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Home My WebLink About40134295 - Permit.t -t City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: Pin #: 4;t 134295 .{63960 Proiect Address: 1242 W Pine Sta Assessor's Parcel: 777-777-77 Lot: Unit: Block: NA Bldg: Tract: 1363 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Life Cycle Management 25 Brookline Aliso Viejo, CA 92656 (s4e) 412-821s 01 1 1 6002 01116002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 51 604 51 604 51 604 51 604 s1 600 51 604 57770 Fee Type Amount Wall Heater/Floor Furna 68.14 Clothes Dryer - Residen 41 .92 Bathroom Fan 31 .72 Range Fan 33.57 General Plan Update 223s lssuance 57.20 Microfilm Records 3.91 Bntch+ : 551 28 0f f ice: (:TYH Acct$: Rcp t* : t1293791 6 Tronsoct i on To Qty 3.00 1.00 4.00 1.00 1.00 1.00 100 Fee $204.42 $41 .e2 $126.88 $33.57 $22.95 $57.20 $3.91 Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier. Policy #: Expires: 4/ l6/2fr2t) Tr'sns*: 15 Ref* I 4/16/2rfi0ol Building Use: Job Type: Nature of Work Single Family Dwelling New New SFD Chavez, Dave 101 10261 5 Occupancy: Constr Type Code: Date: Date: Date: R-3, U VB cMc 2016 Notes. Mechanical for construction of F, new two-story SFD w/att ADU (ADU on separate permit) and attached 2-car Garage. Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: 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 fhe site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 04t09t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $22.9s $463.99 $3.e1 Fee Total: Paid to Date. Balance Due: $490.85 $0.00 $490.85 G - It: lnspector MID#: 2019-156629 O ! a M ECHANICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DET.CARATION I hschy aflim undo pcmhy of pcrjury thd I m cxmpt ftom thc Contractors' Liccns lrw for thc following re+ (S6.m:'6 Buins ad Prcfsion Codc): Atry City or County which rcquiru 8 pmh to @Gtruc1 altq. imprcvc dmolish or rcpair'my structuc, prior to its isswca also rcguic thc rpplicet for such pqmit to filc I signcd ststmfit that hc or 3hc k licescd pl,Mt to thâ‚¬ FovisioN of thc Contrsctor'3 LiccnFd tlw (Chapt6 9. Comming with Setion 7fi)0 of Division 3 of thG Bwins md Profsions Code ) or that hc or shc is qmpt thacfrom ild thc bsis for thc sllcgcd amFion. Any violation of Setion 703 I .5 by my applicmt for a pcnnit subjffts thc lpplicet to s civil pmlty of not morc th8 fivc hundrcd dollus (S500). -1. os owner of the property. or my employees with wages as their sole compensation. will do the work and the structure is not intended or offered for sale (Sec,7M4, Business and Professions Code: The Contractor's License Law does not apply to an owner of the p,roperty who builds or improve tlreron. and who does such work himself or herself or through his or her own employecs. provided that such improvancnts are not intcndcd or offered for sale. I[, howerrer. the building or improvcrnent is sold within one ]â‚¬ar of complaion the Orvner Builder will have thâ‚¬ hrden of poving tha he or shc did not build or improve the propcrt'y for the purposcof sale). -1. 8!r owrrer of the property, am cxclusively conrading with licerscd contraclom to construct the projecr (Sec. 7044, Business and hoftssion Code: The Contrac-tor's License Law does not apply to an owncr of property who builds or improves thereon, and who contracts for such projects with a Contracto(s) ticeased punusnt to the Contractor's License l-aw). -l am exempt under Section-, B. & P.C. for this reason. Date:I ls,rretr.. WORKERS' COMPENSAI'ION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: -l have and rvill maintain a Cerrificate of Consent to Self-lnsure for rvorkers' conrpensation, as provided for by Section 3700 of the Labor Code. for the performance of the rvork for which the perrnit is issued. -l have and will maintain workers' comperuation insurance. as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurancc carrier and policy number are: Carrier: Policv Numbcr: Exoires: -l certi& that in the performance of the work for which this p,ermit is issued" I shall not employ any person in any manner so as to bccome subject to the workers' compensation laws of California, and agree that if I should become subject to thc workers' compcnsation provisions of Section 3700 of the l-abor Code I shall. forthwith comply wilh those provisions.. WARNING: Failure to secure workers' compcnsation coverage is unlawful, and shall subject an employcr to criminal ponhies and cMl fines up to one hundred thousand dollan ($100,000), in addition to the cost of compensation, damagcs all provided for the Section 3076 of the l-abor Code. interest and attorney's fees. . A nrrlinonl. LICF'NSED CONT&{CTOR 'DECI AIL{TION I hereby aflirm under perialty of pcrjury that I am licsrscd under povision of Chapter 9 (commencing with Section 7000) ofbivision 3 of the Business and Professions Code, and my licerue is in full force and effect. License Nurnber: W I hcrtby allim unda paaty of pajury tha thft b a @trdrucliotr koditrg ag6cy for thc pafolffi of the mrt 6r which this pamit b i$ucd (Se. 309?, Civ. C.). Lender's Name: Lender's Address: ,plrcA^,, nFC, RArrN I herelry aflirm under penalty of perjury one of the following declarations: Dernolition Perrnits-Asbestos Notification Federal Regulations (Title 40, Part6) -Required Letter of Notification -l cqtify thd thc fcdcal rcjulariore rcgardiag sbctos moval rc not applicablc to this proj6t. -l cdiry thd I havc Ed this application ad statc tha the abovc infomation is cor({. I agre to omply with all City and County ordinmcs ad State [:m rclairy to huilding corotrucrio[ atd hftby authoria rcF6antative of this City rd County to otq upon tlrc abovc m@tioncd prcFrly for irpetion purpos. f,)dc: r -Applicut or Agot Signaluc:_ Permitce niune .ApplAnceb Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors Installed Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release FINAL Notes, Remarks, Etc. .t^,o I a l)nte:Contractor: NSPECTOR RECORD -DATE ID/SIG.COMMENTS Meta Place )FtIOVALS iances Furnace Misc. Com Duct Work D Smoke Detectors lnstalled Vents rToiletIRoornClothes I Other Hood Hood Duct Fire TestDF Above L TAbove -Bar Mech. Final Meter _1 t-Z_FINAL tes Ur lzi TDCG? ar orvncr of thc trofrdy. or rny cnplolccs or oflcrtd for rdc (SE.AXa. thlincrr *'hh sogcr or thcir rnlc conqnuotkm. rnd Frufcghu Ctrds Th ('ornorr'r sill do llrc utrt lutj tlr rtrrrturc li trrl thc rroFE ly *ho buil&ingolrr rtEurq Lrt.rrr lrrv tlorr not ryply ro tn trwrEr oforlrdstrrdocr sdt uort hLruclf or hcrdfrrr through htr or hcr owo onptryccryrnrrlcdthnrruclrlqrottnslrlrc ml iucrrh,or ollbrcrl for slu tf.hoscg.thc tuUnq or iqrtnorur b roldof cuplobn thc (.)r*rrr Builb ryill bare thc hndsr of FOtrng rtu trc utho rl'rc !(?, sah)or rhc rld rxtl hrikl (r unFrnrt thr frnftlty hr th.pnpoocof -l' !3 olt'llct of rhc troPcrly. onr crcllivdy corlroohrg rrith licar!{d conrrron to oonsnf,l rlr pu}rr (scc- 7ud. thirrc*.end tMc$in codo' Thc cort.6or't Li.llrtc t-rw rt<i mr ryply to rn ormcr of pmpcty rvho buildr or impnrrtr rhcrcrra.rnd $'ho oontncu tor rrch poiarr tfih a Cotrrsdfi(rt lkoucd txnluxrt to rhc (ir,nr6orx.s Lirwrc trw). _l rrn undr & P.C. I)rle:.. I hodry ullinn undcr prulry of pofur-r. ooe of rhc -l haw ld rvrll rnaimehr r crrrlfruc of coarcnt to sclGlnnrrc for nrrlrcr' conrgcr,rfrkn. a prrrilcd fr h.socrron l7tJ0 of thct bo, c'odc. fc rhc pcrbntnoc of thc nort for *fikh rrr prmi b b$cd. -l h$c arxl will rnaindn tmrtctl' corpenrorkm im$rarrc. 13. rcguitd by strrbo 3?ff) of thc ldlo,' (t{â‚¬. for rhc pcrftrnrumc ofthc wort fot rvhkh thb pcrnrh b irnd My..rurrtrr' **pon *ion imurrrrcc "-i., ond poltcy nunrbc orc l'chcy ltALNlNC: Fribrc to tcflre uorLst compcrrobn c(rr.crq;cchil fina up to otE hutdGd rhorrend dolhr (510.00C). in :nd Sstbn .1O76 of rhe l-rbor Codc htcrtrt and rnorncy'r fql thc I trut ), ;rflir m unhr pwrrtry of lujury tha I un liccnnrd undcr 0 (rrrmnrncrng u.irh Scshn ?Um) of Divirion iol tlrc 0urfurcrr cnd prolisrioru (bdo.and my llcerrrc b in flrll force ond cffca. [.iccnrc Drte Nunrtr: I hscby rflirnr unrtrrr pcnatty ofpcrjurytha lhrrcirrrrnrrn.ti- ofrhcnort 6rwhichrhblrruh iCiv. C.). Lcrxlcr'r Addrcrr: I ho*yatlirmuntltr pnrhy of pcrjrrryoncof thr. foltowing dcshra"rr._* Dsmlrbn Fcrmirc"Arbcrror hbrrrr.in Fqrcrrr Ra3uhioar rrhk ao. pon6) -Rrquircd [rrtcr of ].lorlficain -l cstil} thu rhc fc&ot rqiuldlor tqrrdrnr sbcsrm rsmval rrc rx,t ilri31bh ro rhb frojrrt. ccrrify that hcre rqul thb lpplicarion Statc l-arrr ('ounty mtniornl Applicrnt rr l'cnnitsc lrmrc propcrry rehtirg ltd rlatc thi upon thc rl. I I Tvoe I tt __ Coalntlor_ n3 r.orrq1. I rrprcrruah.cs of thirmd hcrcb]rantholbc t