HomeMy WebLinkAbout20173949 - Permita
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Electrical Permit #: 2O|7I94O
Pin #: wrz
t2lt,/
Project Address: 2121 N Westwood Ave Unit:
Block: NA
Bldg:
Tract. 2977
Address Range:
Historic: No
Suite Range:
Zoning. RlAssessor's Parcel. 001'165'08 Lot: 18
Owner:
Address:
DENNIS L HEATHCOCK
2121 N WESTWOOD AVE
Santa Ana, CA 927061923
(7141856-5634
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
FWU
General Plan Update
lssuance
Microfilm Records
Amount
26.71
23.79
59 30
4.05
Qt"t-
1 .00
100
100
100
Fee
$26.7 1
$23 79
$59 30
$4 05
Phone:
Tenant Name:
Contractor.
Address:
White Mechanical, lnc.
27221 Burbank
Foothill Ranch, CA 92610
(949) 716-8379Phone.
State Lic #: 822474
Lic Tvpe: C'20
Bus. Lic #: 321552
Workers' Compensation lnsurance:
Canier: Travlers Property Casualty
Policy #. U83R5812182026G
Expires: 10l,0112021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
HVAC change out
Occupancy:
Constr Type:
Code.
R-3
VB
cEC 2019 Notes: Electrical for HVAC
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web-issue fV
Date.
Date:
Date:08110t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 sife by such permit is
suspended or abandoned for a period of 360 days after the time the work
is commenced.
N/A - No Balance
N/A - No Balance
Fee Total:
Paid to Date:
Balance Due:
$11385
$11385
$0.00
lnspector MID#: 2021-167914
t
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNFR BUILDER DELC {RATION
I hereby aflirm under penalty of grrjury that I am exempt form the Contractors' License l-aw for the following reason (Sec.70-11..5 Business
and Profession Code): Any City or County rvhich requires a permit to construct. alter. improve. demolish or repair any structure. prior to its
issuance. also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisiors of the
Contractor's Licersed l.arv (Chapter 9. Commencing rvith Section 7000 of f)ivision -3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption Any violation of Section 70-11 .5 by any applicant for a pennit subiocts the
applicant to a civil penalty of not more than fir'e hundred dollars (S500).
No I. ,, owner of the property. or my employees u,ith rvages as their sole compensation. rvill do the rvort and the strucnre is not intended
or offered for sale (Sec.7044. Business and Professions Code: The Contractor's l-icense larv does not apply to an owner of the prop€rty
rvho builds or improves thereon. and who does such wort himself or henelf or through his or her ou,n employees. provided that such
improvanents are not intended or offered fot sale. lf. however. the building or improvcment is sold rvithin one year of complaion. the
Os'ner Builder rvill have the burden of proving that he or she did not build or improve dre properw for the frurpc,se of sale).
!O l. ,. owner of the propery*. aln exclusivelv contraoing rvith licensed contractors to construct the pro.iect (Sec. 7044. Business and
Pmfession Code: The Contractor's l.icense Lau,does not apply to an o$,ner of property rvho builds or improves thereon. and
rvho contracts for such projects u'ith a ('ontracto(s) licensed pursuanl to the Contraclor's License Law).
!o-t .rl exernpt uncler Section - - . B. & P.C. for this reason.
W'ORKFRS' COM PENS{TION NF('I ARATION
I herehy affirm under penalty of perjury one of the follos'ing declarations:
*o t h.*'. and rvill maintain a Cerrificate of ('onsent to Self-lnsure for rvorkers' compensation. as provided for by Seoion .1700 of the
l.atxrr Code. for the perfonnance of the work for rvhich the grermit is issued.
YES
lhaveands,ill maintainrvorkers'compensationinsurance.as requiredbySectionlT00ofthelaborCode.fortheperformanceofthe
rvork for rvhich this pennit is issued. Mv s'orkers' compensation insurance carrier and policy number are:
. Travebrr Property Caeualty Company of Arnrlca('arrier: _
u&3R5E121&2G2eG 1010112021I'olicv Nurnber:F-xpires:
NO
I certify that in the performance of lhe s,ork for rvhich this pennit is issued. I shall not employ any person in any mann€r so
as to become subiect to the work€rs'comgrcnsation larvs of ('alifornia. and agree that if I should bccome sub.iect lo the rvorters'
compensation provisions of Section .1700 of the Latxrr Code. I shall. forthwith comply with those provisions..
WARNIN(i: Failure to sec'ure u,orters'comgrensalion coverage is unlau,ful. and shall subiect an employer to criminal penalties and civil
fines up to one hundred lhousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section .1076
of the l,ahor Code. interest and attorney's fecs.
LIC}'NSFN CON'TRACTOR NFCI ARA'TION
I hereby affirm under penalty of periury'that I am licensed under provision of Chapter g (commencing rvith Section 7000) of Division .1 of
the Business and Professions ('ode. and my license is in full force and effect.
c20
l-iccnse ('lass:t22a7a
l.icense Nurnber
CONSTRI.ICTION I ENnlNG AGFNC}'
I herebv afTinn under penalty of periun'that there is a construction lending agency for the performance of the rvork forrvhich this permit is
issued (Sec. 3097. Civ. C.).
knder's Name:
I-ender's Address:
APPLIC ^ NT DECLARATION
I herebv aftinn under penalN of per luw one of the followtng declaranons
I)errrolrtron Pennrts-r\shestos Notrticatron Federal Regulatrons (T'rtle 40. Pan6)
!o Required l.etterof Notification
t-t1 , certib' that rhe fHerat regulations regarding asbestos removal are not applicable ro this projecr.
ttl , cefli8' that t have reacl this application ancl state that the above information is correct. I agree to comply'rvith all City and County
ordinances and State [.au's relating to building corstntction. and herehy authoriz.e representatives of this City and Countl'to enter upon the
above mentioned property for inspection purposes.
Reroof
Roof (Diaphragm Sheathing/Frame)
Structural Final
Plumbing
Under Floor I Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrical
Service (Meter I Panel)
Grounding / Bonding I
Rough irl:y-tu tu) 71
Electrical Final n'llr,I-t fr) 31
Mechanical t,
Gas Air Pressure Test
Rough
Piping (HW,CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.