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HomeMy WebLinkAbout30140488 - Permit,l a City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA92702 I nspection Req uests: (7 1 4) 667 -27 38 I n spector Section: (7 1 4) 647 -5853 Plumbing Permit #:3O140488 Pin #: 9O9{2g/ Proiect Address: 928 E Third St Assessor's Parcel: 398472-03 Lot: 2,3,4,5,6,7,8,9 Unit: Block: 2 Bldg: Address Range: 9OS-927, Tract W Z COOK'S ADD Historic: No Suite Range: Zoning: SD84 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Toms Truck Center 909 N Grand Ave Santa Ana, CA 92701 (714) 5604145 Tight Quarters lnc 2031 S Anne St Santa Ana, CA92704 (714) 557-e701 Fee Type 01 1 16002 51602 Cap Sewer 01'116002 5160C General Plan Update 01 1 16002 51602 lssuance Amount 99.92 22.08 55.04 Qty 1.00 1.00 1.00 Fee $99.92 $22.08 $s5.04 r22.08 il54.96 Botch*:{787tt - i,il6/2019 t0! CCUELLAR Office: CTTii Tnons*; ii 6 af ?Accti: Ref*: 3CI140{89 Rcpti:0250ii9i - iit6izii9 i!52 Pn Tronsoctioo Totoi *1t218.23 Tisht 0unrterE inc State Lic #: 584915 Lic Type: C-61, C-21, C-12 Bus. Lic #: 133416 Workers' Compensation I nsurance:Carrier: State Fund Policy #: 9243055 Expires: 0110112020 Genersl Pion ijpdate Fee 0r116002- 3i600000- Plunb i ng 01I160112- 3i60:u00- ICL Check io5ittl4 t4t248.23 Building Use: Commercial Job Type: Demolition Nature of Work: Demo Building Occupancy: Constr Type: Code: N/A N/A cPc 2016 Planning Conditions: Addresses need to be deactivated once demolished 0'll'|.012019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total Paid to Date: Balance Due: Demolish all structures to facilitate new residential project. Founation and parking lot to remain. AQMD on file. Bond posted onM-72052*'*Storm Water Pollution Prevention Plan Req'd"* $177.O4 $0.00 $177.04 Planning Approval By: Plan Checked By: Permit lssued By: Zuniga, Allissa Subject to Field: Buildins Permit #: 10198889 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 authoized on the site by such permit is suspended or abandoned for a peiod of 1 80 days after the time the work is commenced. Nd:. 01 1 16002 51600 01 1 16002 51602 $22.O8 $154.96 lnspector MID#: 2019-148703 PLUMBING.!NSPECTOR REGORD I APPROVALS DATE ID/S!G COMMENTS OWN}]R BTIILDER DEI,CARA'I'ION IhcrehyallirmunderpenaltyofpcrjurythattsDexernprfmmtheContraclors LicenseLawforthefollowirrgreasrn1Sc.7(l3lll! llusiness arxl Pnrfession Code): Any City or Counly which rcquire a permit to conflrucl. altc. improrc, d€nt)lish or reTlcrt any slruclure, prior lo ils issuance, also requires the applicant for such FEnnit to lilc a signed statctrcnt that hc or she is licensed purruan{' ro lhe previsions ofthe Contractor's l,icensed Law (Chaplcr 9. Commencing with Section 7000 ofDivision J ofthe tsusiness andl PmfessionsCode)orthatheorsheisexempllherefromandthebasisforlheallegedexemplion. AnyviolalionofSectionT03l.5hyany af,plic.ntforapemilsuhj$tsthe applicantloacivilpenallyofil)lmorelhanlivehundreddollars(S500). _1, as owner of the pmpeny, or my employees wilh wnges as their sle compcnsnl ion, q'ill do llE sod( arxl the strudw is mt intemlal orofferedforsale{Se.7(N4,BusinessandProfessionsCode:'lhcConlraclor'sLicensel,awdoesnotrpplyt)anownerof the pmpeny who builds or impreves lher@n. and who dos such work himselfor herselfor thnrugh