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HomeMy WebLinkAbout40135730 - PermitProject Address: 118 N Laurel St-a- Assessor's Parcel. 198-252-26 Lot: 126, POR 127 Unit: Block: NA Bldg: Tract 540 Address Range: Historic: No Suite Range: Zoning: R2 a 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-135730 Pin #: {6907t Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: lsmael H Solano 1 18 N Laurel Street Santa Ana, CA 92703 (7141 478-7065 Sevilla Construction !nc 17280 Hlgh Country Cir Perris, CA 92570 (9s1) 378-0860 01 1 1 6002 51 604 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 Amount Qty Fee Furnace 10082 100 $100.82 Clothes Dryer - Residen 43.46 1 00 $43 40 Bathroom Fan 32.88 2 00 $65 76 Range Fan 34.80 1 00 $34 80 General Plan Update 23.79 1 00 $23.79 Microfilm Records 4.05 1.00 $4.0S ; r 'i;. ' ; ' -'. ., 1 State Lic #: 1020315 Lic Type. B Bus. Lic #: 377867 Workers' Compensation I nsurance:Carrier: State Compensation lnsurance Fund Policy #: 922G425 Expires: 0211612022 Sev i Iln Construct i on In, Generol Plnn Updqte Fee Lrl I l6tttt2- Sl6lllro[t[t- 11 icrof iIn & Documents Lll 1 16(1112- 5777t r(t[tu- llechon i co I Lt l I I6(tt t2- 516t-t4t t[t[t- U isa (:(:* : r** r**r***x*+864 Notes: mechanical for fire damage repair Fee Totat Paid to Date: Balance Due: s23 .'.77 t4, t-t5 t30{ , 14 $Lrltl2.tr4 Auth* : tt02156 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Verduzco, Vio,r,$ Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Single Family Dwelling OccuPancy: Alteration Constr Type. Fire Damage Repair/Patio g6Code: R-3, U VB cMc 2019 Date: Date: Date:07t13t2021 Account# Buildins Permit #: 101 106405 Every permit rssued 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 site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2021-165461 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.79 $304.1 4 $4 05 $331 98 $0 00 $331.98 tri M ECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNERBUILDERDEI,CARATION 'I hcby affm undo pcnalty of pc;jury thd I m qmpt from thc Contractoro' Licensc bw for thc following twtr (Se.703 1.5 Buins and Proftssion Codc): Any City or County $'hich rcquirG E pqmit to coNtruct, alt6. improvc. danolish or rcpairpy structuq Fior to its isumcc, also rcquiB thc applicilr for such pcmit to filc 8 sigrcd ststmot that hc or she b liccnscd pu*rt to thc FovbioE of thc Contrelor'! Liensd Lsw (Chsptq 9. Comocing with Sction 7000 of Division 3 of the ksinsTod PrcfcsioNCodc)orthathcorshcbqmptthscFomudthcbasisfortheallcgcd*mflion. AnyviolationofSetionT03l.Saymy spplicutforapcmitsubjctsthc applicattoacivilpcnaltyofnotmorcthufivchundrcddollm($500). a -1. 8s owner of the property, or my employe'es with wages as their sole compersation. intended or offered for sale (Sec.7044. Business and hofessions Code: The Conlractor's License Larv does not apply to an orvner of thcprofgly whobuildsorimprovcthqoqudwhodoasuchmtkhimsclforho*lforthreughhisorhqomcmploy6, providcd that such improvmls @ not intadcd orollqcd for gl€. If, ho$dc. thc hriHing or inprorrmcm is rcld wilhin onc 1a ofcompletion. thc Ownq Builda will hav€ thc budm ofprcvinS thar he or shc did not tuild or itnprcvc thc prepqty for thc purpor of slc). -1, a own6 of the yrcperty, an exclusivcly contracting with licqEed contractoE to consruct the S[ojct (Ss. 7044. Buine md Prcf€sbn Code: The Contractor's Liccnse Law do6 not apply to o owns ofprcperty who builds or imprcvcs thq@n. and who @nlBcts for such projets with a ContEcto(s) lic€ccd pu6@t lo th. Contmctor's Lictre taw). -l m excmpt unds Sstion-, B. & P.C. for this rcen. Drte __ Ortr€r:_ _ !4A8rc8S:.C0!4rnNArrAN DECI.AEAIIO! I hqcby alfm undo peoalty ofpcjury onc ofthe following dclaatiom: -l havc ud will mintain a Ccnificatc of Cowt to SclfJreurc for workds' conlpenstion, s trovidcd for by S6tion 3?00 of the Labor Codc for thc pofonmcc ofthc rcrt for which the pqmit is isucd. /l have and will maintain workers' compcuation imurancc. a requiled by Sation -l7OO of the Labor Codc. for thc pqfomucc of / tffc work for which lhis pftnit is isued My work6s' compcnsation insuracc cuia and policy numbo &c: Policv Number: Exoires: -l cettify 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 become subject to the worters'compensation laws of California. and agree that if I should become subject to thc workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with those provisions.. WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an anployer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000).in addition to the cost of damages as provided for the Section 3076 tlrc interest and attorney's fees. LIC EN S ED CON'I'RACTO R DI.'CLARA'I'ION I hoeby affirm under pmalty of perjury that I am licensod under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License W I hmby aflirm undo penahy of perjury thal thsc is a comtruciion lqding agmcy for thc psfomuce of the work for lvhich this p.rmit is issucd (Ss. 3097. Civ. C.). Leilder's Nanre: Lender's Address: APPLICA NT NT'C LAR.ATION I hq'ebyaffirmunder penalty of perjury one of thc following declarations: Dernolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Part6) -Required lrtter o f Notification -l coti$ that the federal regulations regarding asbestos removal are not applicablc to this projed. -l certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances and State laws relating to building authorize representatives of this City and County to enter upon the above nrentioned property for inspection Applicant or Agert Pennitce name construction. and hereby 3 Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation Insulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residentia! Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Fina! Test Meter Release FINAL lo-11-.7,Lu 37" Notes, Remarks, Etc (.amer: --/ _ Contractor:_