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Home My WebLink About30141508 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 30141508 Pin #: 96217 Project Address: 2020 N Victoria Dr Assessor's Parcel: 002-101-02 Lot NA Unit: Block: NA Bldg: Address Range. Tract: ORANGE GROVE Historic: Yes Suite Range: Zoning: Rl Owner: Address: Phone Tenant Name: Contractor: Address: Phone: Kevin Barber & Stacey Clinesmith 2020 N Victoria Drive Santa Ana, CA 92706 Burkhart Brothers Construc 12 Balboa Coves Newport Beach, CA 92663 (949) 2414182 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 01 1 16002 5777C Fee Type Cap Fixtures General Plan Update lssuance Microfilm Records Amount 7.22 22.95 57.20 3.91 Qty 2.00 1.00 1.00 1 .00 Fee $14.44 $22.9s $s7.20 $3.e1 Bstchi:52869 - LI/3/2019 ID: HGARCIA 0ffice: CTYH Trqnsi: 70 2 of 2Accti: Ref*: 3014 t 508 Rcpti :02801205 lI /3/7019 12 : 14 Ft1 Tronsoct i on Totnl t346, l8 Burlthsrt Brothers Construct ion State Lic #: 905510 Lic Type: B Bus. Lic #: 327531 Workers' Compensation I nsurance: Carrier: Security National lnsurance Company Policy #: WC 1228381 Expires: 0210112020 Generol Plnn Updote Fee Lr1 I 16trtr2- 5l6trtr0trtr- Plumb i ns (rl I 16002- 5l6tr2tttt0- 11 i crol i Im & Docuttent s 01 1 16tt02-'l777fr[t[t0- ICL Check 012950 $:54 $3.9 Building Use: Job Type: Nature of Work: Accessory Dwelling Unit-D Occupancy: Demolition Constr Type: Demo studio Code: R-3, U VB cPc 2016 Planning Conditions: Planning Approval By: Date: Plan Checked By: Date: Permit lssued By: Hernan dez, Kathy Date: 1'110512019 Subject to Field: Account# Buildins Permit #: 101 101091 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 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Demo permitted studio Fee Total Paid to Date: Balance Due: $22.95 $71.64 $3.e1 $98.50 $0.00 $98.50 lnspector MID#: 201 9-152866 PLUMBING-INSPECTOR RECORD APPROVALS DATE !D/SIG COMMENTS OWNER BUII,DF,R DEL(:ARATION I heelry aflirm under psalty of pqjury lhal I an crempl from thc ('ontraclos' l-icose [i* for the follo$ing reen (Ss.?0.11.5 Businss and Prof6sion Codc): Any City or County $'hich requirc a pmnil lo conslrucl. ahs. itnprovc &molish or rqair any shrcture. pilor to its issuancc. also requirs the applicant for such Jnmit lo filc a signcd stalsnml th.t hc or shc is licosed pursuanl to the Frovisions of thc Contraclor's Licqscd l,arv (('hapter 9. Commencing Nith Sfition ?000 of Division I of lhe Busincss and l,rofcsions Code) or that he or she is cxmpt thtrfrom 8nd thc tnsis for lhe alleg.d erqnplion. Any riolslion of Sclion 7031 .5 by any applicanl for a pemlit subjets the epplicant to a civil pâ‚¬nalty of not more than fi\,e hundred dollas ($500). , l. as 0\116 of thc Jro1rrty. or my cmptoym s'ith wags re their $le comfmsation. lvill do the $ork ild thc stnKlue is mt irrtmdcd orolfsedfoislc1Sa.7044.BusinssandProfsionsCodcr'lheContrs.lor'sI.icflsLaNdo6nolapplytoano\\rdof thc pR)peny rvho buikls or inprovs fhffirn. ud lv[k) do6 such $nrk himsclf or herslf or thrcu8h his or ho orvn cmploycc. prot i lcd that such hnpovqrents N not intodql or ollbed for $le. lf. ho*46. the b{ilding or imprcvemcnt is skl wilhin one }eo ofcomplction. the Owm lluilds wilt havc thc hrrdm of p6,ing tha he or she did not boitd or imtmrc ftc pmperty for thc purposof sle). , l. m otvne ofthc pro[Eiy. an crclusivcly contracting $'ilh licoscd contracloE lo conslrucl lhe prejccl (S(. 7G14. BNin* anll'nhsirnCotle:'l-hcContractor'sLicenscl-arvdocnotappl]'/loano\r'nsofpropcrtylrhobuildsorimprer'csthsrcn' and w.ho contracts for such pojets rvith a Conlraclo(s) licmsed puBuanl lo lhc Contraclor's Licose La\r). -,1 arn exempt unds Setion.-- - - -. --. B. & P.('. for this re6on. l)nle: Ou ner: \\'o RK ERS' ('( )ll I'l,.Ns,\'l'l()N Dli('l,,tll,\ l'l()N I Icrc[t nl-fir'ttt r.ln(lcr l]ctlah\'()f'ptlitlr]'()llc ()l lhc l6llo5 ilg tlcclittitli(\tls: _l have a1d rvill maintain a Certificate of Consent to Self-lnsure for rvorkers' compensalion, as provided for by Se'ction ^1700 of the Labor Code. for the perfonnance of the work for u'hich the perrrrit is issued. _ I have and g,ill maintain workers' compensation insurance. as required by Section -1700 of the Labor Code. for the performance of the work for rvhich this perrnit is issued. My rvorkcts' cornpensation insurance calrier and plicy numkr are: Policv Number:l rpir cs _l certify that in the performance of the work for rvhich this perrnit is issued. I shall not employ any person in any manner so as to become subjeci ro the workâ‚¬rs' compalsation lau's of California. and agree that if I should become subject to the \\,orkers' comperuaiion provisions of Section -1700 of the Labor Code. I shall. forths'ith comply with thosc provisions.. WARNING: Failure to secure workers' comFrensation coverage is unlarvful. and shall subject an to crirninal penalties and civil l'rnes up to one hundred thousand dollars ($100.000). in as provided for the Section 1076 of the l.abor Code. interest and altorney's I hereby affirm under penahy of perjury that I am licensed of Chapter 9 (commencing with Section 7000) of Division -1 of the Business and Professions Code. and my license is in full force and effect. License Class:-License I)itIt' CONS'I'RUC]1ON I,ENDING AGENCY I hachy aflinn under FEnalty ofpsjury lhat th* i" . "onrt..tiun Lndin! agqcy for thc psftrnnance ofthe rvork for rvhich dris Jurnit is issued (Sc. -1097. ('i\'. C.). I.ender's Address: APPLICANT DECLARATION I hoEby affinn undcr penalty of perjury one of the follorving declarat ions: Demolition Permits-Asbestos Notification Federal Regulations ('l'itle 40. Part6) -_-Required Letter of Notilication _l cerri$, that the ferjeral regulations rcgarding asbestos removal are not applicable to this projeo. - I cerrify that I have read this application and state that the above is correct. I agree to comply with all City and County theordinances and State Las's relating to building of this City and County to enter upon above mentioned propefly for inspection Applicnnt or Agent l'crlttilt'c UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ Cla rifier TOP OUT Waste & Vent Water Piping Gas Pipinq Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool HeaterlGas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitarv Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Release ^ll fln o {A FINAL l;/IK In Dete:_ ) ( J ftâ‚¬,z V,lNtll,t&l4w Notes, Remarks, Etc.