HomeMy WebLinkAbout30137211 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
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Permit #: 3O{3721,,l
Pin #: 473,25
Project Address: 2317 S Laura Linda Ln
Assessor'sParcel: 408-413-06 Lot: 63
Unit:
Block: NA
Bldg:
Tract 2041
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner;
Address:
Phone
Tenant Name:
Contractor:
Address:
Emma Hill
2317 S Laura Linda Ln
Santa Ana, CA 92704
(7141549-3245
Drain Right
P.O. Box 6943
San Pedro, CA 90731
(800) 783-0083
Fee Type
01116002 51602 Alter Draintuent
01 1 16002 51 600 General Plan Update
011 16002 51602 lssuance
Amount
41.46
20.56
51.26
Qty
1.00
't.00
1.00
ID: NGAFCIAloflI 30137211
6 2137 PH
31 13.2S
Fee
$41.46
$20.56
$51.26
r20.56
t92.72
rl13.28
State Lic #: 852708
Lic Type: C-36
Bus. Lic #: 346042
Workers' Compensation lnsurance:Carrier: Security Nat'l lns Co
Policy #: SWC1090196
Expires: 1010412016
Batchi:3s319 - 9/L/2016
Office: CTYH Tronsi: 26Accbi: Refi
Rcpt*:01623552 - 9/t/2gt
Tronsoction Totsl
Droin Right
Genennl Plon UPdoLe Fee
011160(12- 51600000-
Flurb i ng
01116002- 51602000-
ICL Chectr 0000084491
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Alter Drains
Occupancy:
Constr Type
Code:
Date:
Date:
R-3, U
VB
cPc 2013
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #;
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within180 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced.
09/01/2016
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
01 I 16002 51600
01 1 16002 51602
$20.56
$92.72
$1 13.28
$0.00
$113.28
lnspector MID#: 2016-131425
Phone:
Planning Conditions:
PLUMBING.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND I
Waste & Vent o
7r A./'/ALyp /
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
lt
Rouqh Plumbinq t,-1 (.( t/|Afu )
Final Gas Test I
Meter Belease I I -^AI
FINAL '/o )/rqtlh 'L+Y67
INete5, Remarks, Etc.
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OWNER BUILDER DELCARATION
I hercby lffrm undcr lrcnslty of JErjury that I m exempt fmm tlE ConlrBcloF' Licenrc [:w for rhe following rcason (Se.7031.5
Business ard hofcssion Code): Any City or Counly whkh rcquircs a 1rctmh lo conslruct. alter. impmvc. dcnmlish or epuir uy
structure. prior ro its issusrce. aLrc rcquircs the applicsnt for such Frmit lo file a sigrcd statemnt that he or shc is liccnrcd plNel
to the pmvisioN of thc Conhctor's Licensd Law (Chaplcr 9. Commrcing with Section 7000 of Division 3 of thc Busincss and
Prcfcssions Codc) or that hc or she is cxcmpt tltcrcfrom and lhc bosis for the alhgcd excmption. Any violation of Setion 7O.l 1.5 by any
applic8nt for a pemit subjtrls the applicant to I civil penslty of nol mrc the five hundred dolles (5500).
-1.
ils orincr ol'lhc p(rpcrly. or rny cnlployccs rvilh ulgcs rs thcir- rolc corrpcnsrlion. will do thc rvork arl thc \lrlrclurc i\ rrrl
\xlc I
-1.
as owrcr of the pmtErly. am exclusively controcling wilh licenrcd conl.aclos lo conslruct thc Eoj$t (Ss. 7(N4. Eusincss
.rd Prof6sionCode:TheContmctor'sLicenseLawd@snolapplytoonowncrofpro[Enywhobuildsorinrprorcsthcrcotr.
and who contBcts for such pmFs with a Coilmcto(s) liccnsd purswt lo lhc ConlEclor's Licensc Lnw).
-l
mcxcmDl uoder SEIion-. B, & P.C. for this rc&son.
()* ner
WORKERS' COITIPF'NSATION
DECLARATI(IN
I hercby affirm undcr lEnahy ofpsjury one of the folk)wirg dcclnrations:
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havc and will roinlsin a Certificate of Conscnl b Sell:lnsurc ltrr workcrs'compensution. as providcd for hyScction -17()() of lhe
Labor Codc. for thc pcrfornunce ofthc work tbr which lhc pcrmit is issucd.
_l have ond will muintain workcrs' conrpensalbn insurancc. rs rcquircd hy Scction -3700 ofthc LJbor Codc. l(,r thc pcrlb.munce of
thc work for which lhis pcrmil is issucd. My workcrs' conrpcnsalion insuroncc canicr and Jxrlicy numbcr uc:
Canicr'-
Policv Nunrbcr. Exoires:
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ccrtify thst in thc [Erformrce of the work for whhh this Jrcrmit is issucd. I shall not employ any FErson in any murcr
m !s to bcclm subjst to the wortrs' comlEnstion laws of Colifomia. and sgN lhat if I slhuld bccom suhFct lo thc
workss' ompcnsation pmvisions of Sation 3700of thc Labr Codc. I slEll. forthwilh comply wilh lhos previsions..
1{ARNING: Failurc to rccurc workcrs covcmgc is unltru'ful. rnd shall subtct an cnrpkryrr to crirninal JEmltics and
civil fincs up lo onc hundrcd thousand dollars in a(ldition t0 ds proeidcd for thc
Sccti{rtr 107() ol lhc [][I)r Codc- irilcrcst
t)t,r't.,\tr.\ il()\
I hercby aftirn undcr pcnslly of pcrjury thal I anr licen*d under provision ofChaptcr 9 (comnrcncing with Scctiotr 7Ux)) of Division 3
o[ the Business and Prcfcssions Code. urd my license is in full forcc erd effccl.
Liccnsc
I hercby affrm under pnahy of perhry thar th@ is I
issucd (Se.3097, Civ. C.).
hnding ogcncy for thc Jnrformrcc of thc work for which lhis lErmit is
[*ndcr's Namc:
[rndcr's Addrcss:
A.P]IJI;ANLDECJ.A.BAIIAN
I hcrchy trllinn undcr pcnnlty ol pcrjury o[c of thc Iollowing dccldriltiorls:
Dcnx)lilion ['crmits-Ashcstos Nolilicatiotr Fcdcral Rcgulrtions (l itlc {0, t'trr1(,}
-Rcquircd
[,ctlcr ol Nolilication
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cenify lhul thc l'cdcral rcgulations rcgarding ashcsms rcrmval arc not applicablc t, lhis projcct
ard stalc lhal lhc 0hlvc information
Perylfe
constructbtr. xfll
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