HomeMy WebLinkAbout30241845 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Project Address: 2210 S Olive St
-
Permit #z 3o.241845
Pin #: 62505
Assessor's Parcel. 015-173-06 Lot: 33
Unit:
Block: NA
Bldg:
Tract: 581
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Anastacio Lopez
2210 S Olive St
Santa Ana, CA 927072507
(7141 427-0s37
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Clothes Washer
General Plan Update
lssuance
Microfilm Records
Amount
14.52
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1 .00
Fee
$14.s2
$22.95
$57.20
$3.91Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Bobch+ 3 5{200 2/3/2820 I0: oilonolesl S
0ffice: CTYH Transi: 118 3 of 3Accb*: Refs: 302{l8a$
RcpU+ 3 02887178 2/3/2020 I :09 Pn
Tronsoct i on Totol t829,41
Anostoc i o Lopez
Genernl Plqn UPdote Fee $?2.9t;
tll I I6t tt-12- 5 16ttt-tt-tt10-
Il icrof ilm & Documents S3.91
rrl I 16r-102- fi777fi000-
F'l umb i ns t71 ,7?
rrl 1 161102- 5161120110-cosh tgott ' [t[t
U iso 129 .41Relocakffiarhrdffi Eeme. Auth* : trSrrgrr?
$98 s8
$0 00
$98.58
Building Use.
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
N/V-Demo/Patio Cover
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019 Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By: Chavez, Dave
Subject to Field: n
Building Permit #: 1 0 2102947
o.02t03t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permitissued shall become invalid unless the work on the site
authoized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe site by such permitis suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$22.9s
$71 .72
$3.e1
Fee Total:
Paid to Date:
Balance Due:
lnspector MID#: 2020-157 122
PLUM BING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEN DELCARATION
I hercby 8ffm under Fnilly of pcrjury thal I m cxcmpt frcm the Conrrero6' Lhms lrw for rhe folbwing rcNn (Str.7031.5
Busircss rird Profcssion Code): Aoy City or Counry whth requires s Frmil ao @nstruct. alts. imprcw. &mlish or rEJxir my
strudw, pdor to ils issure. rko requircs the spplicml for such pemil lo fih I sigrcd ststemnt thst hc or rhc b licctrsd plmrnt
to tlE pmvisioN of thc Conrrcttr's Lbenscd tlw (Chapts 9. Comrcrcing with SEtion 7(m of Division 3 of thc Burircsr o-d
Pmfessions Codc) or lhat hc or she is exerpt thcBfrom srd thc b&ik for the slleged cxcmption. Any violstion of S€lkrn 703 1.5 by any
applicsnt for a pemit subj$ts thc rpplicant to a civil pculty of mi mrc th& fivc hundrcd dolles ($5@).
l&, u owncr of the prcpcrty, or my emploles with wsgc! &s thcir sh comlEnsstion. will do tfr utrk and tlE stnrtw h mt
intendcd or ollmd for slc (Se.7(X4, Busircss ud Pmfcssbns Codc: Tha Contrsctor's Lbcns hw dms mt ryply to u owrcr of
the lrcFrry wlE htills or irprcE th.@tr 8rd who dcs ffih m* himrclf or her$lf or thrcugh his or ls own empk lEcs.
prcvided fiar sEh imprcvrmnls re rct iilcndcd trofu ftr slc. lf. how. thc huilding n itrprowmnr is sld withh orc )ar
of otrphrio& the Owm Buil{cr will haw thc h[dm of prcving that h tr dr dit mt hfi tr hprcrc thc poFry for tlE Frpos of
slc).
-1.
us owncr of the proprty. anr cxclusivcly contracting with liccnscd conlraclors to construct thc projcct (Scc. 7W, Busincss
and hofcssbn Code: The Contractor's License Law docs nol spply lo an owncr of properly who builds or improves lhereon.
and who contracts for such projccts with a Contractor(s) liccnsed pursuant to the Conlractor's License L:w).
I am cxcmnt
,
Scction-. B.
o tl*n..,-ts
}VORKI.: RS' COt\ I PENSA'TION
DECI ARATI(IN
. I lqhbyaflirmundcr Fnslryof lHjuryorcof thc followinS dsl@tions:
K**,,lminr.in!ccrtificarcofconsnrtosclf-lnsurcforworkss'orrpcnsdion,s lrevidedforbyssrion3T00ofrhc
jrtnr Cde. for the pcrfomrcc of thc work for which lhc lErmit is issued,
-l
havc and will maintoin workcrs' cornpcnsalion insurancc. &s rcquircd by Scction 37fi) of the Labor Codc. for thc pcrfornuncc of
lhc work for which this pcrrnit is issucd. My workcrs' compcnsation insurance carricr and policy numbcr arc:
thal in thc pcrformance of the work for which this pcrmit is issucd. I shall not employ any person in any manncr
of California. and agree that if I should bccome subjccl to thcso as to bccorne subjcct to thc workcrs'compensation laws
workers' compensalion provisions of Section 3700 of thc [:tnr Codc. I shall. tbrthwith comply with thosc provisions..
llt<lWARNING: Failurc to sccurc workcrs'
civil fincs up to onc hundrcd thousarrd thc
Scction 3076 Codc, intcrcst and attorncy's l'ccs.
I
l)atc:2 JC
I trcrcby affirm undcr Jrcnalty of Jrcrjury that I am licenscd 9 (comrncncing with Sectbn 7m0) of Division 3
of the Busincss and Profcssions Code. and my liccnsc is in tull forcc and cffect.
[,iccnsc Nunrhc'r:
I t..a,.,Conlractor:
W
I hercby affrm uidcr Fnllly of Frjury thlt tlre is I @nstruclion hnding agcrcy for the ,f,rfom of the wort for which this Fnnil h
issucd (Ss. 3$7. Civ. C.).
Lender's Name:
[,endcr's Addrcss:
APPI ICAN'I' DECLARATION
I hcrchy aflinn under pcnalty ol' pcrjury onc o[ thc f'ollowilrg dcclrral ions:
Dcntolition Pernrils-Asbcslos Noliflcalion Fcdcral Rcgulations ('l'itlc 40. Part6)
Rcquircd lrttcr oI Nolilication
Iterntilee
lhc
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Building Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
It/ain Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heaterlcas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewerlcap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL Id.+-A NrVIr)t
Etc.I
Lh<'r*$zP hlnfyd
Carrr2ffij/+
Exoires: