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Home My WebLink About30141511 - PermitUnit: Block: NA Bldg: Tract 1192 Address Range: Historic: No Pin #: Suite Range. Zoning: Rl .l Project Address: 2122 1/2 S Shelton St Assessor's Parcel: 015-204-06 Lot: 68 \City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Plumbing PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #: 30141511 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Maria Janet Avila 2122 112 S Shelton St Santa Ana, CA 927073134 (7141 878-6468 First Stop Construction 20201 Sherman Way #2OG Winnetka, CA 91306 (818) 85s-6s23 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 1 6002 51 602 01 1 1 6002 51 602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 s160C 01 1 16002 5777C Fee Type Amount Water Closet 0.00 Shower/Bathtub 0.00 Sink 0.00 Clothes Washer 0.00 Garbage Disp 0.00 Add'l Sewer Connection 0.00 Gas System 1-4 0.00 Tankless Water Heater 0.00 Genera! Plan Update 0.00 Microfilm Records 0.00 Qty 100 1.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0 00 $0.00 $0.00 State Lic #: 101 4721 Lic Type: B Bus. Lic #: 373691 Workers' Compensation I nsurance: Carrier: State Fund Policy #: 9223280 Expires: 1212212019 Building Use: Job Type: Nature of Work: Accessory Dwelling Unit-D Occupancy. New Constr Type: ADU Code: Date: Date: Date: R-3 VB cPc 2016 Notes: Change to contractor/replaces PP#30141107ltees pd on 301 41107 Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Hernandez, Kathy Subject to Field: Buiuins Permit #: 101102140 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 the sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 201 9-149607 11t19t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt. Total Fee Totat Paid to Date: Balance Due: $0.00 $0 00 $0.00 PLUM BING.INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNERBUILDERDELCARATION ,I hcrcby affirm undcr pcnalty of pcrjury lhal I m cxcmpt from thc Contmctom' Licens kw for the followint rcarcn (Sc.7O3l5 Business and Profession Code): Any City or County uhich rcquircs a Jrcmit to construct. alts. imprcrc, dcmliih or rcltir qi slructuE. pri)r to its issumc. slrc rcluircs thc Epplicsnt for such tEmit lo lih I signcd statcmnt thet he or shc is lienrcd pusuut to thc prcvisions of the Contrsctor's Liccnsd [:w (Ch.ptcr 9. Comrcrcing wilh S6tion 7U)0 of Division 3 of the Busiress md PrcfessionsCode)orthatheorshcisexcmptthrefromsndthcbasisforthâ‚¬allegcdexemption. AnyviolationofSelionT03l.5byany spplicant for s Jf,mit subjsts thc applicsnl to I civil pcnllty of mt mrc than fivc hundrcd dollus ($5fi)), _l.as o\l'ncrofthcpropcrty.ormyenrployccswilhwagcsasthcirsolccornpcnsalion.willdolhcworkandthcslnrlurcisnol intcrrdcd or ()fll'rcd lbr salc (Scc.7(X4. Busincss and Prol'cssions C<xlc: 'l'hc Contrircl()r's Licensc l-nw docs nol apply lo an owncr of lhc prnprly u,lxr builds or itnprovcs tlrcrcon. ilnd who drrcs such work hirnscll'or hcrsclf or lhrough his or hcr own cmployccs. provided thal such improvcnrcnls are nol inlcnded or ofl'crccl for sak. Il. howcver. lhc buikling or irnprolernent is sokl within onc ycar of cornpletion. thc Owncr Buiklc'r *'illhavc thc hurdcn of proving that hc or shc did not buikl or inprore thc propcrty for thc purfnscof srhl. _1. us owncr of the propcrly. arn