HomeMy WebLinkAbout30137439 - Permit (2)ffh Ciff of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA s2702 Plumbing
W #,,'aoun ter: (714)647-5800 tnspection Requests: (214) oot-zr3a tnspector section: (714) 642-sasg ?
Permit #: 3O{ 37439
Pin #: 32379
Proiect Address i 2332 N Towner St
Assessor's Parcel: 001-213-02 Lot: 2
Unit:
Block:NA
Bldg:
Tract:6540
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Jose Mata
2332 N. Towner St.
Santa Ana, CA 927061942
(714) 393-6358
01 1 16002 51602
01 1 16002 51602
01 I 16002 51602
01 1 16002 s1602
01116002 51600
01 1 16002 s1602
Fee Type
Water Closet
Shower
Sink
Sewer Alter/Repair
General Plan Update 20.56
lssuance', 5'l .26
Amount
13.24
20.73
11.83
41.46
Qty
1.00
1.00
1.00
1.00
1.00
, 1k0i
Fee
$13.24
$20.73
$11.83
$41.46
$20.56
$51.26
Phone
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
3/28t6
Accti:
RcpLi:01657995
Tronsoct ion Totsl
lose llsts
Building Use: Single Family Dwelling
Job Type: Addition
Nature of Work: Addn/Remodel/Porch
Occupancy;
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2013
Genersl Plsn Update Fee
01r16002- s1600000-
Plulb i ns
01116002- 516CI2u00-
ICL Check 689+
Convert front porch to new office. Install interior wall &
convert part of living room to new bedroom & gym.
Add l-full bathroom & front porch (260 sf). Auth on file.
$159.08
$0.00
$1s9.08
Planning Conditions: New windows to match existing in operation & materials. New stucco
finish & stone to match existing in type/finish.
11t03t2016
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buildins Permit #: 101 89947
v
01 1 16002 51600
01 1 16002 51602
$20.56
$138.52Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
rssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a peiod of 180 days after the time the work is
commenced.
lnspector MID#: 2016-129977
Ptt
PLUMB!NG.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
(rq )Water-Under floor z/ztl t7 *ut ?
Gas-Underfloor I
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
Ptrap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
,
Rouqh Plumbinq \/st / rz _aML znL)a /
Final Gas Test
Meter Release I Ir I r. I .l
FINAL 'illl ntry)t}l.tl'd0 'SNotes, Remarks, Etc.
OWNER BUILDER DELCARATION
I hacby affm undc pcaalty of perjury thal I m cxcmpt from the ContractoF' Licms l.aw for the following ravrn (S9c.7031..!
Buine and Profsion Codc): Any City or County which rcquire a pcmil lo consiruct. alto, irnprolt. fonolish gr rcpair my
structuc. prior to its isswcc. aho rcquirB the applicet for such pemit to filc a signed statmot that he or shc is licmsed puBu{n
to thc provisioN of thc Contractor's Liccnsed hw (Chaptcr 9, Commencing with Setion 7000 of Division I of the BNinB md
Prcfsions Codc) or that hc or shc is crcmpt thqcfrom ed thc bsis for thc allcgcd exonplion. Any violation of Sction 70-l1.5 by any
applicmt for a pcrmit subjcts thc applicml to a civil pcnshy of not more thm fivc hundrcd dolles ($500).
_1, u oma of thc popcny. or my employG with wag6 6 their sle compo$tion. rvilldo the $ork dd the stnrluc is rct
intqdcd or offocd for slc (58.7044. Buinos and hofqsions Codc: Thc Contractor's Licorc Law doa not apply to an osno of
thc prcpcty who buil& or improvc tluo( md who do6 such wrt himsclf or hrelf or thmugh his or ho orvn cmployeo.
providcd that such imFovmts e rct intqrdcd or o&cd for slc. lf. horvrc, thc building or imprcvmt is mld rvilhin onc yw
ofconpl:tion, thc Owns Buildq will havc thc burdcn ofpoving tha hc or shc did not tuikl or imptove thc pmpo'ty for lhc purpos of
$h).
_1. 6om6 of thc tropqly, m exclusivcly codracting wilh liceNcd contraclo6 lo coNlruct lhe pmject (56. 7044. 86ins
and PrcftssionCodc:ThcContrrtor'sLiccnscLawdocnotapplyloanownoofpropcnywhobuildsorirnprovsther@n.
md who contmcts for such projets with a Contracto(s) licqsed pureusnt lo lhe Contraclor's Licose Lsw).
ll. & l'.('. for lhis
I h6cby sffirm unds psulty ofpqjury delarations:
I have md $,ill nuintain a Cerlificale ofConsenl to Self-lnsurc for workas conrFnsllion. as pror iricd for br Satiur 1700 ofthe
l-abor Code. for the psfonmnce ofthe rvork for Nhich the lErnit is issucd.
_l haveandwill rnainlain\vorkcrs compcnsaltminsurance.as retpirelblS*ritrn jT00oflhel.alu(ode.forlhepelornranceof
the work for $hich lhis pennit is isuerJ. My sorkm conrpensation insurance carlier and fxrlic:- rurnbu are:
Policy
-t
cgtiry that in the pqformancc of thc work for which this psrnit is issued, I shall not onploy any peEon in any mmos
s 6lobccomcsubj€ttothcworlm'compmsationlawsofCalifomia.andag@lhatiflshouldbecomcsuhjcllolhc
workm' compqrsation prcvisiore ofScaion -1700 ofthc tabor Codq I shall. forthwith comply wilh tho* provisions..
WARNING: Failure lo seuc workm'composation covmgc is unlawful. and shall subjcd an onplo)q lo aitninal pcrEhk3 ed
civil fincs up to onc hundrcd thousand dollaB ($100.000). in addition to thc cost of compcmtion. darnag* u povidcd for thc
Section 3076 of int66l and fc.
I hereby aflim undo penalty ofp€rjury that I an prcvision of Chapto 9 (commcing with SNtion 7fi)O) of Division 3
of thc Buitrs ud Profsioro Code, ud my full forre fril effcct.
l)rtr ( r)[lrrcl{rr
W
I hrcby allim undo pcnalty of pcrjury tha thoc is a conslruction lcnding agmcy for lhc pqfommcc of thc worl for s'hich this psoh b
issucd (s(. .1097. civ. C.).
lEnder's Narnc:
Lads's Ad&ss:
AfII.TCASLDECI.AMIION
I hatby aftm unda pctrahy of pcjury onc of thc following delarations:
Demolition Pmit3-Asb6to3 Notification Fcdaal Rcgulatiom (Titlc 40. P8n6)
-Rcquircd
Lrtts of Notificdb!
-l
cdiry that thc fcddal rcgulatioro rcguding obetos rqrroval arc not applicable to lhis prcjecr.
_l cqtify that I havc r@d this application ed statc that the abovc infonnation is co[c.1. I agrc (o comply with 8ll City 6nd County
ordinecq ed State Laws rclsting to building construclion. md hscby authorize rcprBentativs of this Cily md County lo st6 upon th€
abovc mmtioncd propeny for
Appllcint or Agent
Permite mme (print):r/u<
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m cxcmpt/uqdq SFcrion-
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Cuiq:-
Liccnse Clas:- l,icense Nurnhs: _
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