HomeMy WebLinkAbout40234537 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Mechanical Permit #:4O234537
Pin #: E9492
Project Address: 329 E Wakeham Ave
Assessor's Parcel: 01 1-044-16 Lot: 7
Unit:
Block:NA
Bldg:
Tract: 584
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Marco & Josephina Chavez
329 Wakeham Ave
Santa Ana, CA 927015953
Fee Type Amount
01116002 5'1600 GeneralPlan Update 22.95
01 116002 51604 Permit Extension/Renev 83.27
0'1116002 57770 Microfilm Records 3.91
Qty
0.00
1.00
0.00
Fee
$0.00
$83.27
$0.00
i56l:r. url
($1?.34)
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Botchi:54632 - 3/2/2O2O I0: smorcrleqtEgfffgs: CIYH lronsi: 119 2 of 2Accti: Ref *: $234537
Rcpti:CI2906712 - 3/2/2fr20 12:(rI PH
Tnsnsoction Totol 1517.66
llorco & Josephinn Chovez
llechon i col
01116002- 51604000-
Cosh
Chonse
ts3. ?7
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Addn/Remodel
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 2019
03102t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Re-opening expired permit #40234537. Extend
bedroom; convert existing closet & a portion of
laundry room to a bathroom.
Planning Conditions:
Chavez, Dave
Date:
Date:
Date:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced wrthin 360 days after its
issuance, or if the work authoized on the site by such permit ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
$83.27
$0.00
$83.27
lnspector MID#: 2020-158153
01 1 16002 51604 $83.27
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hrcby affm uoda poalty of pcjury that I m crcmpt from thc ContructoB' Licens tlw for thc following r.&n (Se.7031.5
Buines ard Profcssion Codc)l ADy City or Couty which require a po'mit to coEtrucl alto, improvc. danolish or repair my
structuc, prior to its isswcc, a.lso requLe thc applicmt for such pcmit to file I sigtrcd stat@6r thd hc or\hc b licascd puaua[t
to thc prcvbiore of the Contractor's Lien*d L:w (Chapt6 9, Commmcing with Scrion 7000 of Division 3 of thc BBin6s.fld
PrcfsiomCodc)orlhathcorshcisexmptrhqcfromudthcbasisforthcallcgcdampion. AnyvblatiooofSctionT03l.5byuy
applicelforapcmitsubjststhc appticettoscivilpcmltyofnotmorcthmlivchuodreddollm($500).
Nt. ^ o*", of ,tre propqly, or my cmployc with wag6 6 their slc compstsolioo, wi.ll do the wqk md the structue is not
intddcd or offqcd for slc (Sc.7044. Buios od hofeioN Codq Thc Contrsctor's Lic@ trw doe not qply !o m omq of
thcFopqty whotuildsorimprovcths@&edwho&6suchrcrthimsclforhGclforrhrcughhisorhcomanployc,
provided that such improvamts re rct iilotdcd or ofrqcd for slc. lf, howd6, thc tuildirg or irprorlomt is sld withio onc )@
of compl*ion, thc Owna Buikkr will have thc hrdo of prcving thd hc or shc dil mt build or iDprow thc pmpqty for the trrpoc of
slc).
t
_1. 6 om6 of thc prcpGty. m qclBivcly corffacling with lic@cd contractoF to construct thc trojcct (Sc. 7044, Buils
od Profusbo Codc: Thc Conlractor's Licasc Law doc not apply to m ownq ofpropcrty who builds or improvs ths6n.and who coffracts for such proj6ts with a Contacto(s) ticfficd pusuot to thc Contractor's Licffc Low).
-l
m cxmpt uda Sation , B. & P.C. for Ois rwn.
oetc: I 3 / s /zo **'lJ, %l,ra A. /L---t--77- @ . DECLARATTON
I hceby aflim unda pcnalty of pojuryone of lhc followhg delaations:7
_l have ild will maintain a Certificate of Consent to Sclf-lnsure for rvorkers' conrpensalion, as Fovided for by Sstion 3700 of thc
t,almr Code. for the pqfirnnancc of the rvork for which the pmit is issucd.
_l have and ryill maintain rvorkers compeNalion insurance. m required by Setion -3700 ofthe l,abor Code. for thc pgfomancc o[
the uork for uhich this pflnit is issued. My workers cotnpenstion insurmce cmier md policy nurnbe ae:
Policy Numbe: Erpires:
-l
certiry that in thc psfonnance of the work for which this permit is issued, I shall uot mploy any p€Bon in any mmner
s 6 to become subjst to the work6s' compastion laws of Califomia. ud sgre that if I should becomc subjat to the
wortqs' compwtion pmvisioru of S{tior 3?00 of the Labor Code. I shall. fonhwith comply with thos prcvisiom..
WARNING: Failure to sue workm' compcrsation covcrage
civil fine up lo ooc hundred thomd dollm ($100.000). in r
is unlawful. ud shall subjst m mployr to qininal p68ltics ild
addition to the cost of compeNatioo. dmag6 c providcd for thc
S(tion 3076 ofthe t bor Code, intsGt ild atorney's
I,ICENSED (]ON'I'RA(''I'OR
DECLARA I'ION
I hcby affm uodc pcnalty of pqjury that I m licascd mda prcvision of Chaptq 9 (commcing with S€rion 7000) of Division 3
of thc Bsins ed PrcfsioN Codc. ed my liccrc is itr full forc md cflcct,
Liceroe Clus:-License Number:
-
Dste: ('onlrrctor:
CONSTRUCTION I FNDINC ACFNCY
I hrcby affirm unda penalty of pqjury that th6e is a coNlrudion lmding agocy for lhe psfomoce of thc uork for which this pqmit b
issued (S(. 3097, Civ. C.).
l,ender's Name
[-ender's Addr6si
APPI lCANT IIRCLARATION
I ho@a.6m undo penalty of ptrjury otrc of thc following drclamtions:
Dcmolition Pmils-AsbBtos Notificalioo Fed@l Regulatiom (Titlc 40. Pan6)
-Requircd
t ttrof Notificatiotr
-l
cqtify that the fcdad regulatio$ rcgading sbeslos rmoval ae not applicable to this prcjcd.
is conet. I agre to cornply
I reprGentativB oflhis City
with all City and County
md County to mtq upon the
Applicilt or AEot *.,\/y'zu
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
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.
FinalTest 4
Meter Release \.\\r'Ith
F!NAL v ,H0'rup DlvllY)fU'l ir\D
Notes, Remarks, Etc.
on", ( 3r/qr/zo
Pffiiten?@(w)ri/-7