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Home My WebLink About30243699 - PermitProject Address: 2919 W Camile Sta Assessor's Parcel. 109-821-01 Lot: 149 Unit. Block: NA Bldg: Tract: 3915 Address Range: Historic: No Suite Range: Zoning: Rl City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:30243699 Pin #: 15262 Owner: Address: Bob Bennett 2919 W Camile St Santa Ana, CA 92704 (7141 335-1605 01 1 16002 51602 01 1 16002 5160C 01 1 16002 51602 01 1 16002 5777C Fee Type Alter DrarnA/ent General Plan Update lssuance Microfilm Records Amount 47.95 23.79 59.30 4.05 Qty 1.00 1.00 1.00 1.00 Fee $47 9s $23.79 $s9.30 $4.0s Phone: Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lrc #: Workers' Compensation lnsurance: Carrier: ::fiIX' NoncEoFvloWloN BotchS:60945 - 9/3$/2021 I0: ofroroleslS0ffice: CTYH Trnns*: 12 I of 2Acct*: Ref*: 3U243699 Rcpt*:03428807 - I fiA/2021 9: 52 All Tronsoction Totol t640.66 Bob BennettBuilding Use: Job Type: Nature of Work: Planning Conditions: Planning Approva! By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #. Single Family Dwelling Miscellaneous Alter Vent Kathy 09t30t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total Paid to Date: Balance Due: Occupancy. Constr Type: Code. Date: Date: Date: R.3, U VB cPc 2019 Genernl Plnn Updnte Fee tll I 160[12- 516trtr00tr-llicrof iln & Docunents 01116002- 3777A0ULI- Plu;b i ng 01 I 16002- 516(12rr[r[r- Uisa CC+: *rrrrrllr*r*86+2 $?3 .79 14, [t5 _ $ 107 .21 t64tt .66 Auth*:07 464A $135.0e $0.00 $135.09 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 sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2021-1 69 162 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23.79 $107.25 $4.05 PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCANATION I hcrcby sffrm under penalty of perjury that I m cxempt from thc ContretoB' Licens lrw for the following msn (Sc.7031.5 Busincss rtd Profcssion Code): Any City or Courty which requircs 8 pqnit lo onstnrct, sltq, itrprow, &mlish or qrt uy stnrcorc, Fk r to its issrc, alro rcquires the spplicmt for such pemit to fih a signcd st.remnl lhst hc or she is lkrnsd plltsua to thc prcvisions of thc Conretor's Licemcd Law (CtEptcr 9, Comrcing with Serion 7000 of Division 3 of the Busircss ud PrcfcssioN fue) or thsr hc or shc is â‚¬xcmpa thercfrom ed thc bssis for thc dlcgcd excmption. Any violalioo of Setbo 703L5 bl sny spplicrnt for 8 permil subjcts thâ‚¬ spplicsnt lo I civil pcElty of mt mrc thsn five hundrcd dollus ($500). -1, as owncr of thc propcrty, or my cmployccs with wages &s thcir solc compensation. will do the work and the struclure ls not intended or offcred for sale (Sec.7044, Busincss and Professions Code: The Contractor's Liccnse LBw docs not apply lo an owner of the propcrty who builds or inprorrcs thercon, and who docs such work himself or hcrself or through his or hcr own employecs, providcd that such improvenrcnts arc not intcnded or offcrcd for salc. If. howcver, the building or improvcnrent is sold within onc )t.sr of completion. the Owner Builder will harrc the burdcn of proving that hc or shc dkl not btrild or inprove thc propoty for thc purJnsc of sah). -1. as owncr of thc pmpcrty. am exclusively contracting with licenscd conlractors to conslruct thc project (Sec. 7044. Busincss and Pncfcssion Code: Thc Contractor's License Law does not apply to an owner of propcrty who builds or improves lhercon, and who contracts for such projccts with a Contractorls) liccnscd pursuanl to thc Contraclor's Liccnse kw). _l am cxempt undcr ';tufrr o.I 1.. t,, .n -.3o - zl I hcrcby affirm undcr penalty of pcrjury onc of thc following -lhavcandwill rnaintainaCcrtificateofConscnttoSclf-lnsurcforworkcrs'c<lnrgrcnsation.as providedforbySection3T00ofthc labor Codc. lbr lhc lrcrformancc of thc work for which thc pcrmit is issucd. -l havc and will nraintain workcrs' conrpcnsation insurancc. as rcquircd by Sect ion 3700 of thc labor Code. for thc pcrformancc of thc work for which this pcrmit is issucd. My workcrs' cotnpcnsation insurancc carricr and plicy numbcr arc: Carricr: Policv Numbcr: Exnircs: -l certify that in thc pcrformancc of the work for which this permit is issucd, I shall not employ any person in any manncr so as to bccome subjcct Io the workcrs' compcnsation laws of California, and agrce that if I should become subject to thc workcrs' compcnsation provisions of Section 3700 of thc Labor Code. I shall. forthwith comply with those provisions.. WARNING: Failurc to sccurc workers'comlrcnsation cover.rgc is unlawful. and shall subjcct an employcr to c-rirninal pcnaltics and civil fincs up to onc hundrcd lhousand dollars ($100.000). in addit ion to the cost of compensation.damagcs as provided for thc Scction 3076 of thc laklr Code. intcrest and altorncy's oror 4-3o-Zl Q, I hcrcby affirm under penalty of perjury that I am licensod under provision of Chapter 9 (comnrencing with Section 7000) of Division 3 of the Business and Professions Code, ard my license is in fuU force and effcct. Liccnse Dale: Nunrbcr: W I hcrcby aflrm undcr pcmlty of pcrjury Ihat Ihcrc is ! onslructbn hnding agcncy for lhe pcafommc of lhc work for which this Ismit is issucd (Sa. 3097. Civ. C.). lrndcr's Nam: Lrnder's Address: ABUCANIJECI.AMIION I Myafnmundcr Fnalty of pcrjury orc of thc following delarations: Dcmlition Pcrmits-Asbcslos Notification Fcdcral Rcgulations (Title 40, Part6) _Requircd kttq of Notifrcation -l cmify thal thc fedcBl rcgulations rcgading asbcslos rcmval rc not applicsblc lo this prcjct. _l ertify that I harc rc8d this application ild statc that thc abovc informalion is comcl. I agre to comply wilh sll City and Counly ordimrccs and Slltc laws rchting lo buiHing construcliotr ud hercby authorizc rcprcsnlativcs ofthis Cily 8rd County to cnts uJDn thc abovc rncnlioned propcrty for O,WApplicant or l't rnritee ben'f EA o""'?40-7"1 UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer ArealStorm Drain I nterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Pipinq Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line N/ain Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCao Back Flow Device Rouqh Plumbinq Final Gas Test Meter Release FINAL lD{/-2 lOCrE ntfffiU Notes, Remarks, Etc. Contractor: