HomeMy WebLinkAbout30117303 - Permit,!
City Of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit #: 30{{7303
Inspector's Section: (7 14) 647-5853 fi-
Project Address: 613 S Halladav St
Assessor's Parcel : 404-06'l -24 Lot: 41
Suite:
Block: NA
BIdg:
Tract: 31 13
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Laurena Olivares
613 S Halladay St
Santa Ana, CA 92701
(7141 569-1 671
Nock Plumbing, lnc
1 1612 Knott Av #17
Garden Grove, CA 92841
(7141 895-1 246
Fee Type
Wtr Htr (Gas) Res/Com
lssuance
Amount
7.75
31.00
Qty
1.00
1.00
Fee
$7.75
$31.00
$38.75
$0.00
$38.75
State Lic #: 707775
Lic Type: G-36, HIC
Bus. Lic #: 0151 428
Workers' Compensation I nsurance:Carrier: Glarendon Nationa! lns Co
Policy #: 01KR002g8Sg
Expires: 09/01/2005
Building Use:
Type of Work:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field: I
Single Family Dwelling - De Occupancy:
Miscellaneous Constr Type:
W/H res Code:
Amsden, Julie
Date:
Date:
Date:
R3
VN
GPC 2001
r
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit
This permit shall expire by limitation and become null and void ffthe work authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
pennit is suspended or abandoned at any time after the wo* is commenced for a pertod of 180 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account #: 011-01-5912 lnSpeCtOr
03/1T 12005
Notes: Change-out. Mail-in permit.
Fee Total:
Paid to Date:
Balance Due:
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ Cla rifie r
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL /O-1-zl ?at 3q UNC6L 64TU7L
Notes, Remarks, Etc.
Oma-Buildcr Doclaratim
I hmby.fEm undapcnslry of pcrjury rhal t m6mpt fm thcCotrrrctm'Licaruc Law forthc follwingrum (s.7031.5 BuinBs
ud Prcfcssion Codc): Any City or County which rcquircs a pmit lo mstruct, sltcr, improve, danolish or rcpair an;rrrgurr,.prjc to itr
iswe, also rcquiru thc applicat for such pcrmit o filc a signcd strtcmcnt that hc or shc is limscd pmmt o thc prcvisions of otc
Cmt'etq's Lim€d L8w (Chaptcr q Cmacing with Setion 7000 of Dvisim 3 of lhc Buincs ud Prcf*iom Codc) ff thsl hc or
shc is amF rhcrcfrm ad thc basis fc thc sllcged aernptior .Any violuion of Scrion 703 L 5 by ,ry spplimt f6 a pgilit subjetr thc
rpplirut !o s civil Flalty of not mffi lhu firc hu&ed dollm (5500).
_t, E osn6 of thc popary, or my mployc with w.g6 I thcir solc cmpcosalion, will do thc work ud thc strucruc is not intmdcd
orcfr@d fa silc ( Se.7044, Busin* ud Prcfxims Codc: Thc Cmtrrclor's Limc Law dG nor spply to m owno of thc propany
who buildr d improB thcm, ud who dm such work hiroclf u hmclf tr thrcugh hi8 c ha own mployc, providcd that such
imprcvmotr m trot intddcd q offCcd fd sa.lc. If, hwwcr, thc building or imprcvmcnt is sold within mc yo of @mPlction, thc
Oma-Buildc will havc thc burdar of prcving dlat hc c shc not build c impovc for thc purposc of salc).
_t, s flna of thc prcpcrty, m cxcluivcly ontncting with limcd cmtrrctm to consml thc pojdl ( Sc. 7044, Buin6s ud
Prcfsio Codc: Thc Cotre{or'3 Liq3c L.w da not apply to u owns of proFrty who builds fi imFov6 thcmn , 8d who
cotr&6 fff such prcjrcB with a Contrrcro(s) limscd punut to thc Conrrctor's Licasc La*,).
_I arn exempt undcr Section ,B. & P,C. for this reason.
Duc: orrncfi
@
I hs6y aflim u&r Fndty of pcjury dtc of thc folloing dcchnrims:
_I havc ed will mintain a Ccnificrtc of Cmtcnt to Sclf-lrsw ftr wortm' mpcrratim, s prcvidcd fc by Scclion 3700 of thc
hbc Codc, fq thc psfme of thc woil ftr which lhc pamit i3 isucd
_Ihavcudwillmintainworkm'omparatimirome,s rcquiRdbyS*tion3T00ofthckbqCodc.fqthcpcrfmccofthc
worl fq which this Fmit ir isucd. My wo*m' mFtaim imurmc wia ud policy numbcr m:
Policy Number: ExPires:
(Thi! ss'tim ned not bc mplacd if thc pcmit is for Onc hudtcd dollrE {$100) tr ls)
t srify rhst in thc pafme of thc wu* for which thir pdrnit is isrue4 I sh.ll not mploy my pcm in ey mmns so B !o
bcsp rubjet to thc wortm ' mFnraim les of Cdifmi!. md rgre 0nt if I shsld bfiorc subjcct ao thc eo*c'
cmparruim prcvisim of Sccdm 3700 of thc Labor Codc, I rhdl, fathwith mply with thcc provisims.
Datc: Applicut:
\YARNING: Frilw to sccurc wo(t6' cmpcmatiur covmgc is ulryful, md shdl nbjet o mployr to aimind paraltia ud civil
fitr6 up !o mc hudrcd rhollsd dolln (S100,000),in rdditim to thc ct of mpcmatim, dama3cs u providcd fr ttc Sccrion 1076 of
thc Labc Codc, intact sd lttmG,y's fc€s.
LICENSED CONTRACTORS DECLARATION
I hmby aflim un&rpcnalty of pcrjury that I m licmscd undq prcvision of Chaptr9 (cmmcncitrg with Scction ?000) of Divisim 3 of
thc Buines md Prcfsions Codc, ud my liccnsc is in full fqe ud cffcct.
License flooo.License Numbcr
Date: Contractor:
CONSTRUCTTON LENDING AGENCY
I h@by 8tfim urdcr pmalty of pcrjury that thft is a construction lcndinS agcncy fq thc pcrfommcc of thc work for which this pcmit is
issucd (Sc. 309?, Civ. C.).
Lcndcr's Nmc:
Lcnder's Address
APPLICAT{T'S D EELARATION
Dernolition Permits-Asbestos Notification Federal Regulations (Titlc 40. Part 6)
_ Required Lencr of Notification
_l certiff that thc fedsral rcgulations regarding asbcstos removal are not applicable to this project.
_ I ccniry that I havc rad this applicaio md st&rc thst thr abovc informatio is corect. I agre to omply wifi all City od County
ffdinee ild Stsrc lrws rclaring to building mstrucdon, ud hmby aurhoirc rcprmativa of this City ud CMty to 6Gr upon thc
ebovc matiotrcd property for inspetio purpoca.
Applicut or agot sig:. Datc:-
Perminee niune (print):
PLUM BI NG.I NSPECTOR RECORD
Carricr: