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Home My WebLink About30241711 - PermitProject Address: 825 S Gypress Ave Assessor's Parcel: 01 1-052-03 Lot: POR 8 Unit: Block: NA Bldg: Address Range: Tract PART OF MCFADDEIIistoric: No Suite Range: Zoning: R2 City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 Permit #: 30241711 Pin #: 48605 Owner: Address. Nghiem Nguyen 54 Maywood lrvine, CA 92602 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 01 1 16002 5777C Fee Type Cap Fixtures General Plan Update lssuance Microfilm Records Amount 7.22 22.95 57.20 3.91 Qty 2.00 1.00 1.00 1.00 Fee $14.44 $22.95 $57.20 $3.e1 Phone: Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Babch+:53531 - 12/19/2fr19 ID: CCUELLAI 0f f i ce: CTYH Trnn si : 7 3 rrf t,Acct*: Ref*: 3024 I 71 1 Rcp ti ; (12837709 - 12/ rg /2ttl9 8: 4(t AI1 Trnnsaction Total tlr58/r.86 Hgh i er Ngusen Genersl Plnn Updcrte Fee trl I 16002- t15ttt1tt$0- Flumb i ns 0l I168ff2- 51602[t0(t- ll icnof i lr & DocumentE 01116002- 3777fi080- Visn CC+ : *t**t**rrr**374SBuilding Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling Demolition N/V-Demo Zuniga tl t 584 Auth* :75S370 $e8.50 $0.00 $98.50 li?, Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cPc 2016 Notes: Cap all plumbing for unpermitted addition/walls and revert back to originally permitted patio cover. 12t18/2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Buirdins Permit #: 102102598 Every permitissued shall become invalid unless the work on the site attthorized by such permit is commenced within 360 days after its issuance, or if the work authorized on the srte by such permitis suspended or abandoned for a period of 360 days after the time the work is comm?nced. lnspector MID#: 201 9-156556 01 1 16002 51600 01 1 16002 s1602 01 1 16002 57770 $22.es $71.64 $3.e1 Fee Total Paid to Date: Balance Due: PLUM BING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNEN, BUILDER I'ELCA-RATION I hcrcby affrm undcr pcmlty of pcrjury thst I m cxempt frcm ttrc ContnctoN' Lbens [rw for thc followiog tr@n (Sc.7031.5 Busincss snd Profcssion Code): Any City or County which rcquires 8 pcmil to construcl, ahs, iqmre, dcmlish or rcpair any structurc. prbr to ils issuarce, drc rcquires thâ‚¬ applkant for such Frmit to lilc 8 sigred stalemnl that hc or slE b licetrsd pusutrl ro thc pmvlsions of thc Conlrrctor's Licenrd [rw (Chspler 9, Comrcing with Selion 7000 of Division 3 of thc Busimss ud Prcfcssk ns fue) tr that he or shc is cxerpt ttmfrom and lhc basis for thc sllcgcd eremp(ion. Any violalion of S*tbn 703 I .5 by sny applicsntforapcrmitsubjElsthc spplicsnlloscivilpcnalyofnolmrcthsnfivehundrL{dollus(S5m). _1. Bs owner of the profrcrty. or my cmployees with wages es their solc compcnsation. will do thc work and the stnrcture is not intendcd or offercd for sale (Scrc.704+. Busincss and hofessions Code: The Contractor's Liccnse Law does not apply to an owner of thc propcrty who builds or improves thcrcon. and who does such work himself or hcrself or through his or her own employees. provided that such improvenrcnls arc ncrt inlended oroffc"rcd for sale. lf. however. the building or irproverEnl is soH within one )Gar of complction. thc Owncr Buitder will havc the btrden of proving that he or she ditt not build or inqrmve the prof,erty for thc purpsc of sale). _1. as owner of the propcrty. am exclusivcly contracting with licenscd conlraclors to construct thc project (Sec. 7W, Busincss and Pmfession Codc: Thc Contractor's Liccnse Law docs nol apply lo on owner of propcrty who builds or improves thereon. and who contracts for such projc.cts with a Contracto(s) liccnsed pursuant to thc Contractor's Licensc kw). -l a:n cxcrnpt urttlcr B. & P.C. for this reason. l)1.('l.AR \'l'loN I hcrcby alfirm undcr pcnalty of perjury one of thc following dcclarations: _l havcandwill rnaintainaCertilicatcofConscrrtto.Scll'-lnsurclirrworkcrs'compcnsation.as providedforhyScctiott.iTfi)ol'lhc l;rhor (bdc. fbr thc pcrforrnance of thc work lbr which thc pcrrnit is issucd. _t havcandwill rrraintainworkers'conrJrcnsalioninsurancc.as rcquirctl hySection3T(X)ofthcLaborCodc.t'orlhcpcrfornranccof thc work lbr which this grcrrnit is issucd. My workers' cornlrcnsalion insurancc carricr and policy numbcr are: Policy Numbcr: ExPircs: _l ccrtify that in thc Jrcrformance of the work for which this prmit is issucd. I shall not empkry any Frerson in any mBnner so as to become subject to thc workcrs' comgrcnsation laws of California. and agrce that if I should bccome sublct to lhc workcrs' compcnsation provisions of Scction 3700 of the t-abor Codc. I shall, forthwith comply with those provisions.. WARNING: Failurc to sccurc workers'comlrcnsation covcrage is unlawt'ul. and shall suhict an employcr to criminal pcnaltics and compcnsation. damages as provided for thccivil fines up lo onc hundred thousand to the cost of Scclion 3076 of lhc Latnr intcrcst l)li('l.ARA'l'l( )N I hereby affirm undcr penalty of perjury that I am licenscd under provision of Chapter 9 (comnrcncing with Section 7m0) of Division 3 of thc Business and Professions Code, and my license is in full force and cffc'ct. Liccnsc Numhcr: Dale:- W I hcrcby nffirm undcr trcnoltyof Jrcrjury that thcre is a q)nstruclion lcnding agcrry for thc pcrftrmne of lhc work for which this lrcrmil is issucd (Se. 3097, Civ. C.). kndcr's Nrm: [rndcr's Addrcss: APPLTCA NT DECL ART{'I'I(IN I lrn-$y aflirrn undcr Jrcnalty of perjury onc of thc following dcclarations: Dcnxrlition Pcrmits-Ashcstos Notification Fcdcral Rcgulations (Titlc 40. ['afl6) -Rcquircd lrttcr of Nolification rcgarding asbcslos rcmovalare nol applicable to this projcct. state that lhc atnve infonnalion is correcl. I agrce to conply representatives of this City ! with all Ciry and County and Cou;Uy lo cntcr uJnn thc atxrvc rrrcrrlioncrl propcrty for Applicnnt or Agent I'ernrilee nanre construction. and hcreby aulhoriz.c UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer ArealStorm Drain I nterceptor/ Clarifier TOP OUT Waste & Vent Water Pipinq Gas Pipinq Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCao Back Flow Device Roush Plumbinq Final Gas Test Meter Release I -)FINAL t/ /t1/ 4pz,// Notes, Remarks, E{c.2 Y- Carrier:- l.icense Contraclor: /0V(