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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. 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