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HomeMy WebLinkAbout30241712 - PermitProiect Address: 825 S Cvpress Ave Assessor's Parcel: 01 1-052-03 Lot: POR 8 Unit: A Block: NA Bldg: Address Range: TrACt PART OF MCFADDEtIiStoric: No Suite Range: Zoning: R2 bity ,f Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #i 30241712 Pin #: 55258 Owner: Address: Phone: Nghiem Nguyen 54 Maywood lrvine, CA 92602 (7141 492-2607 01 1 16002 51602 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 01 1 16002 5777C Fee Type Cap Fixtures Cap Gas Outlet General Plan Update lssuance Microfilm Records Amount 7.22 8.80 22.95 57.20 3.91 Qty 2.00 1.00 1.00 1 .00 1.00 Fee $14.44 $8.80 $22.95 $57.20 $3.e1 Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Botch+:53531 - l?/l?/2019 ID: CCUELL Office: CTYH Trnnsi:7 6 r,fAcct*: Refi: 3024 1 712 Rcpt+: (r29377L2 12/19 /?fr19 8:4tt An Tronsoction Totol tlr5g4.8'{ Hgh i eu Hsusen Genersl FInn Updnte Fee 01 I l60tt2- 51600t1tt0- Plumb i ng trl I l60tr2- 51602000- ll icrof ilm & Documents (rl I l6tttt2- 1777trtr00- V isq cap,"65#itie'a* FffifibT,fd {i S"ro rttjiihfi ;:: i' : ;r facility/walls in garage and revert back to original use. Remove enclosed walls in carport area and return back to original use. $107.30 $0.00 $107.30 Building Use: Job Type: Nature of Work: Single Family Dwelling Demolition N/V-Demo Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cPc 2016 Planning Conditions: Planning Approval By: Plan Checked By. Permit lssued By: Zuniga, Allissa Subject to Field. Buirdins Permit #: 1 0 2102600 12118t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total Paid to Date: Balance Due: Every permit rssued 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 fhe site by such permitis suspended or abandoned for a period of 360 days after the time the work is comn:gn lnspector MID#: 2019-156616 01 1 1 6002 51 600 01 1 16002 51602 01 1 16002 57770 $22.95 $80.44 $3.91 PLUM BING-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OlvN r:R Bt, I Ll)ER DI.ll.('A RA't'l()N I hercby sflirm undcr Fnalty of pcrjury thsl I am crempt frcm lhc Coilrrctm' LLus hw for lhc following rc&sn (56.7031,5 Busincss and.Profcssion Code): Any City or Counly whhh rcquircs a pcnnil to conslruct, slt6. irprcve. demlish or rcJnir any structurc. Fior to its issusrcc. als rcquircs the spplhant for such tEmit lo fih a sigrcd slslcmnt lh.l hc or she is liccnsd puNuant to thc povisions of tlE Contrctm's Licurd Lrw (Chapter 9. Commercing uith Sction 7(n0 of Division 3 of thc Busincss and Pmfcssions Codc) or that hc or shc is cxempt thcrcfrom snd thc h6is for thc allcgcd cxcmption. Any violation of S6lion 70.1 1.5 by any 8pplicrnt for I Frmit subjsts the Epplicant to 8 civil penolty of rcl mrc than live hundrcd dollus ($5U)), _1. as owncr of thc proprty. or nly ctnployccs with wagcs as thcir solc cornpcnsalion. u'illdo thc u'ork and thc slruclurc is not illcnrlc{ rlr gffercd ltrr salc (Sc.c.7(}14. Busirrcss and Profcssions Ctxlc: l'hc Cortlractor's l-iccttsc l;rw docs not apply to an owncr of thc pnrJrcrty who buil<ls or itnprovcs thcrcorr. ild who drrcs such work hitttsclf or hcrsclf or through his or hcr <lwn ernployccs. provitlctl thirt