HomeMy WebLinkAbout40134894 - PermitrProiect Address: 3709 S Alder Sta
Assessor's Parcel. 410-031-03 Lot.27
Unit:
Block: NA
Bldg:
Tract: 6308
Address Range:
Historic: No
Suite Range:
Zoning: R1
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 4o^{34894
Pin #: 2o^197
//1/a-
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone.
Christina Ferguson
3709 S Alder St
Santa Ana, CA 92707
(562) 318403s
Flat Rate Remodeling lnc
369 N Fairfax Ave #7
Los Angeles, CA 90036
(323) 761-7540
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01116002 57770
Fee Type
Bathroom Fan
Genera! Plan Update
!ssuance
Microfilm Records
Amount
32.88
23.79
s9.30
4.05
Qty
200
1 .00
100
100
Fee
$6s.76
$23.79
$59.30
$4.05
State Lic #: 996391
Lic Type: B
Bus. Lic #: 376268
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 911 ZgTl
Expires: 0912312020
Botch*:56431 - I /g/7t12tr I0: HPIIIED
tlf f i ce: (:TYH Trnns* ! 55 3 ofAcct*: ,Ref*: {0134894
Rcptl:03061896 I /8:/2tr2tt 1? 3 35 Pff
TronEoct ion Totol $995 .79
Flot Rate Remodel i ns Inc
Genprol Plon Updote' Fee
Lu I 16002- 516(rtr0(r0-
llechan i co 1
trl I 160[12- 516(14(10[-
Il icrof i lm & Oocurents
01 1 16002- .3777fi(r[r0-
tt?5"I
Building Use:
Job Type:
Nature of Work:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Alteration
Bathroom remodel
Occupancy:
Constr Type:
Code:
R-3, U
VB
cMc 2019 Mechanical for bathroom remodel.
09/08/2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Planning Conditions:
Planning Approval By:Date:
Date:
Date.Amsden, Julie
Buirdins Permit #: 1 01104591
Every permitissued 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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MID#:2020-1 61338
01 1 16002 51600
01 1 16002 51604
01 1 16002 s7770
$23.79
$125.06
$4.05
$152.90
$0.00
$152.90
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEN, DELCARATION
I hcrcby affum under lEnalty of perjury that I m exempt fmm the ContrsctoB' Liens t{w for the following mtsn (Ss.7031.5
Busircss ard Prcfcssion Code): Any City or Couoty shkh rcquircs a tmit to @nstrucl. sltr imprcvc, dcmlish or rcinirtny
slruclurc. lrior lo ils isswe. also requircs thc applicanl for such lEmit to filc a signcd st8tcrent that he or she h licnsd punuant
to the pmvisions of the Contrclor's Liensd Lrw (Chsptq 9, Comrcing vith Setion 7(x)0 of Divisior 3 of thc Busircss and
PmfessionsCode)orthathcorsheiscxerptthercfromandthebasisforthe.llegcdexemption. Anyviol.tionofsstbnTO.jl.5byany
applicsntforrpermitsubjc{tsthe lpplicantto.civilpcultyofnotmrcthanfive hundrcddollus($500).
-1.
as owner ol'thc proJrcrly. or my crnployccs with wagcs as thcir solc conlpensaliorr. willdo the work and lhc structurc is not
intcndcd or ollcrcd for salc (Se'c.7(X4. Busincss and Prol-cssi<lns Crxlc: 'l'hc Contractor's [-iccnsc l-aw docs not apply to an owncr of
I hc Jlropcrly who buikls ()r inrprovcs lhcrcort. und who clocs such work hinrsclf or hcrscll' or throttgh his or hcr own cnrployccs.
providcd lhat such inrprolcrrrcnls arc not intcndcd or otTcrcd ltrr sak'. lf. horvcvcr. thc buikling or inprovcrrnl is sold within onc yc:r
ol'conrplction.lhc Owncr Buildcr will havc thc hurdcn of pnrving lhat hc or shc did not huikl or irnprovc thc pnlJrerly for lhc purprscof
salc).
-1.
aso\r,ncrol'lhc propcrty. arnexclusivelyconlracting with liccrrscd contraclorstocorrslrucl lhe projcct (Scc. 7(44. Busincss
and PnrtbssionCoclc: 'l'he Contractor's [-iccnsc Law docs not applylo ano$'ncr of propcrtywho builds or improvcs thcrcon.
and u'ho conlracts tirr such projccls with a Conlractor(s) liccnscd pursuant lo lhc (-'orrtraclor's Liccnse [-aw).
_l arrt cxcnrpl urrdcr Sc-ction_. ll. & P.(1. for lhis rcasorr.
I ):rlt'J lu.nor.
WORKERS' COMPF'NSATION
DECLARATTON
I hercby affirm under Fnalty of pcrjury onc of the following declarations:
-l
havc and will maintain a Certificale of Consent to Self-lnsure for workers' compcnsation. as provided for by Section 3700 of the
of
-l
certify that in the prformance of the work for which this prmit is issued. I shall not employ any person in any manner
so as to becomc subject to thc workers' compensation laws of California. and agrce that if I should bccome sub.iect to thc
workers' compcnsation provisions of Scction 3700 of the l-abor Codc. I shall. forthwith comply with those provisions..
WARNING: Failure to secure workers' compcnsation covcragc
civil fines up lo onc hundrcd thousand dollars ($100.000). in
Scction 3076 of the l^abor Code. intcrest and attorrrcy's fecs.
is unlawful. and shall subject an employcr to criminal penaltics and
addition to thc cost of compensation. damages as provided for the
LICENSFN CONTR,/ACI'OR
DECLARAI'ION
I hcrchy alljrrn undcr pcnalty of pcrjury that I arn liccnsetl undcr provision of Chapler 9 lconrnrcncing with Scction 7(XX)) of l)ivision .3
of thc Busirrcss and l)rot'essions Codc. and rny liccrrse is in t'ull lirrce arxl cft'cct.
"rqlLiccnseNurnhcr:
otQ I '1,x l---
l):rlr.t(t/t
W
I hcrcby aflirm under Fnslty of pcrjury that theE is r @nstructk n brding sgercy for thc Frformnce of thc wort for which this Ircmil is
issucd (Scc. 3097, Civ. C.).
Lcntlcr's Namc:
Lcncler's Addrcss:
Pr, ,c. Nr.Ir"cL *o
I trrcby aflinn undcr pcnalty of pcrjury onc o[ thc following dcclarations:
Dcnrolition Pcrnrits-Ashcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
-Rcquircd
lrltcr o[ Notitication
ft-t cenify rhar rhe fcdml rcgulstioos rcgffding rsbcstos Emvd m not rpplicable to thtu pmirr.
& "*f, ,fr., I havc rcad this applicalion .rd stste thal tlrc rborc infomulion is comt. I r8rc to @tr{rly vilh 8ll City nd County
Yrdhsnes snd Stste Laws rchting to building conslruction, 8rd hcrcby authoriz rcprcsnt8tires of this City 8nd County to cnl6 upon thc
abovc mcntioned propcrty for
Applicant or Agcnt
Pcrrnilcc nlrnc
*," q( 8l,r(
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
It/lisc. Equipment
Duct Work
Pre- lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents t I
Toilet Room I Clothes Dryer 7Dlqf W--
Residential Ranqe ,l /
Other
Hood
Type I Hood
Type Il Hood
Grease Duct
Fire Damper
Openings
!nstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release ,
FINAL vrlBht urre-
Notes, Remarks, Etc.t \)
I
4 f7/)lr
l)ate:-7/8t 2t _ Applicant:_
Conlrnclor:
6o^ta"\t