HomeMy WebLinkAbout40234412 - PermitProject Address: 2210 S Olive St
Assessor's Parcel: 01 5-173-06 Lot: 33
Unit:
Block: NA
Bldg:
Tract: 581
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:4o.234412
Pin #: 39257
/1/\
Owner:
Address:
Phone
Anastacio Lopez
2210 S Olive St
Santa Ana, CA 927072507
(7141 427-0937
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type Amount
Clothes Dryer - Residen 41 .92
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Fee
$41.92
$22 e5
$s7.20
$3.91Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation !nsurance:
Carrier:
Policy #:
Expires:
Bstchi:5{2ffi - 2/312020 I0: ororoleslS0ffice: CTYH Trsnsis 118 I of 3Acct*: Ref *: $231+12
Rcpti:02887176 2/3/2020 I :09 Pll
Tronsoct i on Totol t829 .11
Anostoc i o Lopez
|22.95
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
N/V-Demo/Patio Cover
Notes:Relocate washer/dryer inside home.
13.91
t99 .17
3800.00
3?? .41
Authi3050802
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By. Chavez,O^u" g(
Subject to Field.
Buildins Permit #: 102102947
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2019
02t03t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MtD#. 2020-157 122
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$22.95
$99.1 2
$3.e1
Fee Total:
Paid to Date.
Balance Due:
$1 25 98
$0 00
$125.98
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWIIER BUILDER DEI,CARATTON
t hacby affm un&r FlElty of pqjury thd I e qmpt from thc Cont6cl6' Licorc Lrw for thc following ror (Se.7031.5
Buincs and ProfBion C.odc): Any City or Coutrty which rcquirc a pcmit to onstruct. alt6. improvc. &rrclish or rpeir my
strucluc prior to its isuma alm rcquiro thc eplicut for such pcmit to file a signcd statmat thrl hc or shc is limscd pwsg
to thc FovisioB of th€ Contrettr's Limscd Lrw (Chspt6 9. Comming with Setion 7000 of Divisiol 3 of thc BBin* ed
Prcf*ios Codc) or that hc or shc b q@pt thftfrom ed th€ bGb for thc allcgcd amption. Any violstion of Sciion 7031.5 by uy
applicmt for a pcmit subjcts thc 8pplicet to I civil pcmlty of not morc thm five hudrcd dollan ($500).
UK ow of thc popcry, or my mploye with wag6 s thcir slc ompqBarior. will & thc wq* ed th€ nndr b mt
intadcd or olfcrcd for $lc (Ss.7044, Buins md Prcfcssiou Codc: Thc Contnctor's Lic@ kw do6 oot apply to u omq of
thc Fopqty who hil& or inprcu throtq ed who doc sh mr* himclf or hffilf or thrcugh his or ho om mploy6.
providcd thst such iEpromts m mt irtradad q ofu for slc. I[, how. thc hrilding or iteioffit b sld within orc ]s
of corplctirq thc Oma Bui$q will havc thc hrda of Foving thd h. or shc did mt hild tr inpmrc thc prcpqty fo! thc purpo* of
slc).
-1,
r om of thc propqty, m scluivcly sotrrcling with licas€d @otrsctoB to coBaud thc projcr (Sc. 7044. Busias
and PtoEsion Codc: Thc Conlnctor's Lic@c Law do6 not apply to u own6 of prcpaty who builds or improvG thqan,
ud who mntnc{s for sch prcjets whh s Coftr&ro(s) licdB€d pBWt to thc Contructor'3 Lic@ [iw).
I). &for this reason.
I hereby affrrm under penalty of perjury one ofthc following
-l
have and rvill rnaintain a Certificate of Consent to Self-lnsure for workers' conrpensation, as provided for by Scttion 3700 of the
Labor Code. for the p€rfonnance of the work for rvhich the permit is issued.
-l
have and rvill maintain workers' compensation insurance. as required by Section -3700 of the L.abor Code, for the performance of
the work for rvhich this pennit is issued. My workers' compensation insurance carrier and policy number are:
any person in any manner
so its to become subject to the work€rs'compensation laws of California. and agree that if I should bccome subject to the
workers' compensation provisions of Sedion 3700 of the tabor Code. I shall. forrhwith comply with thosc provisions..
WARNING: Failure to sccure workers' compensation coverage is unlawful. and shall subject an onployer to criminal poulties and
civil fines up to one hundred thousand dollars ($100.000). in addition the cost of damages as providd for the
Section -3076 llrc Code, interest and attorney's fees.
t
LICENSED CON'TRAC'TOR
IIECI ^ R.ATION
I hereby affinn undcr penalty of perjury that I am licenscd under provision of Chapter 9 (cornmencing *'ith Section 7000) of Division 3
of the Business and Profcssions Code. and rny license is in full force and effect.
License Class: License Number:
llo to.
CONSIRU('TION LT'NDING AGEN('Y
I hmby affim undo penalty of perjury thd thqc is a congruction loding agocy for thc psfonnmce of thc wrt for shich this pqmit b
issued (SE. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPI ICANT nr.CL{IL{flON
I hcr*yaftmund6 pcnalty of perjury one of the following dcclarations:
Demolition Permits-Asbestos Notifrcation Federal Regulations (Title 40, Part6)
-Requird
l-etter of Notificdion
rvith all City and County
and to enter upon the
above mentioned property for inspection
Appticant or Agent Signaturc:
Perrnitee name
Appliances
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 Il Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release 1,.\
FINAL Io-'-A )h/U-n{)
Notes, Remarks, Etc.v V
LhvyOvY l\Er-lvfAco\rllMV *
_l am
Dete: o b Owner:
Carrier:_
_ Contractor:.
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