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Home My WebLink About40134357 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:40134357 Pin #: 98{3-6 f2/V Proiect Address: 1414 W Tenth Sta Unit: Block: NA Bldg: Tract 1262 Address Range: Historic. No Suite Range: Zoning: RlAssessor's Parcel. 004-1 22-22 Lot: 15 Owner: Address: Maria Escobedo 1414 W 1oth St Santa Ana, CA 92703 (7141 80e-2507 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01 1 16002 5777C Fee Type Furnace General Plan Update lssuance Microfilm Records Amount 68.1 6 22.95 57.20 3.91 Qty 100 1 .00 1 .00 100 Fee $68.1 6 $22.e5 $57.20 $3.e1 Phone: Tenant Name: Contractor: Address: Peach Home Services LLC c 532 Malloy Court Corona, CA 92880 (951 | 737 4141Phone: State Lic #: 1047781 Lic Type: C-36, C-20 Bus. Lic #. 364630 Workers' Compensation lnsurance: Carrier. Federal lnsurance Company Policy #: 54309850 Expires. 1210112020 Building Use: Job Type: Nature of Work: Single Family Dwelling Miscellaneous Mechanical Occupancy: Constr Type: Code: R-3 VB cMc 2016 Notes: Mechanical Planning Conditions: Planning Approva! By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: web $1user \ Date: Date. Date:01t06t2020 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 after the time the work is commenced. N/A - No Balance N/A - No Balance Fee Total Paid to Date: Balance Due: $152 22 $152 22 $0.00 lnspector rurD#'. 2020-1 56939 M ECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hereby affum unds penrlty of perjury that I m cxcmpt from the Contrrcto6' Licenw Law for thc following @sn (Ss.7031,5 Busincss ard Pmfcssion Codc): Any City or County vhich rcquircs s pemit to @nsirci, dls. imprcrc. dcrmlish or rcpoir any struchre, prior to its isswre, slso requircs thc applksnl for such Fmit to fih 8 sigred stslcmnt thar hc or shc h liensd puNanr to the pmvisioni of tlE Contmtff's Liccnrcd lrw (Chapter 9. Comrcrcing with Section 7m0 of Divisbn 3 of the Busincss and PrcfessionsCode)orthsthcor$heiscxcmptthcrcftomlndtlEbosisforthesllegedexemption. AryviolsthnofscctionT03l.5byrny rpplicont for I pcmit sublrcls thc spplicsrl lo a civil pemlty of mt mrc than five hundrcd doll(s (5500). -1. as owner of the proFrerty. or my employces with wagcs as thcir solc compensation, will do the work ud thc stnrcturc is not intcndcd or offered for sale (Sec.7044, Business and Professions Code: The Contractor's Liccnse l.aw does not apply to an owner of the progrerty who builds or improvcs thercon. and who does such work himself or hcrsclf or through his or her own employccs. providcd that such improvenrcnts are not intcnded oroffcred for sah. If. however. thc buiHing or hpmvenrcnt is soH within orc ),ear of complction, the Owncr Builder will have the btrden of proving thal he or shc ditl not build or improvc the propcrty for the pur;nse of sah). -1. as owner of the property. am exclusively contracting with liccnscd contractors lo construct thc projccl (Sec. 7W. Busincss and Profcssbn Code: Thc Contractor's License Law does not apply lo an owncr of property who builds or improves thcrcon, and who conlracls for such prnjects with a Contractor(s) licenscd pursuant to the Contraclor's License [aw). -lamcxemptundcrScction-.B.&P.C.forthisreason.I1., r -.Jlo,na-' t I hcrchy affrm undcr penalty of pcrjury one of lhc following dcclarations: _lhavcandwill rnaintainaCcrtiticatcofConscnttoSclf-lnsurctbrworkcrs'cornpensation.us providedforhySeclion.lTfi)ofthc Latxlr C-'rdc. for thc pcrformancc of thc work t'or which thc pcrmit is issucd. -l havc and will rnaintain workers' conrlrcnsalion insurancc. as rcquircd hy Sect ion 37fi) of lhc [:bor Codc. for thc pcrformancc of thc work for which this prnrit is issucd. My workcrs' conrJrcnsation insurancc carricr and prlicy numbcr arc: Carricr: Policy _l ccrtify that in thc pcrformance of the work for which this permit is issucd. I shall not cmploy any pcrson in any m&nncr so as to bccome subjcct to the workcrs' comyrcnsation laws of California. and agrec thal if I should bccornc subpct to the workcrs' compensation provisions of Section 3700 of thc Labor Codc. I shall. forthwith comply with thosc pmvisions.. WARNING: Failure to sccurc workers' comgrcnsation covcrage is unlawful. and shall subict an cmployer to criminal pcnaltics and civil fines up to one hundred thousand dollars (Sl0O,(n0). in addition to the cost of compcnsation. damages as provided for thc Scction 3076 of the l-abor Codc. interest and atlorney's fecs. LICENSED CONTRACTOR DECLARATION I hcrchy alfirm undcr pcnalty of pcrjury that I am licenscd undcr provision of Chaptcr 9 (corrrrncncirrg with Scction 7ffru) of Division 3 of thc Business and Profcssions Code. and nty licensc is in t'ull lbrcc and cllcct. Liccrrsc Numbcr: W I hcrcby 8fftrm urdcr pendty of pcrjwy that thm is 8 onstructbn hnding 8gercy for thâ‚¬ prfom of thc mrk fo! whhh ahis pcrmil is issucd (56. 3097, Civ. C.). Lcnder's Name: lrndcr's Address: APPI ICANT DECLARATI()N I hrcby allirm undcr Jrcnalty ol'pcrjury onc of lhc follorving dcclarat ions: Dcrnolition Pcrrnits-Asbcstos Notificaliorr Fcdcral Rcgulations ('l'itlc 40. Parl6) -Rcquircd Lcttcr of Notificalion -l ccnify lhal lhc fcdcral rcguhlions rcguding asbcskrs rcmvul arc not dpplicilhlc Io lhis p(rjcct. _l ccflity thnl I havc rcd this application and slalc that thc trtnvc inlonMtion is co[ccl. I agrc lo comply wilh all Cily and Counly ordinonccs Bnd Shlc Laws rclating to building constructtrn. dxl hcrcby aulhorize rcprcsltalivcs ofthis City and Counly to cnlcr uFrn thc abovc mntioncd prrlxny for inspcction pury[scs. Applicant or Agcnt I )ill(' Appliances lVleta! Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsu Iation Smoke Detectors Installed Rouqh 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 Rouqh Mech. Final Test Meter Release /l -\ FINAL 7 lt ql zt th)12"/ Notes, Remarks, Etc./t Date:-Applicant: (lontracftrr: