HomeMy WebLinkAbout30142847 - PermitProject Address: 21 14 1/2 S Gedar St
Assessor's Parcel: 016-213-01 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 30142E,47
Pin #: 28U^72
Owner:
Address:
Phone:
Sergio Romero
309 W Juniper Ave
Santa Ana, CA 92707
(7141 381-7085
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 600
51 602
57770
Fee Type
Water Closet
Shower
Sink
Clothes Washer
Dishwasher
Garbage Disp
New Sewer (First 100')
Gas System 1-4
Tankless Water Heater
Water Piping (Each 100
Primary/Secondary Roo
Hose Bibb
General Pla'n tJpdblg, , ',,'
lssuance ..'; 't :
Microfilm Recordq ii. r , ,
Amount
15.32
23.97
13.68
15.05
12.90
11 .49
69.59
47.95
70.64
47.95
47.95
16.67
,1.,1 23'r7g
.-.. t I .l
'; '! ' 59.',30
'1.:.' , 4.05
Qty
2.00
2.00
3.00
1 .00
1 .00
1.00
1.00
1.00
1.00
1.00
1.00
100
1.00
1.00
1.00
Fee
$30 64
$47.94
$41.04
$1s.05
$12.90
$11.49
$6e.59
$47.95
$70.64
$47.95
$47.95
$16.67
$23.7e
$5e.30
$4.05a
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Accessory Dwelling Unit-D Occupancy:
New Constr Type
ADU Code:
, Julie
64
Date:
Date:
Date:
011041
R-3
VB
cPc 2019
02t23t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes. Plumbing for ADU
Fee Tota!:
Paid to Date:
Balance Due:
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-1 60266
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23.79
$st 9.1 1
$4.0s
$546.95
$0.00
$546.95
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DEICARATION
I hoetry affim urd6 paslty of pqjury that I m qcnrfl tom thc Contrrcton' Lic@ Iff for thc followiog rcn (Se.7031.5
Buins ard Pmftseioo Codr): Any Cty or Couily which rcquire a pcmit to @Btruct, alts, inprcvc daplish or ttpair uy'
$rucruc,Fbrtoit3 islrc.ahoroquicthc@liffitforsuchpcnittofilcasigncdltrtaat thrch.sshcblimcd pmam
to thc Fovisiorc of $. Contre{or's Licmscd Law (Chapa 9, Commhg with Sclbtr 7000 of Division 3 of thc Bosirs ed
Prcfeiom Codc) or thst hc or shc is smpt thac&on od thc bsis for thc allcacd aopion. Atry violatior of Sctbn 703 I .5 by ey
applicot for a pqmit subjets thc applimt to E civil pmlty of not morc the fivc hundrcd dollars (5500).
g-t|gs oma of thc pmpcty. or my mploye wirh wag6 a thcir slc @mpddion wilt do th. wort ed thc ltudw b Dt
htqdcd or offctcd for sslc (Sc.7044, Buins md Proft*riore Codc: Thc Cotrtrrctor'3 Lice Lrw do6 trot spply to m ous of
thc prcpqry who builds G itrprcB tluur1 md who doe sdr w* hirclf or h@lf or thrcugh his or k ow mploy*,
providcd tha such imFovqE[s m mt inadGd or oftmd for $.h" If, how, thc hdldirB or iqrovaEd b mld within orc )a
ofompLrbn thcovn6Buildawillharcthch[daofproviagthehcordrdilmthrfiorinprcwthcpopctybrttcprpo.sof
sb).
_1, as owner of thc propcrty, am exclusively contracling with licersed contracton to construct thc project (Sec. 7044, Btsincss
and Prlofcssion Code: The Contractor's Licensc Law does not apply to an owner of property who builds or improves thcrcon,
and who contracts for such projects wilh a Contracto(s) licerued pursuant to the Contractor's Licerue l-aw).
-l
arn exempt under Section-, B. & P.C. for this reason.
o",", ?-- 27 - ?- I Owner;Qt.zt\o l(o oa-.a/ a
DECLARATION
of the following declarations:I hcreby affrrm under pendty of pojury one
-l
have and will maintain a Ccrtificatc of Conscnt to Self-Insure for workcni' compsuation, 8s providcd for by Scction 3700 ofthe
I-abor Code for the performance of the work for which the pernit is issued.
_l have and will maintain workcrs' compcruation insurance. as requird by Section 3700 of the labor Code, for the performancc of
the work for which this p,ermit is issued. My workers' compensation insurance carrier and policy numkr are:
Carrier:
Policy a
1-Lr*iS that in the performance of the work for which this permit is issucd. I shall not cmploy any person in any manner
so as to become subject to the wort€rs' compflsation laws of California, and agree that if I should become subject to thc
workers' compensation provisioru of Section 3700 ofthe l-abor Code, I shall, forthwith comply with those provisions..t
WARNING: Failure to secure workers' compcnsation coverage is unlawful, and shall subject an anploycr to criminal penahics utd
civil fines up to one hundned thousand dollars ($100,000), in addition to the cost of compensation, damage alr provided for the
Section 3076 of the l-abor Code, interest and dtorn€y's fe6.
I herebyaffrmunder 3
of the Business and Professions Codc. and my license is in full force and cffect.
Liccnsc Class: Licensc Number:
W
I ha6y alrrn uods poaftyof pajuryttn ttrcis a ordndha lading agcy forthc pq&rc of thcmrt frr which this pmit b
issucd (S*. 3097, Civ. C.).
l,cnder's Namc:
l,cnder's Address:
APPLICANT DT'CU\RATION
I hcr*y aftm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notifrcation Fcderal Regulations (Title 40, Part6)
-Required
l,etter o f Notification
I csriryftd thc &dqd rqulaior qrdiag ubetos tqmvd e lot @li6blc ro thie pmjcd.
qfrdi$, thd I hryc rEd ahb spplicstio! 0!d ststc that rhc ebow itrfomdior is 6nrd. I agrc to @Eply vith dt city ud couty
ordimc md Statc LM rclding to building snstuction, ed hcftby authorizc EpGcddiv6 of this City ald Couty to ata upo! thr
aborc Mtiotrcd propaiy for i8pcclio[ FlrpB
Applicant or Agent
\\€ln-'\'e7
Permitee name e Lv<a
Z-?3- Z,
UNDER GROUND ,/Ir A
Waste & Vent f./2-(mt)
Water-Under floor ,l
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT I I l',_41
Waste & Vent A Ufr'I DM,(W w
Water Piping t),
Gas Pipinq a 4-r{-?l (b(,g)
Roof Drain /-\
Tub/Shower Test a /,21 "u J l?t fr (lv
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous a.I \
Gas Service 5'-1 -V JIttLpttU Wtluttt )-tr1
Water Service \J
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
Rough Plumbing
Final Gas Test ^
Meter Release /
FINAL tI/1t-\l
Notes, Remarks, Etc.v tl t I
Exoires:
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