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Home My WebLink About30141590 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing Permit #: 3O141590 Pin #: 36271PermitCounter: (7141647-5800 lnspection Requests: (714\667-2738 lnspector Section: (714)647-5853 Proiect Address: 1426 S Van Ness Avea Assessor's Parcel: 013-133-18 Lot: 7 Unit: Block: 20 Bldg: Tract: 352 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address. Phone Tenant Name: Contractor: Address: Phone Alicia Hernandez 1426 S VAN NESS AVE Santa Ana, CA 927071638 (7141 82s-032s lnter-City Energy Systems, I 1175 N DEL RIO PLACE Ontario, CA 91764 (562) 777 -1142 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Amount Wtr Htr (Res up to 50 gi 23.12 General Plan Update 22.95 lssuance 57.20 Microfilm Records 3.91 Qty 1 .00 1.00 1.00 1.00 Fee $23 12 $22 es $57 20 $3.91 Bolch*:53123 LT/2T/2il19 ID: NGARCI Ofl i ce: CTYH Trnnsi: 35 3 ofAcct*: Ref*: 301415?rr Rcpt*:02811133 LI/21/2fr19 11:05 Al1 Tronsact i on Totol t563. g4 Inter-C: its Enersy 5yste,ilsr Inc State Lic #: 587709 Lic Type: C-36, B, C-10, C-20, HIC Bus. Lic #: 199981 Workers' Compensation lnsurance:Carrier. Zurich American lns Co Policy #: WC03816460 Expires: 0710112020 Notes:Water heater change out. t22.5 tS[t. : $3. t (1563 , I Auth*: tr5312D . Building Use: . Job Type: Nature of Work. Other Miscellaneous Water Heater Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cPc 2016 Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: 1112112019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Chavez, Dave 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 after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $22.95 $80.32 $3 e1 Fee Total: Paid to Date: Balance Due: $1 07.1 B $0 00 $107.18 lnspector MtD#. 2019-156038 PLUM BING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILDER DEI.CARATION I hercby aflirm under Fnrlty of tEtiury that I m exempt frcm thc Contrrctor' Licenrc Law for the following rcarcn (Sec.7031.5 Busincss and hofcssion Code): Any City or County which rcluircs a lmit lo mnstruct, slter, imprcvc, dcmlish or rquir my structurc. Firr to its issuance. also rcquircs thc spJrlicant for such [Emit to filc a signcd statercnt that lE or shc is lien${ puNant to the pmvisions of thc Contnctor's Liensd lrw (Chaptq 9. Commrcing with S$tion 7000 of Division 3 of tlE Busiress and PmfessionsCodc)orthstlEorshciscrcmptlhscfromandthcbcsisfortherlhgcdcxemption. AnyviohtionofSelknT03l.5bytny applicant for a lErmit subtTts the applicant to r civil pcnalty of not mrc thun fivc hundrcd dollus ($500). -1. as owner of thc prof,crty. or my employees with wagcs as their sole compcnstrlion. willdo llrc work and the strrcturc is nol intendcd or offered for sale (Scr.7O44. Busincss and Pnrfessions Codc: The Contraclor's Liccnse law does not apply to an owner of thc proJrrty who builds or in{,mvcs thcrf,rrn. and who drrcs such work hinrself or hcrself or thmugh his or her own cmployecs. providcd lhat such improvcrncnts are not intendcd oroffcrcd for sale. lf, however. the huilding or irprovenrcnt is sold within onc year of completion thc Owner Builder will havc the burdcn of proving that hc or she ditl not build or in{novc thc proprty for lhe purpsc of salc). -1. as owner of thc properly. am exclusivcly contracting with liccnsed contraclors to construct thc propct (Sec. 7W1. Busincss and h,ohssion Codc: The Contractor's License Law docs not apply to an owncr of property who builds or improves thereon, and who contrdcts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's Liccnsc Law). -lamcxemptunderSection-.B.&P.C.forthisrcason.Date: Owner: W0RKERS, Coilt pENSATION DECLARATION I hcreby affirm under pcnalty of pcrjury onc of thc following dcclarations: -l have and will maintain a Certifrcate of Consent lo Self-lnsurc for workers' comlrcnsation. as povidcd for by Section 3700 of the l^abor Codc. for the performance of the work for which the permit ls issucd. -l have and will ntaintain workcrs' contpensalion insurancc. as rcquircd by .Scctiolr 37fi) of thc Lahor Codc. for lhc Jrcrfornrancc o[ thc work ltrr this Jrermit is issucd.compensation insuruncc carricr rud plicy numbcr are: Policy -l ccrtify that in the lrcrformarrc of thc work for which this Jrcrmit is issucd. I shall not cmploy any Frcrson in any manncr so as to bccome suhject to thc workcrs' cornpensalion laws of California. and agrce that if I should become subject to thc workers' compcnsation provisions of Section 3700 of the L:bor Code. I shall. forthwith comply with thosc pmvisions.. WARNING: Failurc lo sccure workers'compcnsation covcrilgc is unlawful. und shall suhjcct an enrployer to criminal grcnalties and civil fincs up to one to thc cosl <lf cornpcnsalion. damages as provided for thc .Scction J07(r ot'Lahrr and allrlrncy's DECLARATION I hcrcby alllrnr utttlcr pcnalty of pcrjury that I artt liccrtscd unclcr provision ol'C'haptcr 9 (conrnrcrrcirrg with Scction 7(Xn) oi'.Division .l of thc Busincss and Profcssions Codc. arxl rny licensc is in full lbrcc and clfcct. [,iccnse ))o ('oltlr:rclor. C(TNSTRUCTION LENDING AGENCY I hcrcby allirnr undcr Jrnally of Frjury thd ths.' is a conslruction hnding agcncy for thc pcrfornuncc of lhc *ork for which this Jrrnlit is issucd (Scc. .1097. Civ. C.). lrndcr's Namc: kndcr's Addrcss: APPI ICANT DT'CLARATION I hereby affrrn undcr penalty of prjury one of thc following declarations: Dermlition Permits-Asbestos Notification Fedcral Rcgulations (Title 40, Part6) -Requircd lctter of Notification rcnxrvalarc nol applicablc lo this projcct. is correct. I agrcc to comply with all City and County rcprescntativcs <lf this City and ahove rrcnliorrcd property for Applicant or Agent Pernrilee n$me ahrvc cnlcr lhc UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer ArealStorm Drain I nterceptor/ C !arif 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 Piplnq Fill Line/Back Flow Pool Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbing Final Gas Test Meter Release I FINAL ///, /7.o .'Wffi n Notes, Remarks, Etc.{-- lu Expires: - #-ApJrlicant: arrd Statc l-aws _l a LEV