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Home My WebLink About40133681 - Permit (3)Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Project Address: 2229 1/2 W La Verne Ave unit: Assessor's Parcel: 109-121-15 Lot: 15 Block: NA Bldg: Tract: 1346 Address Range: Historic: No Suite Range: Zoning: Rl , City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #i 4lc{336E{ Pin #: 54062 Owner: Address: Phone. Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires. DAVID & ANGELICA MEDRANO 2229 W LA VERNE AVE Santa Ana, CA 927043509 (7141 501 -726e 01 1 16002 51604 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 65.57 Bathroom Fan 30.52 Laundry Fan Envir. Air 34.84 Gas Piping Incidenta! 22.38 General Plan Update 22.08 lssuance 55.04 Qty 1.00 1.00 1.00 1.00 1.00 100 Fee $6s.s7 $30.52 $34.84 $22.38 $22 08 $s5 04 Cnn r-rO?-a. a '-'u C nfi9 ?cit a.vu a lJ.-. t,', Lt -7-7 |, a rJa a a I Oa$.-hlrtit'llilfi Llerq,fnfilQ Tn trtaVa-aa a - '-rS'L' t Vr Va -!-', ailr'a , ll, nf0irl.rr fTVU ?narnr-3- I i ? atflJt t tbt - trt taa aa Llta-,a- aa t, L, I Ap.-llr Oaflr lfil??4Qltrr-SUa ' ait-t a ' ,!'atJtrtrtr.l 3}anllrfinllnqal i i'i=r'?friO lfirEn AFIttbFUa -lr-try-trtrl, V. -i,a a.!'a a a y-!'a. .trl Tlra^Papl ia;r Talal t-rll -?', a a tBarJ$st ,lrrr r t 9L- ? a rr- r, a n^trTn I ANr:rl Tf.A Hrnc|nltnrra t I .aY 5t a a, tlrl-a-- L.r, l rLlrr lr ra rL, Jlan6\^al Ola+r llnrlaln Eaatat-rt9t 9- a ataaa VF tatairL t 'rqr nl I I lflnn- tl aflfiflfifi-lra a -Vi'Y.lr t alrt'S't S't, llarha+l i aa Iaat-Ltataaa t b$- r1l I I lr-lnn- Et ,,fil flfift-tra a at trtr- L.at so t r..!'!. tl i r-atrJu r I OflCAl Ce- l-r I rJrJt aLt- u t Building Use:- Job Type: Nature of Work: Accessory Dwelling Unit-C Occupancy: Conversion Constr Type ADU Code: Date: Date: Date: R-3, U VB cMc 2016 Notes: converf.ffidfiEhEd-#i466$1r(gu (4s?iif.l[,i'tii\ t:' : " bedrooffi, 1 bathrooffi, kitchen, living room & laundry and storage area (160sf). Auth on file. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Buildins Permit #: 1 01 988 34 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 sife by such permit is suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 201 8-1481 30 Chavez , Daveo rrl t 06125t2019 Account# Misc. Receipt. Misc. Receipt: Misc. Receipt. Total 01 1 16002 51600 01 1 16002 51604 $22 08 $208.3s Fee Total: Paid to Date. Balance Due: $230.43 $0 00 $230.43 -M ECHANICAL.I NSPECTOR RECORD a APPROVALS DATE ID/SIG.COMMENTS OWNER BUILI'ER I'ELCARATION I hqchy allirm unda pcuhy of pcrjury thrr I m qmpt from thc Coflr8ctoc' Lic* Law for thc following ron (Ss-7031.5 Buines and Prcfssion Codc): Ary City or County which rcquiro a pcrnit to coutruct, altq, imprcvc. danrolbh or npah oy structuc. Fior to its isumca also rcquirc thc applicet for such pcnrit to filc a signcd stdmdt thrt hc or shc i liccnscd purgrilt to thc provisioG of thc Contractor's Liccnscd txw (Chipt6 9, Comcncing with S*tion 7000 of Division 3 of the Busin* md Prcfeions Codc) or that hc or she is cxmpt thacfrom fid thc bdh hr thc ,llegcd cxmption. Any violation of Sction 7031.! by my applicmtforapcrmit3ubjeBthâ‚¬ applicilttoacivilpcmltyofnotmorcthmfivchundrcddollus($500). W.