HomeMy WebLinkAbout30143746 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) ffi7-2738 lnspector Section: (714) 6/.7-5853
Plumbing Permit #: IOlaITtL
Pin #:72C,[-
,rl /1r,
Project Address: 714 N Enqlish St
Assessor's Parcel 007-311-29
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: RlLot: NA
Ourner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Raul Martin
714 English St.
Santa Ana, GA 92703
(657) 453-3103
Specialty AC Heat
4650 Arrow Hlghway, Suite C6
Montclair, CA 91763
(eoe) s82-7ess
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
\Mr 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
1.00
Fee
$23.97
$23.79
$59.30
$4.05
Phone:
State Lic #: 784495
Lic Tvpe: C-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:
Plannlng Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #.
Single Famlly Dwelling
Miscellaneour
Plumbing
web_user
Misc. Receipt:
Misc. Receipt.
Misc. Receipt.
Notes: Plumblng
Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
R-3
VB
cPc 2019
10118t2021
Account#Total
N/A. No
N/A - No
Balance
Balance
$1 11.11
$111.11
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permit is
suspended or abandoned for a period of 360 days after the time the work
is commenced.
lnspector MID#: 2021-169497
INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUI1 NER DF'I C^RATTON
I hereby affirm under penalty of perjury that I am exonpt form the Contractors' License Law for the following reason (Sec.7031.-5 Business
and Profession Code): Any City or County which requires a permit to construct. alter. improve. demolish or repair any structure. prior to its
issuance. also requires the applicant for such permit to file a signcd statement that he or she is licensed pursuant to the provisions of the
Contractor's Licensed I":w (Chaptcr 9. Commcncing with Section 7000 of Division -1 of the Business and Professions Code) or that hc ff
she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 70-j 1..5 by any applicant for a petmit subjects the
applicant to a civil penalty of not more than five hundred dollars 1$.s00).
!--O-1. .r owner of the property, or my anployecs with wages as their sole compensation. will do the wort and the structure is not intended
or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an orvner of the prop€Tty
who builds or improves thereon. and rvho docs such worft himself or hcrself or through his or her own employees, provided that such
imp,rovemcnts are not intended or offered for sale. If. however. the building or imp,rovcment is sold within ofle year of complaion. the
Owner Builder will have the burden of p,roving that he or she did not build or improve tre properW for the purposc of sale).
!9-1. r. owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and
Pr,ofcssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and
who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's l-icense Law).
No I arn exempt under Section . B. & P.C. for this reason.
WoRKF'RS' COMPFNS^TION nrcr AIL{T|ON
I hereby aflirm under penalty of perjury one of the following declarations:
!t f,rr. and witl maintain a Ccrtificate of Consent to Setf-lnsure for workcrs' compensation. as provided for by Section 3700 of the
Labor Code. for thc performarrce of the work for which thc pcrmit is issucd.
YE8
_l have and will maintain workers' compcnsation insurance. as required by Section -1700 of the Labor Code. for the pcrformarrce of the
work for which this pcrmit is issued. My workers' cornpensation insurance carrier and policy number are:
Socurltv Natlonal
Carrier:
swc13073E0
Policv Number:
11t23t2021
Expires:
NO
_ I certifu that in the performance of the rvork for which this permit is issued. I shall not employ any person in any manner so
as to become subject to the workers' compensation laws of California, and agree that if I should become subiect to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions..
WARNING: Failure to secure wort€rs' compensation coverage is unlawful, and shall subiect an cmployer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000), in addition to the cost of compcnsation. damages as providcd for the Section 3076
of the Labm Code. interest and attomey's fees.
LI(' F'NSF'N CONTRACTOR NF'CL ^ RA'TI(TN
I hereby affinn under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code. and my license is in full force and effect.
c2GC3C
License Class:_7t4495
License Number
CONSTRTICTION I FNNING AGTNCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the perforrnance of the work for which this permit is
issued (Sec. 3097. Civ. C.).
Lender's Name: _
l-ender's Address:
APPI lC^NT nFCl ^R"ATION
I hereby affirm under penalty of perjury one of the followrng declarations:
Demolition Permits-Asbestos Notificatron Federal Regulanons (Trtle 40. Part6)
!1 Required Letterof Notification
VEB f certi$/ that the federal regulations regarding asbestos removal are not applicable to this project.
tl t "*i5, ,h", t hruc @d rhis applicarbn and statc that thc abovc infomation is corct I agc to comply wih all City ard Couty
ordinarcG and Statc trws rclating to building co6tnrc1bn, and lmby authoria rcpGstativ6 of lhis City tnd County lo 6t6 upon thc
abov. rcntiond prcpcrty for inspction purpos.
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 tt?uZ . DIW Vl
Electrical I
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.