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HomeMy WebLinkAbout40135327 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: (7'14)667-2738 lnspector Section: (7'14)647-5853 Permit #: 4o^{35327 Pin #: 23560 Project Address: 21 14 1/2 S Cedar St Assesso/s Parcel: 016-213-01 Lot: NA Unit: Block: NA Bldg: Tract: NA Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Sergio Romero 309 W Juniper Ave Santa Ana, CA 92707 (7141 381-7085 Fee Type Amount Furnace/Comp Combo 136.71 Clothes Dryer - Residen 43.46 Bathroom Fan 32.88 Range Fan 34.80 General Plan Update 23.19 lssuance 59.30 Microfilm Records 4.05 Qty 1.00 1.00 2.00 1.00 1.00 1.00 1.00 Fee $136.71 $43.46 $6s.76 $34.80 $23.7e $59.30 $4.05 Phone: Tenant Name: Contractor: Address: Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation !nsurance: Carrier: Policy #: Expires: 01 1 16002 51604 01 1 16002 51604 01 1 16002 51604 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 ! J Building Use: Job Type: Nature of Work: Accessory Dwelling Unit-D Occupancy: New Constr Type: ADU Code: Julie Date: Date: Date: 01 1 04164 R-3 VB cMc 2019 Notes. Fee Tota!: Paid to Date: Balance Due: Mechanical for ADU Il-il_r' lfrlel 01 I 151rlr2 I (:L Checl fi777[t [[[ tLrl lPlanning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance, orif 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. 02t23t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.79 $340.03 $4.05 $367.87 $0.00 $367.87 onsnctrBn lotal iergro HomEro 6enerol F'Ion Lrl t 16tltJ2- 51 l'lechnn icctl lnspector MID#: 2020-1 60266 MECHANICAL.I NSPECTOR RECORD APPROVALS DATE ID/S!G.COMMENTS OWNER BUILI'ER I'EI.CARATTON t hacby aIfim uda poulty of pqjury ttd I m q@F EoD th Cotrrel6' Licre l:w for thc folbwjog ta$n (SGc.703!.5 Buias od Profebn Codc): Any Ciy or Couny which r€qui!6 8 pqnii to srrtnrct, altc, improvc, &mlish or Epon my. itrudqr. Fir to its isrc, also rcquiB thc applicet for sh p6mit to 6lc a sigtr d stdmt thd hc or shc b licqscd pwat to thc FovisioB of thE Contractor's Licascd Lrw (Chapta 9, Comming with Sctiotr 7000 of Divisio! 3 of thc Buim md hofcssiou Codc) or that hc or drc is qqnpt thftfrom ud thc bcis for thc allcacd cxmpion Any violation of Sctbn ?031.5 by uy spplicmt for a p6mit subjcts thc applicant to s clvil paalty ofnot morc thm livc hun&d doltas ($500). !&, * ow of thc propsty. or my cmplole with wsg6 a thck $lc 6mpasdio!. wil do thc mrk od UE stnnw b mt Eqlcd or ofraod for slc (Sc.7044, BBiB md Pl.ofeiou Codc: Thc Co!trG{or'3 Liw lrw do6 not eply to m ow of tlr Fopqty who hrilds or implou theon, ud who dos sh mit hielf or ha$lf or thrcugh his q hs om aplo,rccs, prcvircd th8t reh improiqms rc ml iotodod oroftrcd for slc, l[ how, the huiHing q itqrowm b $ld within orc ]ar of onplabr, the OwE Builda will harc thc hrda of prcviog thr lrc or shc dil Dl tuild q inprcw tbc popaty br tlr prpo* of $h). -1, u ow ofthc prcporn m acluively offeting with licqEcd coniactoF to @Etrucl th. Fojd (S6. 7044, Buin6 and Pnftssin Co&: Thc Contraclor's Licmc I:w doc not apply to m oma of prcpoty who buil& or iEproB thq@n, ed who ontracls for such projd! with a Contraclo(s) Iicstscd pmuad to thc Contrrclor's Licre kw). -l m *mpt udq Scthn-, B. & P.C. for this ren. ( I hereby affirm under pcnalty _I have and will maintain a Cciliftcate of Conscnt to Self-lnsure for workers' comparation, as p,rovidcd for by Section 3700 of the Labor Code for the performancc of the work for which the pennit is issued. -l have and will maintain workers' compensation insurance. as requird by Section 3700 of the Iabor Code, for the performance of the work for which this permit is issucd My workers' compcnsation insurance carrier and policy numhr arc: Policv Numbcr: Exoires:, I !\ccrtiry that in the pcrformance of the work for which this pcrmit is issued" I shall not anptoy any person in any manncrf6as to become subject to thc workers'compensation taws of Catiforniq and agree that if I should become subjcct to the workers' compensation provisions of Section 3700 of the tabor Code, I shall, forthwith comply with those provisions.. WARNING: Failure to sccure workers' comperuation coverage is unlawful. and shall subject an employer to oiminal pcnaltics and civil fines up to one hundred thousand dollars ($100.000), in addition to the cos of compcnsstion. damages as provided for the Section 3076 of the Labor Code, interest and attorn€y's fecs.^Z t/t o \(= A?- s/ LICENSED (:ONTRACI'OR DT'fL\RATTON I hereby affrm under penalty of perjury that I am liceosod undcr pmovision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: l)irtc W I hq*yaIImundqpauhyof pojurythat tlEcbI@o{ruclbn hoditrg8gtry forthcpcfotwofthcwr|( bru/hich$bpqnil b issucd (Sc. 3097, Civ. C.). Lender's Name: tads'sAdd6: m I hftby alforn und6 poalty of pcrjury onc of thc following dclrations: Dcmolilion Pmils-Asb6tos Notification FcdEal Rcgulations (Titlc 40, Pan6) -Rcquired trtt6 of Notification -l cqliry thd thc fcdaal rcgulatiom rcgading cbetos rmoval uc not applicsble to this pmjet. .I) *-fcertifu tha I hEvc ud this application {d state thd thc abovc infomation is corr€l. I agr to comply with all City md County ordimncG ed statc llws rchting to building consrruaion. ard hacby authorize rcprffitativ6 of this Cily ed Couty to f,tq upon 0rc abovc motioncd prcpsty for iNpetion purpo$ Ke, ?4^ I sl \t-o k-. /e--,.(.? -a Appliances Metal Fire Place Evaporative Cooler Furnace tl,?(-Ll L '/;S-tl ,f) Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors Installed Rouqh Ductwork Vents Toilet Room / Clothes Dryer ,/, 1l- V{ i I dt|rt 7 Residential Ranqe Other Hood Type I Hood Type II Hood Grease Duct Fire Damper / Openings Installation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech Final Test n Meter Release ,'1r\ FINAL -)-\G-A \r\[-\rl z Applicant: I Contractor: Applicant or Agent Signature: .4 € Pcrnritccname @lrt}, I eY< / Notes, Remarks, Etc.v \,