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:
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