such itnprovcrrrnts arc not irrtcrrtlerl or olTcrcd ltrr snlc. lf. howcvcr. thc building <lr improvcrncnt is sold within onc ycilr ol'cornlllctiorr. thc Owncr Buiklcr will have thc hurdcn of proving that hc or shc did nol buikl or itnprove thc pn:J:crty for thc purynsc of salc). _1. asowncrof thc proprty. amcxclusivclycontracting u,ith liccrrscd conlraclorstocottslruct thc projccl (Scc. 71A4. Busittcss arxl lrroli:ssionCodc: 'l'heContraclor'sLiccnscLawdocsnolapplyloan()wncrol'propcrtywhobuildsorimprovcsthercott. and who conlracts tbr such projccls with a C<lnlractor(s) liccnscd pursuant to thc Conlractor's Liccnsc Llw). -l anr excmpt B. & P.C. for lhis reason. I herchy affirrn under Jrcnalty of Jrcrjury one of thc _lhavcandwill nuintairraCcrtillcatcofConscnttoSclf'-lnsurclirrworkcrs'corttpcnsaliort.its providcdlirrhyScction-17fi)ofthc l-abor Crdc. forthc pcrtirrrrruncc of thc work ltlr which thc pcrrnit is issucd. _t havc and u,ilt ntaintairr workcrs'contJrcnsation insurrncc. as rcquirctl hyScclion 37(X)ol'thc Lahor(--<ltlc. lirrlhc pcrlornunccol' thc work tirr which this pcrnril is issucd. My workcrs' cornpcnsulion irtsuritncc citricr and ;mlicy nuntber irc: Policv Numbcr: ExPircs:- --'-J _l ccrrify that in the Jrcrforrnance of the work for which this permit is issucd. I shall not ernploy any person in any manncr so Bs to becomc subject to thc workers'compcnsation laws of California. and agrcc that if I should bccomc subict to thc workcrs' compcnsation provisions of Section 3700 of the l-abor Code. I shall. forthwith comply with thosc provisions.. WARNING: Failure lo sccurc workcrs' cotnpcnsalion is unlawful. and shall subject an employcr to criminal Jrcnalties and civil fines up to onc hundrcd lhousand dollars ($as provided for thc f'ccs. DECLARA'I'I(IN I hcrchy all'irrn urrtlcr penalty ol'pcrjury that I arrr liccnscd undcr provisiort ol'('huptcr 9 (cottttncttcing with Scclion 70(X)) of Division .l of thc Busincss and ['rol'cssions Codc. and my liccttsc is in t'ull lirrcc atrl cfl'cct. Licensc Dnle: CONS IRUCTION LENDING AGUNCY I hcrcby alliril undcr Fnulty of pcrjury thal thcrc is a constructkrn hndin8 agcncy for thc pcrfotmancc of thc work for which lhis Frmil is issucd (Scc. 3(197. Civ. C.). knder's Address: APPLICAN'I DECLARATION I hcrcby allirnr undcr pcnalty of pcrjury ottc of lhc following dcclaraliotts: Dcrnolitiort Pcrntils-Ashc'stos Notification Fedcral Rcgulaliorrs ('l'itlc 40' Part6) -Rcquirctl Lctlcr of Notification _l certify that thc fedcralregulations regarding asbcstos rcmoval arc not applicable to this projcct.\ffi,that t have read this opplication and statc that thc atnvc informalion is correct. I agrce to comply with all City and County building construction. arxl hereby authorizc rcprcscntativcs of lhis City and above mcntioncd proJrcrty for Applicant or Agent I'ernrilee name puq)oscs.2 Countvo'to enlcr ugxln thc UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer AreilStorm Drain I nterceptor/ Clarif ier TOP OUT Waste & Vent Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitarv SewerlCao Back Flow Device Rough Plumbing Final Gas Test Meter Release FINAL tl//t /zoz,o ;hr,I rNotes, Remarks, Eic. I 7 / I)ale: Contractor: ?