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Home My WebLink About40133699 - Permit (3)Proiect Address: 1129 112 S Van ltess Avea - Assessor's Parcel: 013-094-08 Lot: 66 Unit: Block: NA Bldg: Tract: 648 Address Range: Historic: No Suite Range: Zoning: Rl Permit #: 4fl{33699 Pin #: 64599 Owner: Address: Phone: Roberta Rogers 1129 S Van Ness Ave Santa Ana, CA 927071135 (714141 5-e8e8 01 1 16002 51604 01 1 16002 51604 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 Fee Type Amount Wall Heater/Floor Furna 68.14 Bathroom Fan 31 .72 Range Fan 33.57 General Plan Update 22.95 lssuance 57.20 Qty 1.00 1.00 1.00 1 .00 1.00 Fee $68.1 4 $31 .72 $33.s7 $22.95 $s7.20 rl Tenant Name: Contractor: Address: Owner-Builder Phone: State Lrc #. Lic Type. Bus. Lic #. Workers' Compensation lnsurance: Carrier: Policy #: Expires: Oa$ .-hl r:itla(lQ -, ,q, /nftt O TO r I CrflCAl fe -ia9srir.ser..rly0 a, !., &.-'a, arr - Latuul ,r.t-t, nnf ipa- r-"'iU ?nernrlt I i n nf I va a atD!.- l. l tta al strrJa' ,a & t.il t A+-pllr Ga0lr It.ll??aOO trt-t-Ya ' ltt-I a r a'-'ttJ99t 'OrnllrnnLgfitEE -;lE,r-i;tlO ?rEl Blrl,ttPlra-!r-9lrs'-t/s' a,l'r.Lt'.aa v -t'a , aa Tnanrn.pl ina Tlrlerl COOI, ll a t taatJbr-U' t tra, , !.lglta- ?V a t a alJ Eal. nal a Er+n ^i't F.tlJlrL, r,L attr-, 1-a - lll.ratr^rtt OIan iinaierin ErltrrsttLr taa r arara rrF t lrtrL. , st-nl t I a,nnn- cit (r1r1fit'lr1.va a ivvrrd r.ri yl.a.:;crirs.- t Flne.ha+rinai I ti-t rlLlaa , i-tt -fil f I lrlrln- Et tfilrlrlfi-tra - arlrlrtr- uai.c, t....t.t l{ar}an r'aarirrtt-rtrt-a irLl, t ,"J\r . rrtttaararrr,tll| gq trtra .........r.. ..t. tvr.t-t Q,nn oF. C I Orr l-l.? .l , L. a Ltt, ggg3. 1 t Anlhl.Ot.lfi?tO a ata vtt I - I .Lr..r.l,lt Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Accessory Dwelling Unit-C Occupancy: Conversion Constr Type: ADU Code: Date: Date. Date: R-3 VB cMc 2016 Permit lssued Amsden, Julie Subject to Field: Buildins Permit #: 1 01 990 67 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 sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 201 9-149037 07t05t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total: Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 51604 $22.9s $1 90 63 $213.58 $0.00 $213.58 ,Al City of Santa Ana 20 Civic center Plaza (M-1e), Santa Ana, cA s2702 Mechanicalr/ \Gf PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-58Se )2/ MECHANICAL.INSPECTOR RECORD DATE !D/SIG.COMMENTSAPPROVALS Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation Insulation \,/ Smoke Detectors lnstalled Rouoh Ductwork Vents Toilet Room / Clothes Dryer Residential Ranqe Other )Hood Type I Hood a Type ll Hood Grease Duct Fire Dampâ‚¬r Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test .l elMeter Release rt '7t)rD/F!NAL qry Notes, Remarks, Etc.ll 't'roN followingherebyaffir'rrr under penalty of perjrty that arn exempt liolrr the ('ontractots'License l.as'ftrr the rcason (Sec.70-1t .5 Busines and Prcfcsion Co&): Any City or County which rcquic a pcmit to coGlrucl. atc. imprcva &molish or rcpair my structre, Fior to its isumcc, abo rcquire thc applicmt for such psmit to filc a ligncd ststmat thd hc or slE b licascd pNd , to thc prcvisiorc of thc Contncttr's Licmscd kw (Cluptq 9. Comcncirg with Sction 7000 of Division 3 of thc BuitrB &d PrcfcsioosCodc)ortharhcorlhcisamflthqcfrommdthebasisforthâ‚¬allcgcdampaion. AoyviolationofsclbnT03l.5[my