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Home My WebLink About40135994 - Permitv Project Address: 3512 W Roberts Dr-a Assessor's Parcel: 144-362-10 Lot: 2 Unit: Block: NA Bldg: Tract 4227 Address Range: Historic: No Suite Range: Zoning: R1 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #= 4Oi35994 Pin #: 59367 ,y'' Owner: Address: Phone: Tenant Name: Contractor. Address: James Olson 351 2W Roberts Dr Santa Ana, CA 92704 Maravilla Foundation 5729 E Union Pacific Ave Commerce, CA 90022 (323) 8694500 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 70.66 23.79 59.30 4.05 Qty 1 .00 1 .00 1.00 1.00 Fee $70.66 $23.79 $se.30 $4.05 Phone: State Lic #: 622969 ., ' -,LicType:. ...., C-36,F1C-20. . e. o Bus.'Lic#: - 199027' r .'. Workers' Compensation Insurance:Carrier: CYPRESS INSURANCE COMPANY +Policy #: MAWC23592S Expires: 0710112022 llorovilla Fc uoccn; I 6u36, lf f i ce: (:T YH Accbi: icpt*:tt34r-rl6 Tronsoct i on benerol rlorlt1l16[r[?- 5{icrof iI;r & Ul116trr.r2- 5 'lechan ic0l rtl I l6u0?- 5 .:oEh a Building Use: Job Type: Nature of Work. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Farhity Dwelling Miscellaneous FAU Zuniga, Allissa Occupancy: Constr Type: Code: Date: Date: Date: Misc. Receipt: Misc. Receipt: Misc. Receipt: Tota! R.3, U VB cMc 2019 6Ll+Lllll_l- a. Notes. Change out existing furnace. Fee Total Paid to Date: Balance Due: 09/01 t2021 Account# 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 the site by such permit ls suspe nded or abandoned for a period of 360 days after the time the work is commenced. Inspector MrD#' 2021-168582 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.79 $12e.e6 $4.0s $157.80 $0.00 $157.80 a - +o lot' Ref *: 4(rl 35?94 / 2tt2l 12 : $4 pH 3157.90 o rilor.0 I eE I 6tt t?. m, v M ECHANICAL.I NSPEGTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEICARATION I hacby affm unda poalty of psjury thd I m qmpt frcm thc Cotrr8c{o6' Lic@ kw licr thc following tteo (5â‚¬.7031.5 Buinas and Profesion Codc): Any City or Couily which rcquiB a pqmil to @struct. alt6, improvg &molish or rpair uy structuc. prior to its ismcc. also rcquira thc applicilt for such pentrit to filc a signcd stalmf,t that he or slE is licsâ‚¬d pNmt to thc provisiore of thc Contretor's Licascd Law (Chaptq 9, Commcing with Setion 7000 of Division 3 of thc BEin6 ed Prcfesiou Codc) u thst hc or shc is cxmpt thqcfrom ud thc basis for thc allsgcd q@ption. Any violarion of Sctbn 7031.5 by uy applicut for a pqrnit subjcts thc spplicot to s civil paalty of not morc thu livc hun<ircd dollm ($500). -1, as owner of the properly, or my employeâ‚¬s with wages as their sole compcnsation, will do the work and the stnrcture is not intended or ofFered for sale (Sec.7044, Business and ho ssions Code: Thc Contractor's License Law does not apply to an owner of the property who builds or improvs theron, and who does such work himself or herself or through his or her own employees. provided that such impnovonents are not intendod or offcrod for sale. If, howwcr, the hrilding or improvcment is sold within one )car of complaion. thâ‚¬ Orrner Buildâ‚¬r will have the hr&r of proving thd he or she diJ mt build or improve the property for the trrposcof sale). _1. as owner of the property. am cxclusively contracting with licensed contractors to construct thc project (Sec. 7044, Btsiness and Prrofession 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 Contractor(s) ticerued pursuant to thc Contraclor's License l-aw). -I am exempt undcr Section-, B. & P.C. for this reason. f)qlo'Owner: WORKERS' COMPENSAT DECLARATION one ofthe following detlarations:I hereby affirnr under penalty of pojury _I have and will maintain a Certificate of Consent to Self-lnsure for workers' compâ‚¬nsdion, as provided for by Section 3700 of thc Labor Code, for the performance of thc work for which the pcrmit b issucd. -l have and will maintain workers' compensation insurance, as required by Section 3700 of the l-abor C-ode, for the performance of the work for which this permit is issucd. My workers' compensation iruurancc carrier and policy numbcr are: Policy t _t certi& that in the performancc of the work for which this permit is issuod. I shall not anploy any pâ‚¬rson in any manncr so as to become subject to the workers' compensation laws of Californi4 and agrce that if I should bccome subject to the workers' comperuation provisions of Scction 3700 of the Labor Code, I shall, forthwith comply with those provisions..- WARNING: Failure to secure workers' civil fines up to one hundred thousand is unlawful, and shall subject an onployer to criminal penalties and to the cost of compensation. damagcs as provided for the Section 3076 of the kbor Code. interesl and LICENSED CONTRACTOR DECI.ARATTON I hoeby affrrm under penalty of perjury that I am licensed undcr provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and ef[ect. \ License Nurnbcr:\\r W I hocby affrm undr p@alty of pâ‚¬rjury that thft is 8 construclioo lending agocy for thc pafonrucc ofthc wrt for which this pqmh is isued (Se. 3097, Civ. C.). kndq's Narnc: I-ender's Address: APPLICANT DECII\RATION I hcr*yaftrn under penalty of pcrjury onc of the following declarations: Demolition Pcrmits-Asbestos Notifrcation Federal Regulations (Title 40, Part6) -Required Lctter o f Notifi cation _l certi& that the federal regulations regarding asbcstos ronoval are not applicable to this projed. \_l certify that I have read this application and state that the abovc information is correct. I agree to comply with all City and County ordinances and State [.aws above mentioned propoly and hereby authorize representatives of this City and County to enler upon the Applicant or Agent Permitee name to building *,., S\q,s\ Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation Insulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Drver 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 I I I --, FINAL o tyD DftT.ry Notes, Remarks, Etc.