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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 fiAt+