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Home My WebLink About30141803 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27OZ Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #: 3O141803 Pin #: 2OE71 a Project Address: 307 E First St Assessor's Parcel: 398-516-16 Lot: PORS 1,2,3,4,10 Unit: 1-A Block: 1 Bldg: Address Range: 301-307 Tract: BLEE'S ADD Historic: No Suite Range: Zoning: SD84 ? Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: ROIC CA LLC 9455 Ridgehaven Ct #200 San Diego, CA 92123 (858) 25s4e03 Jugos Acapulco Bullseye Builders lnc 960 N Tustin St #379 Orange, CA 92867 (7141 2024545 Fee Type Amount Floor Drain 16.77 Floor Sink 16.77 New Sewer (First 100') 67.13 Gas Outlet, each Add'l 7.34 Backflow < 2" 23.12 Alter DrainA/ent 46.25 Appl Not Listed 68. 14 Revision 230.87 General Plan Update 22.95 lssuance 57 .20 Microfilm Records 3.91 Qty 3.00 6.00 1.00 1.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 Fee $50.31 $100.62 $67.1 3 $7.34 $46.24 $46.2s $68.1 4 $230.87 $22.95 $s7.20 $3.91 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 51 602 51 602 51 602 51 602 51 602 51 602 51 602 51 602 51 600 51 602 57770State Lic #: 1015600 Lic Type: B Bus. Lic #: 372419 Workers' Compensation !nsurance:Carrier: State Compensation lnsurance Fund Policy #: 922524418 Expires: 0113112020 TLI Tat cr 2i1/3ltalt Tr'nn s* : ?5 I O : C(:UELLARlofl 301 4 1 803 12:5? Pn $466. I g $466. l8 $700.96 $234.78 $466.18 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: CSG Consultants Chavez, Dave? 01t3012020 02t05t2020 Account# Misc. Receipt: 74020 Misc. Receipt: Misc. Receipt. Total Commercial Revision Revision Occupancy: Constr Type: Code: Date: Date: Date: A-2 VB cPc 2019 Notes: Revision,to 3014o500-add fixtures,due to change in equipt : ,"1 [,:l i lrt."l C Buildins Permit #: 10198910 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 peiod of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $22.e5 $439.32 $3.e1 Fee Total: Paid to Date: Balance Due: Inspector MID#: 201 8-148042 a PLUM BING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby affirm under penalty of prjury that I m excmpt fmm thc Conlrrclos' Lkrnrc lrw for lhc following rcarcn (Src.70315 ' Business ard Profcssion Code): Any City or County which rcquircs a Ismit to @nstruct. alts, imprcvc. dcmlish or rrnair ar(y struclre, prbr to its issure. also rcquircr the spplicant for such lrcmit to lih s sigrcd statcmnt thrt hc or she is lienrcd puruq{i .lo the pmvisions of thc Conhetor's Licctrsd lrw (Chrpkr 9. Comrcrcing with S6tion 7000 of Division 3 of the Busincss md PrcfcssionsCodc)orthalhcorshciscxcmpttlmfrcmandthcbasl$forthc8lhgc{cremplion. AoyviolstionofsdhnT0Sl.5byany alrplicant for I Frmil subjcrts thc spplicanl to s civil penally of nol mrc than five hudrd dollus ($500). -1. as owner of thc profrcrty. or my employecs wilh wagcs as thcir solc compcnsation. will do the work ard thc structure is rtrll intended or offercd for salc (Sec.7044. Busirrcss and hofcssions Codc: The Contractor's License hw does not apply to an owncr of the propcrty wtn builds or improves rhercon. and who docs such work himsclf or hersclf or lhmugh his or her own employces. t providcd that such improvc.nrnts are not interded or ofllrcd for sale. lf. howcrer. thc building or improverrnl is sold within orc )eBr of conqrletion. the Owner Buildcr will have thc burdcn of proving that hc or shc did not huiH or inprove the property for thc purynse of s&le). I _1. as owner of thc propcrty. am exclusively contracting with licensed conlractors to construct lhc project (Sec. 7W, Business and Profcssion Code: Thc Contraclor's Liccnsc Law docs not apply to Bn owncr of propcrty who builds or improves thcreon. and who contracts for such projccts with a Contracto(s) licensed pursuant to thc Contractor's License kw). -l am cxempl under Section-. B. & P.C. for this reason. Date: Owner:_ WORKTRS' COMPENSATION NECI ARATION I hcreby affirrn undcr pcnalty of pcrjury one of the following declarations: -l have and will maintain u Ccrtificatc of Conscnt to Sclf-lnsurc for workers' compensation. as provided for by Section 37fi) of thc Labor Codc. for the perfornrancc of thc work for which lhc pcrmit is issucd. _l havc and thc work for 37ff) of thc Labor Codc. for the pcrformrncc of luntl nutnbcr arc: C lz,lrnPolicyi! -l ccrtify that in the Jrcrlirrnuncc o[lhc work ltrr which this pcrmit is issucd. I shall not crnploy any person in any tnanncr so as to bccourc subjcct to lhc workcrs' compcnsation laws of California. and agrcc that if I should becomc subject lo the workers' comJrcnsation provisions of Scction 37fi) of thc lnhrr Ctdc. I shall. forthwith comply wilh thosc pmvisions.. WARNING: Failure lo sccurc workcrs'compcnsation coleragc is unlawl'ul. and shall subjcct an employer lo criminal pcnaltics and civil fines up to one hundred thousand dollars ($100.fiDt. in addition lo thc cost of comFrensation. damagcs as provided for thc Section 3076 of thc I I hcrcby aflirrn undcr I)ivisirur.l of thc Business and Profcssions Codc. and rny liccnse is in full force and effect. Liccnsc a .l 5,6 oo CONS]'RUCI'I(IN LENDINC AGENCY I hercby 0lllrfl undcr lrcnilhy of pcrjury th{t lhcrc is d construclion lcndirg agcrrcy lbr thc pcrlonnancc ofthc work for which this lrcrmil ir issucd (Scc. 3(D7. Civ. C.). lrnder's Namc: Lender's Address: A PIDI,ICA N'I' DECLAR A'I'ION I hcrcby all'irrn undcr pcrralty of pcrjury onc ol'thc tirllou'ing dcchrrt iorrs: Dernolitiorr Pcrnrits-Asl^*slos Notificalion l:c<lcral Rcgulatiorrs ('l'itlc 40. l'art6) -Rcquired Lcllcr of Notillcatiort -l ccrtify that lhe fcderal regulalions rcgarding ashcstos removal are nol applicable lo this project. furcertify that I havc rcad this application and starc that thc abovc information is conect. I agree to comply ordinances and State laws rehting to building construction. and hercby aulhorize representalives of this City with all City and County and County lo enlcr upn thc ahove nrcntioncd propcrty for insJrcction Aplllicanl rlr /tgenl Permilee name (ertil): )( ,<,t, I lolo.It 6 UNDER GROUND A Waste & Vent '+-27-n U/tUZh Water- U nder f toor ttFo Ptl4fL \-77A *,IUA) Gas-Underf loor I\J Buildinq Sewer Area/Storm Drain I nterceptor/ Clarif ier TOP OUT Waste & Vent Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line lt/ain Drain/Pool Pipinq Fill Line/Back Flow Pool Heate/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbing Final Gas Test -4. Meter Release tt \ FINAL L-71\r7A S^lt[l)l N Etc.v Expircs: o,r". ' zlcltr,),\ ppliclnl: -. a g/A conrracror:X-x4.