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HomeMy WebLinkAbout40135597 - PermitrProiect Address: 1344 N Cabrillo Park Dr-a Assessor's Parcel: 931-605-05 Lot: 14 Unit: C Block: NA Bldg: Tract 10515 Address Range: 1200-1490 Historic: No Suite Range: Zoning: R4 City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:4o^{35597 Pin #: 62432 '4l Owner: Address: Carmen Ferro 12152 Center St Garden Grove, CA 92845 (7141 31e-6312 Fee Type Amount Furnace/Comp Combo 136.71 General Plan Update 23.T9 lssuance 59.30 Microfilm Records 4.0S Qty 100 1.00 1.00 1.00 Fee $136.71 $23.79 $s9.30 $4.05 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01 1 16002 5777C Phone: Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Bobch+:59378 - 6/ I/a|J2I ID: EL I ZABETH 0f f ice: CTYH Trons* 3 3tt I of 2Accti: Ref*: {0135F97 Rcpt*:033(10035 - 6/I/Zttzl 9342 An Trsnsoct i on Totsl t337.70 Corren Ferro Generol Flon Updote Fee $23 .79 Planning Conditions: To be screened within existing parapets Building Use: Condominium Job Type: Miscellaneous Nature of Work: A/C & FAU Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Kelaher, Selena Zuniga,Allissa Occupancy: Constr Type: Code: Date: Date: Date: R-2 VB cMc 2019 Notes: Mech$littf h8ffr'$t$SflffiS auth 4t{ [l{lr,l', - Y-;/ ii r:r]r:r:r- I'll,:r:.[r 0n i ,- n I r-r I 1 1,5Ur:rl- l, 1,lt-t4l_u_n-t- I I -.-.!, r !. la, , -.'Lr cc+: *******r**r*8437 Fee Total Paid to Date: Balance Due: ynit on rooftop O*qg,r,,:,i $1?6,[r1 $337, 7(r Auth*:753030 $223.8s $0.00 $223.85 05/01 t2021 06/01 t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total ' Every permitissued shall become invalid unless the work on the site 4fihorized by such permit is commenced within 360 days after its rssuance, or if the work authorized on fhe sife by such permitis suspended o: abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2021-166448 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.79 $1 96 01 $4.05 M EGHANIGAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILI'ER I'ET,CARATION I h6cby alfm und6 poalty of pcrjury thar I m qmpt ftom thc Contr.cton' Licos lxw for thc following rtssn (Sc.7oll.s Buin6s ard Prof6ion Codc): Ary City or Coutily which rcquic a pqEil to @E*ruc1 alta, imprcve danolbh or rcpair uy ltructuqpriortoits isnmc,alsorcquimthc4lplicetforsuchparrittofrlcasigncdstdqmt thathcorshcbticEscd pwsril ro thc Fovisiorc of thc Contrstor'3 Lienrd Lrw (Chapt6 9, Comming whh Setioa 7000 of Division 3 of thc BaiK ed ProfcsionsCodc)orrh8thcorshcisqmptthac&ommdthcbasi!forthcallcfcdqanprion. Anyviohtimofs€{btr703l.5byey @limt for a psmit $bjet3 OE ,pplicant to s civil pcElty of oot @rc thu fivc huodrcd dollars (t500). _1, o ow of thc Fopcrty. or my cmptole with wag6 s thcir slc omposaioo, will do tlE wut ed tlE strrlrc is not iotodcd or oltacd for ulc (Sa.7044. Buiae md Prcftssiou Codc: Thc ContEclor'r Licw law doc not 4ply to a om6 of thc pmpqty who hilds or imporc thmn dd wbo doe sdr wr* himsclf or hmclf or thmugh his or ho om mploye. prcvidcd thrr such impovumtr rc mr inadcd orofu for slc. tf, how, thc buildi4 or imFoEct b oH withio w la of orryhion thc Orrm Buildc wil hErc thG hrd@ of provit8 thd hc or slE did rct huilC tr irprcrc thc popaty for thc trrpo*of sak). -1 a omq of thc prcpqry, m qclwivcly mntracting with licqacd contrtrton to corutruct thc prcjet (Sc. 7044. BahB ud Profusbo Co&l Thc Contnctor'! LicBc Law do6 not apply to m owna of prcpaty who builds or imprcv6 th6an, ud who coDtrets for such prcj€1! with a Corxnclo(s) lbcracd pGuEtrl to thc Contncttr's Licre lrw). -l am exempt under for this orr",-6-l'?}Ll I hereby affrrm under penalty of perjury one of the following _l have and will maintain a Certil'rcate of Consent to Sclf-lnsure for workers' conlpensation, as provided for by Section 3700 of the Labor Code. for the p€rformance of the work for which the permit is issued. _l have and rvill maintain workers' compensation insurancer as requird by Section 3700 of the tabor Code, for the performance of the work for which this perrnit is issued. My workers' compensation insurance carrier and policy numh are: Policy Number: ExPires: _t certi& that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to bccomc subject to the workers'compcnsation laws of California. and agree that if I should becomc subject to the work€rs' compensation provisions of Section 3700 of the Labor Code. I shall. forrhwith comply with thosc provisions.. WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal ponlties and civil fines up to onc hundred thousand dollars ($100.000). in addition to the cost of comperuBtion.as provided for the \ LICF'NSEN CON'TRACTOR DECI ARA'TION I hereby affirrn under penalty of pojury that I am licensed under provision of Chapter 9 (cornmorcing with Se'ction 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. lloto. c(f NS'l't{u( "1'l0N l,!'NDl N(; AGllN('\', I hmby affm uodq petralry of pcjury that th@ is a con$ruction hoding agacy for thc pcfoIrmce of the mrk br which this pamh b issued (Sec. 3097. Civ. C.). Lender's Name: AITPLTCANT DFr.t ^ IU{TION I hcndD, affirm und6 pcnalty of perjury onc of the following declarations: Dernolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6) -Requ ired l-ctter o f Notifi cation > with all City ad County and County to exter upon the above me'ntioned propcrty for Applicant or Agent 4r Pcnnitee name r >-.--2021 Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation Insulation Smoke Detectors lnstalled Rouqh 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. 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