HomeMy WebLinkAbout40135765 - Permit"' fiL City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAs27o2
@, Permit counte r: (714)647-5800 tnspection Requests: (7141007-2738 tnspector section: (7141o41-sts3
Mechanica!Permit #: fi135765
Pin #:,r"tr,
Project Address: 2456 N Heliotrope Dr Unit:
Block: NA
Bldg:
Tract. 755
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 002-063-04 Lot: 28
Owner:
Address:
Emmet Berkery
2456 Heliotrope Drive
Santa Ana, CA 92706
(7141 343-3474
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Furnace
Compressor
General Plan Update
lssuance
Microfilm Records
Amount
70.66
97 .17
23.79
59.30
4.05
Qty
1 .00
1 .00
1 .00
1.00
1 .00
Fee
$70.66
$97.1 7
$23.79
$59.30
$4.05
Phone:
Tenant Name:
Contractor:
Address:
Orange County Plumbing Heatin
465 W. First Street
Tustin, CA 92780
17141 7 54-177 4Phone:
State Lic #: 993990
Lic Tvpe: C'36, C'20
Bus. Lic #: 365898
Workers' Compensation lnsurance:
Carrier: Falls Lake Fire and Casualty Company
Policy #: FLA00462804
Expires: 0410112022
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Mechanical
Occupancy:
Constr Type:
Code:
R-3
VB
cMC 2019 Notes: Mechanical
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By:
Subject to Field:
Building Permit #:
web_user
Date:
Date:
Date:07t20t2021
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 fhe 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:
$254 97
$254.97
$0.00
lnspector MID#: 2021-167567
INSPECTOR RECORD t
SITE-WORK DATE !D/SIG.COMMENTS OWNER BUILNER DEI CAR,ATION
I hereby aflirm under penalty of perjury that I am exempt form the Contractors' Liccnse Law for the following rcason (S€c.70-l1.5 Busincss
and Profession Code): Any City or County which requires a permit to conslrucl, alter, improve, demolish or repair any structure. pnior to its
issuance. also rcquires the applicant for such permit to file a signcd statement that he or she is licensed pursuant to thc provisiors of the
Contractor's Licensed Law (Chapter 9. Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by any applicant for a pe'rmit subjects the
applicant to a civil penalty of not more than five hundred dollars ($.500).
Y-t, .r o\^,ner of rhe propcrty. or my employees with wages as their sole compensation, will do the wort and the stucture is not inrended
or offererl for sale (Sec.7044. Business and Professiom Code: The Contractor's License Law does not ap,ply to an owner of the property
who builds or improve thcreon. and rvho docs such wort himself or herself or through his or her own cmployees. provided that such
improvements ane not intended or offerod for sale. If. howwer. the building or imp,roverrcnt is sold within one ycar of complaion. the
Orvner Builder will have the burdcn of proving that he or she drd not build cr improve tre property for tlre ptrpcc of sale).
19 t. a. owner of rhe prop€rty. am exclusively contracting with licensed contractors to constnrct the project (Sec. 7044. Business and
Profession Code: The Contractor's License Larv does not apply to an owner of property who builds or improves thereon. and
rvho contracts for such projects with a Contractor(s) licensed pursuant to the Contracts's License Law).
xo t arn exempt under Secrion B. & P.C. for this reason.
WOR.KT'RS' COM PT'NS ATION NFCI ^ R.ATIOIT
I hereby affirm under penalty of perjury one of the following declarations:
!-t nur. and will rnaintain a Cenificate of Consenr to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
L:bor Code. for the performance of the work for which thc pcrmil is issued.
YES
_l have and will maintain workers' compensation insurance. as required by Section -1700 of the labor Code, for the performance of the
work for which this permit is issued. My workers' compensation insurancc carrier and policy numbcr are:
. Fallr Lako Flrr t Carualty lnrurancc
Carrier:
FLAM4E2EO'
Policy Nulnher': __Expires:o11o112022
NO
__ I certifo that in the performance of the rvork for which this pcrmit is issued. I shall not employ any person in any mann6 so
as to become subject to the workers'compensation laws of California. and agree that if I should become subject to the workcrs'
compensation provisions of Section -1700 of the l-:bor Code. I shall. forthwilh comply with those provisions..
WARNTNG: Failure to secure workcrs' compensation coverage is unlawful. and shall subject an cmployer to criminal penalties lnd civil
fines up to one hundred thousand dollars ($100,000), in addition to the cost of comp€nsation. damages as provided for the Section J076
of the Labor Code. interest and attomey's fees.
LICENSFn CONTRACTOR nFCI ^ RATION
I hereby affirm under penalty of perjury that I am licensed under provision of Chapler g (commencing with Section 7000) of Division -1 of
the Business and Professions Code. and my license is in full force and effect.
c-20
[,icense ('lass:oe3eeo
Liccnse Number
CONSTRTICTION I F'NNING AGF'NCY
I hcreby affirm under penalty of perjury that there is a construction lending agercy for the pcrfornunce of the work for which this permit is
issued 1ggg. .1097, Civ. C.).
Lender's Nanrc:
Lender's Address:
APPI IC^NT NFCI ^R.ATION
I heretry affinrr under penalty of per1ury one of the followrng declaratrons:
Denrolition Pernrits-Asbestos Nolification Federal Regulatrons (Title 40. Part6)
rc Required Letterof Notification
YEs f cefliry that the federal regulations regarding asbestcrs rcmoval are not applicabte to this project.
5t t ccfliry that I have read rhis apptication and state that the above information is correcl. I agree to comply with all City and Cotmty
ordinances and State Laws relating to building construction, and hereby authorize rcpresentatives of this City and County to enter upon the
above mentiond property for inspection purposes.
Reroof
Roof (Diaphragm Sheathing/Frame)
Structural Final
Plumbing
Under Floor I Under SIab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrical ,l
r)LD 3\A ltshr 50tsqANet-
Grounding / Bonding I
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW,CW, etc.)
Exhaust Ducts It
Mechanica! Final zd5 Zlts/2-tlt
Notes, Remarks, Etc.
lt
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