HomeMy WebLinkAbout40134679 - Permit-ta
I City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: Qfi) 667-2738 lnspector Section: (714) 647-5853
Permit#i 4o^134679
Pin #: 52O4O
1fi't
Project Address: 721 1/2 N Linwooda
Assessor's Parcel: 398-061-23 Lot: 14
Unit:
Block: NA
Bldg:
Tract 1285
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Joaquin Casrorena
721 N Linwood
Santa Ana, CA 927014332
(7141 474-1910
01 1 16002 51604
01 1 16002 s1604
01 1 16002 51604
01 1 16002 51604
01 1 1 6002 51 60C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Furnace 68.16
Clothes Dryer - Residen 41 .gz
Bathroom Fan 31 .72
Range Fan 33.57
General Plan Update 22.9s
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$68.1 6
$41.92
$31 .72
$33.s7
$22.9s
$57.20
$3.e1
\
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
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:
New Detached ADU Code:
R'3, U
VB
cMc 2019
Hernan dez, Kathy 06/1 0t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Date.
Date:
Date:
New detached ADU with (1) bedroom, (1) bathrooffi,
living room and kitchen
$2s9.43
$0.00
$259.43
$-
Buildins Permit #: 1 01102928
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-157329
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$22.95
$232.57
$3.e1
M ECHANICAL.INSPECTOR R ECORD
APPROVALS DATE !D/SIG COMMENTS ( )wNER rlul l.l)FlR l)Fll.cARA'il( )N !
I hcrcby aflirm undcr Fna[y of pedury that I m cxcmpt frcm thc Contr ctoB' Licens [rw for thc folloeirg rc&sn (58.7031.-'
Business ard ftofession Code): Any City or County which rcquircs a Jmit to @nstruct. 1116, irtPmrc, dcmlisi or rcJnir rny
structre. lrbr to its issure, abo rcquircs thc rpplhmt for such pcmit to fih a signcd stalclmt lhrt he or sll is lieosd Pwsil
to the pmvisions of thc Contrrctor's Licenrcd llw (Chaptcr 9. Comncing with Sstion 7fi)0 of Division 3 of the Busircss and
PmfcssknsCodc)orthslhcorshciscrcmptthcrcfmmstrdlheboslsforthcalhgcdcxcmptkn. Anyviolalbnofsct{ion703l.5byrny
spplicant for a pemit subjets the spplicant lo I Givil penslty of nol mrc than five hundrcd dollss ($500).
_1. as owner of thc propcrty. or my cmployees with wagcs &s their sole comlrnsation. willdo the work and thc structure Ls not
intcnded or offered for sale (Scrc.7044, Business and Profcssions Codc: The Contractor's Lhense [.aw docs not sPply to an owner of
the property who builds or inprovcs thermn. and who does such work himsclf or hcrself or through his or her own cmployccs.
providcd that such improvenrnts arc not intended or offerc<l for sah. lf. however. the building or inqrrovenEnt is sold within one year
of completion. the Owncr Builder will have thc burdcn of proving that hc or she did not build or in{rrove the propcrty for thc purlnsc of
sah).
-1.
as owner of the propcrty. am exclusively contracting with licensed contraclors to construct the pmict (Sec. 7W. Business
and Pmfcssion Code: The Contractor's Licensc Law docs nol apply to an owner of pro;rrty who builds or improvcs thercon.
and who contracts for such pmjects with a Contracto(s) liccnsed pursuant to lhe Contractor's Licensc [:w).
I am exemnl B.&ftrr this slvp,-o ?r
I hercby allirrn undcr Jrcnalty of pcrjury one of lhc lbllowing
_lhavcatrdwill rnainlairraCerlilicatcofC<lnserrtloSclf-lrrsurclirrworkcrs'compcttsitlion.as providedlirrbyScctiott3Tfi)ttl'thc
I;rtxrr Cotlc. Iirr thc pcrltrrnrancc of thc work lirr which thc pcrrnit is issucd.
_t hlvcarrtlwilt rnaintains,orkcrs'cotnpcnsationinsurance.ils rcquirctl hySc'ction.l7il)rtfthcLrhorCodc.forthcpcrl'ornllnccof
thc work lirr which this pcrrnit is issued. My workcrs' corrrpcnsalion ittsurilncr'calricr arrd ;xrlicy lttttttbcr iuc:
Policv Nunlbcr: Expircs:
-
,
_l ccnify that in rhc Jrrformncc of thc work for which this Frmil is issucd. I shull nol cmploy any pcrsn in any manncr
s) as to bccom subjcct lo thc workc$'compcnsalion laws ofcnlifornia. ald agrcc lhat ifl should bcconr subj€l lo lhc
workcrs' comJrcnsati(r1 ppvisions of Scction 3700 of thc lltnr Codc. I shall. forlhwith comply with thos provisions..
I
WARNING: Failurc to s.urc uorkcrs'conqrcnsatirrn coirrugc is unla*ful. nnd shilll subj(t an cmplolrcr lo riminal lrmlics und
civil fincs up to one hundrcd thousand dollars ($1fi).ffiO). in to thc cost of danuges as provided for thc
.Scction 1076 intercsl and attorncy's l'ccs.
("l0 Zo 7 l-
DECI ARA'I'ION
I hcrehy af'tirrn unclcr lrcnaltyof pcrjury that I am liccnscd undcr provision ol'Chaplcr 9 (coltuttcttcirrg s'ith Seclion 7Un) ot'Division J
of thc Busincss and l'rol'cssions Coclc. and rny liccnsc is in full litrcc antl ctl'cct.
Liccnsc
Dale:
Class: License Number:
W
I hcrcby allirm undcr Enrlly ofpcrjury rhol lhsc is a construction hnding .gory for lhc lrcrfonmncc oflhc work for which lhis Jf,nnil is
issuc(l (S$. .1097. Civ. C.).
l-cndcr's Addrcss:
I trcreby alfinn under pcnalty of pcrjury onc of the following dcclarations:
Denxrlitiorr Permits-Asbestos Notification Fedcral Regulations (Titlc 40. Pan6)
-Rcquircd
lrtter of Nolificalion
_l certify that thc federal rcgulations regarding asbeslos rcnxrval are nol applicablc to this projcct.
-l
ccrtify lhal I have read this applicution and statc that thc atxrvc is corrccl. I agrcrc lo comply with all City and County
ordinunces arrrl Statc Laws rclating lo autlrorizc rcprcsentat ivcs
abovc mcntioned propcrty for
Applicarrt or Agcnl
Pcrrtrilcc rrlnrc
and
f
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
n
Vents n I
foilet Room / Clothes Dryer 1-K -vt A.'{llL\l,
Residential Ranqe
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.
Final Test n
Meter Release
FINAL 3-7s-A trAril,l
Notes, Remarks, Etc.
l)ate.
Carrier:
v /4 ^;fr
(/$--l
/4.'