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HomeMy WebLinkAbout30141518 - Permito City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing Permit Counter: (714)647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 Permit #: 301415{8 Pin #: 9{ 362a Project Address: 2130 S Bristol St Assessor's Parcel: 408471-17 Lot: NA Unit: A Block: NA Bldg: Tract NA Address Range: 2104-2160 Historic: No Suite Range: Zoning: C2 Owner. Address: Phone: Tenant Name: Contractor: Address: Phone: State Lic #. 693310 Lic Type: B Bus. Lic #: 375302 Workers' Compensation I nsurance:Carrier: State Fund Policy #: 9132832 Expires: 0812412020 Landlord: HOA Dao, Newmark Merrill C 2180 E Lincoln Avenue Anaheim, CA 92806 (s62) 4844351 Ono Hawaiian BBQ Ho's Remodel Corp 3553 Meeker Ave El Monte, CA 91731 (626) 27e-6s40 Fee Type 01 1 16002 51602 Revision 01 1 16002 5160C General Plan Update 01 1 16002 5777C Microfilm Records Amount 230.87 22.95 3.91 Qty 1.00 0.00 0.00 Fee $230.87 $0.00 $0.00 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Commercial Revision Revision CSG Occupancy: Constr Type: Code: Date: Date: A-2 V B, SPK cPc 2016 Notes: Revision to 3141160. Adding a sink per Health Department request. 12t02t2019 03t05t2020 Account# Misc. Receipt: 73767 Misc. Receipt. Misc. Receipt: Total - Zuniga, Subject to Field. Buildins Permit #: 101 100815 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 fhe sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. Fee Total Paid to Date. Balance Due: $230.87 $230.87 $0.00 lnspector MID#: 201 9-153039 PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNERBUILDERDEI(ARATION r I hmby aIlirm undcr paalty of pcrjury that I m qcmpt ftom thc Corilmton' Licmc tiw for rhc following Itor'1Se.70-!1.5 ' Buincs ard hofeion Codc): Any City or County u,hich requirc a pcmit lo construct, alto. improve donolish or rcpair-any structuc. pdor to its issuucq also rcquiG thc spplicut for such pcmit to filc a signcd statmot thd he or shc b licsc{ pm'uant to rhc provbioN of tlE Contrrctor's Licmscd taw (Chapt6 9. Comocing rvith Sction 7000 of Division f of thc Busins ud Prcfcsions Code) or that hc or shc is crcmp thccfrom md thc bsis for thc allcXcd exmpion. Any violation of S61ion 7031.5 by any ,' applicant for 8 pqmit subjets thc applicmt to 8 civil pcnalty ofnot morc thm five hun&cd dollus (S500). -1. as owner of the propcrty. or my employees with rvages as their sole compensation. willdo the work and the stnrclure is not intended or offered for sale (Sec.7044. Business and hofcssions Code: The Contractor's Licerse l-aw does not apply to an owner of the propa'ty who builds or improves theron. and who does such wo* himself or herself or through his or her own employees. provided that such imp,rovonenls are not intendcd or offened for sale. l[, horvever. the building or improvement is sold within one ]€ar of complaion. the Or,vner Builder will have the btrrden of proving tha he or she did not build or irnprove the popoty for the purposeof sale). _1. as o\\'ner of the properly. atn erclusively conlracting rvith licensecl conlractorc to constnrct the project (Sec. 7044,llusinc'ss and l\rrfession Code: l'he ('ontraclor's l-icense Larv does not apply to an owner oIproperty u'ho builds or improves thereon. and s'ho contracts for such projects s,ith a Contractor(s) licensed pursuant to the ('ontractor's l,icense Lalr'). __l am exernpt undcr Section__ _ . B. & P.C. for this reason. I)nte:( )rr ner: $'() nx r.ns' i'Oirt pi.Nsli'r()x I)11('t.AR,\'l'l0N ottc of' Iltc [oIlorvinu tlcclaral iorrs:I hereby aflirm under penalty of pojury -l have and will maintain a Certifrcate of Consent to Self-lnsure for rvorkers' comp€nsation. as provided for by Section 3700 of the l-abor Code. for thelgf$$ance of the rvork for which the po'rnit is issued. ffi :Iffi i'ltHffiiilliH't;ffii,H,,fi iili',lJ;Section 3700 of the Labor Code. for the performance of carrier and number are: -, Policy l;rpilt's ?0 -l cerrify that in the performance of the rvork for rvhich this permit is issued. I shall not onploy any person in any manner so as to become subject to the workers' compensalion lass of California. and agree that if I should become subject to the workets' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply rvith those provisions.. WARNING: Failure to secure u'orkers'is unlarvful. and shall subject an employer to oiminal penalties and addition to the cost of cornpensation. damages as provided for thecivil fines up to one hundred thousand dollars Section 3076 of the Code, interest fees. I hereby aflirm under penalty of periury that I arn licensed 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: g l)ate:-.<lsl?ort I hrcby aflirm unda pqlatty of psjury that thqc is a enstsction lcnding agmcy for thc pcfomce of thc worl for which this pEmit b issued (Se. 3@7. Civ. C.). knd6's Nmc: - Lcnrlt'r 's r\tltht'ss: A PPLICANT DEC LARA'TION I hertt,y a{linn under penalty of perjury onc of the follou,ing declarations: I)emolit ion Perrnits-Asbestos Notil-rcation Federal Regulat ions (Title 40. Par16 ) _Re<luired l-etler of Notification -l certi& that the federalregulations regrding asbestos rcmovalare nol applicable to this project. @ereadrhis and state that the above infonnation is correct. I agree to comply with all City and County ordinances and State l-arvs relating to construction. and hereby authooze.qccntatives of this City and County to cntcr upon the above mentioned property for Applicnnt or Agent Signatrrre: Permitee nRnle k r)nre: s\t\v UNDER GROUND A Waste & Vent -( - [-Vo Wtt]il ,{l{"/ RaLl /r,L Water-Under floor \-/ Gas-Underfloor Building Sewer Area/Storm Drain I nterceptor/ Clarifier (tlahn,t ,'(\^r}€ilI ?D) {t U\\ar- TOP OUT A Waste & Vent 1'7-Za Mtl-,Ih Water Piping 7-7-74 '),lLJyll Gas Piping 'v Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbins /r\ Final Gas Test 1-W-'Ia um#d\ Meter Release 1^lt-h VJmqrI FINAL \,'-V) k" h,t31l $<-- u \)v Notep, Bemarks,Etc.