HomeMy WebLinkAbout40135010 - PermitProiect Address: 1830 E Nineteenth St-a-
Assessor's Parcel: 396-352-19 Lot: 7
Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 1828-1834
Historic: No
Suite Range:
Zoning: Al
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Mechanica!
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 4Oi35O{O
Pin #: 15712
Owner.
Address:
Phone:
Tenant Name:
Contractor:
Address:
John Johnson
1830 E 19th St
Santa Ana, CA 92705
(7141483-1 217
Pro Star Builders
17412 Ventura Ste 151
Encino, CA 91316
(866) 772-6161
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01116002 5777C
Fee Type
Bathroom Fan
Genera! Plan Update
lssuance
Microfilm Records
Amount
32.88
23.79
59.30
4.05
Qty
1 .00
1 .00
100
1 .00
Fee
$32.88
$23 79
$5e 30
$4 0s
Botch+ :56S6? ltr/ L3/
Off i ce: CTYH Transi
Acct*:
Rcp ti r tl3tl94 L44 - Itrt
Tronsoct i on Totul
LL
Phone:
State Lic #: 1053661
Lic Type: B
' Bus. Lic #: 376410
Workers' Compensation I nsurance:Cargier: State Fund
Policy #: 92G63S3
Expires: 1213112021
Pro Stor Bu i ldert
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Bathroom Remodel
Date:
Date:
Date.
R-3
VB
cMc 2019
Generol PIsn UPdstt
ul 1 t6LlLr2- St6tltlLltl0'
Il icrof ilrn & Documer
Lf 1 1 16002- fl77 Zrlr_r00.
Ilechon i col
Ltt I 16002- 51604r_rrrr.r.
U is0
Notes: Mechanical for guest bathroom remodel.
Fee Total
Paid to Date:
Balance Due:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:Zuniga, Allissa
Subject to Field:
Buirdins Permit #: 1 01104959
Every permit issued 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 MtD#. 2020-1621 80
10t15t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.79
$e2.1 8
$4.05
$120.02
$0 00
$120 .02
Occupancy:
Constr Type:
Code:
M ECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DETTARATION
I hocby aflm unda pcrulty of pcjury thst I m cxmp from thc ConrrcloB' Licensc kw for thc following wn (Se.7031.5
Buinas md Profsion Codc): Atry City or County which rcquirc a pomit to construcl, altq, improvc, danolish oi rcpair uy
struclurc. prior to its issuuca also requirc thc applicur for such psmit to file a signcd starmat that hc or shc b licoscd plmut
to the provisioG of thc Contractor's Licnsd Law (Ch8pt6 9. Comcncing with Setion 7000 of Division 3 of thc BEins md
Prcfcsiore Codc) or that hc or shc is cxmpt thacfrom md thc bris for thc allcgcd amflion. Any violation of Sction 7031.5 by mi
applicantforapemitsubjctsthc applicattoacivilpemltyofnotmorethefivchundrcddollm(3500).
-1,
0s owner of the property. or my employces with wages as their sole compqsstion, will do the work and the structtne is not
intendcd or offcrcd for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the propcrty who builds or improve theron md who does such wort himself or herself or through his or her own employees,
provided that such improvanents ane not intendod or off€rod for sale. [[, howwer. the building or irnprovenrent is sold wilhin one y€ar
of complaion, the Orvncr Buildcr will have the hrdcn of proving ttra he or she did not build or improve ttre pnoputy for the purposc of
sale).
-t,
os owrrer ofthe propcrty, am exclusively contracling with licensed contractors to construct the project (Sec. 7044. Btniness
and ProfEssion Code: The Contractor's License Law does not apply to an own€r of propcrty who builds or improves thcreon
and who contracts for such projccts with a Contracto(s) licensed pumuant to the Contractor's License law).
-l
am cxcmpt under Section-. B. & P.C. for this reason.
Date: Owner:_
WORKERS' COMPENSATION
DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
-l
have and will maintain a Cqtificate of Consent to Self-lnsure for workers' contpensaliont as provided for by Section -1700 of the
Labor Code, for the performance of the work for which thc pcrrnit is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 ofthe Labor Code, for the performance of
the work fxryhich this permit is issned. My workers' compcrisation insurance caricr and policy number are:
Policy lL-Ll>2o ,
-t
certify that in the performance of the work for which this permit is issued. I shall not anploy any pcrson in any maluxf,
so as to become subject to the work€rs'compensation laws of California, and agree that if I should become subject to the
work€rs' compersation provisions of Section 3700 of the l-abor Code I shall. forthwilh comply with thosc provision3.
WARNING: Failure to sccure workers' compensation is unlawful. and shall subject an anployer to oiminal pei'ralties and
compensation. damages as provided for thecivil fines up to one hundred thousand dollars addition to cost of
Section 3076 of the Labor Code, interest and
^
I ICENSED CON'I'RACTOR
DECI ARA'IION
t hereby allirm under penalty of perjury that I am licensed under provision of Chapter 9 (comrnencing rvith Section 7000) of Division -1
of the Business and Professions Code. and my license is in full force and effect.,B lofLicense
Drte:
Nurnber:&-a?b
W
I hcby alfm udo paulty of pCjury thar th@ b 8 ons(ruction knding agocy for thc pqfomc of thc worh br which this pqmit is
i$ucd (Ss. 3097. Civ. C.).
Lender's Name:
Lender's Address:
APPI IC ^ NT DFC] AILATION
I hcdryatrnn under panalty of perjury one of the following declarations:
Demolition Pcrmils-Asbestos Notification Federal Rcgulations (Title 40. Part6)
-Required
Letter of Notification
_
-l
certiff that the fderal regulations regarding asbestos removal are not applicable to this project.
-l
coti$, that I have read this application and state that rvith all City and County
and County to enler upon theordinances and State Laws relating
above mentioned property for
Applicant or Agent
Pennitee nilme
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type II Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release rl I AI --n,/
FINAL U p'{[)t)l),Wltht #"o[I
Notes, Remarks, Etc.
Slatz