HomeMy WebLinkAbout30241901 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 KY
Permit #:3O2419O'l
Pin #: 6,4751
Project Address: 923 S Minnie St Unit:
Block:NA
Bldg:
Tracl:2437
Address Range: 923-927
Historic: No
Suite Range:
Zoning:R3Assessor'sParcel: 011-257-02 Lot: B
Owner:
Address:
Michae! E Chez
3211 Circa De Tierra
Encinitas, CA 920246908
(7601815-2248
Fee Type Amount
Wtr Htr (Res/Comm ove 94.86
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Fee
$94.86
$22.95
$57.20
$3.91
*1't Q4
$112. r:16
93.91
$783.77
01 1 16002 51602
01 I I 6002 51 60C
01 1 1 6002 51 602
01116002 5777C
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Bstchir5424i' * 2/5/2029 I0t (:CUELLAR
Office: CTYH Tngnsi: 39 I of 2Acctl: Refi: 3u2419tt
RcpLi:02888344 - 2/5/292fi 1!3S Pll
Trsnsoct ion Total i783,77
11 i,:lrsel E Che:
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
W;;02t05t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
N/V-Water Heater Code:
Date:
R-2
VB
cPc 2019
6etrernl Plon Updote Fee
01 I 16002- f,l6(r0(t00-
Fluub i ns
LrlIl6(rtr2- il602800-
lli,:r'of ilt & DocuuenLs
Lrl I l6(rtr2- 5777U1r00-
ICL Check 1173
Notes: Legalize water heater replacement.
Fee Total
Paid to Date:
Balance Due:
Zuniga, Allissa
Every permit issued shall become invalid unless the worl< on the site
authorized by such permit is commenced within360 days afrar its
lssuance, or if the wo* authorized on the site by such permit is suspended
or abandoned br a period of 360 days after the time the wo* is
commenced.
01 1 16002 51600
01116002 51602
01116002 57770
$22.95
$152.06
$3.91
$178.92
$0.00
$178.92
lnspector MID#: 2020-157587
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ()WNER DUll,t)tlR Dtll,CARA'IION
I hcrchy dllirrr uodcr pcnally of perjury lhul I am cxcnril lil)nr lhc C(!nlrrck)rs l,iccnsc l.aw li)r thc lolhwing rcr\oil (Sec.7oJl.5
IJusircss artd ['r()lcssi(xt Codc): Aoy Cily or C]ounly qhich rcquircs a pcrtrril lo c()nstrucl. ollcr. imfr)vc. dcilxrli\h or rcpair xny
slnrclnrc. prior to itr issurncc. also rcquircr Ihc applicxnl lilr \uch frrnlil l() lilc o signcd \txlcrmlt thill lrc or shc is liccnscd purrutnl
lo lhc proli\ions ol-llt CoDlracbr's Liccnscd Lrw (Chnplcr q. Connncnci[g rvilh ScclioD 7(XX) of Division ] ol'thc llusiiless a[d
trpflicnilllorrpcrnrilstrhjcclslhc ilflicailllorcivilpcnallyol'nolnx)rclhflnl'ivchundrcd(k,llnrs($5(/J).
-1.
a( owncr of lhc prolEfly. or nly cnlpk,yccs wilh wagcs rs lhcir solc coilrl)cnqnli()n. willd() lhc work arxl thc slrolurc i\ not
iilcilql orollircdlirrqlclScc.TOl.l.[]usincsrandProltssionsCodc:'IhcCollractor'sLiccnsclf,rwdocsnotapplyk]0oownerof
lhc pn)Itf,y who huilds or iNprelcs lh((r)n, aild who docs such urtrk himsclf()r hcrsclfor through his or hcr o*n cnrployccs.
provi(lc(l lhdl slch inrprotutills:m nol inlcndcd orollcre(l lirr sab. ll howclcr. thc btrilding or irnprolcnrcnl is sold withir onc )ear
ofcotrflclion. lhe Owncr Iluildcr will hnvc lhc burdcn of proving thrl hc or shc did n(,1 buikl or improvc thc propny I(,r lht purlnse of
salc ).
