HomeMy WebLinkAbout30143691 - Permita
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit #: I0latGel
Pin #: 4mGPermit Counter'. (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2714 N Olive Ln
Assessor's Parcel: 002-284-04 Lot: 33
Unit.
Block: NA
Bldg:
Tract: 2089
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address.
Phone:
Tenant Name:
Contractor:
Address:
Phone.
ALICE HOOD
2714 N OLIVE LN
Santa Ana, CA 927061160
(7141 541-se62
Rooter Hero lnc
1 1150 Sepulveda Blvd, #2
Mission Hills, CA 91345
(6s7) 284-1270
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Sewer Alter/Repair
General Plan Update
lssuance
Microfilm Records
Amount
47 95
23.79
59 30
4.05
Qty
1.00
1.00
1.00
100
Fee
$47.95
$23.79
$59.30
$4.05
State Lic #: 1028886
Lic Tvpe. C'36, B, A, C42
Bus. Lic #: 374756
Workers' Compensation lnsurance.
Carrier: Safety Nat'l Casualty CorP
Policy #: SP4064602
Expires: 0410112022
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
Alteration
Sewer repair
web-issr" V
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
09t28t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes: Sewer rePair
Fee Total:
Paid to Date:
Balance Due:
Total
N/A - No
N/A - No
Balance
Balance
$135.09
$135.09
$0.00
Every permit rssued 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 sile by such permit is
suspended or abandoned for a period of 360 days after the time the work
is commenced.
lnspector MID#: 2021 -169101
INSPECTOR RECORD )
SITE.WORK DATE !D/SIG COMMENTS OWNER BI'II NER DELCARATION
I hereby affinn under penalty of perjury that I am exempt fonn the Contractors' License Law for the following reason (Sec.703l ..5 Business
and Profession Code): Any City or ('ounty rvhich requires a Jrcrrnit to construct. alter. improve. demolish or repair any structure. prior to its
issuance. also rcquires the applicant ficr such grennit to file a signed statement that he or she is licemed pursuant to ttre provisions of the
Contractor's l.icensed Lau,(Chapter 9. ('ornmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he ff
she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a pcrmit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).
*9 l. ". owner of the property. or my ernployees with rvages as their sole cornpensation. rvilt do the work and the structure is not inrended
or offered for sale (Sec.7044. Business and Professions Code: The Contractor's l.icense larv does not apply to an owner of the Foperty
rvho builds or improve thereon. and s,ho does such rvort himself or herself or through his or her orvn employees. provided that such
imp,rovements ane nol intended or offered for sale. If. hos'ever. the building or imp,rovenrent is sold s'ithin onc year of complaion. the
Ou,ner Builder rvill have the burden of proving that he or she did not build or improve tre properW for the purpcse of sale).
No I. ". owner of tlre property. am exclusively contracting rvith licensed contractors to construct the projecl (Sec. 7044, Business and
hofession Code: I'he Contractor's l.icense Law does not apply to an owner of property who builds or improves thereon. and
rvho contracts for such projects rvith a ('ontracto(s) licensed pursuant to the Contractor's License Law).
!! I arn erempt uncler Section . B. & P.C. for this reason.
WORKF'RS' COM PFNSATION DTCI ARATION
I hereby afTinn under penalty of perjury one of the following declaratiom:
!-t fr."" and s,ill maintain a Certificare of Consent to Self-lnsure for workers' compensation. as providcd for by Section -1700 of the
l.abor Code. for the performance of the rvork fior rvhich the pcrmit is issued.
YES
_ I have and rvill maintain workers' cornpensation insumnce. a.s required by Section .1700 of the Labor Code, for the pcrformance of the
rvork for which this pennit is issued. My worters' compensation insurance carrier and policy number are:
. Safety Natlonal Gaeualty( arner:
ro40GlG02 04iO1,2O22
Policy Nurnber: Expires:
NO
I cer1ifo tlrat in the perfonnance of lhe work for u,hich this pennit is issued. I shall not employ any penson in any rnanner so
as lo becorne subiect to the n,orkers' compensation larvs ol'('alifornia. and agree that if I should become sub.iect to the rvorkers'
cornpensation provisions of Section 1700 of the Labor C'ode. I shall. forthrvith comply rvith those provisions..
\['ARNIN(i: Failure to secure worters'comgrnsation coverage is unlarvful. and shall subiect an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the Section 3076
of the Labor Code. interest and attomey's fc.es.
LICFNSFN CONTRACTOR DECI AR ^TION
I herebl'affinn under penalty of pr.iury that I am licensed undet provision of Chafler 9 (commencing with Section 70m) of Division .1 of
the Business and Professions Code. and my license is in firll force and effect.
ABC3C
I -icense ('lass:1028880
l.icense Nurnber
CONSTRI.ICTION I FNNING AGTNCY
I hereby' affinn under penalty of perjury that there is a construction lending agency for thc perfornrance of the work for which this permit is
issued (Sec. 1047. Civ. C.).
I .cntler's Narne:
l-ender's Address:
APPI IC^NT NFCLTRATION
I heretrv ali'inn under penalty of per'lury one of the followrng declaratrons'
Denrolition Pennrts-Asbestos Notrlication Federal Regulalrons (Title 40, Part6)
Ni Required l.etterof Notification
Y1 I ceniry' that rhe federal regulations regarding asbestos removal are not applicable to this project.
YEs I cerliS, lhat t lrave reacl this applicarion and state that the above infi'rrrnation is con'ect. I agree to comply rvith all City ancl ('ounty
ordinances and State l-an,s relaling to building constnrction. and hereby authorize representatives of this City and County'to enter upon the
above ment ioned propert)' for inspect i()n purposes.
Reroof
Roof (Draphragm Sheathing/Frame)
Structural Final
Plumbing --) \
Under Floor I Under SIab q-y)-Ll &)fr
Rough \2
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test ,^\
Plumbing Fina!1-b-zL TID BT
Electrica!\-/
Service (Meter I Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.
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