HomeMy WebLinkAbout30140806 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit #: 3O{4O8O6
Pin #: {79586l
Project Address: 2206 fl2 S Broadway
Assessor'sParcel: 015-092-08 Lot: 2
Unit:
Block:NA
Bldg:
Tract: 1297
Address Range:
Historic: No
Suite Range:
Zoning:Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
JAIME & MARIA BECERRA
2206 S BROADWAY
Santa Ana, CA 927072713
(714) 907-5306
Suncosmic Builders, lnc.
7647 Haywanhurst Ave. Ste.
Van Nuys, CA 91406
(818) 402-8530
01 I 16002
01 1 16002
01 1 16002
01 I 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 1 6002
01 1 16002
51602
51602
51602
51602
51602
51602
51602
51602
51602
51602
51 600
sl602
Fee Type Amount
WaterCloset 14.22
Shower 22.25
Sink 12.70
ClothesWasher13.97
Garbage Disp 10.66
Add'l Sewer Connection 22.25
Sewer Alter/Repair 44.51
Gas System '14 44.51
Tankless Water Heater 65.57
Water Piping (Each 100 44.51
GeneralPlan Update 22.08
lssuance 55.04
Qty
1.00
1.00
2.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$14.22
$22.25
$25.40
$13.97
$10.66
$22.25
$44.51
$44.51
$65.57
$44.51
$22.08
$s5.04
State Lic #: 1007014
Lic Type: B
Bus. Lic #: 353128
Workers' Compensation lnsurance:Carrier: National Liability and Fire lnsurance Company
Policy #: V9WC896902
Expires: 01129120'19
Building Use: Accessory Dwelling Unit-G Occupancy:
Job Type: New Constr TYPe
Nature of Work: ADU Code:
Planning Conditions: lndoor a/c inside living room
Planning Approval By:
Plan Checked By:
Permit lssued By: Brodowski, Teri
Subject to Field:
Buildins Permit #: 10198026
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the work authoized on the site by such permit is suspended
or abandoned for a peiod of 180 days after the time the work is
commenced.
R-3
VB
cPc 2016
04t10t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
t.t
Date:
Date:
Date:
01 1 16002 51600
01 I 16002 51602
$22.08
$362.89
$384.97
$0.00
$384.97
lnspector MID#: 2018-146402
PLUMBING.!NSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS OWNER AUILDCR DELCARATION
I hcrchy affim undcr JEElty of pcrjury that I m excmpt fmm the Coilracto6' Liccnse Law for the following rcesn (Se.70]1.5
Business and Pofcasion Codc): Any City or County which rcquires a fmil to conffruct, alt6, improvc, dcmolish or rt?air any
struc{ure, prbr to its issumcc, also requird th€ applicant for such pcmil to filc a signed statcmenl that hc or she is liccnsd pumant
to th. pmvisio[s of thc Contractor's Licen*d Law (Chapter 9, Commcrcing wilh Seclion 70fi] of Division 3 of thc Business and
PrefcssionsCodc)orthathcorsheiscxcmptthcrefiomandthebasisfortheallegedexemplion. Anyviolationofscction?03l.5byany
applicant for I pemit sbjsts thc applicanl Io a civilpcmltyof mt mrc than five hundred dollars ($500).
_1, as owncr of thc pmtErty, or my cmploycca with wagcs a! thcir mlc cotrrpcrstion, will do thc work and thc struc{w is mt
intcndcd or offercd for olc (Sc.7O44, Buircss md Prcfcssioro Code: 'l-hc Coilractor's Liccmc Law dos mt apply to m owrcr of
rhc pmperty wtn buildq or imprcs ttsoq ard who doe sch wo* himBclf or hcrself or thrcugh his or her own cmployecs.
provided that such imprcwils N mt intmdcd or oflircd for sle. If, lnwwn, th€ building or impmvcmnt is sld wilhin one )er
of @rphhr\ Ihc Chrns Buildcr will have thc burdm of pmving ttul h€ or she did ml huiH or irprcE the pmIEry for thc purJ[r of
sle).