cxclusivcly contractirrg with liccnscd conlractors lo conslruct lhc projccl (Scc. 7(44. Busincss arrl [tofcssiotr C]odc: Thc Contr:rclor's l-iccnsc Law docs not apply to .ur owncr of propcrty who huilds or improves lhercon. an(l who conlracts ftrr such projccts with a Conlraclor(s) liccnscd pursuanl to lhc Conlractor's Liccnsc Law). _l arncxcnrt)l urrdcr Sccti<ln_. B. & P.C. Iilr lhis rcason. l )alt :Owner:_ W(IRKF'RS' COM PENSATION DECLARATION I hcrcby affirm under pcnalty of pcrjury onc of the following declarations: -l have and will maintain a Certificale of Consent to Self-lnsure for workers' compensalion. as provided for by Section 3700 of the I-abor Code. for thc performnncc of thc work for which the permit is issucd. -l havc and will nraintain workers'cornpcnsation insurance. as requircd by Section 37fi) of the Labor Codc. for thc pcrformnncc of lhc work f'or which this My workers' conrlrcnsation insurancc carricr and plicy numher arc: Policy -l certify that in the pcrformance of thc work for which this Jrcrmit is issued. I shall not employ uny frcrson in any manner so as lo bcconrc subjcct to thc workers'compcnsation laws of California. and agrce lhal if I should bccomc subjcct to thc workers' co:npcnsation provisions of Section 3700 of thc latnr Cocle. I shall. forthwith comply with those provisions.. WARNING: Fuilurc to sccurc workcrs' conrlrcnsation coverage is unlawful. and shall suhject an employcr to criminal pcnaltics and civil fincs up lo onc hundrcd lhousand dollars (SlOO.Un). in addition to thc cost of providcd for thc .Scclion 307(r of atlorncy's fccs. I hcrchy affinn urtdcr pcnalty ol'perjury thal I am liccnscd 9 (colnnrcncing with Section 7fin) of Division 3 of thc Busincss and Pmfcssions Code. und nry licensc is in full force and elfcct. [,iccnse Nurnbcr:/r/4?zt lhcrcbylffir[lundcrFnultyofpcrjurythil,nffi*-*,**,n*,*,**,,n,*"*rfonnonccofthcworkforwhichrhisIErmitis issucd (56. -1097. Civ. C.). [andc]'s Narc: l.ctttlcr's Adrlrcss: APPLICANT DECT ARA'IION I hcrchy alfirnr urrdcr pcnalty of prjury orrc ol'lhc lblkrwing dcclarations: Dcrnolit ion Pcrrnils- Asbeslos Nol ificat ion Fedcral Rcgullt ions (l'itlc 40. Part(r) -Rcquircd [.ctlcr of Notificalion -l ccrtify lhat thc fcdcralrcgulations rcgarding asbcslos rcmovalarc not applicablc to this projcct. _l ccrtify that I havc read this application and slate that lhc ahrvc inforrnalion is corrccl. I agrce to conply with all City and County abovc mcnlioned pro5rcrty for ins;rc.ction Applicnnt or Agenl I'ernrilee nanre of this City and to cnler uJxrn thc UNDER GROUND I Waste & Vent lrt < llg Dftnn fl-*Y1 Water-Under floor lt I Gas-Underf loor I lA Buildinq Sewer th '*al w 'IMUCIfst 4aQy ArealStorm Drain t I nterceptor/ Clarif ier TOP OUT I Waste & Vent l(.?41 tl D+-/ll6L Water Piping tlA-tutlr rwy? Gas Pipinq w,*vrr-"r -*9 Roof Drain I I l, Tub/Shower Test />An1a ? *l- y7 Rough Water Heater I tt POOL/SPA P-trap/Drain Line N/ain Drain/Pool Pipinq Fill Line/Back FIow Poo! Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCao Back Flow,Deviee I ..4' has4ts\ Lapvrru,)fit 1,xallt l )EPt tN,F w Hbuqh Plumbinq I Final Gas Test o DA AOt &ffi Meter Release ,,I FINAL I wa Dtfu>r Lff7VtlNotes, Remarks, Etc. a Carricr:- Date:_Contraclor: ordinances and .Statc [^aws rclating to building construction.