his or her own enlpk)yees, provided thal such impmlemnts 0re mt inlended or ofTerd lirr sle. lf, however. lhe buikling or impmvermnl is *rld within one leor ofcompletio[ the Oivner Builder u'ill have the hurden ofprcung ltfl he or she did frl build or impro\e lhe pmpffy for lhc purtnc of sle). _1, as owner of the propeny, am exclusively contracting wilh licensed conlrack)m lo construcl thc lmj(l (Sec. 7044, Business and PmfssionCode: lheContractor'sLicenseLawdoesnotnpplytoanownerofpropeflywhohuildsorimproveslhcreon, and who contmcts lbr such pmjects with a Conlmck)(s) licensed pursuanl k) lhe Contraclor's License Law). -lamexemplundcrseclion-.B'&P,C.forthisrex$n.Dete: ()h'nerl E9SEBre9!!EI,!SAJ.!AN DCCLARA'I'IoN I hcrcby aIfirm undcr penalty ofpajury ore ofthe following d(larations: _l have and will mintain a Cenificatc of Conrcnt to Sclf-lnsre for workrs' compenrtion, as pmvided for by Sction 3700 of thc hhor Code, for thc pcrfomrcc of lhc work for which thc pmit is issucd. _l have and will mainlain workers' compensa(ion insurance, as required by Section 3700 oflhe Labor Code, for the perfummce of the work fur which this permit is comfensalion policy numher re: Prrlicy _l cenify thBt in the performnce of the work for which this permit is issucd. I shall no( employ sny person in sny manncr s as to hecome subject to the workrs' compcnstion laws ofcalifomia, and Bgree lhat if I slnuld becom subject to the workss' @mpenslion pmvisions of Scction 1700 of lhe Labor Codq I shall, forthwilh comply wilh tbs pmvisions.. IVARNING: l:ailure to *cure workers'compensation covemSc is unlawlll. dnd shall subjecl an employer h fiiminnl peMhis and civil fines up to one hundred thousand dollam ($100,000), in to the cosl of damages as provided for the Seclion 3076 Code, inlereil and fees. 0 I I'ECI AIIAI'IoN I hercby aflirnr under penalty of perjury that I am liccnrcrl under provision ofchaplcr I (commcncing with Section 7000) of Division l of the Business and Professions Co<le, and my licensc is in full lbrce and effect. License Numbcr:<- CONS'I'RUCl'ION LENDIN(; A(;DNCY I hcrchy affirm undcr penfllty o f perjury that there is a construcl ion lending agency fur the perfornhncc of the work for lr'hich this lEnnit is issued (Src. 1097. Civ. C.). Lender's Nanre Lender's Addrcss: APPLICANT XIFCLANATION I horby aflim undr pcnalty of perjury orc of the following dalmtions: Demlition Pcrmit3-Aibcstos Nolification Fedcml Rcgulations (Title 40, Pan6) -Required Letlcr of No(ilicalion _l certify lhd lhc fedcral regulations rcgarding asbeslos removal are not applicable to this prejcct. -l ccrtiry thd I havc rcsd this applicalion snd satc that th€ above infomtion is comt. I agrE to @mplywith all Cityand County ordimnces aod Statc Laws rclating to huilding construction, ard reprcsenlativca oflhis City and Counly to cnlq u[nn thc ahovc mentioned prepcrly for Appllcant or Agent UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain lnterceptor/ Clarifier TOP OUT Waste & Vent Water Pipinq Gas Pipins Roof Drain Tub/Shower Test Rough Water Heater POOUSPA P{rap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitarv Sewer/Cap Back Flow Device Rouqh Plumbinq Final Gas Test Meter Release dl FINAL 7-220 *,ilLtdl Notes Remarks Etc. l'ermitce name (prlDl)' ,)*," f ro,fr 1