_1, asowrcr of thc popcrty, am cxclusivcly contmclinE with liccnsd conlmctom to m[ctruct th€ pmjst (S(. 7044, Busircss
ard Poh3irnCodc:'lheCont(actor'sLicenreLawdocsnotapplytoanowncrofpmpcnywhobuildsorimprovesthersn,
and who mntmctsforsuchprcjcctswithaCoilmcto(s)liccnscdpursuntlotheContractor'sLicenseLas).
I am exempt under Setion-, B. & P.C. for this reason.
I )rle Owncr:
EASSEB!.:CA!4IjISAIIQN
DECLARATION
I hcrcby aflirm undcr lEmltyof psjuryore of thc following &clmtions:
I havc aml rvill n)rinlaii n (-crlilicalc of(i)nscnt to SclFlnsurc li)r sorkers' conrpensalion, ls prrvtdcd lirr hy Stction 37(ll) ol thc
Lahor Corlc. li)r thc pcrlbrnnnce ofth( ql)rk lirr lr'hich lhe pcfitril is issuc(l
_l have and will maintoin wo*ers' compeN8tion inwrance. as required by Smtion 3700 of the Labor Codc, for the pefomme of
thc work for which this pcmit is isocd, Myworken' compostion insuBnce mriq ard tnlicy number re:
Policlr Nunrher: Expires:
-
_l cedify lhat in thc pcrforrorcc of the work for which this p.rmit is isrued. I shall mr cmploy any pemn in any manncr
s 0s to besmc subjct to thc workcrs' compensation laws of Califomia, and agrc lhat if I should become ruhjcct to thc
worls' compenslion previsions of 36rion 3700 of thc Labor Code, I shall, fodhwilh mmply with lhos pmvisions..
WARNINC| l;ailurc to *curc workeB'compcnsation covemSe is unlawful, and shall subject an employcr to oiminal pemltis and
civil fincs up to orc hundrcd rhousnd dollaN ($100,000), in addition to the cost of compcnslior\ damges as providcd for thc
Scclion 3076 of thc LatDr Codc, inlcrcst and attonEy's fe.
I I hcrcblaflimundqpcmltyofp.rjury .l
of the Bu3iness and Prcfessions Codc, and my licensc is in full force and efTect.
Liccnse
Drtc:
Class:-Liccnsc Numbcr:
-
( 0nlrxtl0I
CONST'RUC'I'ION LI'NDINC A(;ENC}'
I hereby amrm undcr penally o t perjury thal lhere is a conflruct ioil lending a8ency fi)r the perfornrance of lhc work fi)r which I his pertnil is
issued (Sec. 109?, ('iv. C.).
Lender's Name:
Lender's Address:
AfIIJCANLIIECTAEAITQN
I tmby allinn undt'r penalty ofperjury one of the follou'ing declarations:
Demrlition I'ermits-Asbestos Notificalion l;edcral Regulations ( l itle 40. Pan6)
_Required l-etter oINolifi crlion
-l
cen ily that the lederal rcgulati<tns regarding ashestos relnoval are nol applicable tr lhis projecl.
_l cenify rhil I t!1ve ref,d this applic.lion aftl state thnt the ah)ve inform.tion is corect. I agrE k) comply wilh all Cily and (-ounty
orclinances and State l-nws relating to building construclion, and herehy authorize representalives ofthis City rnd Counly to enter upon lhe
ahove mentirued prepeny for insprc(hn purJmses.
Appll(ant or Apent Slgnsture:_
Permltee nsme (prlnl) _
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/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
I
Rouqh Plumbinq
Final Gas Test
Meter Release rl .zlt
F!NAL n 7 '71)E
Notes, Remarks, Etc v
/
b-11,-lV
tMl-r I