HomeMy WebLinkAbout30137512 - PermitCity of Santa Ana 20 Civic Ce nt er Plaza (M-19), Santa Ana, CA 92 702 Plumbing Permit#: 30137512
Permit Counter: (714) 647-5800 Inspection Requests: (7 14) 667-2738 In spector Section: (714) 647-5853 Pin #: 8216~~
Project Address: 321 S Andres Pl
Assessor's Parcel:
Owner:
Addr ess:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
State Lie#:
Lie Type:
Bus. Lie#:
108-113-06 Lot: 28
Vesta Clarkson & Maynard
321 S Andres
Santa Ana, CA 92704
(714) 224-2170
Lightning Construction and
6047 Tampa Ave. #303
Tarzana, CA 91356
(818) 277-2043
951122
B
354082
Workers' Compensation In sura nce:
Carrier: State Fund
Policy#: 9117672
Expires:
Building Use:
Job Type:
11/13/2017
Single Family Dwelling
Addition
Occupancy:
Con str Type :
Nature of Work: Addn/Remodel/Patio Coverl'.iCode:
Unit:
Block: NA
R-3, U
VB
CPC 2013
Planning Conditions: All materials to match existing. FLOOD ZONE CERT REQ'D@
CONSTRUCTION & FINAL.
Bldg : Address Range : S ui te Range:
Tract: 1550
0 111 6002 51602
0 111 6002 51602
01116002 51602
01116002 51602
01116002 5 1602
01116002 5 1602
011 16002 5 1602
0 111 6002 5 1602
0 111 6002 5 1602
01116002 51602
01116002 51602
01116002 51600
01116002 51602
Historic : No Zoning: R1
Fee Type Amount Qty
Water Closet 13.24 1.00
Bathtub 20.73 1.00
Shower 20.73 1.00
Sink 11.83 3 .00
Clothes Washer 13.01 1.00
Dishwasher 11 .16 1 .00
Garbage Di sp 9.92 1 .00
Sewer Alter/Repa ir 41.46 1 .00
Tankless Wat er Heater 6 1.07 1 .00
Water Piping (Each 100 4 1.46 1.00
Hose Bibbe,(!,.,:\='. --_--14.M t:, .. : 1.00 ·--
General PlaniUpd.ate·:-;--:., 20.. 56 r: ~-=I -· 1.00
. , -· ·-... .-.. ,-...
1.06 '. . I ssuance 1·11·-'·-, __ 51.26 . i,::; -1
F\c r.,·.:~-=,~O .t(..:,-:-·~~ /~".-, .1 (. .... ,:./
Tr·t1:,s.re: ~, c.-. -,-.. -... , i 1_;,_ , ___
G1:!n .:::: c ~. := ~ t:,.: L. \~G,._ . .-:; 1·~:-~ .. _
UJ ~ lt.)C 2· :, __ ~ _1 ;j1_:.: (1-
r:•1 Urr1C: : , :.:
Fee
$13.24
$20.73
$20.73
$35 .49
$13.01
$11 .16
$9.92
$4 1.46
$6 1.07
$4 1.46
$"1 4.4 1
$20.56
$51.26
Notes: New k/j~~~f; 1 ;balhl'~;~m ,,~oe locate laundry facilities /
& water lieatei"whhin garage/tfandout g iven. -, '
Plannin g Approval By: Date: Misc. Receipt:
Plan Checked By: Date:
Perm it Issued By:
Subject to Field:
Chavez, Dave Date:
--y_L--12/06/2016
Accou nt#
Building Permit#: 10189522
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
Inspector MID#: 2016-128450
0 111 6002 5 1600
0 111 6002 5 1602
Misc. Receipt:
Misc. Receipt:
Total
$20.56
$333.94
Fee Total:
Paid to Date:
Balance Due:
$354.50
$0,00
$354.50
PLUMBING-INSPECTOR RECORD '
APPROVALS DATE ID/SIG. COMMENTS OWNEll 8 UILDEll l>ELCAllATION
I hereby amnn under penalty or pcrju1 y thm I ru n exempt li·om the Co 111ractors· License Law for the following rc:,,;on {Scc.703 1.5
UNDER GROUND i I Business and Profession Code): Any C ily or County wh ic h rt.·qu ircs a permit to c(i11s\ruct . alter. imprcwc. dcmt1l ish o r repair-;:qiy -I I stnicture. prior to its issuance. also requires the applicant for such permit to file a signed statcmenl that he or she is licensed purst•'lnt
Waste & Vent 5/1) j)-'j 111l/3Lf to the provisio ns of the Contrac tor·s Licensed Law (Chapter 9, Commcm.:ing \\'ith Section 7000 of Division 3 of the Bllsincss and
c:::AJ I II f1 wtl/t.;lf Professions Code) or that he or s he is exempt therefrom and the basis for the a lleged exe mption. Any violntio n of Section 7031.5 by any
Water-Under floor applicant for a permil subjecls the applicant to a civil penn11y of 1101 mo re thM five hundred do ll nrs ($500 ).
