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HomeMy WebLinkAbout30142627 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit Counter: (714) 647-5800 Inspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 Permit #: 30142627 Pin #: 50475 Project Address: 1919 W Secrest Way Assessor's Parcel: 408431-19 Lot: 3 Unit: Block: NA Bldg: Tract: 4572 Address Range: Historic: No Suite Range: Zoning: R1 Owner: Address: Phone Tenant Name: Contractor: Address: Phone: Jose Lopez 1919 W Secrest Way Santa Ana, CA 92704 (7141 6e7-8497 Truteam of CA 475 Rivera St Riverside, CA 92501 (9s1) 683442s 01 1 16002 51602 01 1 16002 s1600 01 1 16002 51602 01 1 16002 57770 Fee Type Amount Wtr Htr (Res up to 50 gi Z3.gl Genera! Plan Update Z3.Tg lssuance 59.30 Microfilm Records 4.05 Qty 100 1.00 1 .00 1 .00 Fee $23.97 $23.79 $5e.30 $4.05 State Lic #: 1034361 Lic Type: C-36, B, C-20 Bus. Lic #: 368185 Workers' Compensation lnsurance:Carrier: OId Republic lns Policy #: MWC31SST120 Expires: 0613012021 Building Use: Job Type: Nature of Work: Single Family Dwelling Miscellaneous Water heater Occupancy: Constr Type Code: Date: Date: Date: R-3, U VB cPc 2019 Notes: Change out water heater - located in attached garage Planning Conditions: Planning Approval By: Graham, Jeffery Plan Checked By Permit lssued By: Subject to Field: Building Permit #: 11125t2020 11t25t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Amsden, Julie Every permit rssued 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 permit is suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23.79 $83.27 $4.0s Fee Total: Paid to Date: Balance Due: $111 1 1 $0.00 $1t 1.11 lnspector MID#: 2020-1 62963 r PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/S!G.COMMENTS OWNER BUILDER DETCARATION I h@by alfim und6 pashy of pqjury that I m cxmpt ftom thc ContracloB' Licffe trw for thc following rcen (Se.7031.5 Buincs ad Prcfeiol Co&): Atry City or County which rcquirc a pcrnh to coEtruct, alts, improvc, donolish or rpeir my structw, prior to its isumce. alm rcquis thc applicut for Euch pcrmit to filc a signcd starmmt that hc or slE i! licasod ptmdt to thc provisioB of th€ Contretor's Licascd L:w (Chaptq 9, Commin8 with Sction 7000 of Division 3 of thc BEind md Prcf*ioB Codc) or th8t hc or shc is crmp thscfrom ud thc bBi! for thc sllcgcd qmption. Any violatioo of Sdior 7011.5 by ily EpplicailforEpmitsubjcrsthe applicilttoacivilpoaltyofnotmorcthmfivchutrdrcddolles($500). -1. as owner of the property. or my employecs with wages as their sole comgusalion. will do the work and the structure is not intended or offered for sale (Sec.7044, Business and Professions Code: The Contractor's License law does not apply to an owner of the property who builds or improv€s thcrorr' and who docs such wort himself or herself or through his or her own employees. provided that such improvanents are not intendcd or ofkred for sale. I[, howcvcr, the building or improvement is sold within onc ]€ar of complaion the Orvner Builder will have the hrd€n of proving thd hc or she did not build or improve the propcrty for the purposcof sale). -1, 8s own6 of the prop€rty, arn exclusively contracting with licersed contractors to construct thc projecl (Sec. 7044, Business and Pnofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projecls with a Contracto(s) licansed punuant to the Contrac{or's Liccnse Law). -l am exempt under Section-, B. & P.C. for this reason. O*nert WORIGRS'COMPENSATIM DECLAITATION one of the following declarations:I hercby aflirm under petraltyof perjury _l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the-ffi;for the performance of the work for which the perrnit b issued. rvi I I maintain worke'rs'insurance. as by Section 3700 of the l-abor Code. for thc pcrformance of ,carrier and policy number re:ts 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'compcnsation laws of California, and agree that if I should become subject to the workers' compensalion provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with thosc provisions.. WARNING: Failure to secure rvorkers' compensation coverage civil fines up to one hundred thousand dollars ($100.000). in rs an anployer to siminal paulties and damages as provided for the Section 3076 interest and attorney's fees. I hercby aflirm under penalty of perjury that I am licensod of Chapter 9 (commcncing with Section 7000) of Division 3 of the Business and Professions Code. md my licensc is in full force and effect. License D Number: W I hocby affm unda poalty of pajury thal th@ is a consrruaion lcnding agocy fo. thc pcfomtrcc ofthe work for *'hich this pqrnit b isucd (Sa. .1097. Civ. C.). kndq's Namc: - Lender's Address: APPLICANT DECLARATION I hereby affinn under penalty of perjury one of the following declarations: Demolition Pcrmits-Asbcstos Notification Federal Regulations (Title 40. Par16) _Required Letter of Notilication asbestos removal are not applicable to this project. with all City and County above mentioned property for inspection purposes. Applicnnt or Permitee r t and to upon thc UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Building Sewer ArealStorm Drain I nterceptor/ CIa rifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipino Fill Line/Back FIow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbing Final Gas Test Meter Release rl ^J,_o, F!NAL L 0u1/uff+r c I INotes, Remarks, Etc. ,r,u, I { coti$ that I have read this application and State l-aws relating to building