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Home My WebLink About30143186 - PermitProject Address: 3770 W McFadden Ave Unir:E Assessol's Parcel: 144-561-09 Lot NA Block: NA Bldg: Tract: NA Address Range: 3600-3790 Historic: No Suite Range: Zoning. SP2 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 30143{86 Pin #: 6,4E24 Owner. Address: Phone: Tenant Name: Contractor: Address: Phone: Rio Vista West LLC 24r'.3 E Coast Hwy Corona Del Mar, CA 92625 (949) 667-7888 Royalty Massage New Bear Wind lnc 13304 Netzley Place San Gabriel, CA 91776 (626) 383-2020 01 1 16002 51602 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Sink Min Fee Adj General Plan Update lssuance Microfilm Records Amount 13.68 61.33 23.79 59.30 4.05 Qty 1.00 1 .00 1.00 1 .00 100 Fee $13.68 $61 33 $23 79 $59 30 $4.05 State Lic #: 1059216 Lic Type: B Bus. Lic #: 378070 Workers' Compensation lnsurance:Carrier: Exempt Policy #. Expires. Botchi:593tr0 3/26/202l ID: EL I ZABETH0ffice:CTYH Trqns*:it Jof'6Acct*: Flef*: 3r-rl4JfSO Eco t i : Lr32?5gLr5 3/ 26/ 2tr21 I r-r : 56 At1Tronso':t ion Totcrl ti ;Ss? ,'i'4 Het.l Beqr td ind Inc Plumbing for new massage business - new sink $1 62.1 s $0.00 $162.15 Building Use: Commercial Job Type: Tenant lmprovement Nature of Work: Tl Planning Conditions: lnterior Tl only Planning Approval By: Plan Checked By: Occupancy: Constr Type: Code: Date: Date: Date: B VB cPc 2019 Notes: ost26t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Permit lssued Amsden, Julre Subject to Field: 'i Building Permit #:1 01 1 06078 Every permit issued 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 fhe sife by such permit rs suspended or abandoned for a period of 360 days after the time the work is commenced. Inspector MID#: 2021-164765 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23 79 $134.31 $4 0s Fee Total: Paid to Date. Balance Due: 1 h PLUMBI NG-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUTLDER DELCARATION I hacty affm undq poalty of pojury thd I m qmpt Eom thc CortrsctoB' Licc l:w &r thc followilg ren (Sc.7031.5 Bsins ed Prcfsion Codc): Any City or County which rcquiro a po'mit to @Elruct, alts, imprcvq danolbh or rtpair uy stnrclw, prior to its isumcc, also rcquis thc applicet for such pqmit to filc a signcd statmt thst hc or stE k licascd pllMt to thc Fovisioc of thc Cotrtretor's Licascd Lrw (Chapts 9. Commcing with Sction 7000 of Division I of thc BEiB ed ProfcsiomCodc)orthalhcorshcisamptthscfromedthcbasisforthcallcgcdcrmFion. AnyviolntionofScrion?03l.5bymy applicut for I psmit subj4ts the rpplicut to a civil pmlty of trot morc th8 nvc hundrcd dollrs ($500). -1. as owner of the property. or my employecs with wages as their sole compensation. will do thc work and the stnsure is not intcnded or offâ‚¬red for sale (Sec.70l4, Business and Professions Code: The Contraclor's License law does not apply to an owner of thc p,roperty who builds or improves thcreon ard who docs such wort himself or hcrsclf or through his or her own cmployecs. providcd that such impnovonents arc not intendcd or offtrod for sale. I[, howevcr, the hlilding or improvcmcnt is sold within onc ycar of complaion. the Orvner Builder witl have the hrden of proving ttrrm he or she did not build or improve the propcty for the purposcof sale). -1, as owner ofthe propcrty, am exclusively contracting with licenscd contractoni to construct ttrc project (Sec. 7044, Business ad hoftssbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thcreon and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's Licerue t aw). -l am exempt under Section-, B. & P.C. for this reason. Ilolo. WORKERS' COMPENSATION DECLARATION I hereby affrrm under penalty of perjury one of the following declarations: -l have and will maintain a Certificatc of Conscnt to Self-lnsure for workers' compersation, as provided for by Section 3700 of the I-abor Code. for the pcrfonnance of the work for which the perrnit is issued. -l have and will rnaintain workers' compensation insurance, as required by Scction 3700 of the Labor Codc. for the performance of the work for which this permit is issued. My workers' compensation insurance carier and policy number are: that in the pcrformancc of the work for which this permit is issued. I shall not cmploy any person in any manner if I should becomc subject to the comply with thosc provisions.. to the workcrs'compensation laws of California. and agrce that provisions of Section 3700 of the [^abor Code. I shall. forthwith I WARNING: Failure to secure workers' compensation coveragc is unlawful. and shall subject an anployer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compcnsation, damages as provided for the 3076 of the Labor Codc interest and attorney's fees. 6 DECTI\RATION I am licensod under provision of Chapto 9 (commancing with Sectbn 7000) of Division 3I hereby affrm under of the Business and Professions Code, and my licensc is in full force and effect. 2/ W I hacbyslfrmundrr FultyofFjurythd ilreb8@GrnE{ioo Lnditrgr8my forthcpafomofthccrcd( bruticlrthbpmit i isucd (Sc. 3097, Civ. C.). Lender's Name: Lender's Addr&s: APPLICANT NECII\RATION I hq'*y affirm undcr pcnalty of pcrjury onc of the following declarations: Denrolition Permits-Asbestos Notifrcation Fcderal Regulations (Tille 40, Part6) _Requirod [rtter o f Notification -l certi$ that the lederal regulations regarding asbcstos removal are not applicable to this projed. '-1 >.r.cdifo that I have read this application and state that the above infonnation is correct. I agree to cornply with all City and County ordinances and State I-aws relating to building consruction.represcntatives of this City and County to â‚¬ntcr upon thc $ermitee nrme for q and hereby uurlrs4zcw/*"'5/#/ rod UNDER GROUND t Waste & Vent d19-u (bc 7 I Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ Clarifier TOP OUT Waste & Vent Water Pipinq A.l5 {.1 (/-v/ I Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Piping I Fill Line/Back FIow Pool Heater/Gas Line \ Miscellaneous Gas Service Water Service Lawn Sprinkler \ Sanitary SewerlCao / Back FIow Device I Roush Plumbins Final Gas Test Meter Release FINAL 7.2gel L (},r )rtâ‚¬Jb5'41 Notes, Remarks, Etc. x ) ,/ Owner: Carrier:- .Expires: \9pq7,[/F 5 c' D JicenseNumbcr: /'k1 [X^""",,, llQw B&YV { Date:_5 /J 4 /24L d