Loading...
HomeMy WebLinkAbout30142706 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing PermitCounter: (714)647-5800 lnspection Requests: (7'14)667-2738 InspectorSection: (714)647-5853 Permit #: 3O1427OG Pin #: E732I5 Project Address: 2639 N Oakmont Avea Assessor's Parcel: 396413-01 Lot: 48 Unit: Block: NA Bldg: Tract: 4226 Address Range: Historic: No Suite Range: Zoning: R1 Owner: Address: Corrine McDonald 2639 Oakmont Ave Santa Ana, CA 927056743 (7141469-8768 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Sink Dishwasher Garbage Disp Genera! Plan Update I ssuance Microfilm Records Amount 13.68 12.90 1 1.49 23.79 59.30 4.05 Qty 1.00 1.00 1.00 1.00 1.00 1.00 Fee $13.68 $12.90 $1 1.49 $23.7e $s9.30 $4 05 Phone: Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: , Building Use: Single Family Dwelling Job Type. Alteration : Nature of Work: Kitchen remodel Planning Conditions: Occupancy: Constr Type Code: R-3 VB cPc 2019 Planning Approval By: Date: Plan Checked By: Date: Permit lssued By: Chavez, Dave Date: 0110412021 Subject to Field: n{-, Account# Buirdins Permit #: 1 01104212 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. Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Plumbing for kitchen remodel Fee Tota!: Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 s1602 01 1 16002 57770 $23.7e $e7.37 $4.05 $125.21 $0.00 $125.21 lnspector MID#: 2020-1 60499 PLUMBI NG.INSPECTOR RECORD APPROVALS , DATE ID/SIG..,\COMMENTS OWNER BUILDER DEI,CANATION I hqdry affm urd6 pcnalty of pqjury thd I m scmpt from thc Contraclm' Licmc lrw br thc following ron (Sc.7031.5 Buincs rnd Profeion Codc): Any City or Couty which rcquiro a pcmit to oNtruct. altc. imprcvg damtirh or rpoh uy struclure, fior to its irs|mq de rcquiG thc applicet for such pmil to filc I ligtEd 3tatm6t thd hc or drc b licaucd pman to thc prcvisios of thc Coilretor's Licmscd hw (Chaptfi 9, Comacing with Sctiotr 7000 of Divisioo 3 of thc Buirc md Prcfsiom Codc) or that hc or slE b q@pt th@&om md thc bosis for thc allcgcd amption. Any violation of Scrim 7031.5 by my applicet for a pqmit subjcts the applicut to I civil pcnalty of mt mrc thm fivc hundrcd dollm ($500). (1[], r omr of thc propary, or my mplo]6 with wsge a thcir mlc ompcruaion. will do 0E wort ad thc drudw b mt -iDlad€d fi offqcd fc salc (Se.7044, Buine ud hoftssiore Code Thc Coilraclor's Licm taw &c not apply to e om6 of thc poFty who tuilds or irryoE thqan ad who ds sh mrt hiMlf or h@lf or thmugh his or hc om mplolcs, providcd that such improEmts rc mt intqdrd or offqod 6r ub. Iq hw. tlE tuildi!8 or imprcvmt is $U within mc )qr of corylrbn, tlrc Owna Buildq will harc thc hrda of poving th* hc c sllc dirl mt build or imForc thc FoFty br th. Frpos of sb). -1, s owq of thc Fopqty, m cxcluivcly corilrscling whh licos€d coilrrcto8 to @nstruct thc Fojcr (Sc. 7044. &tsinB ard Pofoskn Corlc: Thc Coilrator's Licmc Law dos not apply to e oms of Fopaty who builds or impmB tb6oD, sd who ontncts fu such FojE{s with 8 Codrrcto(s) licascd pmudtr to rhc Contrelor's Liw Lrw). _l arn l P.C.. for this rcason. DECLARATION I hereby affirm under penalty of po'jury one of thc following declarations: _l have and will maintain a Certificate of Consent to Self-lnsure for workers' compmsation. as provided for by Soction 3700 of thc Labor Code. for the performance of the work for which the perrnil is issued. _l have and will maintain workers' compcnsation insurance. as requircd by Section 3700 of the l-abor Code, for the pcrformance of the work for which this permit is issuod. My workers' compensiilion insurance carrier and policy numbcr are: Policy CtL , certiry that in the performance of the work for which this permit is issued. I shall not cmploy any person in any manner so ns to become subject to the workers'compcnsation laws of California, and agree that if I should become subject to thc workers' compensation provisions of Section 3700 of the l-abor Code I shall, forthwith comply with thosc provisions.. WARNING: Failure to secure workers' compensalion coverage is unlawful. and shall subject an cmployer lo criminal pcnalties and civil fines up to one hundred thousand dollars ($100,000),in addition to thc cost of compensation.as providcd for the Section 3076 interest and attorney's fees. a DECI.ARATION I hereby aflirm under penalty of perjury that I am licensod under provision of Chapter 9 (comrnencing with Section 7000) of Division 3 of the Business and Professions Code, and my liccnse is in full force and effect. ' .t Licerue Class: Liccnse Numbcr: flo la. CONSTRUCTION LENDINC AGENCY I hrcby affrm under p€nalty of pqjury lhat th6e is a @ns1ruc1ion lmding agocy for thc pafommcc of the work for which this p6mit is isucd (Se. 3097, Civ. C.). Lender's Name: lrnder's Address: I hoeby affinn under penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6) -Required Letter of Notification _l certi$ that the lHeral regulations regarding asbestos removal are not applicable to this project. and state that the above information is correct. I with all City and County construction, and and to enter upon thc above mentioned prop€rty for inspection Applicant or Agent .( Permilee nanre N q LI UNDER GROUND lr nl Waste & Vent \ta 1/t I fill.^ ^,,,rillfl,l Water-Under floor I rt ,"- I ttwtu,'ilv Gas-Underfloor t Building Sewer Area/Storm Drain I nterceptor/ CIa 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 Flll Line/Back FIow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCao Back Flow Device l^0t /-, Roush Plumbinq tl , d rs6 Final Gas Test Meter Release FINAL b"rP4, Notes, Remarks, Etc. .B l ContrRclor: