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HomeMy WebLinkAbout30142501 - PermitProject Address: 2331 S Pullman St Assessor's Parcel: 430-01 1-05 Lot: 7 Unit: Block: NA Bldg: Tract: 5771 Address Range: Historic: No Suite Range: Zoning: Ml City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 3O1425O{ Pin #: 17132 Owner. Address: Phone: Tenant Name: Contractor. Address. Phone. John Garrison PO BOX 10145 Newport Beach, CA 926580145 (949) 445-5679 Axiom Materials J B Fire Protection 25422 Trabuco Rd #625 Lake Forest, CA 92630 (888) 5234737 01 1 16002 51602 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Amount Gas Line alter/extend/ar 70.64 Min Fee Adj 4.37 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 1.00 1.00 1.00 1.00 1.00 Fee $70 64 $4.37 $23 79 $s9.30 $4.05 State Lic #: 647282 Lic Type: C-36, C-16, C-34 Bus. Lic #: 329601 Workers' Compensation lnsurance: Carrier: State Compensation lnsurance Fund Policy #: 19G2369-20 Expires: 03/01 12021 Building Use: Job Type: Nature of Work. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field. Building Permit #: Verduzco, Viobt $ Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total: Paid to Date: Balance Due: lndustrial Miscellaneous Extend Gas Line Occupancy: Constr Type: Code: Date: Date: Date: B III B,VB cPc 2019 10t12t2020 Account# Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its rssuance, or if the work authorized on fhe sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2020-1 61073 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23.79 $134.31 $4.0s $1 62.1 5 $0.00 $162.15 t PLUMBI NG.INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DET,CARATION I hqcby aftim unda pcnalty of pajury that I m cxmpt ftom thc ContractoB' Licre Law for thc followinS r€en (Sc.7031.1 BuinGs 8nd Profsion Codc): Any City or County which rcquim a pomit to omtruct, dta. imprcva danolish or rgair uy structuc. prior to its issuacc, also rcquirc thc applicfit for such pcmit to 6lc 8 signcd ststmmt tha hc or shc b limscd prmaa to thc prcvisioB of thc Contractor's Liccmcd [aw (Chapttr 9. Commcncing with Setion 7000 of Division 3 of thc Busin* uid Prcfessions Co&) or thst he or shc is qcmpt th@ftom md th€ basis for thc.llcScd cxmptior. Aoy vblation of SGtbr 7031.5 by alty applicantforapcmitsubjetsthc applicmttoacivilpcnaltyofnotmorcthelivchundrcddollars(S500). -1. as owner of the p,ropcrty, or my employees with wagcs as their sole compensation, will do the work and the structure is not intendod or offercd for sale (Sec.7044, Business and hofessions Code: The Contractor's License law docs not apply to an owner of the propcrty who builds or impoves theron. and who does such work himself or herself or through his or her own employee. provided that such improvancnts ane not intendod orofFencd for sale, I[, however. the building or improvcmcnt is sold within onc ]car ofcompkxiorL the Orvner Builder will have thc hrden of proving tha he or she did not build or improve the propcrty for the purpose of sah). -1. as owner of the propcrty. am exclusively contracting with licensed contractors to construcl the project (Sec. 7044. Business and hof€ssion Code: The Contractor's License Law docs not apply to an owner of propcrty who builds or improves thereon. and who contracts for such projects with a Contracto(s) licorsed pursuant to the Contractor's License L,aw). -IamexemptunderSection-.B.&P'C.forthisrcason.Date: O*ner WORKERS' COMPENSATION DECLARATION I hereby allirm under penalty of perjury one of the following declarations: -l havc and will maintain a Ce-rrifrcate of Conscnt to Self-lnsure for workers' compensation. as provided for by Section 3700 of the Labor Code. for the performance of the work for which the perrnit is issued. -l havc and will maintain workers' compensation insurance. as required by Section 3700 of the l-abor Code. for the performance of the work for which permit My workers' compcnsation insurance carrier and policy number re: Policy '2, ( y'rotitythat in the performance of the work for which this pcrmir is issued, I shall not so an to become subject to the work€rs' compensation laws of California, and agree that if I employ any person in any manner should become subject to the work€rs' compensation provisions of Section -1700 of the Labor Code. I shall. forthwith comply with those provisions.. WARNING: Failure to secure workers'is unlarv[ul.shall subject an andlo civil fines up to one hundred thousand ($the Section 3076 of the Labor Code. interest and attorney's fees.t Dere: to/t zr/Zz I hereby affirm under penalty of perjury that I am licensed Chapto 9 (commencing with Soction 7000) of Division 3 of the Business and Professions Code. and my liccnse is in full force and effect. License -io Number:ZlZ LA CONSTRUCTION LENDING AGENCY of perjury that there is a construction lending agency for the performance of the work for which this permit is lrndcr's Address: APPLICANT DECLARATION I hady affirm undcr pcnalty of pcrjury one of the following declarations: Dernolition Permits-Asbestos Notification Foderal Rcgulations (Title 40, Part6) -Rcqu ired Lrtter of Notificaion -l certi& that the lcderal regulations regarding asbestos removal are not applicable to this project. -l ceni& that I have read this application and state that with all City and County and County to cnter upon thcordinances and State Laws relating to building above mentioncd property for inspection Applicant or Agent Pernritee ,-l UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer ArealStorm Drain I nterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous , Gas Service y/ Water Service lr ,(L Lawn Sprinkler (/' ,)" l--, Sanitary Sewer/Cap Lfr/ tY C,[- Back FIow Device Au' J ,\Z'(,D t/'l v' ),I Rough Plumbing lo/t{/21 ,/*5n vfio) / Final Gas Test -lt V / Meter Release I t6 /?a/*'{J-/**fiQ FINAL lo/i/z"t J)d{o'b€7> Notes, Remarks, Etc.r7 Dale:*4 Lender's Nane: U4.- above p orr", tlz/u