HomeMy WebLinkAbout30142358 - PermitCity of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA927O2 Plumbing
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:30142358
Pin #: 852OO
Project Address: 625 E Myrtle St
Assessor's Parcel: 404-074-13 Lot: 7
Unit:
Block: 5
Btdg:
Tract 343
Address Range:
Historic: No
Suite Range:
Zoning: Rl
d
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Ortiz, Lenard S
625 E Myrtle St
Santa Ana, CA 92701
(909) 770-9632
Specialty AC Heat
1289 E 7th Street
Upland, CA 91786
(909) 982-7999
01 1 1 6002 51 602
01116002 5't60C
01 1 't 6002 51602
o1116002 5777C
Fee Type Amount
Wtr Htr (Res up to 50 gr 23.97
GeneralPlan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
1.00
Fee
$23.97
$23.79
$59.30
$4.05
State Lic #: 784495
Lic Type: C-36, C-20
Bus. Lic #: 349795
Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company
Policy #: SWCl264950
Expires: 1012312020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Plumbing
,r"O-rr"V
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
o8t21t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Plumbing
Fee Totat
Paid to Date:
Balance Due:
N/A - No
N/A - No
Balance
Balance
$1 1 1.1
$111.1'
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the wo* authoized on the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-160978
PLUMB!NG.!NSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS OWNER BUTLDER DELCARA'IION
I hcrcby aflirm under pcnalty of pcrjury that I m cxempl liom the Contraclors' Licensc Law for the following reaon (Se.703 1.5
B$incss and Profession Codc): Any City or County which requires a pcmit lo construcl, ahtr, imprcvc, dcmlish or rcpair any
rtruclure, prior ro its isMnce, de rcquirG the applicant for zuch pemit to lilc a si8ned statcment that he or she ii liccnscd pumot
to thc pmvisiotrc of dE Conlractor's Liccnsed law (Chapter 9, Comercing wilh Scction 7000 of Division J of thc Business and
PmfessionsCodc)orthatheorshciscxcmptth€rcfromandthebasisforthcallcgcdcxemption. AnyviolalionofscttionT03l.5hy6ny
applicanl for a pcmit sbjsIs Ihc spplicanl to a civil penahy of mt mre lhan fivc hundrcd dollus ($500).
_1. as owr of the pmlErly, or my cmploFes with wag6 as their mle ompensation, will do the wod( ard the smw k ml
intcrdcd oroffcrcdforslc(Sc.7(X4,BusindsandPmfessionsCode:'l'heConlraclor'sLiccnsLawdoesmtapplytoanowrerof
thc pmfEny who buildq or irlpmvB thgon, and who dos mch work himsclfor hcrselfor thmugh his or her own cmployccs,
provided that sch imprcvffints m mt intsdcd oroflcrcd for sle. If, tnwevs, thc building or imprevemnt is sld wilhin onc )@r
of omplaior\ the Owner Builds will have thc burdcn of preving that he or shc did rct build or impmve the prcpsly for the pu4n* of
slc).
_1. as owner ofthe prcperty, m exclusivcly con(racting wilh licensed contractoF lo construct the prcject (Sec. 7044, Busines
and PmftssionCode:'lheContractor'sLicenseLaudoesnotapplytoanownerofpropcrtywhobuildsorimprovdlhereon,
and who @ntEcts for sch pmjets with a Contmcto(s) licensed pumant lo thc Conltrclor's Liccnse Law).
-l
m excmpt under Sction-, B. & P.C. for this rcamn.
Drt.:_
I hcrehy aflirm under pemlty ofptrjury one oflhe following
_l have and rvill nroinlain a Cenillcrle r)f(imsent b Sel['lnsure ftrr rvorkers' conrpcnsalion, ns provided for hy Seclioo ]7(X) ol lhe
l-nhrr (ixle. for the performnncc oftlrc work for which the permit is issued
_l have and will maintain workers' compensation insumnce, as required by Sccrion 3?00 ofthe Lobor Code, for the pcrfomome of
thc work for which this pemit is issed. My work6' compcnstion i[srame cmicr and ;xtlicy number rc:
Policy Numher: Expires:
_l cc.tify that in thc pcformrcc of thc work for which this permil is ismed, I shall not employ any peFon in any manncr
s as to ttromc subj(t to th€ workm' ompcnmtion laws of Califomia, and agrcc thal if I should bccome ruhict to the
workm' mmpeffialion pmvisions of S6tion 3700 of thc Labor Code, I slull, fonhwilh comply with llps pmvhions..
WARNING| railure to rcure workcrs'compcnsataon covemge is unlawful, and shall subject an employer to criminal pcMhies and
civil fincs up to one hundrcd thousnd dollars ($100,000), in addilion to the cost ofcompensation, daroges as provided for thc
scction 1076 ofth€ Labor Code, inlcrcsl and anomey's fes.
Applldnt:
LI
DTCLARA'IION
I hercby allirm under pemlty ofperjury that I am licen*d under prerisioil ofChsptcr g (@mmencinE wilh Sslion 7000) ofDivision l
of the Business and Prefessio[s Code, atd my licen* is in full force nnd efTect.
Liccmc Clas:-Licensc Numbcr:
-
l)ilte ('ottlrilckrr
C()NS'I'RI'C'I'ION Lf, NDIN(I A(;TNCY
I hcrehy allirm under penalty of perjury that there is a construction lcndin8 agency lirr the perforurance ofthe work ft)r which lhis pennit is
issued (Sec. ll)97. Civ. C.).
Lender'3 Name
Lendcr's Address:
APPLICANT DECLARAl]ON
I hertby alim umler pennlty of perjury one ofthc folkrwing declaralions:
Dcmolition Perrhits-Asb€stos Notiflcation l;cderal ReSulations ( l ille 40, Pan(r)
-Requircd
Letter of Notifi cation
-l
cenify lhat the federal regulations rcgarding asbeslos removal are not applicahle lo this preject.
_l c.niry rhst I h.vc rsd lhis applicstion aDd statc thal thc abovc infomlion is coret. I o[ra lo @mplywith all Cityand County
ordinarcB and State Lam rclatinS to building co[structior\ ard hereby authorirc rcprcsotativs ofthis City and County to ciltr upon the
atnvc mntiorcd pmpcny for iNp.ction purJnks.
Appllcsnt or Agent
Permltec name (prlna):_
l)ate
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill LineiBack Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release ^Ll tll- /E)
F!NAL T;r[p/o uKa/o Tdaa\
Notes, Remarks, Etc.