HomeMy WebLinkAbout30143599 - PermitI City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 Inspector Section: (714)647-5853
Permit #: IOlaIIge
Pin #:EO893
Project Address: 901 S Virlee St
Assessor's Parcel: 108-355-01 Lot. 23
Unit:
Block: NA
Bldg:
Tract: 2969
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Maria I Garcia
901 S Virlee St
Santa Ana, CA 92704
(7141 531-7437
Frassica lnc
580 Malloy Ct
Corona, CA 92880
(951) 906-4270
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Gas Line alter/extend/add
General Plan Update
lssuance
Microfilm Records
Amount
70.64
23.79
59.30
405
Qty
1.00
1.00
100
100
Fee
$70.64
$23.79
$59.30
$4 05
Phone.
State Lic #: 987860
Lic Tvpe: C'36
Bus. Lic #: 374162
Workers' Compensation lnsurance:
Carrier: New Hampshire Ins. Co.
Policy #: 038361552
Expires: 07101l,2022
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
Miscellaneous
Plumbing
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
08t30t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes: Plumbing
Fee Total:
Paid to Date:
Balance Due:
web-us"V
Total
N/A - No Balance
N/A - No Balance
$157.78
$157.78
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the srte by such permit is
suspended or abandoned for a period of 360 days after the time the work
is commenced.
lnspector MID#: 2021-1 68508
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BT'ILDER NELC dRATION
I hereby alTinn under penaltl, of periury that I arn exempt form the Contractors' I-icense Larv for the following reason (Sec.7031.5 Business
and Profession Code): Any' City or ('ounty u'hich requires a pennit to construcl. alter. improve. demolish or repair any struclure. prior to its
issuance. also requires the applicant for such pennit to file a signed statement that he or she is licensed pursuant to the provisions of the
Contractor's l.icensed Larv (Chapter 9. ('ommencing rvith Section 7000 of Division .1 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exoxption Anv violation of Section 7031 .5 by any applicant for a pcrmit subiects the
applicant to a civil penalty of not more than fir'e hundred dollars ($-500)
No l. o. owner of the propeny. or rny employees rvith u,ages as their sole cornpensalion. rvill do lhe rvott and the stnrcturc is not intended
oloffered ftrr sale (Sec.7044. Ilusiness and Professions Code: The Contractor's [-icense [:w does not apply to an owner of the prop€rty
rvho huilcls or inrproves thereon. and s'ho dcres such rvork himself or herself or through his or her orvn employees. provided that such
impovonents are not intended or offered for sale. lf. horvo'er. the building or impovement is sold within orie year of complaion. the
Os,ner Builder s'ill have the htnden of gnoving that he cr she did not build or improve ttre propern* for the purpose of sale).
NO l. as ()\\,net'of the properly. anr exclusivelv conrracting rvith licensed cortractors to constnrcl the pro.iect (Sec. 7044. Business and
Pnrfc.ssion ('ode: 'l'he Contraclor's l.icense l-arv does not apply to an owner of property who builds or improves thereon. and
u,ho c()ntracts for such prrriects s,ith a Contmctorls) licensed pumuant to lhe Conlractor's License l-aw).
No t a,n exernpt under Section . I]. & P.C. for this reason.
WORKFRS' COMPENSATION NFCI ARA'IION
I hereby affirrn under penalty of perjury one of the follorving declarations:
rc I hr*'. and rvill maintain a (-ertificate of Consent to Self-lnsure for u,orkers' compensation. as provided for by Section -1700 of the
labor ('ode. for the performance of the rvork for u'hich the permit is issued.
YES
_lhaveandu'illmaintainrvorkers'compensationinsurance.as requiredbySection.lTffiofthelaborCode.forthepcrfonnanceofthe
rvork for rvhich this permit is issued. My workers' compensation insurance carrier and policy number are:
(.an-ier: New Har*rhirc llr co'
0383C1552 0710112022
Policy Nurnher:_ Expires:
NO
I certify,that in the perfrrrrnance o[the rvork for s'hich this pennit is issued. I shall not ernplol'any person in any'manner so
as lo hec'onte sub.iect to the n,orkers' compensation las's of ('alifomia. and agree that if I should become subiect to the workers'
cornpensation provisions of Section .1700 of the l-ahor ('ode. I shall. forthrvith cornply with those provisions..
\I'ARNIN(J: Failure to secure s'orkers'compensation coverag,e is unlawful. and shall subiect an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000). in addition to the cosl of compensation. damages as provided for the Section.1076
of the l.abor ('ode. interest and attomey's fees.
LI('T'NSTN (:ONTRAC'I'OR NI.'CI .^ RATION
I lrerchy'alfirm under pcnaltl,of periury that I arn licensed under provision of Chapterg lcornnrencing rvith Section 7000) of I)ivision -l of
the llusincss and Professions ('odc. and rny license is in firll force and effect.
c36
l.icense ('lass:OETEGO
l.icense Number
(.ONS'TRTICI'ION I FNNING dGFNCY
I herehy affrnn undel penalty of periury that tlrcre is a construction lending agency for the perfonnance of the work for which this permit is
issued (Sec. 1047. Cir'. ('.).
I.ender's Nanre:
iim.fracr lc@outlook.com
l.ender's A<ldress: '
APPI I(:AN'T NTCI A.R{TION
I herelrv atlinrr under penalty of per.luw one of the frrllowrng dt'claratrons
l)enrolrtron Pernrrts-Ashestos Nottlication Federal Regulaltorts (Title 40. Pafl 6)
!!- Required l.etter of Notification
YEs I certify thar the federal regulations regarding asbestos removal are nor applicable to this pro.iect.
YES'-- I cerriI tlrat I have read this application and state that the atrove information is correct. I agree to cornply u,ith all City and County
ordinances and State l-au,s retating to building construction. and herebl authoriz.e representatives of this City and County to enter upon the
atrove mentioncd property for inspection purposes.
Reroof
Roof (Diaphragm Sheathing/Frame)
Structural Final
Plumbing
Under FIoor I Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test 1-74t U^.{ {z
Plumbing Final Q-)-?t 9lrr,<40 ttZ
Electrical
Service (Meter I Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanica!
Gas Air Pressure Test
Rough
Piping (HW,CW, etc.)
Exhaust Ducts
[/echanical Final
Notes, Remarks, Etc.