HomeMy WebLinkAbout30142593 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714) 647-5853
Permit #: 30142593
Pin #: 7fi781
Project Address: 2517 S Park Dr Unit:
Block: NA
Bldg:
Tract: 2461
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 140-132-28 Lot: 60
Owner:
Address:
Cynthia Vasquez
2517 S Park Drive
Santa Ana, CA 92707
(7141 343-0882
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Sewer Alter/Repair
General Plan Update
lssuance
Microfilm Records
Amount
47.95
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$47.9s
$23.79
$5e.30
$4.05
Phone
Tenant Name:
Contractor:
Address:
Rescue Rooter
740 N Hariton St
Orange, CA 92868
(7141 771-7481Phone:
State Lic #: 765155
Lic Type: C-36, A, C42
Bus. Lic #: 319175
Workers' Compensation lnsurance:
Carrier: Liberty lns Corp
Policy #: WA763D508631010
Expires: 10101 12021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Repair/Alter Sewer
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2019 Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Verduzco, Violet {.-/
Date:
Date:
Date:11t12t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 s1600
01 1 16002 51602
01 1 16002 57770
$23.79
$107.2s
$4.05
Fee Total:
Paid to Date:
Balance Due:
$135.09
$0.00
$135.09
Inspector MID#: 2020-1627 13
PLUMBING.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEIf ARATION
I hacby affm undo pcnalty of pa;jury thst I m qcmpt ftom thc Contraaon' Licm Lrw for thc following rcn (56.7031.5
Bwins ard Profcsion Codc): Any City or County which rcquirc a pcmit lo construcl. altc, improvq danolish or rcpoir my
structuc. prbr to its iswcc. also rcquis the appli@t for such pqrnit to 6lc 8 signcd stdf,@t thd hc or shc b licolcd plltMa
to thc prcvisioE of thc Contrrctor's Licorod taw (Chapt6 9. Commmiog with S€liotr 7000 of Division 3 of thc Busincs md
Prcfsions Codc) or thst hc or shc is qcmpt thcdrom ild the basis for thc allcBcd qmption. Any violstioo of Setion 7031.5 by my
applicantforapcmitsubjEtsthc applicottoacivilpcnaltyofnotmrcthufivchun&cddollm($500).
_1. ES owner of the p,roperty, or my employees with wages as their sole compensation. will do thc work and thc stnrcture is not
intcnded or offerd for sale (Sec.7044. Business and hofessions Code: The Contraclor's Licetsc [-aw does not apply to an owner of
the propcrty who builds or improve thcron, and rvho does such work himsclf or herself or through his or her own employees,
providd that such impovanents are not intcnded orofFercd for sale. I[, howev€r. the building or improvement is sold within one ]td
of compkxiorL the O$/ner Buildcr will have the hrden of proving that he or she did not hrild or improve thc property for the purposcof
sale).
_1, 8s owner ofthe prroperty, am exclusively contracting with licerued contractors to construct the project (Sec. 7044, Btsiness
and Prrofcssion Code: The Contractor's Liccnse Law does not apply to an owner of property who builds or improves thcrcon.
and who contracts for such projects with a Contracto(s) licased pursuant to the Contractor's Licsnsc l-aw).
-l
am exempt under B. & P.C. for this reason.
l):tle
WORKERS' COMPENSATION
DECI,ARATION
I hereby affirm under pcnalty of perjury one of the following declarations:
_l have and will maintain a Ccrtificate of Consant to Self-lnsure for workers' compquatior. as povided for by Section 3700 of the
Labor Code. for the performance of the work for which the perrnit b issucd.
TJ 3700 of the l-abor Code, for the pcrformancc of
rvork for this and policy number are:
Policy b io
_l certi& that in the performance of the work for which this permit is issucd, I shall not anploy any person in any mannef,
so as to bccome subject to the workers' compcnsation laws of California, and agree that if I should become subject to thc
workcrs' compensation provisions of Section 3700 of the tabor Codc I shall, forthwith comply with thosc provisions..
WARNING: Failure to sccure workers' compemation coverage is unlawful. and shall subject an anrplolcr to criminal pcnaltics and
civil fines up to one hundred thousand dollars ($100.000), in addition to the cos of compcruation, damages as provided for the
Section 3076 of the Labor Code, interest and attorney's
orr", //- 12-b
DECTARATION
I hereby affrm under poralty of perjury that t am liceoscd under pnovision of Chapter 9 (commorcing with Secrion 7000) of Division 3
of the Business and Profcssions Code, and my liccrue is in futl force and effect.
License
Date:)-)-z
I hereby affirm under penalty of perjury tha there is a construction
issued (Sec. 3097. Civ. C.).
agency pcrformance of the work for which this pcrmit is
Lt'rttk'r's N;uttt:.
Lender's Address:
APPLICANT DECLARATTON
I hsrby affrm under penalty of perjury onc of the following declarations:
Dernolition Pennits-Asbcstos Notification Federal Regulations (Title 40. Part6)
-Requircd
Letter of Notification
-l
certify that the hderalregulations regarding asbestos removalare not applicable to this project.
_l ccrti& that I have read this application and state that the above information is correct. I agrec to comply with all City and County
ordinanccs and State [.aws rclating to building construction, and representatives of this City and County to enter upon the
above mentioned property for
Applicnnt or Agent -12-P
UNDER GROUND
Waste & Vent It btwffi
Water-Under floor Ir
Gas-Underfloor
Building Sewer It '7 t>A#,ry
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipins
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release I I )-
FINAL (t1 ?? >W,fr
INotes, Remarks, Etc.
License )1 f77?