HomeMy WebLinkAbout40134129 - PermitProject Address: 3401 S Timber St
Assessor's Parcel: 410-161-05 Lot: 19
Unit:
Block: NA
Bldg:
Tract: 7002
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanica!
Permit Counter: (714) 647-5800 lnspection Requests: Q1$ 667-2738 lnspector Section: (714) 647-5853
Permit #: 4o^134129
Pin #: 24OOg
Owner:
Address:
Phone:
Robert Giannini
3401 S Timber St
Santa Ana, CA 92707
(7141 497-7714
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Add'l Vent Sys
Bathroom Fan
General Plan Update
lssuance
Microfilm Records
Amount
45.33
31 .72
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1 .00
Fee
$45.33
$31 .72
$22.e5
$57.20
$3.e1
$2?,95
$134.25
$3.91
tl r 364.3?
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Botchi:52805 l0l31/?$19 ID: HGARCIA
Off i ce: CTYH Trnns*: 101 4 of 5
Aicti: Ref*: {0134129
Rcpt*:o279916? - 10/31/2ttl9 +r37 PH
Tronsoct i on Toto1 tt r 364.32
Robert Ginnnini
Genernl Plon Updnte Fee
Lt l t 16002- 516tf t1[t0[t-
llechon icol
01 I 16002- 51604000-
Ilicrof ilm & Docunents
01116002- 37779000-
UissBuilding Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #.
Single Family Dwelling
Alteration
New Bedroom/Bth/C loset
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2016 conve#tl;i b6rfiTfiEd tlfilt V'.id" to 6U&lbbi{i U ia[
Date:
Date:
Date:10/31 t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
interior walls to create new bathroom & walkjn closet.
$161.11
$0.00
$161 .11
1 00087 01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$22.95
$134.25
$3.e1
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 201 9-151456
M ECHANICAL.! NSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents rl rt t?.1
\.Jtfi<Toilet Room / Clothes Dryer (/;7
Residentia! Range ,l V
Other
Hood
Type I Hood
Type II Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release l, I .t- _ /
FINAL ll cl'u NI{o7
Notes, Remarks, Etc.It
OWNER BUILDER DELCARATION
I hmby atfm undc poulty of pojury thd I m ump from thc Coflnc{on' Licre Lrw br thc following @n ($c.7031.5
BBin6s and Prcfc$ion Codc): Any City or County which rcquim a po'mh to omtruct. altc. imprcve dcmolish or rcpair my
stucturc prior to hs issumcc. alrc rcquie thc eplicmt for such pcmit to 6lc I signcd Etdoot thd hG or shc b licfiscd pNerl
to thc prcvbioN of thc ContEctor's Licoscd kw (Chapt6 9, Comcrcing with Setiotr lOOOtf pirisloo 3 of thc Buins md
PmfcsioDs Codc) or that hc or shc is smpt thGcfrom md thc b0sis for thc allclcd qmption. Any violation ofSccrbn 7031.5 by any
applicutforapomhsubj€lsthc spplicartto8civilpcoaltyofnotmorcthsfivchuorlreddollrs(3500).
-1.
r omr of thc pmpcny, or my mploye with wagc c tlrh $lc smpcns8lioo. will do tlE sort sd thc $ndrc b mt
intsdcd or offcrcd for sle (Sa.70,14. Busin* ud Proftssions Cod€: Thc Contnclor's Lictrc lrw do6 not apply to e oMq of
thcFopcty rvhohril&orinprorstlson,ardwhodocruhwrthimclforhemlforlhoushhisorh6omcmployG.
providcd that such improrutmts rc not imadcd or offtrcd 6r slc. l[ horvryq. thc tuiHing or imFoffit is sld within onc yw
of onpkrion thc olvnr &rilCq will h8rc thc hd6 of Foviry thd hc or shc dit mr hriH q irprorc the popaty for thc prpo* of
slc).
-1.
as o\vner of the propcrly. am exclusively contracting rvith licensed contractors to construct the projcct (Sec. 7044, Business
and Pnoftssion Code: The Contractor's License Larv does not apply to an owner of property u'ho builds or improves thereon.
and rvho contracls for such projects with a Contracto(s)to the Conlractor's l-icense Larv).
_l am exempt under
Dete:_
I hereby affinn under penalty of pojury one
-l
have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
I-abor Code. for the performance of the work for rvhich the perrnit b issued.
---l have and u'ill maintain rvorkers' compcnsation insurance. as required by Section -1700 of the l-abor Code. for the perfonnance of
the work for which this permit is issued. My rvorkers' compensation insurance carrier and policy number are:
Policy l:rprrcs:
_l cerri& that in the perfonnance of the rvork for rvhich this permit is issued. I shall not ernploy any percon in any manner
so as to become subject to the work6s' compensation larvs of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the l-abor Code. I shall. forthwith comply rvith thosc provisions..
WARNING: Failure to sccure rvorkers' compensation coverage is and
civil fines up to one hundred thousand
Section -1076 of the Labor Code. interest
dollars ($ |the
and
I hereby allirm under penalty of perjury that I am licensed 9 (commcncing rvith Section 7000) of Division -3
of the Business and Professions Code. and my license is in full force and effect.
License Number:
('ONS'I'RUC'I'ION LI:NDING AGEN('Y
I haeby aflirm uodr penahy of 1rrjur)'that thq'c is a constnrdion lflding agocy for thc Jufomance o[ lhe s rrrk for s'hich this tnnit b
issued (Sec. 3U97. ('i\'. (-.).
Lender's Nanre:
[.ender's Adclress:
APPLICANI' DEC LARAI'TON
I hoeby alTinn under penalty of perjury one of the follorving declaratiorrs:
Derrrolition Pcrrnits-Asbestos Notification Federal Regulations ('I'itle 40. Parr6)
Requiretl l-etter of Notification
I regarding asbestos rernoval are not applicable to this project.
I
I rvith all City and County
and County to enter upon the
Dare: L al '=, I I
above
or Agent
the atnvc
-r \
Date:_
('onlraclor:
€tlffL it- t