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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?