HomeMy WebLinkAbout30143586 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O143586
Pin #: 72969
Project Address: 918 N Dayna St
Assessor's Parcel: 400-1 62-14 Lot: 4
Unit:
Block: NA
Bldg:
Tract 2109
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Steven Ly
918 DAYNA ST
Santa Ana, CA 927014403
(94s) 6374874
PIPEASE INC
263 W OLIVE AVE #206
Burbank, CA 91502
(866) 664-3273
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type Amount
Repipe Res (Each 100' 4l .gs
General Plan Update 23.19
lssuance 59.30
Microfilm Records 4.05
Qty
300
1.00
1.00
1 .00
Fee
$143 85
$23.79
$5e.30
$4.05
State Lic #: 1019152
Lic Type: C-36
Bus. Lic #: 378706
Workers' Compensation Insurance:f;arrier: FALLS LAKE FIRE AND CASUALTY COMPANY
Policy #: FLA016419
Expir+s: 0211712022
Botch*:6t-t461
Off i ce: CTYH
Acct+:
Rcp t+: (133867
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ASE IN
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Repipe
Occupancy:
Constr Type:
Code.
R-3, U
VB
cPc 2019 PEX pepipe throughout.
Date:
W-/oate:
Zuniga,Allissa l\ Date.08t25t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
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 fhe site 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
$203.1 5
$4 0s
$230.e9
$0.00
$230.99
E
2
$?
lnspector MID#: 2021-168422
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUITDER DET'ARATION
I hmby allim unda pcralty of pcrjury thst I m amp fiom thc Contractos' Licos Law for thc following twn (Sc.7031.5
Buhcs and Profeion Codc): Any City or County which rcquirc a pcmit to co[ilruct. altq. improvq darclirh or npair my
struciuq prior to its isuacc, also rcquis th€ applicilt for such pcrmit to filc I signcd ctatmat tha hc or shc i licancd pwarl
to thc provisiorc of thc Contr8ctor's Liccnscd hw (Chapt6 9. Commcing with Sction 7000 of Division 3 of thc Buins md
Prcfessions Codc) or thst he or shc is qcmpt thscfrom ed thc basb for thc allcgcd qmption. Any violation of Sction 703 I .5 by my
appliciltforspcrmitsubjclsthc spplicanttoacivilpaaltyofnotmorcthofivchundrcddollm($500).
_1. as owner of the property. or my employees with wages as their sole compensation. rvilldo the work and the stnroure is not
intended or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an orvner of
the propo-ty who builds or improves thereon. and who does such work himself or herself or through his or hcr own employees.
provided that such improvernents are not intendcvJ or ofFcred for sale. I[, howevcr. the building or improvement is sold within one year
of complaion. the Or^.ner Builder will have the hrden of proving that he or she did not build or improve the property for thc purpose of
sale).
-1.
as owner of the propfiy. am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Business
and Profession Code: The Contractor's License Law does not apply to an o$'ner of propei-ly who builds or improves thcreon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-larnexemptunderSection-.B.&P.C.forthisreason'
WORKERS' COMPENSATION
DECLARATION
I hereby affrrm under penalty of po'jury one of the following declarations:
-l
have and will maintain a Ccrtificate of Conscnt to Self-lnsure for workers' compcnsdiorL as providod for by Section 3700 of the
Labor Code. for the pcrformance of the work for which the pernrit is issued.
-l
have and will maintain workerc' compcnsation insurance. as required by Section 3700 of the Labor Code. for the pcrformance of
the work for which this pennit is issuod My workcrs' compcnsalion insurancc carricr and policy numh are:
Carrier:-€*r,r-s hCf
Policy Nu^bo,f l,4O I Cv7 I 1 Expires:ozlZoLZ
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certi& that in thc performance of the work for which this permit is issued, I shall not cmploy any person in any manner
so as to become subjeci to the workers' compensation laws of California. and agree that if I should becomc subject to the I
work€rs' compensation provisions of Section 3700 of the Labor Code, I shall. forthwilh comply with thosc provisiors..
WARNING: Failure to secure workcrs' compensation coverage is subject an onployer togiminal penahies and
civil I'rnes up to one hundred thousand dollars ($tn compensation. damages as provided for the
Section 3076 of the Code. interest and attorney's
I hereby affrm under penalty of pe{ury that I am licensed 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
-.,
License cla,.., \U? L
License LOL*I I' L
Darc:at/#/>t
CONSTRUCTION LENDINC AGENCY
I hoeby aflirrn under penalty of pqjury that thqe is a coffitruction lmding agmy for the pqfomocc of the work for which lhis pcmil is
issucd (S*. 3097. Civ. C.).
I.ender's Nanre:
kndcr's Addrcss:
APPLICANT NFCL\RATION
I hqdryaftrTt under penahy of pcrjury one of thc following declarations:
Dcmolition Pcrmits-Asbestos Notification Federal Rcaulations (Title 40, Part6)
-Roquircd
lctter of Notfficaion
-l
certi& that the fedcral regulations rcgarding asbestos rcmovalare not applicable to this projcd.
e
_l ccrti& that I have read this application and state the above information is correct. I agree to comply
f this City
with all City and County
ordinances and State Laws relating to
above mentioncd propcrty for
Applicant or Agent
Permitee neme
and hereby authorize represcntatives o and Itt upon the
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Piping *t*-?r EFrrf,r(r--
Gas Pipins
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back FIow Device
Rough Plumbing b4-z-t tua?$,L
Final Gas Test
Meter Release
FINAL e1 -a-q,,1 S-- .?r.lz
Notes, Remarks, Etc.
il^t lJfiu-/, ,'t+r- ?-31-2 I Er-{-{P Ut(
to the
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