applicantforapmitsubjetsthc applicanttoacivilpaaltyofnotmorcthmfivchudroddollus($500). -1. I oM6 of thc proFrly. or my mplo)6 with wag6 I thcir $lc compensdion. will do thc t'ott ad thc stnf,lr is ml intadcd or otfac<l foi sic (!c.ZOiA. gBiK ud Prcfeioro Code Thc Conlrsc{or'3 Licâ‚¬e trw do6 mt tpply to m omr of thcproFty whohrildsorinprcvcthonmdwhodocuhrcrkhiruclforhdfortlmughhischoommploye. prcvidcd rhat such imFomB m mt iirtadcd or ofrqcd for sb. lf. hw. thc hdlditrg or imlf,ovsmt b oh within onc )a of onpktioq thc Omr Buiktcr will havc thc hrdcr of poving the tr or she did rct build tr irprorc thc propoty 6r th. puposc of slc). _1. m omo of thc propcty. m cxcluivcly conaracting with licilcd contraclorc to corotrucl thc projd (36. 7044. BGinB and Pmftsgirm Codc: Thc Contr&tor'! Licdsc Law do6 oot apply to o ownd of prcpqly who buitls or impmvs thmo. rvho contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law). DECLARATION I hereby affrrm under penalty of pojury one of the follos'ing declaralions: __l have and rvill rnaintain a Certilicate of ('onserrt to Setf-tnsure for rvorkers' contpensation. as provided for by Section 3700 of the l.abor Code. for the perfonnance of the rvork fior rvhich the pennit Ls issued. _,-l har,e and rvill rnaintain workers' cornpensation insurance. as required by Section -3700 of the Labor Code. for the perfonnance of the u'srk for rvhich this pornit is issued. My rvorkers' cornpensation insurattce can'ier and Snlicy nuntber are: l that in the performance of the work for rvhich this permit is issued. I shall not onploy any person in any mannef, so as to become subject workers' compensation to the wor*ers'compensation larvs of California. and agree that if I should become subject to the provisions of Section -1700 of the Labor Code. I shall. forthrvith comply rvith thosc provisions.. WARNING: Failure ro secure rvorkers' compensation coverage is unlarvful. and shall subject an employer to oiminal pcnalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section 3076 of the Labor Code. interest and fees. A4-e-f'/? LICENSED ('ONI'RACTOR DECLARA ION I hereby affinn under penalry of pcrjury that I anr licenscd untler provision of ('hapter 9 (corntnencing s'ith Section 7000) of Division J of tlre Business and Professions Code. and rny license is in full ftrrce and effcct. I iccttsc ('lass: I icctlse Ntttttlrt: l)alc ('ottlt'aclrlr CONSTRUCTION LENDINC AGENCY I h@by sIfim undc Fnaty of pqjury that thm is s coirstrucrion lcnding agocy for thc psfomcc of thc mrk for which thb psmit b isucd (Sc. 3(x)7. Civ. C.). l.ctttlct's Nalttr': Lcrrtlcr 's r\tlth t'ss: APPLICANT DECLARATION I hcr*y affirm under penalty of perjury one of the following declarations: Demolition Pcrmits-Asbestos Notifrcation Federal Regulations (Title 40. Part6) -Required Lctter of Notificaion -l cori$, that the lderal regulations regarding asbestos removal are not applicable to this project. certiI that have read this application and state that the above in[onnation is correct.agree cornply rvith all City and County ordinances and State Larvs building construction.of this City and Countyto 7-{-rrabove mentioned propeay Applicant or Pennitee name relating ttt (A â‚¬ and hereby authorize representatives x enter upon the ilhrnnz I -l am exempt under Section.B. & P.('. for this reason. 7-4 l,(& Policy Nurnber:_Expires: JT x