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Home My WebLink About30141495 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 3O141495 Pin #:38e6tl Project Address: 2800 N Main St Assessor's Parcel: 111-111-11 Lot: 1 Unit: 904 Block: NA Bldg: Address Range: 2gOO-2ggO Tract: RESUB OF SHAFEFI-I|SIOr|C: No Suite Range: Zoning: C2 Owner: Address: Contractor: Address: Phone: Phone: Tenant Name: La Mia Pasta House Of Sportsmen lnc 1432 SANTA FE DR Tustin, CA 927806417 Meier Plumbing lnc 17432 E Santa Clara Avenue Santa Ana, CA 92705 (7141 50s-1955 01 1 16002 51602 01 1 16002 53602 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 01 1 16002 5777C Fee Type Amount GreaseM/aste lntercept, 39.03 PIC - 650/o 0.65 Min Fee Adj 33.32 General Plan Update 22.95 lssuance 57.20 Microfilm Records 3.91 Qty 1.00 39.03 1.00 1.00 1.00 1.00 Fee $3e 03 $2s.37 $33.32 $22.e5 $s7.20 $3.e1 State Lic #: 886309 Lic.Type: C-36, C-34 Bus. Lic #: 18329 Workers' Compensation lnsurance.Carrier: EVEREST PREMIER INSURANCE COMPANY Policy #: 7G00019906191 Expires: 0110112020 Botch+:53196 Ll/27 / 2019 ID:0ffice: CTYH Transi: 83Accti: Ref*: 3t-t: Rcpti:02814962 Ll/27/2tr19 2t Tronsoct i on Toto1 S15t I'leier Plumbing Inc Grease lnterceptor - hydro-mechanical grease interceptor Building Use: Commercial Job Type. Miscellaneous Nature of Work. Grease lnterceptor Planning Conditions: lnterior ti only Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: 'Building Permit #: Soto, Ricardo ffi:T;:ry 10t31t2019 11t26t2019 111271201 9 Account# Misc. Receipt: 73714 Misc. Receipt: Misc. Receipt: Total Notes: F'ee Total Paid to Date: Balance Due: Occupancy: Constr Type: Code: Date: Date: Date: B II B, SPK cPc 2016 Every permit rssued 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 site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $22.95 $129.s5 $3.e1 $181 .78 $25.37 $156.41 lnspector MID#: 201 9-155579 PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCANATION I hcrcby affrm undcr Jrcmlty of pcrjury that I m cxempt frcm thâ‚¬ Contrrctom' Liens lrw for the following rcaon (Sc.70.11.5 Busincss and Pmfcssion Codc): Any City or County whhh rcquircs a Jrmit to onstruct. alte. inprorc. dcmlish or rc;nir any struclre. prbr to ils issusre, dm rcAuires thâ‚¬ spplicant for such pcmil k, filc 8 sigrcd ststcmnt thar he or slE is liensd pusoil lo thc pmvisions of thc ContEctd's Li(tned lrw (Chapter 9. Comreming with Sslion 70il) of Division 3 of thc Busircss and Pofessions Codc) or that hc m she is excmpt thcrcfrom and thc basis for thc slhgcd cxcn{rtbn. Any violstion of Setbn 7031.5 by rny applicanl for r tEmit subjets thc rpplicul to a civil pcnalty of mt mrc than fire hundrcd dollils ($50O). -1. as owrrcr of thc propcrly. or my emplo)rces with wagcs as thcir solc conqrcnsation. willdo the work and thc structurc ls nol intcndcd or offcred for sale (Sec.7M4. Business and Profcssions Code: The Conlractor's Liccnse [-aw does not apply to an owncr of the proSrcrty who builds or improves thermn. and who docs such work himsclf or hcrsclf or lhrough his or her own employccs. providcd lhsl such improvenrnls are not intended or offcrcd for salc. lf. howevcr. the huilding or improvenrnt is sold within one )car of complction. thc Owner Buildcr will have the bl.rdcn of proving lhat hc or she did not build or inrprove the propo'ly ftrr the pur;nsc of sah). -1. as owncr of thc property. am exclusively contracting with liccnscd conlraclors lo construct lhe projcct (Sec. 7M4. Business and Profcssion Codc: Thc Contraclor's License Law does not apply to an owncr of property who builds or improves thercon. and who conlracls for such projects with a Contractor(s) liccnsed pursuant to thc Conlraclor's License Law). -l am exempt undcr Scction_. B. & P.C. for lhis rcason. Dete:_( )rr ner WORKERS' CODIPFNS ATTON DECLAITATION I hereby affirm undcr Jrcnalty of pcrjury one of thc following declarations: -l have and will mainlain a Certificate of Consent to Self-lnsurc for workcrs' compcnsation. as pmvidcd for by Section 37fi) of the Labor Codc. for thc pcrformtnce of thc work for which the pcrmit ls issucd. -l havc and will maintain workers'comFrcnsation insurancc. as required by Scction.iTfi) of thc Labor Code. for thc Jrcrformancc of thc work lirr u'hich this ;rcrrrrit is issucd. My workcrs' cornpcnsation irrsurlncc carricr ard prlicy nurnbcr arc: \ Svqes{ Prcnier lrtsvrcnrc eCurricr: Policy ol-ol -2v70 -l ccrtity thal in thc pcrformance of the work for which this pcrnrit is issuctl. I shull not crnploy any pcrson in any mrnncr so as to hccome subjcct lo thc workcrs' compensati<ln laws of California. and agrcc lhat if I should bcconrc suhjc"ct to thc w<lrkcrs' compcnsation provisions of Section 3700 of thc t ahr Code. I shall. t'oflhwith conrply with those provisions.. WARNIN(l: Failurc to sccurc workers' comJrcnsation coveragc is unluwlul. and shall subiccl an crnploycr to crinrinal Jrrraltics and civil fincs up to one hundrcd thousand dollars in addition to lhc co$ of compensation. damages as provided for thc Scction 3076 of thc l-atnr Ccxlc. interest and ,r.", 4- L'l'l? DECII\RATION I hereby affirm under pnalty of pcrjury that I am licensed under provision of Chapter 9 (comnrcncing with Sc.ction 7m0) of Division 3 of the Business and Profcssions Code. and my lhense Ls in full force and effect. Liccnsc Nurnhcr: W I hmby alfrm undcr JEmlty of Frjury that thm is s snstruction hndirg rgcncy for thc pcrfomcc of the work for which this Frmit [i issucd (SE. 3(x)7, Civ. C.). Lrndcr's Nrlnc: lrndcr's Addrcss: APPLICATTT DF'CLARATION I Mryaffrmunder penalty of perjury one of the following declarations: Dcmolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6) -Requ ircd lrt tcr of Notifrcation -l ccrtify that lhe fedcral regulations rcgarding asbcstos removalarc nol applicablc to this projcct. with all City and County and County to cntcr ugrn thc alxrvc rncnlioncd propcrty l'or Aplllicanl or Agtnl I)rrnrilct' nnnrr 5 J)olo.//-Z?-rq UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer ArealStorm Drain I nterceptor/ CIarif ier 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 Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back FIow Device Rough Plumbing Final Gas Test Meter Release FINAL /lz-/ar //c%,,r Notes, Remarks, Etc. -l 7 l)ate://-2? -/c7