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HomeMy WebLinkAbout30140581 - PermitProject Address: 916 1/2 N Louise St Assessor's Parcel: 405-262-09 Lot: NA Unit: Block: NA Bldg: Address Range: Tract LOURIES SUB. Historic: No Suite Range: Zoning: Rl i. City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing Permit Counter: (714\ 647-5800 lnspection Requests: O14) 667-2738 lnspector Section: f/14) 647-5853 Permit #: 3014058{ Pin #: 95398 Owner: Address: Phone Patricio & Carmen Lopez 916 Louise St Santa Ana, CA 927032148 (7141 6314010 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 s1602 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 Fee Type Water Closet Shower/Bathtub Sink Clothes Washer Add'l Sewer Connection Gas Outlet, each Add'l Wtr Htr (Res up to 50 ge General Plan Update lssuance '-, Notes: Auth on file. Fee Total Paid to Date: Balance Due: Amount 14.22 22.25 12.70 13.97 22.25 7.06 22.25 22.08 55.04 t'li-tL'i t iii ';' ti :, ._,,,.':1. l'. ti I "J .,rl;',!i':r1t.ti, Qty 1.00 1.00 1.00 1.00 2.00 1.00 1.00 1.00 1.00 Fee $14.22 $22.2s $12.70 $13.97 $44.50 $7.06 $22.25 $22.08 $ss.M Tenant Name: Contractor: Address: Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Building Use: Job Type: Nature of Work. Planning Conditions: Planning Approva! By: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling New New 2nd Dwelling Unit Zuniga,o,,,rrr$7 Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cPc 2016 02t07t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Buildins Permit #: 1 0197 473 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on the site by such permitis suspended or abandoned for a period of 180 days after the time the wort< is commenced. lnspector MID#: 201 8-1441 81 01 1 16002 51600 01 1 16002 51602 $22.08 $191 .99 $214.07 $0.00 $21 4.07 PLU M BI NG.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hccby allirm undo pcmlty of pcrjury thd I .m cxcmpt liom th€ ContracloB' Liccns Law for thc following rcasn (Ss.7031.5 Busincss ard Pmfcsion Codc): Any City or County which rcquircs a ;mit to sn{rucl, alts, imprcvq dcmlish or rcDair 8ny structurc, prhr to its isMrcc, als Eq[iffi lhc spplicant for such Imil to lilc a signc{ statcmnt lhrt hc or shc lr licosd pursmt to thc pmviiiotri of thc ContrctG'! Lianscd taw (Chapta 9, Commcrcing with Scction 7000 of Division 3 of thc Businc$ 8nd PmfcssionsCodc)orthathcordEirqcmptthcrcfiomandthcb&iirforthcallcgcdcxctrrption. AnyviolatiooofSelionT03l.5byany applicantforapcmitsbjclsthc.pplicsnttoacivilpcEltyofmtmrclhrofivchundrcddollars($500). _1, as own€r of the proFrerty, or my employees with wages as their sole compensation, will do the work and thc structure is not intended or ofFered for sale (Sec.7044, Busircss and Professions Code: 'l'he Conlractor's License Law does not apply to an owner of the property wtn buil& or Lnproves thereoq and wtn does such work himself or herself or thmugh his or her own employees, provided that such impnovements are not intended or offered for mle. l(, tnwever. the htrilding or improvernent is sold within one )csr of completion, the Owner Builder will tr,ave the burden of proving thal hc or she ditl rnt build or inqrmrrc the prop,erty for thc purynse of sale). _1, as owner of the property. am exclusively contracting with licensed contraftorsto construct the pr<rject (Sec. TM4,lJusiness an owner of property who builds or improves thereon,ard Professkrn Code: 'l'he Contractor's does not lo and u,ho contracts for such t<l the Contraclor's [-icense Law). _l am exempt &fur this reason. DECLARATION I herehy affirm under penalty of perjury one of the following declarations: -l have and will maintain a Certificate of Consent to Self-lnsure for workers' contpensalion, as provided for by Section 3700 of the l"abor Code, for the performance of the work for which the permit is issued. _l have and will maintain workers' compensation insurance, as required hy Section 3700 of the Lahor Code, for the performance of the work for which this permit is issred. My workers' compensation insurance carrier and Jnlicy number are: Policy Number: Expires: _l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'compensation laws of California, and agree that if I should become subject to th€ workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith conrply with ttnse provisions.. WARNING: l:ailure to secure workers' civil fines up to one hundred thousand coverage is unlawful, and shall subject an emfloyer to criminal penalties and (sl lhe cost of as provided for the LICENSED CON I RAC'I'OR DECI ATI,I'I'ION I hercby aflirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Numher: Date: Contractor: W I hercby aflirnr under 1Emlty of perjury that thqe ii a onstruction lcnding agcncy for the pofomancc of thc work ,br which this Jrmit is ismed (Sa. 3097, Civ. C.). Lcndcr's Name Lender's Address: APPLICAN DTCI ARA'TION I lrreby aflirm under penalty of perjury one of the lbllowing declarat ions: Denrolition Permits-Asbestos Notification I;ederal Regulations ('l'itle 40, Part(r) -Rertuired Letter of Notification -l certify that the federal regulations regarding asbestos removal are not applicable to this project. _l certify that I have read this application and state that the atnve information is corlgct. I agree to comply with all City and County ordinances and State Laws rclating atxlve mentiorrcd property for Applicarrt or Agent Permltee nanre arxl of this City and County to enter u[x)n lhe UNDER GROUND ltt=='l-^ ,ln / Waste & Vent lr1/17L{ryx( )rwv Q( Water-Under floor Gas-Underfloor Buildinq Sewer ArealStorm Drain I nterceptor/ Clarifier TOP OUT I Waste & Vent I '-"''- Water Piping luL-r',-K-t Gas Piping 'i,n Roof Drain Tub/Shower Test Rough Water Heater POOUSPA P-trap/Drain Line Main Drain/Pool Pipinq Fil! Line/Back FIow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device / Rough Plumbins / /7 t ruDt "LI,DU:7 Final Gas Test I tt It /r, F!NAL lJ UYA guLuq {6t\ Noteg, ff,enpfks, Etq.1 I a I ,(/t2//(/ t /V//L /r,,I I *L4rW- /6q 'l/ /t-s //q, tbit,4az_/dv rlJ'il/1 Pl',h4 'a.rdIa ,t a DaV_/ A -a Meter Release