HomeMy WebLinkAbout40135823 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702
PermitCounter:(714) 647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Mechanical Permit #: tWlItI2I
Pin #: 9I9ES
f/-.
Project Address: 2131 S Woodland PI Unit:
Block: H
Bldg:
Tract: 597
Address Range:
Hrstoric: No
Suite Range:
Zoning: RlAssessor's Parcel: 01 5-1 12-11 Lot: 20
Owner:
Address:
Ruben Ruiz
2131 S. Woodland Pl
Santa Ana, CA 92707
(7141 856-1 806
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type Amount
Wall Heater/Floor Furnace 70.64
General Plan Update 23.19
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
1.00
100
100
Fee
$70.64
$23 79
$5s 30
$4.05
Phone:
Tenant Name:
Contractor:
Address:
Specialty AC Heat
4650 Arrow Highway, Suite C6
Montclair, CA 91763
(e09) e82-799ePhone:
State Lic #: 784495
Lic Tvpe: G-36, C-20
Bus. Lic #: 349795
Workers' Compensation lnsurance:
Canier: Security National lns Co
Policy #. SWC1307380
Expires: 1012312021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling Occupancy:
Constr Type
Code.
R-3
VB
cMc 2019
Miscellaneous
Mechanical
Notes: Mechanical
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web-us"rK
Date:
Date:
Date:08/12t2021
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 wrthin 360 days after its
lssuance, or if the work authorized on fhe site by such permit is
suspended or abandoned for a period of 360 days after the time the work
is commenced.
N/A - No
N/A. No
Balance
Balance
Fee Total:
Paid to Date:
Balance Due:
$1 57 78
$157.78
$0.00
lnspector MtD#'. 2021-168023
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNFR BTII LDTR NELCARATION
I hereby affrrm under penalty of perjury that I am exanpt form the Contractors' l.iccnse l-aw for the following reason (Sec.70-11 .5 Business
and Profession Code): Any City or County which requires a permit to corlstruct. alter. improve. demolish or repair any structure. prior to its
issuance. also rcquires the applicant for such permit to file a signed statement that hc or she is licensed pursuant to the provisions of the
Contractor's l.icensed Larv (Chapter 9. ('omrnencing rvith Section 7000 of Division 3 of the Business and Professions Code) or that he or
she is exenpt therefrom and the basis for the alleged exemption Any violation of Section 703 L5 by any applicant for a pcrmit subiects the
applicant to a civil penalty of not more than fir'e hundred dollars ($500).
Y t. .^. o\r,ner of the property. or my employees rvith rvages as their sole compensation. u,ill do lhe wort and the structure is not intended
or offered for sale (Sec.7044. Business and Professions Code: The Contraclor's License [-aw does not apply to an owncr of the property
rvho builds or improves thereon. and u'ho does strch u'ort himself or herself or through his or her own employees. provided that such
improvements arc not intended or offered for sale. lf. hou'erro. the building or imp,rovement is sold within one year of cornplaion. the
Owner Builder will have the hurden of proving that he or she did not build cn improve the properW for the purpose of sale).
N_o l. a. o\\'ner of the property. am exclusively contracting with licensed contractors to construcl the p,roject (Sec. 7M4. Business and
Profession ('ode: The ('ontractor's License l-aw does not apply to an owner of property who builds or improves thereon. and
rvho contracts for such pn{ects with a Contracto(s) licensed pursuanl to the Conmclor's Liccnse Larv).
!o-l ,,n exempt under Section -. B. & P.C. for this reason.
Iv!'ORKTRS' ('OM PFNSATION DFCI A RATION
I hereby affrrm under yrcnalty of perjury one of the following declarations:
No-l h.". ancl rvill maintain a ('ertificare of Consent to Self-tnsure for rvorkers' compensation. as provided for by Section 3700 of the
l.abor Code. for the performance of the work for which the Frcrmit is issued.
YES
I have and rvill rnaintain workers' compensation insurance. as requited by Seclion .1700 of the labor Code. for the performance of the
rvork for rvhich this permit is issued. My rvorkers' compensation insurance carrier and policy number are:
Security National( arl rcl':
swc1307380['olict Ntutrhcr:
1112312021
l;r pires:
NO
I cerrifo that in the performance of the work for which this permit is issued. I shall nol cmploy any person in any manner so
as to become sub.iect to the workem'compensation laws of California. and agree that if I should become subiect to the worters'
compensation provisions of Section 3700 of the l,abor Code. I shall. forthwith comply with those provisions..
W'ARNING: Failure to sea'ure worters'cornpensation coverage is unlawfrrl. and shall sub.iect an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section 3076
of the l-abor ('ode. interest and attomev's fecs.
LICENSFN ('ONTRACTOR NF'('I ARATION
I hereby alTinn under penalty of periury that I arn licensed under provision of Chapter g (commencing rvith Section 7000) of Division 3 of
the Business and Professions Code. and my license is in ftrll f<rrce and effect.
c2(}'c30
License ('lass:78/t495
l.icense Number
(:ONSTRTICTION I FNDING {,(ITNCY
I hereby affirrn under penalty of perjury that there is a construction lending agency for the perfonnance of the rvork for which this pennit is
issued (Sec. .1097. Cir'. C.).
l.ender's Name:
l.ender's Address:
APP] I('ANT NTCI ^RATION
I herebnr, aftinrr under penaltv of perlurv one of the followrng declarations
[)enrolrtion Penrrrts-Asbestos Notrficalron Federal Regulatrons (Trtle 40, Part6)
No Required I-etterof Notification
t1t t cerlify rhar the federal regulations regarding asbestos removal are not applicable to this pro.iect.
YEs
I certi$, that I have read this application and state that the ahove infonnation is con'ecl. I agree to comply u'ith all City and Courty
ordinances and State l.au's relating to building constntction. and hereby authorize representatives of this City and County to enter upon the
atnve 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
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts t
[/echanical Final <{l n Lzt {Natt\J
Notes, Remarks, Etc.
I