HomeMy WebLinkAbout30143747 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA927o2
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714)647-5853
Plumbing Permit #: IOlaI747
Pin #: TATa
Project Address: 1501 N Eastside Ave
Assessor's Parcel: 400-241-06 Lot: 16
Unit:
Block: NA
Btdg:
Tract: 3505
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Ourner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Salvador D. Mota
1501 Eastslde Ave.
Santa Ana, CA 92701
(7141 547-3413
Specialty AC Heat
4650 Arrow Highway, Suite C6
Montclair, CA 91763
(eos) s82-79es
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Wtr Htr (Res up to 50 gal)
General Plan Update
lssuance
Microfilm Records
Amount
23.97
23.79
59.30
4.05
Qty
1 .00
1.00
1.00
100
Fee
$23.97
$23.79
$59.30
$4.0s
State Lic #. 784495
Lic Tvpe: C-36, C-20
Bus. Lic #: 349795
Workers' Compensation lnsurance:
Canier: SecurltY Natlonal lns Co
Policy #: SWC1307380
Expires: 1012312021
Building Use:
Job Type:
Nature of Work:
Plannlng Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Slngle Famlly Dwelllng
Mlgcellaneou8
Plumblng
web_user
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes: Plumbing
Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type.
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
10t18t2021
Account#Total
N/A - No
N/A - No
Balance
Balance
$111.11
$1 11.11
$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 fhe stfe by such permit is
suspended or abandoned for a period of 360 days after the time the work
is commenced.
lnspector MID#: 2021 -169500
INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNI'R iUILIIER DELCANATION
I h@by aflim und6 podty of pcrjury that I am ermpt fom thc Contradm' Li6sc Law fc thc followin8 l6on (5(,7031.5 Bcin6s
and Pmf6sion Codc): Any City or County which.cquiG a pcrrrit to @Ntrucl. alld. imprcvc. dcmlish or rcpair any sructurc. prior lo ila
isil8re. also rcquiG thc applicant for such pcmit to fi|. a signcd st.tffit thst hc or shc is licmcd puBuant to lhc prcvisioN of tha
Contractor's l,imscd taw (Chaptq 9. Cmmocing with Setion ?000 of Divisim 3 of thc Busin6s and Prefsio6 Codc) n that hc G
shc is crmpt th@frun and rhc b6is for thc alleg(d cxmption. Any violatim of Sdion 701 I .5 by any appliqnt fq r pcnnit subjcls thc
epplicant to I civil pcnalty ofnot morc than fivc hundrcd dollas (t500).
[], o owno of thc prepffy. or my mployG with wag6 6 rhcir sole ompcnsation, will do th. wdl and thc stufrrc is nd inhd.d
o offqrd for slc (5@.7044. Busin6s ild Prcfcsioc Code: The Conmctor's LiMsc Law dG not apply to an wna of thc prcpcrty
who buil& m irnpwc thqmn. and who &6 such wqt himsclfor h6clf or threu8h his or h6 own mpkrycs. prcvid.d lhal such
imprwoots e no( intodcd 6 offqrd fotr slc. If. hNea. thc building tr improvmt is sld within w yar of mplaio. drc
Own6 Buildcr will havc thc burda ofFovirg lhar hc 6 shc did nol build a impmc frc pmpenv f6 tE ErpGC ofslc).
NO I. a* owner of the property. am exclusively contracting rvirh licensed contractors to construcl the project (Sec. 7044. Business and
Pr,ofession Code: The Contraclor's l,icense Larv does not apply to an owner of property who builds or improves thereon. and
who contracts for such projects with a Contracto(s) licensei pursuant to the Contractor's License Law).
No I am exempt under Section . B. & P.C. for this reason.
WORKT'RS' COMPT'NSA,TION DFCI ARATION
I hereby afTirm under penalty of perjury one of the following declarations:
!l n.r" anct will maintain a Certificare of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of rhe
Labor Code. fcrr the performance of the work for which the pennit is issued.
YES
_l have and will maintain workers' comp€nsation insurance. as required by Section -1700 of the Labor Code. for the performance of the
work for which this pcrmil is issued. My workers' compcnsation insurance carrier and policy number are:
. Sccurfi Natlonal
L alTter:
8WC1373E0
Policy Number:_
NO
Expires:
1112312021
_l cerrifo that in the performance of the work for which this p,ermit is issued. I shall not employ any person in any manner so
as to become sub.iect to the workers'compearsation lau's of California. and agree that if I should become subject to the workers'
compcnsation provisions of Section .1700 of the Labor Code. I shall. forthrvith comply u'ith those provisions..
