HomeMy WebLinkAbout30139701 - PermitCity 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 #: 3O1397O{
Pin #: 55555
Project Address: 910 1/2 E Catalina Ave Unit:
Assessor's Parcel: 003-222-13 Lot: 133 Block: NA
BIdg: Address Range:
Tract: 1529 Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
MARCO BRITO
910 E CATALINA AVE
Santa Ana, CA 927063048
(7141 371-8039
Homefor2 lnc
244 Redondo Avenue
Long Beach, CA 90803
(213) 804-e636
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 s1602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 s1602
Fee Type Amount Qty Fee
Water Closet 14.22 1.00 $14.22
Shower/Bathtub 22.25 1.00 $22.25
Sink 12.70 2.00 $25.40
Dishwasher 11.97 1.00 $1 1.97
Garbage Disp 10.66 1 .00 $10.66
New Sewer (First 100') 64.60 1 .00 $64.60
Gas Line alter/extend/ar 65.57 1.00 $65.57
Tankless Water Heater 65.57 1.00 $65.57
General Plan Update 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.04
Br:i.'.1-r,.'i i|4i]4:: ,':'.l/i,,ll-l lli l.l): t.:t.:tli:l i.ii,
(f f i' i ,-,:i i I i ll Tr'nns*: I23 {: (ri :
Arrr-fi': lteltl 3tJt..iYi;t tI
Hrpti: Ll?326937 i / 1.7 / lt-r18 4"'-':i./ i:'l'l
Trnns(r,:l; i nri l-nLnl $!:irl-1.54 . Il
Horefor2 Inc
State Lic #: 1038048
Lic Type: B
Bus. Lic #: 370033
Workers' Compensation I nsurance:Carrier: Nat'l Liability & Fire lns
Poliry #: A9WC971326
Expires: 0410312019
Building Use:
Job Type:
Nature of Work.
Planning Conditions:
Single Family Dwelling
Conversion
ADU
Occupancy:
Constr Type
Code:
Date:
Date:
Date: 0711712018
Account#
R-3
VB
cPc 2016
Genernl Plsn Updnte Fee
011160112- 51600000-
Plurb ins
122. [r8
t335.29
Notes:
Fee Total:
Paid to Date:
Balance Due:
bedroom,
WaterI'r il
ADU - with
bathroom.
rrrr7tr26 Aubh* : oss5 l ?
$357.36
$0.00
$357.36
76
LUJ
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
, Julie
96793
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the wort authorized on fhe sife by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600 $22.08
$335.28
lnspector MID#: 201 8-144134
01 1 16002 51602
PLUM BING-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCANATION
I hcrcby affm undcr penslty of lErjury thsl I m cxcmpt frcm thc Conlracto$ Liensc lxw for lhc following rcssn (Sls.?031.5 |
Business and Prcfcssbn Codc): Any City or County which requircs s Frmit to @nstruct, 8lts. itrprcve. &mlirh or rcpoir uy
structurc, prhr to its issusnce. ds rcquircs thc applicut for such permit to fik ! signcd stqlemnt that he or shc is liensd pur;u8nt
to the provisions of thc Contrrcttr'B Liccnsd trw (Chspter 9. Comncing eith Scction 7fi)O of Division 3 of the Busincss and
Prcfessions Codc) or thst hc or shc is crcnpt thcEfrcm 8nd thc besis for thc slhged cxctrrption. Any violation of Scdbn 703 1.5 by any
applicrnl for a Jrcrmil subjsts thc rpplicant to a civil penalty of not mrc thu fivc hundred dollus ($500).
-1.
as owncr of the prof,crty. or my cmployecs with wagcs as their solc compensation. willdo thc work and thc stnrturc is ml
intendcd or offcred for sale (Scr.7044. Business and hofcssions Code: The Contraclor's License Law does not apply to an owner of
the propcrty who builds or improves thercon. ard who does such work himself or herself or thmugh his or her own cmployees.
providcd that such improvcnrnls are not intended or offercd for salc. If. however. the building or improverncnt is sold within one )rcar
of complction. the Orvner Buildcr will have the burden of proving thal hc or she did rnt build or inpmvc the propcrty for the purynsc of
salc).