1k ".
u*n", nt-th"f(rpcr!y. unr cxclusivcly conlraclir1t $ith liccn\cd contrnctrrr\ k) construct th. proFct (Scc. 7(H4. Busincss/antl lhrlirsionCo(tc:_lhcConlractor'sl-iccnscl-xwdoc\notappl)'loailorvncrofpropcrtywhohuildsorinrprovcsthcrcon.
and sho contracls li)r such prcjccl( silh a C(nilracl(tr(s) liccn\cd pursuonl k) thc Coolrack)r's l,iccnsc liw).
-l
am cxempt undcr & P,C.this rcnsoil.
Dil".pz-o g- z\
l hcrchy uflirrn undcr lcnally of I--rjury onc of lhc followi0g dcclilrnti(ilrs:
-l
havc and will nuinlrin n Ccnilicrtc of ConscDl lo Self-lnsurc li)r workcrs' conrpctrsatio[. as f,rovidcd lor by Scction .17(D of the
Latxrr Code, l-or thc pcrlbrnrncc ofthc s(trk for rvhich Ihc pruit is issucd.
-lhr(candwillilrainlain$orkcrs
c()illpcn\nti()ninsurancc.as rcquircdhyScction-37(X)ofthctaborCodc.forthcpciloilmnccof
thc rvork lbr which this pcrnlil is issucd. My workcrs cotrrpcnrrti()n insurancc carricr and policy nunrtrr arc:
Policy
_l ccrtil-\'lhat in thc pcrlirrnuncc ol thc work ti)r \\'hich this pcrmit is issucd. I shrll nol cnrpk)y r0y pcrson itr rty mrnncr
so rs l() k+cotrrc subjccl t, lhc sorkcrr'c()nrl)cnsilion hws ol'Calil()rnin. iln(l agrcc thal if l sh([kl hcconrc subjcct k) thc
WARNING: Failurc lo rccurc workcrs'@mJrcnslion olrm8c is unlawful. and shall snd
civil fincs up to orc hundred thousand dollus ($l in addilion lo lhc cost of lhc
Scction .1076 oflhe Labor Codc. inlcrcsl end
5
I hc(by aflirm undcr pcnally ofpcrjury lhrt I am liccnwl umlcr pn)vision ol Chilplcr 9 (comlEncing wilh Scclion 7fiX)) of Divisi<lr 3
of lhc Busincss and l'rofcssions Codc, snd my license is in lull tbrcc and cllcct.
Liccnsc Class:-l-iccnsc Numhcr:
l)ale
CONSTRTIC'I'I(IN LENDINC ACI]NCY
is\ucd (Scc..1097. Civ. C.).
lrndq's N8m:
lrndcr's Address:
APPLICANT DECLARATI(IN
I lwby allimr undcr pcilolt y of pcrjury onc of lhc fbllow ing dcclarnt ions I
Dcnx)lition Pcrmils-Ashcshs Nolilication fcderal Rcgulntklns ('l itlc 40. Paa6t
_Rcquircd Letlcr of Nolification
-l
ccnity lhot lhc fcdcralreguhtions rcguding ashcskrs rcm)val arc nol rpplicahlc k) this p()jcct.
?-, ccnily thtl I havc rcad this applicali()n iud slxlc lhal lhc !h)vc inlonnatt)n is cotrcct. I alre b comply with all City and County
ordinanccs and State [{ws
abovc mntioncd propcrly
lo building construction. and hercby authoria rclresentatives ofthis City ud County lo cntcr upon thc
Apl,li(ilil1 or Agetrl
-E-ePcrtrrilce nnnte
tt^r"i '/' ( '-- ) (
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptori Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipino
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbing
Final Gas Test
Meter Release \
FINAL as ')-v 4 /yw\tyl
Notes, Remarks, Etc.I
(
Dole:-b