WARNING: Failure to secure rvod<ers'
fines up to one hundred thousand dollars
compensation coverage is unlawful. and shall subiect an employer to criminal penalties and civil
($100.000). in addition to the cost of compensation, damages as provided forthe Section 3076
of the l.abor Code. interest and attomey's fees.
LICTNSFN ('ONT]LdCTOR DTCI AR,ATION
I hereby a(firm under penalty of per.iury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division .1 of
the Business and Professions Code. and my license is in full force and effect.
c2GC3G
License Class:_
7t'1405
l.icense Number
CoNSTRUCTION I FNntNG ^GTNCYI hereby afTirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
issued (Sec. .1097. Civ. C.).
l-ender's Name:
Lender's Address:
APPT I('ANT NFCI AITATION
I herelry affimr under penalty of perjury one of the followrng declarations.
Denrolitron Pernrits-Asbestos Notrficatron Federal Regulahons (Title 40. Part6)
!a Required trtterof Notification
YEs I c€rtiry that the federal regulations regarding asbesros rcmoval are not applicable lo this project.
! I ccrti$ that I have @d this application dd st.tc that rhc atnvc infomation is cor6t. I agc to comply with .ll Cily ad Couty
ordinarcG and Stdc llws r.lating to building coNtruction, ild hocby authori4 rcprcscnlaliv6 ofthis City and County to cnla upon thc
abovc hcntioncd prepcdy for inspcction purpos6.
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 / Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts t \.-.
Mechanical Final toln-rl,ra !,Nr,ot\\
t
Notes, Remarks, Etc.
=-i-/
-,?--- l=
--=:o._l
-
EE' I-
===_-
===N
t
o5
S\rSa
0o
trs\r
a.\rTaLaoSo\
Noo
6'oo
=tl>o-T
oNq,
nooo
==ox
|;iti
l$slEEHc
q,> 9
=3
=S
po
g8
F}
ll
E+oYr$a.60oe
SI8Sq,Tsil$-gF
9B;SFa.\oa FD
=':U*uo\r\tr=3. 16
E|i
lsl=Ir+
!ry
lo)t=
IPIol-ttot.lcr
lo)l-.
oo
=F}-oot+,o.
!-oE'of
o{fo.
!o-3
-a+ztr
3cro]:
'o-obroor+
CL
CL-oo
2
\
R
T\
S)
q
=
\
u)g
s
./\,
ilJ
\"I
t
hh
s./\
1.
(-rt
ryfF
\fr:oo
=oo
s
1[[s E1+irE}ili*}iFI
;5 ii
-t?1fCt==(rDvtoJ
TfDru.1cr:f
'r3+ EiE it st* I iE r6r8
oJ f,6qirgIF+ill I iE *
foicOoA*qgfsfr?5{qii }e;
6 r:= re'2 P o rE =
cL;==e r=8. = i3g " eH q
;dE =a-l q E6U. =i- egsqtgi }g+g *i:
ggE eEa git[ lr *s1iI;{i : tEr- hr 6=[:-t;gf gl s :.at H: iol 3 ol_ 5':. + -. r I,.io flEf 3a i f: =l i
=E;
qo { ++ Gil ,odgo gr. e Es Fr
=s6-8- +d P_ ;= 3; ai{i *i g =A aE FJ(=e sq o t"i dE 3ttr* 3l 3 q[ He d3 sq -t rD o a lo !x= atlt o o ru a d ='
Lufr bEEi E € o.€ o-u ?;=.€ 6 =' o 5H t
ooq o o
.A(1
=o(1F
o
SoY
f
Vtoo-
(^)o
f
-to)o
o
-t
fiBF
$ ;.=A'a h-
iE+
$E$
FIUOA.Eo
$'-='
3i$'too'\\oE
IBE$
SRO.A
=Bqs
6' st
$e$a
s. Iss
SeQslsi
;'saoiFi
iFB*
-o
o
-+5
-la
oo
3
E'-o+o
CL
-fro-t
3
g,
=CL
a-;-Jo
brocrIoo-CL-oo
CL
I!-
o
g.
-q,
cr-o
o
=
==g
='ot,oo
!3.o
=
!
=a-u
ao
N)
N)o
OJono
(a
\rro
Sa
F)s\ol1
[}
oaFt
!!
-\\\
tr
\