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Home My WebLink About30141334 - Permit (3)City of santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Plumbing Permit #: 3O141334 Pin #: 3{560PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 fl Project Address: 2618 W Huckleberry Rd Unit: Block: NA Bldg: Tract 1369 Address Range: Historic: No Suite Range: Zoning: RlAssessor's Parcel: 101 -122-Og Lot: 10 Owner: Address: Julie Tran 2618 W Huckleberry Rd Santa Ana, CA 927062107 (657) 257-e58s Fee Type 01 1 16002 51602 Water Closet 01 1 16002 51602 Sink 01 1 16002 5160C General Plan Update 01 1 16002 51602 lssuance Amount 14.78 13.20 22.95 57.20 Qty 100 100 100 1.00 Fee $14.78 $13.20 $22 95 $s7 20 Phone: Tenant Name: Contractor: Address: Owner-Builder Phone Bsbch* :3'2032 I / l6/2ttl9 ID: CC:99114 0f f i ce: CTYH Trsns* : 15t-t 3 of' I;Acct*: Reft: 3t114I334 Rcpt* ttt2719854 9 / 16/2AI? 3:21 Pt1 Tronsoct ion Totsl S74tt .fJlState Lic #. Lic Type: Bus. Lic #: Workers'Com Carrier: Policy #: Expires: JUI i e Tran pedsation lnsurance:Generol PIan Updqte Fee trl 1 l6Ll02- 5160r-r0u(r- Plunb ing 0l I 161102- 516820110- I CL Check 11891'a Building Use: Job Type: Nature of Work: Single Family Dwelling Addition Addition Occupancy: Constr Type: Code: R-3, U VB cPc 2016 Notes: Plumbing for addition Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Zunrga, Allissa Date:09/16/2019 Account# Misc. Receipt: Misc Receipt: Misc Receipt: Total Buirdins Permit #: 1 01 1 01023 Every permit issued shall become invalid unless the work on the site authortzed by such permit is commenced within 360 days after its issuance, or if the work authorized on the sife by such permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 $22 es $85 18 Fee Total Paid to Date: Balance Due: $108 13 $0 00 $108.13 lnspector MrD#'. 2019-153528 Date: PLUMBING.!NSPECTOR RECORD APPROVALS DATE ID/SIG,COMMENTS OWNER BUILDER DELCARATION I h@by affm unds pâ‚¬nally of pdjury that I m qcmpt ftom thc ContracloB' Liccrc [rrv for thc following lwtr (Sc.70!1.5 Buinas and Prcfeion Codc): Any City or County which rcquirc a pcmit to coEtruct. ,ltq, improvc. dcmolish or rcpair my strucluc, prior to its isumce. also rcquiE the applicant for such pcnnit to filc a signcd stalmt that hc or shc b lica&d pwmt to thc provisiom of thc Coilractor's Licm*d Larv (Chapl6 9. Commcing rvith SBtion 7000 of Division 3 of thc Buins md Prcfesioos Codc) or that hc or shc is ampt thEcfrom ed thc basb for thc allcged cxmpion. Any violatiotr of Sdtion 7031.5 by any applicant for I pcmit sbjct! thc ap?licant to a civil pmlty of ml morc thil fivc hundrcd dollss (S500). -.1. as owner of the propefly. or my employees with wages as their sole compeflsation. will do the work and thc stnrcttre b not intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of the progrerty who tuilds or improve thersrn. and who does such *'ort himself or hcrself or through his or her orvn cmployecs. provided that such improvanents arc not intfided oroflered for sale. lf. horver/s. the btrilding or improvonent is sold rvithin one )â‚¬ar of complaion. the Ourner Builder will have thc burden of p,roving thd hc or she did not build or improve the property for the purposcof sale). _-1. as o\\mer of the properly. am exclusively contracting rvith licensed contradors to construcl the poject (Sec. 7M4. Business and Profcssion Code: 'fhe Contractor's License Law does not apply to an owner of property rvho builds or improves thereon. and rvho contracts for such projects rvith a Contracto(s) licersed pumuant to the Contractor's Liccnse Law). -l am exempt under Section--. B. & P.C. for A lt A JrarI. v [, I I hereby affirm under penalty of pojury t)ti('LARA'l toN one of tlre follorving declarations: _l have and u'ill rnaintain a Ccrtificate of Consent to Sclf-lnsure for s'orkers' compensation. as provided for by Section -1700 of the l,abor Code. for the pcrfionnance of the rvork for rvhich the po'nrit is issued. _-l har,e and rvill nraintain u'orkers' compensation insurance. as required by Section .1700 of the Labor ('ode. for the perfonnance of the w'ork for rvhich this pennit is issued. My u'orkers' compensation insurance carrier and policy number are: Carrier: _-l certi$, that in the performance of the rvork for rvhich this perrnit is issued. I shall not onploy any person in any manner so as to become subject lo the u'orkers' compensation las's of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvilh comply rvith those provisions.. WARNING: Failure to secure lvorkers' compensation coverage is unlarv[ul. and shall subject an and civil fines up to one hundred thousand dollars ($l in addition to of the Section 3076 [.atror and attorney's l)t ('t.,\tt^ I t()N/I hereby affrnn tunder penalty of perjury that I arn licensed under provision of Chapter 9 (commencing rvith Section 7000) of Division 3 of the Business and Professions Code. and nry license is in frrll force and effect l.icensc ('lass: l iccrrsc Nrrrtrltcr': llolp'( 'orrl rlcl rlr: W I horby affinn und6 pcnshy of pcrjury thd thsc is a consrrucrion hnding agocy for the pcfotrmcc of thc rrcrk for shich thb psmh b issued (Sec. 3097, Civ. C.). Lender's Name: Lcnder's Address: APPLICANT Df,CLARATION I ho*yallim undq turalty of pcrjury one of thc following dclarations: Dcmolition Pmits-Asbctos Notification Fcdoal Rcgulations (Titlc 40. Parr6) -Rcquirâ‚¬d Lett6 of Notification -l cqtiry that the fcdaal rcaulatioro rcgarding rbstos rmoval are not applicablc to lhis prej61. - I cgtify that I havc rad this applicstion md stale lhst thc above infomation is cortrt. I agrcto mmply rvith all Cityand County ordinancd and Statc L.s s rclaling lo building coNtruclion. and hftby authorizc rcpMtalilc of this City md County to otq upon thc above rnentioned properly for Applicnnl or Agent Permilec nRme (print): UNDER GROUND Waste & Vent q-n4?l rLâ‚¬Z .q Water-Under floor Gas-Underfloor Buildinq Sewer ArealStorm Drain ! nterceptor/ Cla rifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line ItIain Drain/Pool Piping Fill Line/Back FIow Pool HeaterlGas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device 1 Rough Plumbins /oh llq ?t fi /cr/ Final Gas Test Meter Release 6D/ FINAL Notes Remarks Etc. F -2 Expires: 7tttffi N G,,", ?l16'/q ,olgsl,lta fiaruqya U