HomeMy WebLinkAbout40135065 - PermitProject Address: 241 8 1/2 W Elder Ave
Assessor's Parcel: 109-1 23-04 Lot: 81
Unit:
Block: NA
Bldg:
Tract: 1346
Address Range:
Historic: No
Suite Range:
Zoning: R1
t City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #i 40{35065
Pin #: 69085
Owner:
Address:
LDM PROPERTIES LLC
909 W WALNUT STREET
Santa Ana, CA 92703
(7141 501 -7269
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Furnace
Bathroom Fan
Range Fan
General Plan Update
!ssuance
Microfilm Records
Amount
70.66
32.88
34.80
23.79
59.30
4.05
Qty
1.00
1 .00
1.00
1.00
1.00
1.00
Fee
$70 66
$32 88
$34.80
$23.7e
$5e 30
$4.05
Phone:
Tenant Name:
Contractor:
Address.
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:i Policy #:
Expires:
Building Use:
Job Type.
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Accessory Dwelling Unit-D Occupancy:
New Constr Type:
ADU w/att Garage Code:
R-3, U
VA
cMc 2019
Zuniga, Allissa 11t03t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date:
Notes: Mechanical for new detached ADU
Fee Total
Paid to Date:
Balance Due:
Buildins Permit #: 101 102820
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, 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.
lnspector MID#: 2020-1 57031
01 1 16002 s1600
01 1 16002 51604
01 1 16002 57770
$23.7e
$197.64
$4.05
$225.48
$0.00
$225.48
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNERBIIILDERDELCARATION . T
I hcrcby affirm undcr Fnalty of pcrjury thst I m excmpt from the ConradoB' Licens [:w for the followin! rcQn (Sc.7031.5
Business and Profcssion Codc): Any City or County whbh rcquircs a pemil to @nsiruct, 8lts. improw. demlish or rcpfir my
structre. Fior Io ils issme, also rcquircs the spplicanl for such permil lo file 8 sigrcd ststemnt thsl he or shc is liensd pursmt
lo thc pmvirions of lhc Conlrctor's Liensd lrw (Chsptcr 9, Comrercing with Seclion 7fl)O of Division 3 of thc Business and
PmfessionsCode)orthsthcorsheiscxemptthercfromandthcbssisfortheallcgcdcxemption. AnyviolstionofSstionT03l.5byqny
applicant for a Frmit subtrcts thc rprrlicsnt to s civil pcElty of mt mrc thm ,ive hundred dollus ($50O).
-1.
as owner of the property. or my cmployces with wages ss thcir sole compensation. will do the work ard the stnrture ls not
intcnded or offercd for sale (Sec.7044. Business and Profcssions Code: Thc Contractor's Liccnse l-aw does not apply to an owner of
the property who builds or inrproves thereon. and who docs such work himself or herself or through his or her own employees.
provided that such improvenrnts are nol intcrded or offcred for salc. If. howevcr. thc building or inprovcrrcnt is sold within onc )rar
of comphtion. thc Owner Buildcr will havc the burden of proving that he or she did not build or improve the property for tlre purpse of
sah).
-1.
as owncr of thc profrcrty. am exclusively contracting with licensed contractors lo construct lhc propct (Sc.c. 7044, Business
and Profcssion Codc: Thc Conlractor's Liccnse Law does not apply to an owncr of propcrty who builds or improves lhcreon.
and who contracts for such projects with a Contracto(s) liccnsed pursuant to the Contractor's Licensc l-aw).
-l
am cxcmpl undcr B. & P.C. for this
Orr",
DECI ARATION
I hercby affirm undcr pcnalty of pcrjury one of the f<rllowing dcclarations:
-l
havc and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
L:bor Codc. for thc performrncc of tlrc work for which the permit is issued.
-l
huve and will maintain workers' compcnsation insurance. as rcquircd by Scction 3700 of thc labor Code, for thc pcrformance of
the work for which this permit is issucd. My workcrs' compcnsation insurance carrier and policy number are:
Policv Number: Exoircs:
-l
certify that in thc perfornrancc of thc work for which this pcrmit is issued. I shall not cmploy any person in any rnanncr
so as to bccome subjcct lo the workers' comlrcnsation laws of California. and agree thet if I should becomc subjcct to thc
workcrs' compensation provisions of Section 3700 of thc labor Codc. I shall. forthwith comply with thosc provisions. .
WARNING: Failure lo sccurc workcrs'compcnsation coveragc is unlawful. and shall subpct an cmploycr to criminal iienaltics and
compcnsiltion. damages ar pr6vidcd for thccivil tincs up lo onc hundred thousand dollars ($l00.0tlOl.to thc cost of
Section 3076 of the l-atnr Codc. intcrcst and q
LICTINSED CONTRAC'TOR
DECI ARA'TION
I hcrchy all-rrrn undcr pcnalty of pcrjury that I am liccnscd under provision of Chaptcr 9 (colnrrrcncing with Scction 7Uru) of Division 3
of the Busincss and Prot'essions Cotlc. antl rny liccnsc is in full lorcc alxl cllcct.
Liccnse Class: License Number:
W
I hercby affrm under pcnslty of perjury that therc is 8 onstructbn hnding agcncy for th€ perfom of the wk for which thi! permit is
issued (Se. 3{D7. Civ. C.).
Lcndcr's Namc:
Lcndcr's Addrcss: prl rc.N"
"ECt
RAtr(,n
I hcrcby aflirm undcr pcnalty of pcrjury one of thc following declarations:
Demolition Permits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
-Rcquired
Lcltcr of Notification
-l
ccrtily thal thc f'c$ral rcgulatiorts rcgarding ashcslos rcntovalarc rxrt applicahlc lo this projcct.
-l
ccrtily lhut I havc rcatl this allplication und statc lhat lhc atxrvc intirrrruliorr is corrcct. I agrcc to cornply with all City and County
ordinances and Statc [:ws rclating to reprcscnlalivcs of this City and County to cntcr ufnn tlrc.\abovc mentioncd propcrty for
Applicant or Agent
Pcrrnilcc nanrc
conslruction. and hcrcby authorizc
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
l/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
Installation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test n
Meter Release N\
FINAL t.-ZT-A \,trt\t)
Notes, Remarks, Etc.\,\/
o,r", - ll blrrn
Contraclor:
k-,*", til b/ te
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