HomeMy WebLinkAbout30143447 - PermitCity of Santa Ana 20 Civic Center Plaza (M-'t9), Santa Ana, cA927o2
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit#: Iio{,4I(Hil
Pin #: mTtC
/2^7V-
Project Address: 2234 W Harvard St Unit:
Block: NA
Bldg:
Tract: 3296
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel:408-386-20 Lot: 24
Owner:
Address:
Maria Juarez
2234 W Harvard St
Santa Ana, CA 92704
(7141 313-7514
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
s9 30
405
Qty
100
100
100
100
Fee
$70.64
$23 79
$s9.30
$4.05
Phone.
Tenant Name:
Contractor:
Address.
Frassica lnc
580 Malloy Ct
Corona, CA 92880
(951) e064270Phone:
State Lic #: 987860
Lic Tvpe: C-36
Bus. Lic #: 374162
Workers' Compensation lnsurance:
Carrier: New HamPshire lns. Co.
Policy #: 038361552
Expires: 0710112022
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Plumbing
Occupancy.
Constr Type
Code:
R-3
VB
cPc 2019 Notes: Plumbing
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By.
Subject to Field:
Building Permit #:
Date
Date
Date 08116t2021
Account#
Misc. Receipt:
Misc. Recerpt:
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:
$1 57 78
$157.78
$0.00
lnspector MID#: 2021 -168 179
web-usry
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII NER DEl CAR,ATION
I hereby affirm undet penalty of periury that I am exempt form the Contractors' License Law for the following reason (Sec.7031.5 Business
and Profession Code): Any City or County r.r,hich requires a permit to construct. alter. improve, demolish or rcpair any structure. prior to its
issuance. also requires the applicant fcrr such permit to file a sigrrcd statement that hc or she is licenscd pursuant to the provisions of the
('ontractor's Licensed Law (Chapter 9. Commencing rvith Section 7000 of Division 3 of the Business and Professions Code) or that hc or
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 lhan five hundred dollars ($500).
!9 f . .r owner of the property. or my employees with wages as their sole compensation. will do the work and the strucnr€ is not intendod
or offered for sale (Sec.7044. Business and hofessions Cocle: The Contractor's License Law does not apply to an owner of the fpcrty
who builds or improve thereon. and who does such wort himself or herself or through his or her own cmployees. provided that such
im;nrrvemots are not intended or offerecl for sale. lf. horver,,er. the building or improvemcnt is sold within one year of complaion, the
Os'ner Builder will have the burdcn of proving that he or she did not build or improve ilre propertv fcn the purposc of sale).
fO t. .r owner of the property'. am exclusively contracting rvith licensed contractors to constnrct the project (Sec. 7044. Business and
hofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves lhereon. and
rvho contracts for such projects u'ith a Contractff(s) licensed pursuant to the Contractcr's License Larv).
!o-l ". exempt under Section -- . B. & P.C. for this reason.
WORKT'RS' COMPFNSATION NF'CI ^ RATION
I hereby affirm under penalty of perjury one of the following declarations:
! t n"". and rvitl mainrain a Ccrrificare of Consenr ro Self-lnsure for workers' comp€nsation. as providcd for by Section 37fi) of thc
l-:tnr ('ode. for the performarrce of the work for which the pennit is issued.
YES
_ I have and will maintain wor*ers' compensation insurance. as required by Section .1700 of the Labor Code, for the pcrformance of the
work for which this pennit is issued. My workers' compensation insurance carrier and policy number are:
. Ncw Harprhlrc lnr. Co.
L arner:
038301 552 0710112022_Expires: __ _Policy Number:
NO
_ I certify that in the perfonnance of the work for rvhich this pennit is issued. I shall not employ any person in any mann6 so
as to trc<ome sub.iect to the rvorkers' cornpensation larvs of California. and alree that if I should become subject to the workets'
conrpensation provisions of Section 3700of the Labor Code. I shall. forthwith comply rvith those provisions..
WARNING: Failure to secrre rvorters' compensation coverage is unlarvfirl. and shall subiect an employer to siminal pcnalties and civil
fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for the Section -1076
of the l-abor ('ode. interest and attomey's fees.
LICI.-NSF'N CONTR.ACTOR, NE(' I AIIATI('IN
I hereby alfirm under penalty of pcrjury that I am licensed under provision of Chapter g (commencing with Section 7000) of Division 3 of
the Business and Professions Code. and my license is in full force and effect.
c30
I-icense Class:
9E7860
l-icense Nurnber
(.ONSTRII('TION I FNNING AGFNCY
I herebv affinn under pnalty of perjury that there is a construction lending agency for lhe;rrforrnance of the u'ork for which this permit is
issued (Sec. -1097. Civ. C.).
Lender's Name:
Lender's Address:
APPI I('ANT DTCI ARATION
I herebv aflinn undel penalty of perluw one of the followrng declaratrons
Denrolilron Pernrits-Asbestos Notification Federal Regulanons (Title 40, Part6)
!_o_ Required Letter of Notification
Yl1 f cefliry that the federal regulations regarding asbestos removal are not applicable to this project.
Tt t cerliE/ rhar I have read this application and state that the above information is correct. I agree to compty with all City and County
ordinances and State l-arvs relating to building construction. and hereby authorize rcpresentatives of this City and County to enter upon thc
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 tl ^.,
Gas Air Pressure Test "7 l,.l7r L.-tg,r
Plumbing Final 1fL /2,L,a(51-
Electrical ,,
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.
7