HomeMy WebLinkAbout30141976 - Permit (2)';-;' prumulngffiCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 . Plumbit
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O141976
Pin #: 46583
Proiect Address: 1423 N Louise Sta
Assessor's Parcel: 405-251 -19 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Caroline Ruetenbar
1423 Louise St.
Santa Ana, CA 92706
(7141 666-166s
Roto Rooter Plumbing
1 183 N Kraemer Place
Anaheim, CA 92806
(7141476-3605
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01116002 5777C
Fee Type
Sewer Alter/Repair
General Plan Update
lssuance
Microfilm Records
Amount
46.25
22.95
57.20
3.91
Qty
100
1 .00
1 .00
1 .00
Fee
$46.25
$22.95
$s7.20
$3.e1
Bnbch
0f f ir
Acct {
*:54564 2/26/?r:r?Lr ID: H6ei (:TYll Trans*: 3tt i: Rel*: 3[t14.1
:rr?9[t79V4 2/26/?tt?tt 1r57
ncLisn Totnl $13t-t ..J
ftcrit
Tr nn
Rst o
Gene
iooter Plumb insState Lic #: 1016021
Lic Type: C-36
Bus. '-ic #: 364823
Workers' Compensation I nsurance:t Carrier: Federal lns Co
Policy #: 54309480
F+Expires: 08101 12018
I. TO dnte Fee
Ltl I I 60r:t?- 5l 6tlt-rtlt-tt-r-
[:'lumb ing
rll I16002- 5t6lr2u00-
11 icrof ilm & Docuttentg
rJl 1 161il-r2- 1777rrr]0u-
.:(:* : ****tt**r**xx2$ 16
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Sewer
Zuniga, O,,,rrrN-
Occupancy:
Constr Type:
Code.
Date:
Date:
Date:
R-3, U
VB
cPc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Alter existing sewer
Fee Total
Paid to Date:
Balance Due:
02t26t2020
Account#
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the sife by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$22.95
$103.45
$3.91
$130.31
$0 00
$130.31
lnspector MID#: 2020-1 58066
PLUMBING.!NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hscby aflim undo pcmlty of pcrjury that I m qmpt from thc Contractots' Liccre lrw for thc following r@n (Se.70-11.5
Buin6s and Profsion Code): Any City or County which requirc a pcrnit to construct, altc. imprcE, danolish or npeir uy
struclurq Fior to its isuuce. also requiE thc applicut for such pcnnit to filc I sigtrd statmmt that hc or 8h€ b licosd puGuant
to the provisiore of thc Contrctor's Licmscd Law (Chapt6 9. Commcncing with Setion 7000 of Division 3 of thc Buine and
Prefeions Codc) or thst hc or shc is cxcmpt th@from ild the basis for thc allcgcd amption. Any violatioo of scrbtr 70-11.5 by any
rpplicsntforapcmitsubjtrEthc applicanttoacivilpcnaltyofnotmorethmfivchundrc{dollus(5500).
_1. as owner of the propcrty. or my employec with rvages as their sole compeflsation. will do the worft and the gructure is not
intendcd or offered for sale (Sec.7014. Business and hofessions Code: The Contractor's License Law does not ryply to an orvner of
the property who builds or improves thcron. and who does such rvork himself or hcrself or through his or her own employecs.
provided that such improvanents are not intendod or offered for sale. |f,, horvsver. the building or impnovcmcnt is sold within one )car
of complaiorL the Or*ner Builder rvill have the burden of proling thd hc or she did not build or irnpmove the property for the purposcof
sale).
-1.
as olner of the prop€ay. am exclusively contracting rvith licensed contractors to construct the projecl (Sec. 7044. Business
and Pof€ssion Code: The Contractor's License Law does not apply lo im o\l'ner of propenty s'ho builds or improves lhereon.
and rvho contracts for such projects rvith a Contracto(s) licarsed pursuant to the Contrac{or's License Law).
-l
am exempt under Section-. B. & P.C. for this reason.
l)alc:( )rr ltcr:%iffi
I hacby affim undo pcnalty of pajury onc ofthc follorving dclaations:
-l
hsvc drd sill maintain a Cqrificatc of Conmt to SclfJnsurc for wortm' compostion. c previdcd for by S(tion 3700 of the
Labor Coda for the pcfomcc of thc uo* for uhich lhc fmit ir i$ucd.
,Z(haveandwillmaintainworkm'comperuationinsunncc.a rcquircdbySction3TO0ofthcLaborCodc.forthcpcfomance oft
::-
t"lt'ht#}li iscd Mv workm' omposation irourucc cmir md poricv numbc rc:
Poricy.,,*, fhbzY 60 I 3a l1 rxpiri: 'l - Ol - Zo'lg
-l
certi$ that in the performance of the rvork for which this permit is issued. I shall not employ any person in any'manner
so as to become subject to the rvorkers'compensation larvs of Califcrrnia. and agree that if I should become subject to the ,
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with thosc provisions..
WARNING: Failure to secure rvorkers' compensation coverage is unlau'ful. and shall subject an anployer to cr3ltinal poralties and
civil fines up to one hundred thousand dollars ($100.0001. in addition to the cost of compensation. damages as provided for the
Section 3076 of the Labor Code. interesl and
f )oln.2:%'b?pt
DECLARATION
I heretry affrrm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing rvith Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
-
License ct^*, C3 b
Dere:
tZ,-ZFZoZo
W
I hccby allirrn undr penslty of ptrjury that thqc is a renstruclion lqding agmcy for the Jnfomacc of lhe rvork for Nhich lhis perrnil is
issucd (Ss. 3097. Civ. C.).
knder's Name:
Lender's Ad&ess:
APPLI('ANT DT:('LARAI'ION
I ho'etry affinn under penalty of perjury one of the follos'ing <leclarations:
Denrolition Perrnits-Ast:eslos Notification Federal Regulations ('l'itle 40. Part6)
Rcquired l.ctter of Notilication
-l
ceni& that the federalregulations regarding asbestos reinoval are not applicable to this projed.
4ifytharthavereadthisapplicationandstatethattheaboveinformaionis with all City and County
and County to enter upon theordinances and State [.aws rclating to building
above mentiond progrrty for
Applicnnt or Agent
Permitee nRme (print):
ancl
correct. I
,rr".Z-4* Zob
UNDER GROUND )
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I 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
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back FIow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL l-ll.%Erlaloa
Notes Remarks Etc.
Li4rse Number:#Kofo-\--rufca
I