HomeMy WebLinkAbout30143302 - PermitL
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City 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 #: 30143302
Pin #: 5{ 124
Project Address: 1405 S Douglas St Unit:
Block: NA
Bldg:
Tract: 2069
Address Range:
Historic: No
Suite Range:
Zoning: Rl
*/4./f
Assessor's Parcel: 109-312-06 Lot: 10
Owner:
Address:
Phone:
Tenant Name:
Contractor.
Address:
Phone:
DE LA RIVA ESTER
1405 S DOUGLAS ST
Santa Ana, CA 92760
(7141 274-503s
Awhap Acquistion Corp
28358 Constellation Rd
Valencia, CA 91355
(888) 611 4328
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type Amount
Wtr Htr (Res up to 50 ge 23.97
General Plan Update 23.19
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
1 .00
1 .00
1.00
Fee
$23.e7
$23.7e
$se.30
$4.05
State Lic #: 1066584
Lic Type: C-36
Bus. Lic #: 377108
Workers' Compensation I nsurance:Carrier: lns Co of the West
Policy #: WPH50S635300
Expires: 0710812021
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Plumbing
web_user 06t29t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes. Plumbing
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
N/A
N/A
No Balance
No Balance
$1 1 1.1
$1 1 1.1
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance , or if the work authorized on the site by such permit rs suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-167 146
ru
APPROVALS DATE ID/S!G.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building 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 Pipins
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release I
FINAL z/nbt JiltA #a
Notes Etc.
I hqcby affm unda pcrulty of pcrjury that I m qmpt ftom thc Contrsdots' Licre hw for thc followiog lwtr (Se.7031.5
Bwins and Prof6sion Codc): Any City or County which rcquirc a pcmit to @Nlruct. altq. improvc. danolish or rcpoir uy
structuc, prbr to its ismcc. also requic thc +plicet for sch pqrdt to file I signod stdmat tha hc or shc b licqBcd puman
to thc prcvisioro of thc Contrmror's Liccnscd Law (Chapt6 9. Comcrcing with Sction 7fi)0 of Divisioo 3 of thc Bwins ud
Prcfsiom Codc) or rhat hr or shc is qmpt th@from md the bssis for rhc allqcd cxmption. Any violalion of Scction 7031.5 by ey
applicmt for a pqrnit subjcts thc spplicut to 8 civil pcralty of oot morc the fivc hundrcd dollrs ($500).
_1. as owner of the property. or my employces with wages as their sole cornpensation. will do the work and the structure is not
intendcd or offered for sale (Sec.7044. Business and hofessions Code: The Contraclor's License Law does not apply to an owner of
the properry who btrilds or improves therqrn. and who does such wort himself or herself or through his or her own employees.
provided that such improvonents are not intendod or oflered for sale. If. howwer, thc building or improvement is sold within one year
of completion, the Orvner Builder will have the burden of proving tha he or she did not hrild or improve the propcrty for thc purpose of
sale).
_1. as owner of the property. am exclusivcly contracting with licerued contractors to construct the projea (Sec. 7044. Bwincss
and Professbn Code: The Contractor's Liccnse Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projeos with a Contracto(s) licersed pursuant to the Contractor's License l-aw).
_l am cxempt under Section-. B. & P.C. for this reason.
O*ner'
WORKERS' COMPENSAT
DECLARATION
I hereby affirm under panalty of po'jury onc of the following declarations:
-.l
have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section -3700 of the
l-abor Code. for the performance of thc work for which the perrnit is issued.
_l have and will maintain workers' compcnsation insurance. as required by Scction 3700 of the tabor Codc. for the performancc of
the rvork for which this p,ermit is issuod My workers' compensation insurance carricr and policy number are:
Policy Number: Expires:
_l certi& that in the performance of thc work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the workers' compcns*ion laws of California, and agrec that if I should become subjcct to the
workers' compensation provisions of Section 3700 of the labor Code, I shall. forthwilh comply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal penaltics and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as providcd for the
Section 3076 of the l-abor Code. intcrcst and attorncy's fecs.
Date: Applicent:
LTCENSED CONTRACTOR
DECI.,ARATION
I hercby affrrm under penalty of perjury that I am licensed under provision of Chapto 9 (commencing with Sec'tion 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
W
I hqcty affimunds paaltyof pajurythrt the b a @lsnrclbo kndilg sgtry for thcpqfom ofthcwrl br whbhthB pqnit b
isucd (Se. 3097, Civ. C.).
License Class: License Number:
Lcodcr's Name:
l'rrtrrilcc trdilrc (prinl):
Lcndcr's Address:
APPLICANT DECLARATION
I hotby affrrm under penalty of perjury one of the following declarations:
Demolition Perrnits-Asbestos Notification Fcdet'al Regulations (Title 40. Part6)
-Required
Letter of Notification
-l
cdiry tbd thc fcd6d rcgulatiom rcgrding ubctos @val e trot eplioblc to thb projct.
-l
cdiry rhd I havc Hd thb spplic.tiotr ad statc thrt thc abovc infomdioo is orer. t agrc to ompty with all City 8td County
oditlarc and Stsrc tis rclairg to buiuing oErrucriotl ad hqrby authoria rcprstaive of this City ud Couty to otc upotr thc
abovc MtiotrGd propdy for iropc-tion prrpos
Applicant or Agent l)alc.
PLUM BING.INSPEGTOR RECORD
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