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HomeMy WebLinkAbout30143025 - PermitCity 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 #: 3O{43O25 Pin #: 7424|5 Proiect Address: 1206 N Evonda Sta Assessor's Parcel: 100-223-09 Lot: 60 Unit: Block: NA Bldg. Tract: 6588 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: JoseA&CeliaCardoza 1206 Evonda Street Santa Ana, CA 927031134 (7141 623-3941 Quickshot Pool Constructio 16787 Beach Blvd Ste # Huntington Beach, CA 9264 (657) 301 -2602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51600 01 1 1 6002 51 602 01 1 16002 57770 Fee Type Pool Trap Pool Heater Pool Piping General Plan Update !ssuance Microfilm Records Amount 23.97 78.27 47.95 23.79 59.30 4.05 Qty 1.00 1.00 1.00 1.00 1 .00 1.00 Fee $23.97 $78.27 $47.95 $23.79 $5e.30 $4.05 State Lic #: 820869 Lic Type: C-53 Bus. Lic #: 375620 Workers' Compensation I nsurance:Carrier: Wesco lnsurance Company folicy #: WWC3 512910 Expires. 0113112022 Batch+:58718 4/6/2t121 ID: onor( 0ffice: CTYH Trnnsis 65 4 oiAccti: Ref i: 30143rJ2: Rcpt*: tr3243736 1/ 6/2021 I :39 F n Transoction Totql t1r42?.S' CIu ickEhot PooI (:ongt r'uct ion Genercrl Plqrr Updste Fee tr1 1 I6tt02- 516(tt t(r00- llicrolih & Docurents ttl 1 16002- fl777fittlt[t- Plurb i ns trl I 161102- :;16(r2tt0tt-Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling Swimming Pool/Spa Swimming Pool & Spa Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cPc 2019 04t0612021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total: Paid to Date: Balance Due: Add a sWirnming pool and spa,.,..,Y'Aut, h * Verduzco, Buildins Permit #: 101 106349 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 permitis suspended 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 $23.79 $209.49 $4.05 $237 33 $0.00 $237.33 lnspector MID#: 2021-1 65338 PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER I'EI.CARATION I hacby alfm und6 pqulty of pojury that I m qmp Gom thc Contr.clon' Licm t:w for thc following tEen (Sc:7031.5 . Bwine ard hofsion C.ode): Asy City or Couty which roquire a pcmit to @rdrud, alts, improve <imlish or rpeir uy structuq Fior to its iwcc, also rcquirc thc applicet for sch pqmit to filc a signcd staoot tha hc or Cp b licosod plmsn to thc prcvisioB of thc Cotrtreror's Limscd Law (Chaptq 9. Comming with Scrion 7000 of Division 3 of thc Buins ud ProfBsioG Codc) or thsa hc or shc is qmpt th6c&om 8td thc b6sis for tbc allcgcd soptioa Any violarioo of Sclbo 7031.5 by uy 8pplicut for r psrmit subjels thc applicsrt to . civil pmlty of not mrc tho fivc hundrcd dollm (5500). -1, ES owner of the propcrty. or my employecs with wages as their rcle compensation, will do ttrc work md thc stnrture is mt intcndod or offcrcd for sale (Sec.7O44, Business and Profcssiors Code: The Contraclor's Licquc [aw does not eply to ur owner of the property who builds or improve tlrcroru and who does zuch work himself or hcrsclf or through his or her own employees, provided that such improvanrcots are not intended orofuod for sale. I[, howerrer, ttrc hlilding or impovqn€nt is sold within one ]rcar of complaiou the Orvner Buildcr will have th€ hrdcn of proving ttra he or shc dkl not build or improve ttrc propcty for thc purposc of salc). -1, os owner of the propcrty, am exclusively contracting with licensed contractom to construct the projec't (Sec. 7044, Business and hofirssion Code: Thc Contractor's License Law does not spply to an owncr of propcrty who builds or improves thcreon, and who contracts for such projccts with a Contracto(s) licemsod pursuant to the Contractor's Licensc l-aw). -l am exempt undcr Section-, B. & P.C. for this reason. flo tr.' WORKERS' COMPENSATION DECLARATION I hereby alTirm under penalty of perjury one of the following declarations: -l havc and will maintain a Ccrtificate of Consent to Self-lnsure for workers' compcnsation. as provided for by Section 3700 of the Labor Code. for the pcrformance of the work for which the p,errnil is issued. V, n^u"and will maintain workers' compensation insurance. as required by Section 3700 of the l-abor Code, for the pcrformance of the work for which this permit is issued. My workers' compensation insurance carricr and policy numbcr are: L/, Jca /rtjrrrlnlo.t CC Policy IA I cerrify that in the perforrnance of the work for which this permit is issued, I shall not employ any person in any manner,- so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compssation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with those provisions.. I WARNING: Failurc to sccure workers' compensation coverage is an anployer to crimrnal penalties and civil fines up one thousand dollars ($100,000). in damaq as provided for thc Section 3076 Codc, intcrest and attorney's fees. I hereby aflirm under pcnalty ofperjury that I am licensod of Chaptcr 9 (commorcing with Section 7000) of Division 3 of the Busincss and Profcssions Code. and my licerse is in full forcc urd effect. License Nurnbc'r: W I hwby affm undc pcf,alty of psjury that thqe is a @nslructiotr Lndirg agdcy for thc pqfomce of the rcrh for which this pqrnit is issued (Se. 3097. Civ. C.). [ands's Nmc: lrnder's Address: APPLICAI{T DECII\]TATTON I hcr'*Draffirrr under perulty of perjury one of the following declarations: Demolition Pcrmits-Asbestos Notification Federal Regulations (Title 40, Part6) -Required lrtter of Notification -l ccrti$ that the federal regulations regarding asbestos rcmoval are not applicable to this project. -l certi& that I havc read this application and state all City and County ordinances and State Laws relating to building above mentioned property for inspcction Applicant or Agcnt Permilee the upon the UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor f ,/7-?1 fuc','/) Building Sewer Area/Storm Drain I nterceptor/ Cla rifier TOP OUT Waste & Vent Water Piping Gas Pipinq Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPL P-trapffi \frOat [) ,/ z,-w NAdfn-praifr/Pool Pipinq ,/r' tl g.I ( Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbing Final Gas Test Meter Release FINAL lo-s -?rt t -se ttr. Notes, Remarks, Etc. xile .Expires: /- 3 f -LZ .