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Home My WebLink About40135524 - PermitProiect Address: 1802 S Van Ness Avea Assessor's Parcel: 015-042-20 Lot: 1 5, 16 Unit: Block: I Bldg: Tract 531 Address Range: Historic: No Suite Range: Zoning: Rl City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 ' lllechanical Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #:4Oi35524 Pin #: 17878lw Owner: Address: LILIA GUZMAN 1802 S VAN NESS AVE Santa Ana, CA 927072636 (7141 296-7253 Fee Type Amount Wall Heater/Floor Furna TO.O4 General Plan Update 23.19 lssuance 59.30 Microfilm Records 4.05 Qty 1 .00 100 100 100 Fee $70 64 $23.7e $s9 30 $4 05 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01 1 16002 5777C e Phone: Tenant Name: Contractor: Environmental Assessment Address: 223811 Washington Ave. Su Murrieta, CA 92562Phone: (866) 788-3273 State Lic #: 902992 Lic Type: C-36, B, C-20 Bus. Lic #: 377072 Workers' Compensation I nsurance:Carrier: Hartford Fire lnsurance Company Policy #: S7WECDH47S1 Expires: 0612312021 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 Wall Heater Zuniga,A[*v 05106t2021 Account# Occupancy: Constr Type. Code: Date: Date: Date: R-3 VB cMc 2019 Misc. Receipt. Misc. Receipt: Misc. Receipt: Total Notes: Replace wall heater Fee Total Paid to Date: Balance Due: 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 permit rs suspended or abandoned for a period of 360 days after the time the work is commenced. Inspector MID#: 2021-165612 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23 79 $1 29 94 $4 0s $157.78 $0.00 $157 .78 TT Y M ECHANICAL.I NSPECTOR RECORD APPROVALS DATE IDTSIG.GOMMENTS OWNER BUILDER T'ETTARATION I h6cby slfim unda paulty of pcjury thst I @ 6cmtr 6om thc ConbrtoE Licw Lrw for thc following wn (S*.7031.5 Buinss ad Prcfssion Codc): Aay City or Crunty wtich rcquiro a panit to on$rucq alta, improvc, rhmlirh or rcpair my structur. p(br to its isswc., also roquic thc applimt for $ch Fmit to filâ‚¬ E sigoâ‚¬d statmt thd bc or !t3 i3 licascd ptmant to thc provbioro of thc Contractq'r Liccnscd L:w (Chapc 9, Comacitrg with Sctioo 7000 of Divisioo 3 of thc Buirc md PrcfsiomCodc)orthsthctrshcisqmptth6â‚¬&omedthcbosisforthcsllcgcdqadion. AnyviolationofsctbnT03l.5ryay appli@t for a p6mit subjets thc applicmt ro a civil porlty of mt morc the fivc hundrcd dollm ($500). -1. c omc of thc pmpqty, or my mph,6 with wag6 a thcir olc omposaion will do thc wort ad rhc strd@ b mt intodcd or offacd for slc (Sc.7044, BuiB ud Pmfeioro Codq Thc Cotrsclocs Licffi Law do6 not apply to m omq of thc propqty who hilds or irqrou thgEn ad who ds sh wrt hirelf or hffitf or thmugh his or h6 om oplolccs. prcvidcd that swh imprcvqmil! rc mt intadcd u olEcd br sb. It howqs. tlrc tuiHirU q irqrovgMi b $ld wthin orc ya of onplaion thc Ovm B[iEa will harc thc hndgr of FoviDg thd hc or slE did mt buiH or imprcvc thc pmpoty Sr thc purpos of sL). -1, 6 om6 of thc Fopsty. u scluiwly contreling with licasâ‚¬d @otratoE to @rdMl thâ‚¬ pioj61 (Sc. 7044. BciB ad Profusim Codc: Thc CortBctor's Licmc Law dc mt spply lo u omq of prcpqly who builds or imprcv6 thq@D, ud who @ntEcts for such Fojets with 8 Cotrscto(s) licascd p8usrll to thc CoilBclor's Licw L:w). -l m cxcmpt udo setion- B. & P.C. for this lwn. Owner: DECLAITATION I hercby affinn under penalty of perjury one of the following declarations: _l have and rvill maintain a Certihcate of Consent to Self-lnsure for workcrs' cotnpensation. as providd for by Section 3700 of the L^abor Code. for thc performance of the work for which the pcnnit is issued. -l have and 3700 of the Labor Code, for the pcrformance of the work for and policy number are: 7SPolicy t -l ceti& that in the performance of the work for which this permit is issued. I shall not employ any in any manner so as to become subject to the workers' compcosation laws of Californra and agree that if I should become subject to the workers' compensation provisions of Scction 3700 of the Labor Code. I shall. forthwilh comply with thosc provisions.. a a WARNING: Failure to sccure workers' compensation covcragc is unlawful. and shall subject an anployer to criminal penalties and civil fines up to onc hundred thousand dollars ($1ryrcOO), in addition to the cost of compcnsation. damages as provided for the-itrSection 3076 interesl- LICENSED CONTRACTOR DECII\RATION I hoeby aflirm undcr penalty of pcrjury that I am licâ‚¬oscd under provision of Chaptc 9 (commencing with Section 7000) of Division 3 of the Business and ho ssions Code, md my liceosc is in full force and effoct. c20 A 4oz-qqLLicenseNumbcr: W I h@by sffm mdcr paalty of pcjury th8t th@ b I sns(ruction hding agacy for thc pafomc of thc wort for which this psrnit is isucd (Sc. 3097, Civ. C.). Lcttrlt't 's Nirntr.:: Lender's Address: APPLICAI{T DEC I.ARATION I herl*y affinn under penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Fcderal Rcgulations (Title 40, Part6) -Requ ired Lrtter o f Notification -l certi& that the federal regulations regarding asbestos removal are not applicable to this project. \ -l certi& that I hh rcad this applicarion and state that with all City and County and County to erter upon theordinances and State l-aws relating above mentioned property for Applicant or Agent Pennitee name fc 2/ Appliances Metal Fire Place Evaporative Cooler I ^-"- Furnace T lLlzt Ft{7) Compressor tl Misc. Equipment Duct Work Pre-lnsulation Insulation Smoke Detectors !nstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Ranqe Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech Final Test Meter Release /l FINAL '1 lt- ht Ld91 Notes, Remarks, Etc.I Date:_ ,