HomeMy WebLinkAbout30143408 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (7'14)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 3O143408
Pin #: 18,328pil
Proiect Address: 2054 S Rene Dr- -a - -
Assessor's Parcel: 408-341-05 Lot: 7
Unit:
Block: NA
Bldg:
Tract. 2208
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address.
Phone:
Tenant Name:
Contractor:
Address.
Phone:
Kenn & Julie Ramas
2054 S RENE DR
Santa Ana, CA 927044816
(7141478-651s
Caspers Demolition
2243 E South Redwood
Anaheim, CA 92806
(7141863-5474
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Cap Fixtures
General Plan Update
lssuance
Microfilm Records
Amount
7.48
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1 .00
Fee
$7 48
$23.79
$5e.30
$4.05
State Lic #: 101 5067
Lic Type: C-21
Bus. Lic #: 370351
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Bntch*:6(t112 7/29/2021 I0; HGARCIA
tlf f icei CTYH Trnns*: 2 3 of 3Acct*: Ref*: 30143408Rcpt*:0336?349 7 /29 /2(121 8:4tf An
Trsnssct i on Totnl i+94.75
(:nspers Demolition
Demolish existing swimming pool and infill according
to city handout.
$94 62
$0 00
$94.62
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Demolition
Pool Demo
Occupancy:
Constr Type:
Code:
Date:
Date:
Date.
R-3, U
VB
cPc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buirdins Permit #: 1 01107 393
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 permit rs suspended
or abandoned for a period of 360 days after the time the work is
.commenced.
v's'
07t29t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes.
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23 79
$66 78
$4 05
Inspector MID#: 2021-167703
PLUM BING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BI'TLDER DELCARATION
I hercby sllirm under penalty of perjury thst I m exempt ftom the Contr8ctoN' Licns kw for the following IEea (Sc.7031.5
Business ard hofession Codc): Atry City or County whhh requires a permit to @nstruct, 81t6, imprcve &mli,sh or rcpair my
strucfirc. prbr to its isuece, rlso rcquircs the spplicant for such pemit !o file r sigtrcd stalcmnt that h€ or shc is licensed pus6t
to the provisions of the Conbrctor's Lbensd Law (Chrpter 9, Comncir8 with Setion 7000 of Division 3 of the Buircss md
Pmfessions Code) or that hc or she is exempt thgefrom ud the bssis for the 8llegcd eremptbn. Any viohtion ofS&tion 7031.5 by any
8pplicant for a pemir subjEts the applic&nt to I civil pcnalty of not mre thm live hundrcd douars ($500).
_I, as owner of the property, or my employees with wages as their sole compensation, will do tlrc work and thc stnrcture is not
intended or offered for sale (Sec.7044, Business and Professions Code: The Contractor's License l.aw does not apply to an owner of
the property who builds or improves thereorL and who does such work himself or herself or through his or her own employees,
provided that such improvenrcnts are not intcndcd oroffered for sah. If, however. the building or improvement is rcld within onc )rcar
of completion, the Owner Builder will have the burden of proving that he or she did not build or improve the proprty for the purpose of
sale).
_1, as owncr of the propcrty, am cxclusively contracting with licensed contractors to construct the project (Scc. 7W, Busincss
and Profcssion Codc: The Contractor's License Law does not apply to an owner of pro;rcrty who builds or improves thercon,
and who contracts for such proicts with a Contractor(s) licensed pursuant to the Contractor's Liccnsc Law).
-lamexcmptunderSection-'B.&P.C.forthisrcason.n-a^.
WORKBRS' COMPENSATION
DECLARATION
I heybV affirm under pcnalty of perjury onc of the following declarations:
V nou" and will maintain a Certificatc of Consent to Self-lnsurc for workers' compcnsation, as providcd for by Secrion 3700 of thc
f-rUnr Code. for thc pcrformancc of thc work for which the permit is issucd.
-l
have and will maintain workers' compensation insurance. as rcquircd by Section 3700 of the l-rbor Codc, for thc perfonnancc of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
L
i -Policy
_l ccrtify that in thc pcrformance of the work for which this pcrmit is Lssued, I shall not employ any person in any manncr
so as to become subjcct to thc workers'compensation laws of California. and agree that if I should bccome subject to the
workers' compcnsation provisions of Section 3700 of the l-abor Code, I shall, forthwilh comply wilh those provisions..
WARNING: Failure to sccurc workcrs'compcnsation coveragc is shall an crnployer to criminal Jrcnaltics and
civil fines up to one hundrcd thousand dollars ($100.000), in
Scction 3076 of the krbor Code, interest and attorney's fees.
damages as providcd for the
7 n-q^}[
I hcrcby affirm under penalty of perjury that I arn licensed 9 (comnrcncing with Scction 7000) of Division 3
Iof thc Busincss and Professions Code. and my licensc is in cffcct.
lo tsobfLiccnse,t I o
,)-L1 I
hnlo,
I hcrcby affirrn undcr penalty of perjury that thcre is a construction
issucd (Sec. 3097, Civ. C.).
Lcndcr's Name:
agcncy for thc performance of the work for which this pcrmit is
lrndcr's Address:
APPLICANT DECLARATION
I hcrcby affinn under pcnalty of pcrjury onc of thc following dcclarations:
Demolition Pcrmits-Asbcstos Notitication Fcdcral Rcgulations (Title 40, Part6)
_Rcquircd lrttcr of Notification
_l certify that the f'cdcralrcgulations asbestos rcmovalarc nol applicable to this projcct.
information is corrcct. I agrce to comply with all City and County
hcrcby authorizc rcpresentativcs of this City and County to crPter upon the
abovc mcntioncd propcrty for
Applicant or Agent
)V hn(Pernritee nanre
Io
Ct--
Dale:L 7n\- 2(
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
lVlain Drain/Pool Piping
Fill Line/Back Flow
Pool Heaterlcas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL b ?g.A oa*4t
Notes, Remarks, Etc.
-b
NR
0
:!
&
g,c
B
3.
$
(
1l(3Il
{
\
t
c(
N-
N\
0."{t_
h,
o
tq
B
\s
tx
\
I
q,
vl '
E
\t
u
\
ab
Na
\
\ii\
osoo
3
g
eao'a*:o
ra
J
$
'.tr
rN\
F.
N\
$
Irr
N\.
L-i--aS
I
E-1ffi
\T
|'uT,
R\g
q P
Bo(,(r!{
B
6
#*(.
tlfaoI
g
$
7$1(
(-.
rtJI\vt(
\
\
sg
(o'
o
s
o
@
@
BInlsN;-,8T
f,\$
)\N
^,o\^
I*a
\
hx
b.l
Jr-f
\-\t
\
7I!
f\
D
\
6:,(}-
'Et
.-ilrA =\4, *^.\ =-lJ-(o(5
q,N=
Ss8Etn €,@fr
.-t
ar-()
I
oozmC
5zo
Ztf
IaI-f1ll
I.ll
J'Joo?
,llFroI
Ior--a,*
oo
E
r0
3.Itrf1'
EE
'TI\,
rTT;\.r(3
xt
I
W.{
\
G
o
f.