Loading...
HomeMy WebLinkAbout30141976 - Permit';-;' prumulngffiCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 . Plumbit Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 3O141976 Pin #: 46583 Proiect Address: 1423 N Louise Sta Assessor's Parcel: 405-251 -19 Lot: NA Unit: Block: NA Bldg: Tract: NA Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Caroline Ruetenbar 1423 Louise St. Santa Ana, CA 92706 (7141 666-166s Roto Rooter Plumbing 1 183 N Kraemer Place Anaheim, CA 92806 (7141476-3605 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 01116002 5777C Fee Type Sewer Alter/Repair General Plan Update lssuance Microfilm Records Amount 46.25 22.95 57.20 3.91 Qty 100 1 .00 1 .00 1 .00 Fee $46.25 $22.95 $s7.20 $3.e1 Bnbch 0f f ir Acct { *:54564 2/26/?r:r?Lr ID: H6ei (:TYll Trans*: 3tt i: Rel*: 3[t14.1 :rr?9[t79V4 2/26/?tt?tt 1r57 ncLisn Totnl $13t-t ..J ftcrit Tr nn Rst o Gene iooter Plumb insState Lic #: 1016021 Lic Type: C-36 Bus. '-ic #: 364823 Workers' Compensation I nsurance:t Carrier: Federal lns Co Policy #: 54309480 F+Expires: 08101 12018 I. TO dnte Fee Ltl I I 60r:t?- 5l 6tlt-rtlt-tt-r- [:'lumb ing rll I16002- 5t6lr2u00- 11 icrof ilm & Docuttentg rJl 1 161il-r2- 1777rrr]0u- .:(:* : ****tt**r**xx2$ 16 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Sewer Zuniga, O,,,rrrN- Occupancy: Constr Type: Code. Date: Date: Date: R-3, U VB cPc 2019 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Alter existing sewer Fee Total Paid to Date: Balance Due: 02t26t2020 Account# Every permitissued 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 the sife by such permitis suspended or abandoned for a period of 360 days afterthe time the work is commenced. 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $22.95 $103.45 $3.91 $130.31 $0 00 $130.31 lnspector MID#: 2020-1 58066 PLUMBING.!NSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hscby aflim undo pcmlty of pcrjury that I m qmpt from thc Contractots' Liccre lrw for thc following r@n (Se.70-11.5 Buin6s and Profsion Code): Any City or County which requirc a pcrnit to construct, altc. imprcE, danolish or npeir uy struclurq Fior to its isuuce. also requiE thc applicut for such pcnnit to filc I sigtrd statmmt that hc or 8h€ b licosd puGuant to the provisiore of thc Contrctor's Licmscd Law (Chapt6 9. Commcncing with Setion 7000 of Division 3 of thc Buine and Prefeions Codc) or thst hc or shc is cxcmpt th@from ild the basis for thc allcgcd amption. Any violatioo of scrbtr 70-11.5 by any rpplicsntforapcmitsubjtrEthc applicanttoacivilpcnaltyofnotmorethmfivchundrc{dollus(5500). _1. as owner of the propcrty. or my employec with rvages as their sole compeflsation. will do the worft and the gructure is not intendcd or offered for sale (Sec.7014. Business and hofessions Code: The Contractor's License Law does not ryply to an orvner of the property who builds or improves thcron. and who does such rvork himself or hcrself or through his or her own employecs. provided that such improvanents are not intendod or offered for sale. |f,, horvsver. the building or impnovcmcnt is sold within one )car of complaiorL the Or*ner Builder rvill have the burden of proling thd hc or she did not build or irnpmove the property for the purposcof sale). -1. as olner of the prop€ay. am exclusively contracting rvith licensed contractors to construct the projecl (Sec. 7044. Business and Pof€ssion Code: The Contractor's License Law does not apply lo im o\l'ner of propenty s'ho builds or improves lhereon. and rvho contracts for such projects rvith a Contracto(s) licarsed pursuant to the Contrac{or's License Law). -l am exempt under Section-. B. & P.C. for this reason. l)alc:( )rr ltcr:%iffi I hacby affim undo pcnalty of pajury onc ofthc follorving dclaations: -l hsvc drd sill maintain a Cqrificatc of Conmt to SclfJnsurc for wortm' compostion. c previdcd for by S(tion 3700 of the Labor Coda for the pcfomcc of thc uo* for uhich lhc fmit ir i$ucd. ,Z(haveandwillmaintainworkm'comperuationinsunncc.a rcquircdbySction3TO0ofthcLaborCodc.forthcpcfomance oft ::- t"lt'ht#}li iscd Mv workm' omposation irourucc cmir md poricv numbc rc: Poricy.,,*, fhbzY 60 I 3a l1 rxpiri: 'l - Ol - Zo'lg -l certi$ that in the performance of the rvork for which this permit is issued. I shall not employ any person in any'manner so as to become subject to the rvorkers'compensation larvs of Califcrrnia. and agree that if I should become subject to the , workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with thosc provisions.. WARNING: Failure to secure rvorkers' compensation coverage is unlau'ful. and shall subject an anployer to cr3ltinal poralties and civil fines up to one hundred thousand dollars ($100.0001. in addition to the cost of compensation. damages as provided for the Section 3076 of the Labor Code. interesl and f )oln.2:%'b?pt DECLARATION I heretry affrrm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing rvith Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. - License ct^*, C3 b Dere: tZ,-ZFZoZo W I hccby allirrn undr penslty of ptrjury that thqc is a renstruclion lqding agmcy for the Jnfomacc of lhe rvork for Nhich lhis perrnil is issucd (Ss. 3097. Civ. C.). knder's Name: Lender's Ad&ess: APPLI('ANT DT:('LARAI'ION I ho'etry affinn under penalty of perjury one of the follos'ing <leclarations: Denrolition Perrnits-Ast:eslos Notification Federal Regulations ('l'itle 40. Part6) Rcquired l.ctter of Notilication -l ceni& that the federalregulations regarding asbestos reinoval are not applicable to this projed. 4ifytharthavereadthisapplicationandstatethattheaboveinformaionis with all City and County and County to enter upon theordinances and State [.aws rclating to building above mentiond progrrty for Applicnnt or Agent Permitee nRme (print): ancl correct. I ,rr".Z-4* Zob UNDER GROUND ) Waste & Vent Water-Under floor Gas-Underfloor Building Sewer Area/Storm Drain I nterceptor/ Cla rifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rough 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 Sanitary Sewer/Cap Back FIow Device Rough Plumbing Final Gas Test Meter Release FINAL l-ll.%Erlaloa Notes Remarks Etc. Li4rse Number:#Kofo-\--rufca I