga, Allissa Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: lnstallation of A/C unit. Fee Total Paid to Date: Balance Due: Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cMc 2019 08t05t2020 08106t2020 Account# 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 fhe sife by such permitis suspended or abandoned for a period of 360 days afterthe time the work is commenced. lnspector lVlD#: 2019-151456 01 1 16002 51600 01 1 1 6002 51 604 01116002 57770 $23.7e $156.47 $4.0s $184.31 $0.00 $184.31 MECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNERBUILDENDELCARATION 'I hcrctry affum under pcnrlty of perjury thd I m cxcmpt frcn thc ContrrctoB' Liccns liw for the following rcamn (Stc.7031.5 Business ard Prof6sion Code): Any City or County vhich rcquircs a lEmil to anstruct. slts. improrc. dcmlish or rcpsh rny struclurc, prin to ils issumc, als rcquiffi the spplicant for such pcmit k file a signcd statcmnt thal he or she is licensd pur$arl to thc prcvisions of the Contractor's Licensd bw (Chapter 9, Commcrcing with Scction ?(x)0 of Division 3 of the Business rnd PrcfessionsCode)orthatheorshcisexemptthrcfromandthcb&sisfortheallcgcdexcmption. AnyviolationofscclbnT03l.5bysny applicant for a pcrmit subi{ls lhe applicant to a civil peulty of ret mrc thrn five hudE{ dollus ($500). -1. as owncr of the propcrty, or my cmployees with wages as thcir sole compcnsation. will do the work and the structure is not intendcd or offcred for sale (Scr.7044. Busincss and Professions Code: The Contractor's Liccnse l-aw does not apply to an owner of the proprry who builds or improvcs thersrn. and whcl does srrch work himself or hersclf or through his or her own employees. provided that such improvenrnts are not intendcd or offered for sah. lf. tro*'cver. the building or improvenrcnt is sold within one )car of complction. thc Owner Buildcr will have thc burdcn of proving lhat he or shc did not build or improve the property for the purposc of sah). -1. as owncr of the propcrty. am exclusivcly conlracting with liccnscd contractors to conslruct thc projcct (Sec. 7M4. Busincss and Profcssion Codc: Thc Contractor's Liccnse Law does not apply to an owner of propcrty who builds or improvcs thcrcon. and who conlracts for such projccts with a lo thc Conlraclor's Liccnsc Law).\ -l am I hcrchy affirrn undcr penalty of pcrjury onc of thc firlkrwing -l have and will maintain a Certificate of Conscnt to Self-lnsurc for workers' compensation, as provided for by Scction 3700 of the l-abor Codc. for the performance of the work for which the permit Ls issucd. -l have and will maintain workers' compensation insurance. ns rcquired by Scction 3700 of the Labor Codc. for thc performance of the work for which this permit is issued. My workcrs' compensation insurance carrier and plicy numhcr are: Policy a _l ccrtify that in the Jrcrformancc o[ the work for which this pcrnrit is issued. I shall not cmploy any pcrson in any manner so as to becomc subject to thc workcrs' compensation laws of California. and agrce that if I should bccomc subject to lhe workers' cornpcnsalion provisions of Section 3700 of the L-abor Codc. I shall. forthwith comply with those provisions.. t WARNING: I:uilurc to sccurc workcrs'lnrl slt:rll suhject an crnploycr to criminal pcnaltics and compcnsution. danragcs as providcd for thccivil fines up to lhousarttl dollars thc cost of Scclion intcrcst and I I hercby affirm under pcnalty of perjury that I am licensed undcr provision of Chapter 9 (commerrcing with Section 7000) of Division 3 of the Business and Professions Code. and my liccnse is in full force and ctfcct. License Class: License Number: I ):rlr' ('olrl r:rt'lor CONS'IRUCTION LENNTNG A(;ENCY I hcrchy aflirnr undcr pcnally of pcrjury lhill lhcrc is o ()nslructi(il lcnding ilgcncy tbr thc Frfornuutc of lhc work tirr which this ;rcrrnit is issucrl (Scc. 1097. Civ. C.). l,cndcr's Namc: l-cndcr's Addrcss: APPI ICANT NT'CLARATION I lrn:by alfirrn unclcr pcnalty of prjury onc of thc following dcclarations: Dcrnolition Pcrrnits-Asbcstos Notification Fcdcral Rcgulations ('l'itle 40. Part6) -Rcquircd lrltcr of Notilication -l certify that lhe fedcralrcgulations rcgarding asbcstos rcnmvalarc not npplicablc to lhis projcct. \ t ""rtirythat I haveread this lhat thc atxrvc information is correct. I agrcre to comply with Courrly ordinanccs and State laws abovc mcntioncd property for Applicant or Agcnl Pcrrnitcc namc (print): ailhorize reoresentalives.\of this City to u;xrn thc Appliances t\Ietal Fire Place Evaporative Cooler Furnace Compressor [t/isc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors Installed 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 t -tr-t FINAL I U lvYL)/wb Notes, Remarks, Etc. a D - Carrier: Exnircs: IS Dalc: