HomeMy WebLinkAbout30243223 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 3O243223
Pin #: 30887
Proiect Address: 313 E Pine Sta
Assessor's Parcel: 404-093-19 Lot: 1
Unit: 1
Block: NA
Bldg: Address Range:
Tract: 11772 Historic: No
Suite Range:
Zoning: R3
Owner:
Address:
Phone:
Tenant Name:
Contractor.
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
f,olicy #:
Expires:
Ceres lnvestment Group LLC
23 Endless Vista
Aliso Viejo, CA 92656
(e4e) 370-7366
01 1 16002 51602
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type Amount Qty Fee
Wtr Htr (Res up to 50 ge 23.97 1.00 $23.97
Penalty 261.96 1.00 $261.96
General Plan Update 23.79 1.00 $23.79
lssuance 59.30 1.00 $59.30
Microfilm Records 4.05 1.00 $4.05
Bntch*:5? 4i4 6,t7 /',:t:t?I ID: tL I ZAP,iTl.ffiffice: (:TYH Tr'nns*: 19 1 ct{'3Arrrrt*: Ftef *: :it.t:?4:5:j:13
ftr-rit*:t.t33144(16 6/7/71-t'i1 1tt l1? AH
Tronso,rtion Tr:t,nl $1r34'/,4';l
C:eres Investment 6roup LL(:
Genernl Plqn Updote Fee
01116002- 516tr00tr0-
Il icrof i lm & Documents
fil 1 16002- ?-,777tt0tr0-
Plumb i ns
trl I 160(12- 516tr2trtilJ-
V iso
C(:+ : r*rr**r r*r xx2228
t23 .79
t4 . tls
$3{5.23
t1r3{7.42
Authl:655322
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
N/V-Water Heater Code.
Guevara, Jerry
R-1
VB
cPc 2019 Notes: Replacement of water heater inside unit. Owner form
on file.
Zuniga,
Date:
Date:
Date.Ailissav
05t24t2021
06t07 t2021
Account#
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
Total
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 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
$23 7e
$345.23
$4 0s
Fee Totat
Paid to Date.
Balance Due:
$373 07
$0 00
$373.07
lnspector MtD#' 2021-166335
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I
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWilER BUILDER DEI,CARATION
I hmby affm undo parahy of pojury thar t m qmpt &om thc Contraclon' Licry [:w for tbc followhg ren (Sc.7031.5
Buinas ed Profesion Corlc): Any City or County which rcquiro a pcmit to ooltruct, altc, imprcvc danolish or rcpair uy
structurgprbrtoits issmcc,alsorcquiuthcqplimtforsuchFrmiltofilcssigncdstatmat thallEorshcblicascd pumat
to thc prcvbioa of thc Contnctor's Liccnsod Lrw (Chapta 9. Comming with Sctiotr 7000 of Divisba 3 of thc BBire ud
Profsiom Co&) or that hc or shc b qmF thsc&om ud thc bais for thc .llcgcd qadion. Any violaioa of Sctbo 703 I .5 b,y ey
applicut for a pamit subjct thc appli@t to 8 civil pcodty of mt mrc the fivc hudrod dolln (3500).
-1,
I om6 of thc prcpaty, or my mplole with wsg6 I thch $lc @mpcnsarion. wil do thc wort ed 0E stnElrc i! rct
inrsdcd or offcrcd for sle (Sc.7044. Buire md Pr.ofeiou Codei Thc Conllelor's Licre lrw doq mt eply to I om6 of
thc propqty who buil& or iryroE thspn ad who dos uclr mrt hiruclf or helf or thrcugh hi! fi h6 om mplo)€rc
ppvidcd tlul $ch imprcvcncas rc rct intodod q oftrd br sk lf, how, thc hrildiry or inprowmt ic old withir m )6
of onplebn, th. OlvE Buikta vill harc tli hdo of poviog dra hc or shc dil not hrib or irryorc thc popqty br thc prpqc of
sh).
-1,
ns owner of the prop€rty. arn exclusively contracting with licensed to construct the projcct (Sec. 7044. Buiness
builds or improvcs ther@n.and Pnofession Codc: The Contraclor's License Law docs not of proffiy who
and who contracts for such projects with a Contracto(s)to the Contractor's License l-aw).
_l am exempt undcr B.reason.
\
I hereby affrm undcr penalty of pcrjury one
-l
have and will maintain a Centificate of Consent r for workers' compcosdion, as providod for by Soction 3700 of the
b issued.Labor Code, for the pcrformancc of thc work for which the
_l have and will maintain workeni' compcruiation insurance, as requircd by Section 3700 of the Labor Code. for the pcrformance of
the work for which this permit is issued My workcrs' compensation insurancc carrier and policy numh are:
Policy Number: Expires:
-l
certi& that in the performance of the work for which this permit is issued, I shaff not ernploy any person in any manner
if I should become subject to the
comply wilh those provisions.. .
U
a
so asto become subject to the workers'comp€nsation laws of California, and
workers' compcnsation provisions of Seclion 3700 of the l-abor Code
WARNING: Failure to secure workers'
civil frnes up to one hundred thousand
and shall subject an cmployer to crirninal panalties and
to the cost of compensation, damages as provided for the
I hereby affinn under penalty of perjury that I am of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in and effect.
License Class: Liceuse Numbcr:
l)oto'
I
W
I hwby affm uda pdBlty of pGjury thar th@ b s mnstrucriotr lcoding agocy for thc pqfomcc of thc mrl fur which this Fmit b
isucd (Sc. 3097. Civ. C.).
Lender's Name:
[.cndcr's Address:
APPLIqdNT DECLARATION
I herl*,yaffirm undcr pcnalty of perjury one of the following declarations:
Dcmo lit ion Permits- Asbcstos Noti licat ion Federal Regulat ions Part6)
-Required
lSter of Notification
-her,iry
that the fcderal regulations are not applicable to this project.
thc
above mentioned property for
Applicant or Agent
Permitee name
to
*,", dTfll
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipins
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
Fina! Gas Test ,A-tl q
Meter Release - llr4 ,?A WD *
F!NAL 7r -I,/Tt tT C ,1 dL/
NotBs,, Remarks, Etq.I I
^,1 ?./rrKlzt(il-f-D*>x /lr I
Carrier:-
Section 3076 Labor Code intercst and
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