* omo of thc prcpcny. or my mplole wirh wag6 a thrt $le ompcrtsdion. will do thc wor* &d tha $nrtE b mt- intordcd oroffrcdforsalc(Sc.T(X4,BuiromdProfcsiouCodeThcCootmtor'sLicreLawdo6noteflytomowof the prcpqty who hril& or inpros thsoG dd who do6 sch rc* himsclf or hmlf or thrcugh his or hr ow mployc. providcd that such imFovqrcots e rct inladcd or oftrcd for $lc. lf, how. thc huiHilrg or impromt is sld within onc )ar of compldiotr. the Omq Buik r wil havc lhc burdo of proviru thd hc or shc did rct build or improE thc propcty fur thc Frpos of slc). --1. as owner of the property. am exclusively contracting with licensed contrac{os to construct the project (Sec. 70t14. Btsiness and hofession Code: The Contractor's License Law does not apply lo an owner of properfy who builds or improve thcreon. and who contracts for such projects with a Contracto(s) licensed puniuant to the Contractor's License [arv). -l am exempt under orrc, J 6- 2-* O DECLARATION I hereby' alTirm under penalty of po'jury one of the follorving declarations: -l have and rvill nraintain a Cerrificate of Consent to Self-lnsure for \\'orkers' compensation. as provided for by Section -1700 of the I-abor Code. for the perfonnance of the work for rvhich the pennit ls issued. --l have and will maintain \r'orkers'cornpensation insurance. as required by Section.1700 of the l-ahor Code. for the perlormance of the u'ork for rvhich this pennit is issued. My s'orkers' cornpensation insurance carrier and policy number are: Policy l:r1lit t's Wcertify that in the performance of the work for which this permit is issued. I shall not emptoy any person in any manner so as to becorne subject to the workers' compensation laws of California. and agree that if I should become subject to the workcrs' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvilh comply with those provisions.. WARNING: Failure to secure workers' compersation coverage is unlarvful. and shall subject an â‚¬mployer to criminal penahies and civil fines up to one hundred thousand dollars ($100.000). in addition to of damages as providd for the Section 3076 of the Labor Code. interest and attorney's fees. or*, 6- 25- /?I LICENSED CONTRACTOR DECI"ARATION I hoeby aflirm under peoaltyof perjury tha I am licensed under povision of Chapter 9 (commancing with Soction 7000) of r)ivision 3 of the Business and Professions Code, and my liccnsc is in full force rrd effect. l.iccttse ('lass: I .iccrrst' Ntrrrrhcr : l)irlt' CONSTRUC ION LENDING AGENCY I heeby affifln undo Srnahy of pajury that th6e is a mnshrclion lqding agmcy for the pcrfonnmce of thc Nork for $hich this pmit is issued (56. -!097. Civ. C.). l,cnder's Namc: Lender's Address: AfII.ICANLDECI.AEAIION I hwby aflim unde paalty of perjury onc of thc following dcluations: Demolitiotr Pmils-Asb6tG Notification Fc{aal Rcgulations (Titlc 40. Pan6) -Rcquircd Lctts of Notification -l cqtify that thc lidcal rcgulatiom rcgarding ubetos rmoval ue not applicablc to this prcjccr. fiLlJ catifytfatl havc rad thb application od state that the above infonmtion is cortrt. I .8rc to comply with all City and County ordinancq and Statc lrrc rclating to building con$ruction, ud hmby authorizc reprMtativc of this Cityud Countylo at6 uportlE above mentioned property for inspection Applicant or Agent Pennitee narne *n", t (- 2-\- - /7 Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Mrrs? / ral Vents Toilet Room / Clothes Dryer a la,ft-e 16? ,oz Residential Range Other Hood Type I Hood Type !l Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release lt FINAL vl*lra i u,c"-u+e;@h/ Notes, Remarks, Etc.(ur \--,2 B. & P.C. for rhileason. />e WORKERS' CONI PENSATION ()n lrer: 8lz, lr q -+