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HomeMy WebLinkAbout30142126 - Permit (2)a City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAS27O2 Plumbing Permit Counter: (7'14) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (714) 647-5853 Permit #: 30142126 Pin #: {2958 Project Address: 1918 S Sycamore St Unit: Block: B Bldg: Tract 289 Address Range: Historic: No Suite Range: Zoning: R2Assessor's Parcel: 015-063-1 1 Lot: 5 Owner. Address: Ana Castillo 1918 S Sycamore St Santa Ana, CA 92707 (7141 317-9681 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 01 1 16002 5777C Fee Type Amount Water Closet 14.78 Shower/Bathtub 23.12 Sink 13.20 Sewer Alter/Repair 4O.Zs Gas Line alter/extend/ar 68.14 Wtr Htr (Res up to 50 gr 23.12 Water Piping (Each 100 46.25 General Plan Update 22.95 lssuance 57.20 Microfilm Records 3.91 Qty 1.00 1.00 3.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 Fee $ 1 4.78 $23.12 $3e.60 $46.25 $68.1 4 $23.12 $46.25 $22.9s $57.20 $3.91 Phone: Tenant Name: Contractor. Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Building Use: Job Type: Nature of Work: Single Family Dwelling Miscellaneous Plumbing Occupancy: Constr Type: Code: R-3 VB cPc 2019 Notes: Plumbing Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: web_user Date: Date: Date:06/01 t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its rssuance, orif the work authorized on the site by such permitis suspended or abandoned for a period of 360 days afterthe time the work is commenced. N/A - No N/A - No Balance Balance Fee Total Paid to Date: Balance Due: $345.32 $34s.32 $0.00 lnspector MID#: 2020-1 59 170 PLUM BING.!NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER EUILDER DELCARATION I hcrcby affrm under pemlty of JErjury that I m exer$ ftrom the Contrrclc' Licrcns law for lhc following Gfnn as6.703l.5 Busincss and Prcfcssk n Codc): Any Ciiy or Couily whbh rcquircs 8 pemit to onslruct, !lts, irDrcrc. &mlish or rpotiny structure. prhr to its irsuare, ds requircs the spplicanl for such pcrmit to file s signed statemnt lhat lE or shc h licnsd puNmt to thc pmvisions of the Contractor's Liensd Lrw (Chapt€r 9. Co|lmming eith Sstion ?000 of Division 3 of llrc Busiress snd PrcfcssionsCode)orthatheorshe iscxcmpttlrcrcfrcmrrdthebssisforthcollcgedexemption. Anyviolstionofs$tion703l.5byrny applicant for a lrcmit subjcrts thc spplicont to s civil peBlty of not mrc than fivc hundrcd dollus ($5@). -1. as owncr of thc proF,crty. or my cmployecs with wagcs as their solc compensation. willdo thc work and thc structurc is not intcndcd or offcrcd for salc (.Sec.70l4. Business and Pnlfessions Code: Thc Contractor's License l-aw docs not apply to an owner of thc property who buil<ls or in{rrovcs thereon. and who docs such work himself or hcrsclf or through his or her own employces. provided that such improvenrcnts are not intendcd orofhrcd for sah. lf. howevcr. the bnrikling or improverrnt is sold within one )car of comphtion. the Owner Buildcr will have thc burdcn of proving that he or she did not build or improvc thc property for the purynse of sBh). -1. as owner of thc property. am cxclusivcly contructing with liccnscd conlraclors lo construct thc projcct (Scc. lOM. Busincss and Professhn Code: Thc Contraclor's Licensc Law docs not apply lo an owner of property who builds or improvcs thcreon. and who contracts for such projccts with a Conlracto(s) licensed pursuant to the Contractor's Liccnse [aw). -IamexemptundcrScction-.B'&P.C'forlhisreuson. Date:( )rvlrer: WORKEITS' COM PENSATION DTCLARATION I hereby affirm under pnalty of perjury onc of the following declarations: [-:rbor Coclc. ltrr the pcrlirrrnancc ol'thc work ltrr u,lrich thc pcrnril is issucd. -l have and will maintain workcrs' comFrensation insurance. as required by Section 37fi) of the Labor Codc. for thc lrcrformance of thc work for which this pcrmit is issucd. My workers' compensation insurancc carricr and plicy numbcr arc: Policv Nunrhcr: Exnires: -l ccrtify that in the pcrforrnance of thc work for which this;rcrmit is issucd. I shall not employ any pcrson in any manner so as lo bcconrc subict to the workers' compcnsalion laws of California. and agrcc that if I should bccome subject to thc workcrs' comJrcnsalion provisions of Section 3700 of thc Latnr Code. I shall. forthwith comply with thosc provisions.. IVARNlN(i: Firilurc l() sccurc workcrs' cornpcnsation c()vcragc is unhu't'ul. arrd shall subjcct arr crrtployer lo critttittll pcrraltics and civil firrcs up lo onc hundrcd thousand clollars (Sl(n.(XX)). in atlclition l() lhc cosl of contpcnsalion. dannges as providcd lirr thc Scclion 3076 of thc l-atnr C<xlc. irtlcrcsl and allrlrncy's t'ccs. Applicant: LICENSED CON'I'RAC'I'OR DECLARATION I hcrcbyal'llrrn undcr pcnaltyof pcrjury lhal I arn liccnsctl untlcr provision of Chaplcr 9lconrrncncing with Scclion 7(XX)) ol'Division 3 of the Busincss and Professiorrs Codc. and my licerrsc is in l'ull lirrcc and cll'ccl. Licensc Class: Licensc Numbcr: floier.Conlraclor: W I hcrcby {ffirnr undcr lEnrlty ofpcrjury thut thcrc is s conslructhn lcnding ogcncy for lhc pcrl'orroncc ofthc work for which lhis lsmit is issucd (Sa. 1097. Civ. C.). hndcr's Nantc: lrndcr's Addrcss: A PPLICAN'T DECLA RA'TION I hcrchy ullinn undcr pcnalty of prjury onc o[ thc folkrwing dcclarations: Dernolition Pcrnrils-Asbcstos Notification Fcdcral Rcgulalions ('l'itlc 40. Parl6) -Rcquircd [-cttcr of Notificalion -l ccrtify thal the fcdcralregulations rcgarding asbcslos rcmovalarc not applicablc kr lhis projcct. _l enify thst I havc rcod this Epplicstion ild ststc that the above infomtion is corc{t. I agrc to otr{rly with sll Cily rnd Counly ordinares snd Statc llws rclaling lo building construction. ud hercby autluizc rclms.nlalives of this City ud County lo enls uFrn thc abovc mnlioned prcFrty for inslEclion purJnss. Applicant or Agent Signature: Date:_ Permltee name (print):_ UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer ArealStorm Drain I nterceptor/ Clarif ier TOP OUT I I - Waste & Vent VZYTJ Drv> Water Piping Yl t€l 70 lbfl#{r Gas Piping trltK'lt,I't/-fl'',to Roof Drain ll f Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line lVlain Drain/Pool Pipinq Fill Line/Back Flow Pool Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back FIow Device Rough Plumbing Final Gas Test Meter Release FINAL Notes, Remarks, Etc.