HomeMy WebLinkAbout30141958 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing Permit #: 3O{4{958
Pin #: {3994PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Project Address: 906 E Santa Clara Ave
Assessor's Parcel: 003-211-12 Lot: 12
Unit:
Block: NA
Bldg:
Tract: 1529
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Conlractor:
Address:
Phone:
Daniel Morrone
906 E SANTA CLARA AVE
Santa Ana, CA 927063061
(323) 251-646s
OC Builders Group, lnc.
600 W. Santa Ana Blvd. #11t
Santa Ana, CA.92701
1714!.417-7771
Fee Type
01116002 51600 General Plan Update
01 1 16002 51602 lssuance
01116002 57770 Microfilm Records
Amount
22.95
57.20
3.91
Qty
1.00
1.00
1.00
Fee
$22.9s
$57.20
$3.91
Botch+:545L2 - 2/24/242fi I0: o,iloro0ffice: CTYH lronsi: 64 I ofAcct*: Ref*: 30141?58
Fcpt+:02901124 - 2/?4/2020 lLr:?0 An
Tronsoction lotol $84.116
0(: Builders Groupr Inc.
leslEI
State Lic #: 1052090
Lic Type: B
Bus. Lic #: 373432
Workers' Compensation lnsurance:Carrier: State Compensation Insurance Fund
Policy #: 9256608
Expires: OOl28l2O2O
Genersl Plon Updste Fee
t:rl I 16(102- 5l6tr00(r0-llicrafiln & Docurents
01116002- 5777Ct00tt-
Plulb i ng
(rl I 16002- 516(12(100-
V iso
C(:* : ******r*****3771
_ t22.9?.r
t3. ?1
f57.20
t84. rJ6
Auth*s042tr1 3
$84.06
$0.00
$84.06
r- Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Tankless Water Heater
Chavez
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
oavev,?02124t2020
Account#
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cPc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Tankless water heater
Fee'Total:
Paid to Date:
Balance Due:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01116002 57770
$22.95
$57.20
$3.91
lnspector MID#: 2020-157966
W
PLUMBING.!NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS owN!:R uutLI)ER Dttt.cARAl ruN
afplicnrillorxpcrnrilsuhicctsthc nlplicnnlk)rcivilpcnrltyofloltrr)rclhxnflvchun(lrc(ldollars($5(x)).
I.ns owncrol'thcpropcrly.ornlycnrl)k)yccswithwagcsaslhcirsolccornpcnsrti(nl.willdolhcworkandthcstruclurci{trol
thc p(,ncrly who huilds or itrrprovcs lhcrmr. rnd who docs such w(n'k hinrscll'()r hcrscll or thr(rgh his or hcr own crnployccs.
salc).
-1.
as owncr ofthe propcrty. am cxclusively contracting wilh liccnsed contrscto$ to construct the project (Scc. 7044. Busincss
tnd ProfcssbnCode:TheConlraclor'sLiccnscLawdocsnotapplyloanownerofpropertywhobuildsorimprovcslhercon.
and who contracts for such projccts with a Conlmctor(s) licenscd pursuant to thc Contraclor's License law).
lutrlcxclnDlundcrSccliotr-.B,&P'C,li)lthisIeason.
Date:_()wncr:
WORKERS' COMPENSATION
DECLARATION
I hcreby affirm under penalty ofperjury one ofthc following dcclealbns:
_l havc md will mrintain fl Ccrtificatc of Conscnt b Se If lnsurc li,r workers' conrpcnsation. rs nrovidcd tbr by Sectk)tr -37U) of lhc
hh(n (i,dc. frtr thc ficrlirrNancc ol thc work lin which lhc pcflrit is i\\uc(I.
%{l"v""nawitt trriiiltainworkcrs'conrpcnsrlioninsurancc.ils rcqtirc(lbyScclion.lT00oflhcl-aborCodc.forthcpcrfonnanccol
lhc work for which is issucd. My workers'insurance canier and policy number arc:
')^ s,t/6 lz(/znoPolicy
_l ccrtify lhal in thc pcrformancc of the work lbr which this pcrmit is issucd. I shall not crnploy any pcrson in any manncr
so as lo become subjcct h thc workcrs' conlpcnsation laws of C{lifornifl. and agrcc lhal if I should bccorrc subject to thc
workcrs' compcnsation provisions of Scclbn 3700 ofthc Ltrhor Codc. I shall. tirnhwith comply with thosc provisions..
WARNINGi Failure k, scure workers'compcnsation coveragc is tnlawfirl. and shall subjcct M cnrployq h fiiminal penaltics and
civil fincs up to onc hundrcd thousand dollars ($100.0m).
Scction -3076 of thc tibor Code. interest and allorncy's fces.
in addilion to lhc cost of compcnsation. damages as providcd{or thc
A
Dltcl,ARAll()N T
ol thc lJusinc\s nnd l'(rl'cssions Co(lc. rnd nty liccnsc is in lirll firrcc antl cllcct.
oLiccnscNunrhcr:
n L o
CONS'I'RUCTION T,ENDINC AGENCY
I hcrcby rflirtr! undcr pcnrlty of pcrjury lhat therc is d construclior lcndinS il8cncy lbr thc pcrtbrnnncc ol-thc work lbr which lhis fErnril is
issucd (Scc. 3097. Civ. C.).
Lcndcr's Namc:
Lcnder's Addrcss:
ATIIJSANLDECI.ABAIIQN
I lrcrcby allirm undcr pcnalty of pcrjury onc of I hc follow ing dcclarat ions:
Dcnmlilioil Pcrmits-Asbcsbs Notilication Fcdcral Rcgulations ('l'itle 40. Pdrt6)
-Rcquircd
Letlcr of Nolification
_l ccftily thrl thc fadcral rcSulalions rcgr(ling asbcslos rcrn(,r'al ilrc rxil rpplicahlc lo this projccl.
nbovc ilrcntioncd propcfly for inspection
Applicanl or Agent
l'rrnrilcc nxnre
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
It/ain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release tt l I /^
FINAL Ar5fult)I WrAu ttbil
Notes Remarks Etc.
4
,^*, QlLLllT.o
t
*,"rLfzlftaza
I