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