Gas-Underfloor
~ I _I. as owner of the prope11y. or my employees with wnges ns the ir sole compensation. will llo the work and lhc strnt.:tun.: is not
intende<l or offered for sale (Sec. 7044. Busint-ss ;md Pro fessions Co<le: Th e C'o ntrat.:tor·s License Law dues 1101 apply In a11 owner of Buildinq Sewer the prope11y who builds or improves thereon. and who docs such work himself or herself or lhrough his or her own e1n ployet..'S.
Area/Storm Drain
provided that such improvemenls are not in tended or offered for sale. If. howcv(..'t·. the building or improvement is w k\ wilhi n ()!IC year
of completion. the Owne r 13uildcr will have the burden ofpmving. tlrn t he or she did not build or i mprO\'C the prope11y for !he p uq,osc of
Interceptor/ Clarifier snle).
_I. as owner of the prope11 y. am e.xc lus ively co111rac1ing with licensed contractors to cons1ruc1 1he project (Sec. 7044. 1311.siness
and Pmfession Code: The Contrnclor's License Lnw does n ot apply to an owner o f property who bui lds or impro\'cs thncon.
TOP OUT and who contracts for such projects with a Conlrn.ctor(s) licensed pursuant to the Contractor's License Law ).
Waste & Vent _I am c.xcmpt under Section . 8. & P.C'. for this reason.
Water Piping Date: Owner:
W ORK ERS ' fOi\lPENSATION
l>E!,;LAllATIO N
Gas Piping I hereby amrm under penalty o f pe1jury one of the following dednrnt io ns:
Roof Drain _I have and will maintain a Certificate o f ('onsent to Self-Insure for workers· co111pc11s:uio11. as provided for by Section :0700 o f the
Tub/Shower Test
JCode. for the perfonnance oft he work for which the pennil is issued .
Rouqh Water Heater
_I hnve nnd will mninu,in workt:rs' compensation insurance. as required by Sect ion 3700 of the Labo r C'od c. for the pe rforman ce of
the work for which this permit is iss ued. My workers· co mpensntion insu rance cm,·ier rmd policy number a re; . §,hJ.-e.-'F vt l'Jd C'm,·ier:
POOL/SPA rolicy Number: . ~ 11, {o fl,, E xpires: . I I I J?>,JJ~
P-trap/Drain Line _1 certify that in the performance of the work for which th is permit is issued. 1 sha ll not employ an y person in any manner
Main Drain/Pool Pioinq so ns to become suqject to the workers' co111pens ation ln ws o fCalifomin. and agree that if ! shou ld become subject l ll the
workers' compensnt ion provisions of Sectio n 3700 o f the Labor Code. I shal l. fmthwith comply with those pro visions ..
Fill Line/Back Flow WARNING: Failure 10 secure workers' compe nsation C0\'erng.c is unlawfu l. and shall subject an employer to c1iminal penalties a nd
Pool Heater/Gas Line ci vil fines up to one hun dred thousand dollars ($100.U00J. in adllitio n to the cost of com pensnt ion. damages as pro\'ided ror the
Section 3076 of the Labor Code. interest and attorney's fees. .
\ 2 . (p ,I (o
Awli<"ml: ~ JJi<i'f ~ L>ntc:
Miscellaneous Ll!,;ENSED C rRJ 'T R
DEC LARATION
Gas Service I hereby affirm under penalty of pe1jury that I mn licensed under provision ofC'lmpter 9 (commencing wit h Sectiun iOOO t of D ivisi on J
of the Business and Professions Code. and my license is in full force and erfect.
Water Service q 5 I/ 2....2-.. Lawn Sprinkler License Class:
,, (? License Num ber:
Sanitary Sewer/Cap Dace: . l '2' (o I l b Contractoc .,.. ~ =---
Back Flow Device ~:ONSTR!.!~:TION L ENDING AGENCY
l I 11 I hereby affirm under pena lty o f perjury that 1here is n construction lending ngency for 1he perfonn.incc or the work for \\"hich 1his permit is
issued (Sec. 3097. Civ. C.).
Rough Plumbing r7f l-'b/14 WVl:-J.J Lender's Nmnc:
Final Gas Test ( Lender's Address:
Meter Release \
A l'l'LICANT IJECLAllATION
FINAL 'f\\ \9. \M [1,t{ I hereby offinn under penalty o f perj ury o ne of the fol lowing. declarnt ions:
Demolition Permi ts-Asbestos No1ificat io11 Federal Kcgulat ion s (Title 40. Pmt 6)
Notes, Remarks, Etc. \ _Required LctterofNotilication
I cc1ti fy that the rcdcral regulations regarding asbestos re moval are 1ml applicable 10 th is project
-.I ~ei1ify tlrnt I have rend this applicnli on .ind st;it e thal the ;ibove infonn;itiun is co1;ect. t ngree to comply w ith all City nml Coun ty
mdinanccs mid Slate Laws relating to building constn11.:1ion, nm\ hereby authorize representatives of this City and Coun1y \Cl enter upon the
nbove mentioned propet1y for inspection purposes.
Applicnnt or Agent Signnt urc: ~ ~~ l>a te: -JZ...,(,.l l
r cn nitcc nn mc (prinl): ~ £.L--INQR... &+A/ ci:J 15dh ----