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Home My WebLink About40134194 - Permitcity of santa Ana 20civiccenterPlaza(M-19), santa Ana,cA92702 Mechanical Permit #:40134194 Permit Counter: (714) 647-5800 lnspection Requests'. (714) 667-2738 lnspector Section: (714) 647-5853 Address Range: Historic: No Pin #: Suite Range: Zoning: Rl Project Address: 823 S Hickory St Assessor's Parcel 01 1-095-14 Lot: 9 Unit: Block: C Bldg: Tract: 649 Owner: Address: Phone: Tenant Name: Contractor. Address: Phone: Margarita Ayala 823 S Hickory Santa Ana, CA 927016041 (7141 308-0176 Reliable Energy Managemel 7201 Rosecrans Blvd Paramount, CA 90723 (800) 6924011 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01 1 16002 5777C Fee Type Amount Wall Heater/Floor Furna 68.14 General Plan Update 22.9s lssuance 57.20 Microfilm Records 3.91 Qty 1 .00 1.00 1.00 1.00 Fee $68.1 4 $22.9s $57.20 $3.e1 , State Lic #: 704414 Lic Type: C-36, B, C-20 Bus. Lic #: 189601 Workers' Compensation lnsurance:Carrier: Travelers Property lnsurance Policy #: UB9K07110A1826 Expires: 0412912020 Bobchi:53156 - LI/23/2t119 ID: om Off ice: CTyH Tronsii I2g 2Acct*: Ref*: 41J134 Rcpti:028136{8 lL/25/21119 1:tt$ Tronsoct ion Totol $31J4.4 Rel iqble Enersg l{anosement In,: Notes:located in living room 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 SHernandez, Kathy Occupancy: Constr Type. Code: Date: Date: Date: R.3, U VB cMc 2016 11t2512019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 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 afterthe time the work is commenced. 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $22.e5 $12s.34 $3.e1 Fee Totat Paid to Date: Balance Due: $1s2.20 $0.00 $152 .20 lnspector MID#: 2019-156108 M ECHANICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hqcb affrm undo pcnalty of pcrjury thst I m crmpt ftom thc Contnctos' Licffi t w for thc following ren (Sc.7031.5 Buincs and Proftsion Code): Any City or County which rcquirc a pamh to corotruct, alt6, improvc &rnolish or rtpair uy structuq prior to its isuucc, rlso rcquirc thc applicmt for such pcrmit to filc r signcd statmdt thal hc or shc b lic$cd pwant to thc provisiom of thc Contractor's Licascd trw (Chafla 9, Commcncing with Sction 70fi) of Division 3 of thc Buin* ed Prcfssions Codc) or that hc or shc is cxâ‚¬mpt thcrrfrom md thc b6sis for thc allcged amptio[ Any violatioo of Scclion 7031.5 by sy applicant for a pcmit subjBts thc applicel to a civil pf,ally of nol morc tha fivc huodrcd dollm (S500). _t. as owner of the property. or my employees with $'ages as their sole cornpensation. s'ill do the rvork and the struclure is not intende<l or offered for sale (Sec.7044. Business and Professions Code: 'l'he Contractor's l-icense las'does not apply to an orvner of the progloly s'ho builds or improves thermn. and u'ho does such \r'ort himselfor herself or through his or her ou'n employees. providcd that such improvernents are not inlsrded or offered frrr sale. ll. hos'ever. the building or improvernenl is sold rvithin one y'ear of conrplction. the On ner tluilder will have the burden of proving that he or she did not btrild or improve the propo1y for the put'pose of sale). _1. as o\\'ner of the property. arn exclusively contracting s'ith licensed contractors lo constntct the Jnoject (Sec. 7044. Businers and Prnftssion Code: The Contractor's License Las' does not apply lo an o$'ner of property u'ho builds or improt'es thereon. and rvho contracts lor such projecls rvith a Contracto(s) licensed pursuant to the Contractor's l,icense Law). -l am exempt under Section- -. B. & P.C. for this re&son. Date: _ Owner:_ WORKERS' CONI PENSA'TION DECI,ARA'IION I hereby affrrm under penalty of perjury one oIthe follorving cleclarations: _l have and s'ill maintain a Certilicate of Consent to Self-lnsure for s'orkers' cotnpensation. as provided for by Sec'tion 3700 of the l-abor Code, for the perfonnance of the work for rvhich the pennit is issucd. 4 the have and will maintain rvorkers'insurance. as by Section 3700 of the labor Code. for the performance of carrier and policy numh are:rvhich 'xpires: jJ-L"2ldPolicy _l cerrify that in the performance of the rvork for rvhich this grrmit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workets' compensation provisions of Section 3700 of the labor Code. I shall. forthwilh comply rvith those provisions.. \ WARNING: Failure to secure workers' compensation coverage civil fines up to one hundred thousand dollars ($100.000). in is unlawful. and shall subject ur onployer to oiminal penahies ,tnd addition to the cost of compensation.damages as provided for the attorney's fees. LICEN SED CON'I'RAC'I'OR DE(ILAR/tI'l()N I hereby alTirnr under penalty of periury that I arn licensod undcr provision of Chaptcr 9 (ct'rtnmencing rvith Seclion 7000) of Division .l of thc Business and Prof'essions ('ode. and my license is in full force and effect. License ,",.,tt [t<lto( W I hrcby aflim undr penalty of pqjury that th6c is a construclion lilding agmcy for thc perfomocc of thc s'ork for rvhich this pcmit b issucd (Sc. 3097. Civ. C.). l.crrtlt'r's Narnc Lendcr's Addrcxs: &ErcAII.DECIAEAIIO! I harbyalfrm unda pcoally ofpsjury one ofthe following deluations: Demolition Pmits-Asbcstos Notirication Fâ‚¬dml Rcgulations (Title 40. Pan6) -Requircd lrtls of Nolifi calion -l cdify thd thc fcdral rcgulatioro rcgrding rbetos rmoval rc not applicsble to this prcjâ‚¬r. _l ccrtifythat t have rad this application ild statcthat thc atnvc infomation is corcl. I sgre to smdy wilh sll City 8nd County ordinancG and Statc tsw3 rclatirg to building coNtruction. atd hseby authorizc rcprffitalilc of this City md County to 6lq upon thc above mentioned property for o,r",\tlcs/qApplicant or Agent Pennitee name I Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled l-22-?o s*2Dr\ Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release FINAL /-?'l-?)*4 lâ‚¬? Notes Remarks Etc. ;::"fituffiTq Applicant:- -Lic< Nconrracro,,K'8f;31[ *r-rl