-1.
as owner of the proprty. am exclusivcly contracting with licensed conlraclors to construct thc proict (Scc. 7W. Busincss
und hofession Codc: The Contractor's Liccnse Law docs nol apply to an owner of property who builds or improves thereon.
and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's License kw).
-l
am excmpt under Section_, B. & P.C. for this rcason.
I )ttc: ( )rr nrr.
}YORKERS' CONIPENSATION
DECLARATION
I hcreby affirm undcr pcnalty of pcrjury onc of thc following dcclarations:
-l
have arxl will maintain a Ccrtificatc of Conscnt to Sclf-lnsure for workcrs' comlrcnsation. as providcd for by Scclion 37fi) of thc
l-:rbor Codc. for thc pcrformancc of thc work for which thc pcrmit is issucd.
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havc and will maintain workcrs'comJrcnsation insurance. as rcquircd by Scction 37fi) of thc Labor Codc. for thc Jrcrformance of
thc work for which this pcrmit is issucd. My workers'ton carricr policy numbcr arc:-t
Policy 2L
-l
ccrtify that in thc performarrce of thc work for which this pcrmit is issucd. I shall not cmploy any Frcrson in any manncr
so as to bccomc subjcct to thc workcrs' compensation laws of California. and agree that if I should become subject to thc
workers' comJrcnsation provisions of Section 3700 of thc [:bor Code. I shall. forthwith comply with thosc provisions..
WARNING: Failurc to sccure workers' compcnsation covcrag,c is unlawful. and shall subjcct an employcr to criminal penaltics and
civil fines up to onc hundred thousand dollars ($100.000). in addition lo the cost of compensation. damages as provided for thc
Scction 3076 of Codc. inlcrcst and attorncy's fees.
I hcreby affirm under penalty of pcrjury that I am liccnscd under provision of Chaptcr 9 (commencing with Section 7000) of Division 3
of thc Business and Professions Code. and my liccnse is in full force and effcct.
ralrLicensc
CONSTN.UCTTON LE{DTNG AGENCY
I hcrcby aflirm undcr penally of pcrjury that thcrc is a @nstnctbn bnding s8ercy for ftc Jxdomre of thc rcr* for whbh this frcmit b
issued (Se. 3097, Civ. C.).
knder's Name:
lrndcr's Address:
APPLTCANT DECLARATION
I lrrcby affinn undcr pcnalty of pcrjury onc of thc following dcclarations:
Dcrnolition Permits-Asheslos Nolification Fcdcral Regulations (Titlc 40. Part6)
-Rcquircd
Lcttcr of Notification
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certify that the federal regulations rcgarding asbeslos rcmovalare not applicablc to this proict.
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ccTl ify lhtrt I havc rcad this application ard statc thal lhc atnw informtion is corot. I agrc to @mJ,ly with all Cily and County
ordinanccs snd Stalc lrws rclsting to building consrudion. md hcrcby authorizc reprcrcntotives ofthis City and County to cntcr ulmn thc
abovc rncntioned proprty for insp.ction
Applicant or Agent
Permitee name
UNDER GROUND /
Waste & Vent Xfq/rc tt\t5(
Water-Under floor
Gas-Underf loor ttlh/tc{5b ffi'
Building Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
lMain Drain/Pool Pipinq
Fil! Line/Back Flow
Pool Heaterlcas Line
Miscellaneous
Gas Service q/r^,s
Water Service U'4WV/il ffi
Lawn Sprinkler
Sanitary SewerlCap X/U/t,{^(#Back Flow Device
Rough Plumbing uie/tq 9u(1
Final Gas Test
Meter Release //il ,-x)
FINAL "7/2/2.t u{alb t4u
Notes, Remarks, Etc
,l
Date:_ Applicant:_
,rr",1l Contraclor:
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