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Home My WebLink About40133961 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Mechanical Permit #:4Ol 33961 Pin #: 9061 5;r Proiect Address: 2618 W Huckleberrv Rd Assessor's Parcel: 101 -122-09 Lot. 10 Unit: Block: NA Bldg: Tract: 1369 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone Julie Tran 2618 W Huckleberry Rd Santa Ana, CA 927062107 (657) 257-9585 Fee Type 01 1 16002 51604 Bathroom Fan 01 1 16002 5160C General Plan Update 01 1 16002 51604 lssuance Amount 31 .72 22.95 57.20 Qty 1 .00 1 .00 1.00 Fee $31 72 $22 e5 $57 20 *22.95 $s8 .92 i74tt.lr7 Tenant Name: Contractor: Address. Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Bo[ch$:52032 - 9/16/2fi1?. ID: CCUELLAfi Office:CTYH Tronsl:lStl 2of 5Acct*: Refi: 4fl133?61 Rcpti:tt2749853 ? ?/I6/2ttI9 3:?1 PH Tronsoct ion Totol S7{0 .r-t7 JUI i e Trnn a Generql PInn Updnte Fee r.r1 I 16[102- 516r.r0u0tt- Flechon i co I 0l I 16002- 51604008- ICL Check 0991 Building Use: Job Type. Nature of Work: Single Family Dwelling Addition Addition Occupancy: Constr Type: Code: Date: R.3, U VB cMc 2016 Planning Conditions: Planning Approval By. Plan Checked By: Permit lssued By. Subject to Field. Buildins Permit #: 1 01 1 01 0 23 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 fhe sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. M," Zuniga, Alliss$ Date: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Mechanical for addition Fee Total Paid to Date: Balance Due: 09/16/2019 Account# 01 1 16002 51600 01 1 16002 51604 $22 95 $88 92 $1t187 $0 00 $11 1.87 lnspector MID#: 2019-153528 M ECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OVYNER BUILI'ER I'EICARATION I lrcby alfrn undc paratty of pcrjury tha I m qmF fDm thc Contr.cloB' Licalc kw for thc following wn (Soc.7031.5 Buins and hofeioo Codc): Any City or Counry which rcquire a pcmit to @nstBct. dts. improvc, &trolbh or rcpat ey structuqprbrtoits iswcc,alsorcquirothcapplicutforsuchp<mittofilcaaigncdstatm@t thahcorshcblicoscd puman to thc prcvisioro of thc Contractor'! Lienlcd Law (Chapt6 9, Commmcing with Sction 7000 of Division 3 of thc Buine md Prcfeiom Codc) or thrt hc or shc b qmpt thqciom ed thc bais for thc allcgcd amption. Any violatioo of Sction 703 1.5 by my applicmt for a pcrmit subjcr thc pplicmt to E civil pmlty of not morc the fivc hudrcd dollm ($500). _I. u ma of thc prcpoty. or my coploy€ with wag€ I thcir olc ompasaion will do tlE wort ed thc stucrw b mt intqrdcd or offcrcd for slc (Sc.?044. BBiB ud Profeior Codc: Thc Conlnctq'r Lic@ trw do6 rct apply to e ow of thc propqty who hrildr or imForc thaoq ad who &c $crh wtt himclf or hgslf or thrcugh his or h6 om oployccs. providcd that such imFomts e mt intadrd or offrcd for slc. l[ how, thc tuiHing or improwt fu eb within onc ]€r ofcompldioD, thc Own6 Buikk will haw thc h[da ofproving tha hc or shc dkl not buiE or inprovc thc propdty &r thc purporc of slc). -1. as owner of the propcrty, am exclusively contracting with licerued contractors to construct the project (Sec. 7M4. Bwiness and hof€ssbn Code: The Contractor's License Law does not apply to an own€r of property who builds or improves thercon, and who contracts for such projects with a Contraaor(s) ticensed puniuant to the Contractor's License law). _l am B.&re99!l.._ I hereby affrrm under pcnalty of perjury one of the following -l have and will maintain a Certificate of Consent to Self-lnsure for workers' conlpensation, as providd for by Scction 3700 of the Labor Code for the performance of the work for which the permit is issued. -l have and will maintain workers' comperuiation insurance. as requird by Section 3700 of the Labor Code, for the pcrformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policv Number: Exoircs: -l certi& that in the performance of the work for which this perrnit is issued. I shall not employ any person in any manner so asi to become subject to the work€rs' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall. forrhwith comply with those provisions.. WARNING: Failure to secure workers' compensation cot'erag,e is unlawful. and shall subject an onployer to crirninal parahies and in addition to the of compcnsation. damages as provided ltr the Section 3076 of the lJbor Code. r$teresl ,rr", q /lf lq and / ( -l / I hereby affirm under penalty of perjury that LTCENSEDCONTRACTOR --. ng.l q, rt I am licensed under provision of Chapter 9 (commcncing with Secrion 7000) of Division 3 of the Business and Professions Code. and my liccnse is in full force and effect. License Class: License Number: CONSTRUCTION T -TiTDING ACENCY I hacby affm unda Fulty of pajury thd th@ b E @ndructiu landirg agocy for thc pqbmcc of thc wk for which thb psmit b ilsucd (56. 3097. Civ. C.). Lender's Address: - ,pI tc N" "FC, . R T I hereb}, affirm under penalty of perjury one of the following declarations: Demolition Pcrmits-Asbcstos Notification Federal Regulations (Title 40. Part6) -Required Letter of Notification -l certi! that the federalregulations regarding asbestos removalarc nol applicable to this project. -l certify that I have read this application with all City and County and County to ent€r upon theordinances and State laws relating above mextiond property for ( Applicant or Agent Permitee name Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings Installation F.D. Drop Test Above Hard Lid Above T-Bar I I Roush Mech. /0/ t / lq ru{z /r Final Test Meter Release I €*) FINAL Itgl/*l A'Y Notes, Remarks, Etc.rf t l)atlr-)ar- hundred thousand Lender's Name:/ -ltq -^ r t.*9., U