HomeMy WebLinkAbout30233797 - PermitProiect Address: 12215 Linda Wav
Assessor'sParcel: 109-383-06 Lot: 28
Unit:
Block: NA
Bldg:
Tracl:2248
Address Range:
Historic: No
Suite Range:
Zoning: Rl
f,!1 City of Santa Ana 20 Civic Center Plaza (M-1e), Santa Ana, CA s2702 Pluyl(/Permit #:3O233797
Pin #: 5OO98
Owner:
Address:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Ruben & Nazaria Garcia
1221 S Linda Way
Santa Ana, CA 92704
17141222-3427
Single Family Dwelling
Alteration
Alter - n/v
01 1 16002 51602
01 1 16002 51602
01116002 51600
01116002 51602
Fee Type
Cap Fixtures
Cap Gas Outlet
General Plan Update
lssuance
Amount
6.13
7.46
19.46
48.52
Qty
3.00
1.00
1.00
1.00
Fee
$18.39
$7.46
$19.46
$48.52
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
NOTICE OFVIOIAT
/2014 t
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
U
VB
cPc 2013 Notes: Cap all unpermitted plumbing back to point of origin.
$r"rn"noez, Kathy 08t18t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit#: 10282189
Every permitissued sha// become invalid unless the wotu
on the site authorized by such permit is commenced within
180 days after its issuance, or if the wofu authoized on the
site by such permit is suspended or abandoned for a period
d 180 days after the time the wo* is commenced.
lnspector MID#: 2014-116012
01116002 51600
01116002 51602
$19.46
$74.37
Fee Total:
Paid to Date:
Balance Due:
$93.83
$0.00
$93.83
PLUMBING.INSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS ()lvnq-Buildcr Dcclaralion
I hereby affirn under peffilly ofperjury lhat I am exempt form lhe Contractors' License law for the following roson (sec 70] 1.5 Busin6s
and Profcssion Code): Any Ciry ot County which rcquircs a permit to coNtruct, altcr. itnprovc. dcmolish or rspair any slruclurc. prior to ils
issuancc. also requircs lhc applic6nt for such pcrmil lo filc a signed statcmcnt thal he or shc is liccnscd puGuant to thc provisioN oflhe
Conlrsctot's l"aceBed Law (( hapler 9. Commencing wilh S@tion 7000 ofDivision I ofthe Business and Prol6sions Code) or that hc or
shc is excmpt thcrcfiom and thc basis for lhc allcged cxcmption .Any violation of Sstion 703 1.5 by any applicanl for a pcmil subjccts thc
applicanl to a civil penahy ofnot mor. than fivc hundrcd dollars ($500).
_1. s owncr of thc prcpcny. or my cmployG with wrg6 as th.ir solc compcmrtion. will do thc work and thc structuc i! not intcndcd
or offered for salc ( Scc.7044, Busin6s snd Profcssions Codcr Thc Contractor's LiceBe Law docs not apply to an ownc. ofthc propcrly
who builds or improvG lhcrcon. and who do6 such work himsclfor h6clfor lhrough his or ho own cmployce. provid.d thEt such
improvcmctrls arc rct intcndcd or ofTsad for srlc. If, howcver. thc building or improvcmcnl k sold withh onc ycr ofcomplction. thc
Owncr-Builds will hsvc thc burdcn ofproving that hc or shc nor build or improvc for thc purposc ofsalc).
_1. 6 own6 of thc propcrty, m crclusivcly conlractinS with liccBcd conlractoE to coBtruct thc projsl ( Ss. 7044. B6io6s md
Profcssion Code: Thc Contr.ctot's Liccnse lrw does not rpply to sn owncr ofpropcrty who builds or improve thereon , tnd who
contracts for such projels wilh a Contraclor(s) licansed pursuant to the Contractor's t w.).
I am cxcmpt undcr Scction
Date:
&rcason.
_C)wnq::1^
I h6cby amm under pcnally ofpcrjury onc
IhaveandwillmainlainaCe.tificateof(onsenlloSelf-lnsureforworkers compensation.as prcvidedlorbySeclion:]700ofthe
l-atnr Code. for thc pcrfornrancc oflhe rvork for u,hich the permit is issucd.
lhavcandwillmaintsinworkcrs'@mpenstioninsurane,u requtedbyScctionlT00ofthet borCodc,forthcpcrformnccofthc
work for which this pcrmit is issued. My workers' compenslion insumncc cuicr and policy numbcr arc:
('arier:
I'olicy Numhcr:I:rlires
(This s(tion nccd not b€ complctcd if lhc pmit is for Onc hundrcd dollsE {$1001 or lcss)
_l ccnify that
beceme subjel I
in lhc pdfomancc of thc work for shich this pcmil is issucd, I shall not any pcnon in any manncr so as to
lo th. workers ' @mpenstion hws of Cslifornia.rl l subjst lo the workers'
compensation provisions ofSection 3700 ofthc hbor Codc. I shall comply
WARNINC: Frilure to seurc workers' comp.nsation is unlawful. and subjcct sn employcr to penaltics and civil
fin6 up lo onc hundrcd lhousand dolla6 ($100.000).io addition to thc cosl ofcompcnsation. damagcs c providcd for lhc Scction 3076 of
the t bor Code, interest and attorney's fees
LI('ENSED ('ONTRA("TORS DE(:LARA'I'ION
I hercby affirm under pcnnlty ofpcrjury thal I am liceNcd under pro|ision of('hapler I (cornnrencing \\,ith Seclion 7000) ofDiYisi('n 1 of
lhe llusiness rild I'rolcssions ('ode. and rnv license is in full lbrce and effect
Liccre Clrs:_
Datc:
l-iccnsc Numbcr
Contractor:
CONSTRTI('TION LENDTNC ACENCY
I hercby allirm under penalty ofpcrjury thal thcre is a construction lcndinS agency for lhe pcrfomrance oflhc work for which this pcrmit is
issucd (Sa. -1097. Civ. C.).
l,ender's Name:
Lender's Address
APPLICAN'I"S DECLARA'I'ION
DenNlition Pcrilils-Asbeslos Nolilication Iederal Regulations ( l itlc 40. Part 6)
Required lf,llcr of Nolification
I ce(ify that thc fedcril regulations regarding asbcstos rcmoval arc not applicahle to this proiccl.
_ I cc(iry that I havc rcrd this is concct. I agrcc to comply with all City and County
ordinancG and Slatc lrws rclating to suthorizc reprGcnlativca ofthis City snd Counly to cnter upon lhc
rbovc mcntioncd propcny for inspetion
Applicant or ascnt sis -K
Permittcc namc (printl ____
st6le
Date:
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Fina! Gas Test
Meter Release
t1 \,6 \
FINAL A th 1v A}Q',
Notes, Remarks, Etc.
Forms\Plumbing-lnspector Racord.doc 03.31.06
Datc: