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Home My WebLink About30241241 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:30241241 Pin #: 70954 Proiect Address: 2425 W California St-a Assessor's Parcel: 408-061-33 Lot. 40 Unit: Block: C Bldg: Tract 506 Address Range: Historic: No Suite Range: Zoning: Rl Owner. Address: Phone: Tenant Name: Contractor: Address: Phone: Tracy Nguyen 2425 W CALIFORNIA ST Santa Ana, CA 927044013 H L Home 11071 Dune St Norwalk, CA 90650 (s62) 412-1818 Fee Type 01 1 16002 51602 Cap Fixtures 01 1 16002 5160C General Plan Update 01 1 16002 51602 lssuance Amount 7.22 22.95 57.20 Qty 100 100 1 .00 Fee $7.22 $22.95 $57.20 State Lic # 812009 Lic Type. B Bus. Lic #. 354204 Workers' Compensation lnsurance:Carrier: Exempt Policy # Expires: Bntch*:51S23 - ?/+/?t-rl9 ID: NGAR(:IA 0f f i ce: CTYH Tr nn s* : 8/r 3 of' 4Acct*: Ref*: 311241241 Rcpt#:1t27419?3 9/4/2irl9 ?:31 Pn Trnnsoct i on Totn I *?9$. g? Hurn s Le H L Home Generol Plnn Updote Fee trl I 16002- 51600[10r-1- Plunb i ns ttt I 16Cttt2- 516tr2[t[t[t- Uisq CC+ : r*r***tr*r**92ttI $22. g5 $64.42 *?96.8? Auth* : tt35?Lrc Building Use: Job Type: Nature of Work: Single Family Dwelling Alteration N/V - Addition Occupancy: Constr Type: Code: R-3, U VB cPc 2016 Notes: Remove unpermitted plumbing and cap back to point of origin. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Zuniga, Allissa Subject to Field: Buirdins Permit #: 102101148 Every permit issued 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 fhe site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. M;lI:09t04t2019 Account# Misc. Receipt: Misc. Receipt. Misc. Receipt: Total 01 1 16002 51600 01 1 16002 51602 $22 9s $64.42 Fee Total Paid to Date: Balance Due: $87 37 $0 00 $87.37 lnspector MID#: 2019-153761 PLU M BI NG.! NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION I hwby affm undq pqulty of Frjury thd I m cxmpt from thc Contractots' Licffi l2w for thc following lwn (6c.7031.5 Buinss ard Prcfeion Code): Any City or County which rcguirB a pqmit to congrucl. altq. improvc &rnolkhor rt9air sy structre. prior to its issumcc. also rcquirB thc applicmt for such permit to filc a rigncd statmmt tha hc or shc b licmcil pqrsrmt to the provisions of thc Contrrtor's Liccnscd kw (Chspta 9. Commcncing with Sctiotr 7000 of Division 3 of thc Busin* dtd Prcfeions Codc) or that hc or shc is cxmpt thqcfrom sd thc bcis for thc allcgcd crmplion. Any violstiotr of Scrion 703 1.5 by uy applicant for a pcnnit subjcts thc applicut to a civil pcnalty of not morc lhm livc hundred dollrs ($500). -1. as owner ofthe property. or my employees with wages as their sole compensation. will do thework and the snrture is not intended or offered for sale (Sec.70l4. Business and hofessions Code: The Contractor's Liccnse law does not apply to an owner of the property who builds or improves thereon. and rvho does such wort hirnself or herself or through his or her own employees. provided that such improvencnts re not intended orofkod for sah. I[, horvever. the building or improvematt is sold wilhin one ]car of conpk:tiorL the Orvner Builder will have the hrdcn of proving thd he or she did not build or improve the propcrt'y for the purposcof sale). -1. as owner of the prop6ty. am exclusively contracting with liccnsed contractoni to construct the project (Sec. 7044. Business and hoftssion Code: The Contractor's License Law does not apply to an o\r'nâ‚¬r of property who builds or improves thereon. and who contracls for such projects rvith a Contraclo(s) licensed pursuant to the Contraclor's License Law). _l am exempt under Section_B. & P.C. for this rcason. l)ntc:0wner:_ WORI(ERS'CO DECLARATION I hereby affirm under penalty of pcrjury one of the following declarations: -l have and s.ill maintain a Ccrtificate of Consent to Self-lnsure for workers' compensation. as provided for by Section -1700 of the Labor Code. for the pcrformance of the wo* for which the permit is issued. _l have and will maintain rvorkcrs' compensation insurance. as required by Section -3700 of the Labor Code. for the performance of the work for u'hich this permit is issued. My workcrs' compersation insurance carrier and policy number are: Policy l;r pir.es: _l cerrify that in the perforrnance of the rvork for rvhich this perrnit 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 the rvorkers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply rvith thosc provisions.. \VARNING: Failure to secure u'orkers' compensation and civil fines up to one hundred thousand dollars ($l the Section .3076 of Labor interest and attorney's t)[('1,ARA't tON I hereby affirm under penalty of pcrjury that I am licensed under p,mvision of Chapter 9 (commcncing with Seaion 7000) of Division 3 of the Business and Professions Code. and my liccnse is in full force md effect. At-\-oc:1License Class:- \\ I hreby aflirn undo Jrcnahy ofperjury that thsc is a construclion lcnding agency for the pafonnance ofthe work for u'hich this pmnit is issued (56. -1097, Ci\'. C.). l,cnder's Name: - Lcrrrlcr 's r\tltlr css APPLICAN'I' DECLARATION I herelry aflinn under penalty of perjury one of the follorving declarations: Demolition Permits-Asbestos Notification Federal Regulations ('title 40. Parl6) -Required Letter of Notification _l cedify that the lbJeralregulations rcgarding asbestos removal are not applicable to this project. _l certify that I have read this application s,ith all City and County ordinances and State Laws relating to and County to enter the above mentioned property for Applicnnt or Agent Pt'rmitee nrnre purposes. rl u t) UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ Cla rifier TOP OUT Waste & Vent Water Pipins Gas Piping Roof Drain Tub/Shower Test Rough 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 Sewer/Cap Back Flow Device N\n\ Rough Plumbing kEnlnt{A'JN,\) Final Gas Test \, Meter Release /\ F!NAL Notes Rema Etc. a Carrier: \\, Dnte:_oq_-___\l-- T (-t+ -7a [r- 19'74 3ffi