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Home My WebLink About40135191 - 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.{35{9{ Pin #: ESOOG lLr Proiect Address: 2639 N Oakmont Ave-a- Assessor's Parcel: 396413-01 Lot: 48 Unit: Block: NA Bldg: Tract: 4226 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Corrine McDonald 2639 Oakmont Ave Santa Ana, CA 927056743 (7141 469-8768 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Range Fan General Plan Update lssuance Microfilm Records Amount 34.80 23.79 59.30 4.05 Qty 1.00 1.00 1.00 1.00 Fee $34.80 $23.79 $59.30 $4.0s Phone: Tenant Name: Contractor: Address: Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: 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 Alteration Kitchen remodel Chavez, Dave Occupancy: Constr Type: Code: Date: Date: Date: R-3 VB cMc 2019 01t04t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Mechanical for kitchen remodel. Fee Tota!: Paid to Date: Balance Due: n (,t J 101104212 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.7e $94.1 0 $4.0s $121 .94 $0.00 $1 21 .94 Every permitissued shall become invalid unless the work on the site authoized by such permit is commenced within 360 days after its issuance, or if the work authorized on fhe site by such permit rs suspe nded or abandoned for a period of 360 days after the time the work is commenced. , lnspector MID#: 2020-1 60499 \ MECHANICAL-INSPECTOR RECORD APPROVALS DATE !D/SIG.COMMENTS OWNER BUILI'ER DELCARATTON I hmby affm undr paalty of pcrjury that I m qmpt fiom the Contr.ctoB' Licens kw for thc hllowing @tr (Ss.7031.5 Buine ud Prcftssion Codc): Any City or Couily which rcquiro a pa'mit to co$truct. altc. imprcve danolish or rcpair my stmclut!. prior to its iswcc slso rcquiB thc eplicur for such Froil to filc a signcd stsimat thar hc or drc b licascd pwam to thc FovisioN of thc Contnctor'! Lienrd Law (Chspt6 9, Comcncing with Sction 7000 of Division 3 of thc BwhB ed Profcsioc Codc) u that hc or 3hc is aqnpt thqc&om ud thc basis for thc allcgcd uoptiotr. Aoy violstio[ of Sdbn 7031.5 by my applicutforapqmitsubjeBthc rpplicettoacivilporltyofnotmorcthefivchundrcddollm($500). ItlL t.* omaofthcpmpcrry.ormymplo)6withwag6sthcirslcompcrsstioo,sdldothcw*edtbcgndmbmt- htqdd or offcrcd for salc (Se.7044, Buine ud Profesioro Code Thc Contnc{or's Licmc Law do6 not apply to m oMa of thcFoFty whohrildsorimpouthaa[{dwhodo6shwr*hirelforhffilforthmughhisorhrommploy6. Fovidcdthatsuch impnowmrtsrcrcthtcdcdqofucdbrslc. l[,how.thchriHitrgorinprcmtispEwithinorc]6 of omp!*ion, thc Ownq Buildq will harc thc burda of proving ilra hc or shc did mt build or imprcrc thc propsty &r thc purpos of sh). -1. as owner of the propefly. am exclusively contracting with licensed contractors to construct the project (Sec. 7U4, Business and Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law). -l am exempt under Section-. B.for this reason. I hereby afTinn under penalty of perjury one of the follorving -l have and will maintain a Cetificate of Consent to Self-lnsure for workers' conlpensation, as provided for by Section 3700 of the Iabor Code, for the pcrformance of the work for which the permit b issued. -l have and will maintain workers' comperuration insurance. as requircd by Section 3700 of the Labor Code, for the performance of the work for which this pcrmit is issued My workers' composation insurance catrier and policy numhr are: Policy Number: Exllires: Wrcediry that in the performance of the work for which this pcrmit is issued. I shatl not employ any person in any manner so as to become subject to the workcrs' compcnsation laws of California" and agree that if I should become subject to the workcrs' compquation provisions of Section 3700 of the tabor Code. I shall, forthwith comply with thosc provisions.. WARNING: Failure to secure workers'compensation covemge is unlawful. and shall subject an anployer to and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of the Section 3076 interest and attorney's fecs. ,l \ I ICF'NSF'N CONT]TACTOR DECI ULITION I hereby affrrm under penalty of perjury that I arn licensed under provision of Chapto of the Business and Professions Code. and my liccnse is in full force and effect. a. 9 (cornrnencing rvith Section 7000) of Diiision -1 License Class: License Number: W I hercby aflirrn undcr pmalty of perjury that thse is a construction lending agcncy for thâ‚¬ perfomilce of thc Nork for uhich this fmnit is issued (Str. 3097, Civ. C.). Lender's Natrle Lender's Address: ,r,cANr ""cr .RAt I hâ‚¬reby affirm under penalty of perjury one of the following declarations: Demolition peimits-esbcstos Norilication Federal Regutations (Tirle 40. Part6) -Required Letter of Notification _l cerli& that the federal regulations regarding asbestos rernoval are not applicable to this project. %-t certiry thar I have read this application dd state that the above information is correct. I ordinances and State Laws relating to building construction. and above rnentioned property for inspcction Applicant or Agent Permitee name the Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer I lt /. Residential Range ,l -lldl &ftlttrt tgbK Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar I An ^A, Rough Mech.u I rilt vp6l,lw)ud5 Final Test I Meter Release FINAL 'ril-21 '116,,l#L4fr Notes, Remarks, Etc. nw A Canier: (lontrrclor: