HomeMy WebLinkAbout40134151 - PermitProject Address: 2104 S Parton St-
-
Assessor's Parcel: 015-1 13-05 Lot: 1
Unit:
Block: G
Bldg:
Tract 597
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
Permit Counter: (7141647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #i 4013415{
Pin #: 669{8
Owner:
Address:
Ana Deleon Rosales
2104 S Parton St
Santa Ana, CA 927072623
(7141 721-3494
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type
Bathroom Fan
General Plan Update
lssuance
Microfilm Records
Amount
31 .72
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$31 .72
$22.e5
$57.20
$3.91
Phone:
Tenant Name:
Contractor: Phoenix Development lncorl
Address: 27702 Crown Valley Parkwa'
Ladera Ranch, CA 92694Phone: (949) 254-2636
State Lic #: 91 1979
Lic Type: C-36, B
Bus. Lic #: 374314
Workers' Compensation lnsurance:Carrier: State Compensation lnsuarance Co
Policy #: 922G180
Expires: 0A1412020
Botch* 132961 - WI2/2Etl9 ID: HGARCIA
Office: CTYH Trnnsi: 20 2 of 2Accbi: Ref*: 4tr134151
Rcpt*:029tr530:i - fi/12/2ttl9 ?:32 AH
Tronsoct ion Totol t533.9Ct
Fhoenix Oevelopnent Incorpornt
Contractor doiing (2) unrelated trades
$1 15.78
$0.00
$115.78
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Miscellaneous
Fan
0\
Hernan dez, Kathy 11t12t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2016 Notes:
Planning Conditions: Color to be Brown
Buirdins Permit #: 101 102198
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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 201 9-155767
01 1 16002 s1600
01 1 16002 51604
01 1 16002 57770
$22.es
$88 e2
$3.e1
Fee Total
Paid to Date:
Balance Due:
M ECHANICAL-I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
t hmby sffm und6 pcralty of pqjury thd I m cxmp ftom thc ContEctoB' Liccre kw for thc following rmn 156.7031.5
Buines md Profeion Codc): Any City or County which rcquic a pcmit to oNtruct. alt6. imprcvq dcrfolbh or Epair my
structurq prior to its isumcc. also rcquiro thc qplicsnt for such pcrmit to lilc a siSncd stal@dl that hc or shc is lictrcd plmet
to thc provisioN of the Clntretor's Licmscd law (Ch.pt6 9. Commmcing with SElion 7000 of Division 3 of thc Busins md
Prefxions Codc) or that hc or shc is cxcmpt th@from od thc bais for thc allcgcd cxmption. Any violation of S*rbn 7031i5 by any
applicant for a pcmit subjcts thc applicart to . civil pcnalty of rcl morc thm livc hundred dollus ($500).
_1. as owner of the property. or my employees with wages as their sole cornporsation. will do the work and the structure is not
intcnded or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improves thcreon. and who does such rvork himself or herself or through his or her own employec.
provided that such impovonents arc not intcnded or offcrod for sale. If. hower,rcr. the building or irnprovement is sold wilhin one )aar
of complaion the Orvner Builder u'ill have the burden of proving thr[ he or she did not build or inprove the propaty for thc purposc of
sale).
-1.
as owner of the property. am exclusively contracting with licensed contractors to construct the poject (Sec. 7M4, Business
and Profiession Code: The Contractor's License Law does not apply to an orvner of property rvho builds or improves thereon,
and who contracts for such projects rvith a Contracto(s) licensed purcuant to the Contractor's License Law).
-l
am exempt under B. & P.C. for this reason.
f)o t o.
WORKERS' COIITPEN SA'I'ION
DECLARATION
I hereby affirm uncler penalty of perjury one of the follorving de<larations:
__ _l have and rvill rnaintain a Certificate of ('onsent to SelGlnsure for u'orkers' compensation. as provided for by Section 3700 of the
l.alxrr Code. for the perfonnance of the u'ork for s'hich the pornit is issued.
- I have and will rnaintain rvorters' cornpensation insurancc. as required by Section 3700 of the Labor Code, for the perforrnance of
the u,ork for rvhich this pcnnit is issued. My worko's' cornpensation insurance carrier and policy nutnbcr are:
Policy N,.mhar.Irrpircs:
_ _l certifu that in the perforrnance of the work for rvhich this perrnit is issued. I shall not employ any person in any manner
so ils to become subject to the rvorkers' compensation law's of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply rvith thosc provisions..
WARNING: Failure to sccure rvorkers' compensation coverage is unlawfiul. and shall subject an anployer to ctiminal panalties.and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of comperuiation. damages as provided for'the
Section 3076 of the Labor Code, interest and attorney's fees.
t
LI('ENSED CONTRAC'TOR
DECLARATTON
I hcreby affinn under penalty of perjury lhat I am licenserJ under provision of ('hapter 9 (comtnencing u'ith Section 7000) of l)ivision -1
of the Business and l\ofessions Code. and my license is in full force ancl effc'ct.
l.icense Class:_
l)nl c:/
CONSTRUCTION LENI'ING ACENCY
I hatby affm undr pcElry of pajury thd th@ b E srdruction kodiry rgacy fo. thc Ffotrlmc of thc wrl for wlich thb pqnit b
i$ued (Sc. 3097. Civ. C.).
Lender's Name:
-
Lender's Address:
APPLI('AN DECLARA'I'ION
I hcrcty affinn undcr penalty'of perjury'one of the follorvirrg tleclarations:
Delnolition Pernrits-Aslrstos Notification Federal Regulalions ('l'itle 40. Parr(r)
Required Letter ol' Notification
-l
csrify that thc fcdml rcaulatiore rcgrding rbctos moval rc not applicablc to thb prcjct.
-l
csriry thrt I havc Md this applhdion and stdc th.t thc rbovc infomdioo b orff1. I agr lo smply with all City and Comty
ordhmc ud Statc lrw3 Ehirg to buiHing consEuctioq od My autlprirc rcprccddiv6 of this City ud County to Gttta rpon thc
above mentioned propeay for
Applicant or Agent
Perrnrtec name
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 Ranqe
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL It zLl fl P+" od,.*97
Rem Etc.
qr ol
I
Number: 1lt 11 7
?hoat t'x. Da/e/l L t
Liccnsem
(tu 4tr 4r
_ Date:t t /t z//7
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