HomeMy WebLinkAbout30141499 - PermitPttlject Address: 3401 S Timber St
Assessor's Parcel: 410-161-06 Lot: 19
Unit:
Block: NA
Bldg:
Tract: 7002
Address Range:
Historic: No
Suite Range:
Zoning: Rl
\
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30141499
Pin #: 44714
Owner:
Address:
Phone:
Robert Giannini
3401 S Timber St
Santa Ana, CA 92707
(7141 497-7714
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 51600
01 1 16002 51602
01 1 16002 57770
Fee Type Amount
Water Closet 14.78
Shower 23.12
Sink 13.20
Sewer Alter/Repair 46.25
Gas Line alter/extend/ar 68.14
Tankless Water Heater 68.14
General Plan Update 22.9s
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
2.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$14.78
$23.12
$26.40
$46.25
$68.1 4
$68.1 4
$22.95
$57.20
$3.e1
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type.
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Botch*:528rJ5 - lt:r/s1/2ltl9 ID: HGARCIA
tlf r i ce: CTYH Trnn s*: 101 3 of 5Acct*: Ref*: 301 41499Rcpt*:fr2799161 10/31/2fi19 4:32 Pt1
Trsnsoction Totol $11364.32
Robert 6iorrnini
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
New Bed room/Bth/C loset
Generol Flon Updcrte Fee
Llt t I 6[t02- 516tlt-tt-t[t[t-
Flumb ing
01 1 16002- 5160?tr00-
i22,95
t304,03
water heater. Water
$1 r 364,3?
Auth*:093470
$330.8e
$0.00
$330.89
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016
10t31t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
il::#ffi!1f!{*}?4}rffirtr*t
i:(:+ ! *t*tx x***r*x73?4Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit 100087
Every permit issued 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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
!nspector MID#: 201 9-151456
Date:
Date:
Date:
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$22.e5
$304.03
$3.e1
PLUMBING.!NSPECTOR RECORD
DATE ID/SIG.COMMENTSAPPROVALS
UNDER GROUND 7()r:F frWaste & Vent q.l
IWater-Under floor JI
Gas-Underfloor
a-Building Sewer
,ArealStorm Drain
I nterceptor/ Cla rifier
ITOP OUT
/'it ?t ,7 Dr?f6Waste & Vent 4Water Pipinq c
t T
Gas Piping
Roof Drain frTub/Shower Test l0
tRouqh Water Heater
POOL/SPA
P-trap/Drain Line
Itlain Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
?i)DI,-rfl
41 rtWSanitary Sewer/Cap 8r
[-t'Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release I I
FINAL It
O\\'N Illl llt I I l.l)l!lt
I hrcby aflirm unda pmahy of pcrjury lhal I fln creinpt froor the ConlrackrE' l-icmr l.a$ for thc follosing rea$n (Ss.7oll 1.5
Businss and profssion Code): Ant City or County $'hich rcquirs a lnrnil to conslntct. aho. improle. donolish or repair any
slructure. prior to its isuancc. also rcqtrirB the applicant frrr such frcmril to file a signcd statqnflt that he or she is licms.d pu6uant
lo the ptnvisiors of the ('ontractor's l-icensed l-as (Chaplo q. Comrnencing rvith ScIion 7000 of Division 3 of the Rusinss and
profcssionsCo<!e)ortha(heorshciscxemptlhtrefronandtlrclEsisfortheallegederonption. An1'violalionofsetionT0:ll.5byanr-
applicantforaJmnitsubj$tslhe applicanltoacivilpenaltyofnolmorelhanfir'e hundre<ldollusl$500)'
I. ns trs,ns of the proIE ty. or my cDplolG s ith s ags as their srle comp€netion. s ill do the lr'ork ud the stnldue is not
intcrrdd oroffcredfoiytc(Se.loln.g,'"insandPrcfsbns(\xte:The(onlrlclor'sl,iccnscl-a$'dosnolapplytoano$noof
the polErty $.ho huikh or imprer'c thmn. md vho do6 such srrd< hirnself or ltmelf or thrcugh his or he orvn cmployec.
p,oui.li.,lrhat"u"h irnftrormfllsrcnotintfldedoroJfq.dfor$le. lf.ho$66.thetitildirgorimpmtonmtiswldtithinonclm
irfconrplait'n. rhe (hvnq Ruilds s ill harc the hurds ofproling that hc or she did mt ttild or irnJnrle lhe lmJury for the prrym of
sale).
l. as osns ofthc popqtl. am erchrsilely contracting $hh licsBcd conlraclors kl conslntct llrc prejcl (Ss. 7O14. Bminess
aod ttofssiotrCode:'lheContractor'sLicensel.aNtlomnolapplytoanoNnsofproftstlN'hobuildsoritnprotGths@n.
and rvho contracts for such projects rvith a licensed pursuant to the Contractor's License Law).\
-l
am exempt under Section-for this
l)nlt:
I ho'eby alTirtn under
I have and s'ill mainrain a Cerri-frcate of Consent ro Self-lnsure fior rvorkers' cotnpcnsation. as provided for by Section -]700 of the
l-atxrr ('ocle. for the gro'fonnance of the srrrk frrr s'hich the pornit is issued.
_thayeandrvill nraintainrvorkers'qpnrpensationinsurance.as requireclbl'sectionlT()0ofthcl.ahor('odc.fortheperfonnanceol'
the g.ork for rvhich rhis perrrrit is issued. IVly rvorkcrs' cornpensation ittsurance can'ier antl policy ntttntrer are:
Carrier:
Policy Number:-
_l cediry that in the per-formance of the rvork for rvhich this permit is issued. I shall not employ any Person in any manner
so as to become subjeci to the rvorkers' comporsation laws of California. and agree that if I should become subject to the
work€rs' .orp.nrriion provisions of Secrion -1700 of the Labor Code. I shall. forths'ith comply with those provisions..
\1'ARNIN(l: f;ailure to sectre s'orkers'covera8e unlas'lirl. antl shall subiect an onployqr to criminal poralties and
comgrcnsation. ahug* ., pror:icled for thecivil fines up lo one hundred thousand dollars to the cost of
Section -1076 of the Latxrr Code. interest and
I hereby affirm under penalty of perjury I arn provision of Chapto 9 (comrnencing rvith Section 7000) of Division J
of the Business and Professions Code. and my license is in full force and effect.
l.icense Class:_-
-License
Nutnber:
l)nlc ('oltlrnctol':
(:ONSTRUCTION LENDING AGENCY
I hotby aflirm undo 6naltyof poi,,rythat thil immction lcnditg agqrcy forlhc perfomance of lhervork for Nhich lhis Pmnh b
issucd (Sc. .1097. Civ. ('.).
I t'ntlt't's \ltttte
Lcnder's Address:
APPLICAN'T DEC LARA'I'ION
I hoelry aflinrt under penalty of perjury one of the follos'ing declarations:
Dernolition Perrnits-Asbestos Notification Fcderal Regulations ('Iitle 40. Pafl6)
- Required Lctter of Notification
_t removalare not annlicatr\o this project.
lccrlifr
ordinances
above mentioned
Applicant or
Permitee name
infiornration is conect. Itr1 >4
-UG I
7
'4t|ru,,
10,
I
I
7
Date:
with all City and County-w
Date:
,-WtdU
Notes. Remarks. Etc.
Yr &,#,il 6refu
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