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Home My WebLink About40135974 - Permit)'City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 Permit #:4(J{35974 Pin #: 31785,/re Proiect Address: 141 3 E Avalon Ave-a- - Assessor's Parcel: 396-071-08 Lot: 15 Unit. Block: NA Bldg: Tract 6374 Address Range: Historic: No Suite Range: Zonrng: Rl Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Jon Stuemke 1413 E Avalon Ave Santa Ana, CA 92705 (7141 420-e602 Power Saver Systems 1860 E Mira Loma #B Tustin, CA 92780 (7141 524-2665 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01 1 16002 5777C Fee Type Amount Furnace/Comp Combo 136.71 General Plan Update 23.19 lssuance 59.30 Microfilm Records 4.05 Qty 100 1 .00 1 .00 1.00 Fee $136.71 $23 79 $se 30 $4 05 $23 .79 $4 , [t5 $196.[tl $5tt9 .7Ct State Lic #: 343146 Lic Type: C-20 Bus. Lic #: 378736I Workers' Compensation I nsurance:Carrier. Norguard lns) Policy #: GRWC2996S1 Expires: 0111012022 Botch * : 605rr(r - s/26/ 2t:r2l I0 : EL I ZABETH Off ice: (:TYH Trnnsi:2S 2 of 3Acct*: Ref*: 4t1135?74 Rcpti:033974tt4 - g/26/2tt?1 11:29 An Tronssct i on Totn I t50? , 7ll Power Sover Ss st erns Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approva! By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous HVAC Machado, Miriam ryr e c rr #i*#t{U Vie i'ii'itt[m e n t. General PIon Updnte Fee 01 I l6tl02- 5l6t-ttt0tllJ- ll icrof ilm & Documents Lrl 1 16ttlt2- 51 6(r4ltr.l0- I (:L Check t-11721 6 Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cMc 2019 Zuniga,o,,,rr\, 08t26t2021 08126t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total Paid to Date: Balance Due: Every permitissued 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 site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23 7e $1 96 01 $4 0s $223.8s $0 00 $223.85 Inspector MtD# 2021-168459 M ECHANICAL.INSPECTOR R ECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcreby affum undcr pemlty of Frjury thal I m cxcmpt from the ContrctoE' Liccns kw for the following rcen (Scc.?431.5 Busincss ond Prcfcssion Codc): Any City or County which requircs 8 pemit to construcl. aller, imprcvc, demlish oi rcpairrany structw, prior to its issuance. als rcquires the spplicant for sch pcrmit to frlc a sigrcd ststcmnt thsl hc or slE is liensd pusril to $c pmvisiors of the Contractor's Licusd law (Chapter 9, Comrcing wi]h Ssiion 7000 of Division 3 of lhe Busircs! rnd ProfcssionsCodc)orthatheorshcisexcmptrlwfrcmsndthebasisforthcalhgcdercmplion. AnyviolslbnofSccrbnT03l.5bysny spplicantforapemitsubixtsthâ‚¬ spplhanttoscivilpcnsltyofrctmrcthufivchuidrcddolles($50O). _1. as owncr of the propcrty. or my cmployees with wagcs ss their solc compensation. willdo the work and thc structurc is not intcnded or offcrcd for sale (Scc.7044, Business and hofessions Code: Thc C-ontractor's Liccnsc l-aw does not apply to an owncr of thc propcrty whcr builds or improves theroon. and who docs such work himsclf or herself or through his or hcr own employccs. providcd that such impnorrcnrnts are not intcrdcd oroffcrcd for sale. If. howcrcr. the building or improverrcnt is sold within orc )lear of conqlletion, thc Owner Buildcr will have thc burden of proving that lrc or she dkl not build or improve the propcrty for thc purpose of sah). -1. as owncr of the propcrty. am cxclusivcly contracting with licenscd contructors to construct the pmject (Sec. 7(W, Business arrd hofcssion Code: The Contractor's Liccnse Law does not apply to an owner of propcrty who builds or improves thcrcon, and who contracts for such proicts with a Contracto(s) licenscd pursuant to thc Contractor's Liccnsc [:w). _l am exetnpt under B. & P.C. for this rcason. Date: Owner:_ WORKF'RS' COMPFNSATION NECLARATION I hcrcby affirnr undcr pcnalty of prjury one of the following dcclarations: _lhavcandwill nraintainaCcrtificateofConscnttoSelf-lnsureforworkcrs'compensation.as providedforbySection3Tfi)ofthc Lrbor Codc, frrr thc pcrformancc of the work for which thc pcrmit is issucd. _l have and will maintain workcrs' comlrcnsation insurancc. as rcquircd by Scction 3700 of thc Labor Codc, for thc pcrformancc of thc work for which this permit is issucd. My workers' compcnsation insurance carricr and plicy number are: l-2.IF' Policy i _l ccrtify that in the grcrformance of thc work for which this permit is issued. I shall not cmploy any person in any manner so as to becomc subjc.ct to the workcrs' compcnsation laws of California. and agroe that if I should become subict to the workcrs' comlrcnsation provisions of Section 3700 of the tabor Code, I shall, forthwith comply with those provi:ions.. WARNING: Failure to securc workcrs' compcnsation covcragc is unlawt'ul. and shall subjcct an cmploycr to criminal pcnalties and civil fincs up to one hundrcd thousand dollars ($in to lhc damages as provided for the Scclion Code. intcrcst and I hcreby affirm under penalty of perjury that I am licensed undcr provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Busincss and Professions Code, and my license is in full force urd effcct. e-Zp _3w q( l-iccnse I hcrcby affirm undcr penalty of fierjury that there is a construction issued (Scc. 3097. Civ. C.). agcncy pcrformance of the work for which this permit is lrnder's Name: l-cndcr's Addrcss: ' ,r, rc'NT DEC, ^ R I hcrcby affrnn urrdcr pnalty of prjury onc of the following declarations: Dcrnolition Pcrmits-Asbcstos Notification Federal Rcgulations (Titlc 40. Part6) -Requircd lrttcr of Notification _l certify that the fcderal rcgulations rcgarding asbcstos rcmoval arc not applicable to this projcct. and state that thc above information is corrcct. I agrcc to comply with all City and County Applicant or Agcnl Pcrmitcc narrc rcprescqlalivcs of this City and to ugln thc Appliances N/etal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation Insulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room / Clothes Dryer Residential Ranqe Other Hood Type ! Hood Type ll Hood Grease Duct Fire Damper Openings Installation F.D. Drop Test Above Hard Lid Above T-Bar Rouqh Mech. Final Test Meter Release l/Ir FINAL thl lold,t 76 Notes, Remarks, Etc.I I t /fls â‚¬ y',nlol / EI fc s-} Dlvrgtolt ?4 FII,IALBEOUIBED YES_N& O14)- --- , RETAIN PUNS FOR FUruRE REVTSIONS.SUB'ECTTO ITEIIS CTTCCKEi' AND CON,,ONSBELOW: F _ INTER|OR Tt oNLYg< NO E$ERIOR ITTENAflONS/44ODIFICATIONStr ALL MATERIALS T0 I." t:: . , 1. .,i -. r,?.ratr SCREENTNGBE0,,:i I t''c'qr tr SUBMIT LAND:.'i('.r..,--t ,, . .J aC\ c \ s+ t I \ fa+ro ,/ / T- LBGTYPE: L MASTER \ PERMIT# COIJSTR. TYPE OCC. GROUP CODE EDITION FLOOD ZONE FLOOD ZONE CERTIF NEQ'D lvllCROFlLM N Y RESIDENTIAL DEV. FEE SCHOOL DISTRICT /l/A SPIrroNs: Itdwi*b h[c vhi r -J' i rL =t J"