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Home My WebLink About30122082 - PermitPlumbing Permit #: 30ll22fi82I , city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector's Section: (7 14) 647-5853 Address Range: 290 1-2975 Suite Range: Historic: No Zoning: R4 Project Address: 2915 S Fairuiew St Assessor's Parce!: 933-070-33 Lot: 2, 611, 2, 4, 5 Suite: G Block: NA Bldg: Tract: 8236/8868 Owner: Address Phone: Tenant Name: Contractor: Address: Phone: Jose & Laura Alvarez 2915 S Fairuiew St G Santa Ana, CA 92704 (7141 549-7512 Appliance lnstallers lnc. 3823 lndustry Av Lakewood, CA 907124115 (562) 5s5-4500 Fee Type Dishwasher lssuance Amount 8.75 35.50 F lumb i ns Ch eck C:heck gs 12 s77S Fee $8.75 $35.50 $44.25 $0.00 $44.25 i4+. ?5 $9, 50 $212 .73 Qty 1.00 1.00 State Lic #: 594282 Lic Type: C-36 Bus. Lic #: 0161 261 Workers' Compensation !nsurance:Carrier: State Fund Policy #: 0001299-2006 Expires: 09/01 12007 Batchi:3144 lr7/I?/lr7 ID: (:KELLY 0ff i ce: CTYH Trnns*; 6 3 of 5Acct*: Ref *: 31r12?u$2 R,:pt*:0tr117776 7 i L9/}ittr7 tt-t: 10 Al1 Trgnsoct i on Totq I $221 . ?5 FHB [:on t r nct or Appl ionce Instgllers In,:. Building Use: Job Type: Nature of Work: Planning Conditions Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Verduzco, Violet 07 t19t2007 Misc. Receipt: Misc. Receipt: Misc. Receipt: Condominium Alteration Dishwasher Occupancy: Constr Type: Code: R-l V-N cPc 2001 Building Permit #: This permit shall expire by limitation and become null and void if the wo* authoized by this permit is not commenced within 180 days from the date of this permit, or if the wo* authoized by this permit is suspended or abandoned at any time after the wo* is commenced for a peiod of 180 days. Beforc such work can be rccommenced, a new permit shall be first obtained to do so. Accou nt #: 0 1 1 -0 1 -591 2 lnspector Notes: Direct change out. Mail-in permit. Fee Total: Paid to Date: Balance Due: MID#: 2007-77222 { Date: V Date: Date: PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Omq-Builda Dchntion I lucby afiirm undcr perolty of pcjury that I am uemp fom thc Contnctor' Licce hw for thc following ramn (se7031.5 Buinu rnd Profcsion Codc): Any City or Couty which rcquire s pqmir ro @Etruct, lltcr, improvc, dcmlilh or rcplir uy rtructurq Fior !o its i$uncc, rbo rcquirB thc rppliqnt for 3uch psmit to filc a signcd stst@nt thst he or rlrc ir liered puEut to lhc prcvirioE of thc Contnaor's Lierocd Lrw (Chlpts 9, Comcncing with Setion 7000 of Division 3 of thc Buinsr md Profesioru Codc) or thrt hc or shc ir rempt thcrcfrom and thc brsis for thc rllcgcd qcmption .Any viohtion of Scaiotr 7031.5 by uy rpplienr for r p6mit 3ubjGct thc appliont to s civil pcmlty ofnot morc tlm fivc hundrcd dolhB ($500). _1, u orc of thc propoty, or my cmployc with wago as thcir rolc @mpcMtion, will do thc work ind ttrc 3trwtuc i! rct intcndcd or offqcd for ldc ( 56.7044, Buin6t ud Profcalio6 Codc: Thc Contncbr'3 Liee Lw do6 mt rpply to e owr of thc prcpsty who build! or improvB rhaotl ed who doa such work himrclf or hmclf or tkough hi3 or hs oM cmployccq providcd that ruch improwmcils uc not intcndcd or offqcd for nlc. If, howcr, thc building or improvcment i! $ld within orc ya of omplaion, thc Ow-Builds will havc the burdcn of proving dut hc or 3hc not build or improvc for thc purporc of slc). _I, u oue of thc prop6ty, Em qcluivcly oamcting with li@Bcd @trtnclotr to @Etruct thr projel ( Sâ‚¬. 7044, Buin6! ud Profsrion Codq Thc Contnctor's Lic4c lrw do6 not rpply to e omd of propqty who builds or imprcu rhcron , ud who ontndr for ruch prcjerr with r Coilnsto(s) licascd pununr to thc Contraaor's Liccre Lrw.). _I arn excmpt under Section +B. & P.C. for this reason. Date: WORKERS COMPENSATION DECLARATION I hereby aftirm under penalty of perjury one of the following declaratioru: I have and will maintain a Certificate of Consent to Self-Imure for workers' compensatior\ as provided for by Section 3700 of the Lsbor Code, for the performancc of the work for wtrich the permit is issued. _Ihaveandwillmintrinworlcm'mmpemtionirounncqu rcquircdbyScaion3T00ofthchborCodgforrhcpafonmeofthc worh for which thir p6mit is isucd. My workcr' ompcnstiotr inrurue enicr ud policy numbc arc: Policy Number: Expircs: I Ghis section need not be completed if the permit is for One hundred dollars {$100} or less) I I | _I certify that in the performancc of the work for which this permit is issued, I shall not employ any person in any manner so as to I Uecame subject to the workers ' compensation laws of Californrq and agrec that if I should become subject to the workers' I compensation provisions of Section 3700 of the Labor Codg I shall, forthwith comply with those provieions.. WARNING: Frilurc to seuc worlo' ompcmtion owrgc is ulawful ud rhrll rubjer u cmplopr o aimiml pcnltic rnd civil fm6 up to om hundrcd thousnd dolhE (3100,0@),in rddition to thâ‚¬ cst of orDnstioq rhmga u provklcd for $c Sction 3076 of thc hbor Codc, itrtqBt aod atomcy's fe. W I hrcby rfiirm unda pcmlty of pojury thrt I u lieuâ‚¬d unds prcvirion of Chpc 9 (omcncing wirh S*rion 7000) of Divirion 3 of thc Buinqs and Prcfcssioro Code, rnd my lierc is in full fore rnd cffct. License Clacs: Liccnse Number Date: Contnctor: CONSTRUCTION LENDING AGBTCY I hacby rfrum uda pcmhy of pajury thrr thm ir r corutruabn lcnding rgcncy for thc pcrforc of thc wk br wlrich thir pcmit ir iuucd (Sa 3097, Civ. C.). Iada'rNm: knder's Address: APPLICANT'S DDCLANATION Demolition Psmiu-Asbesros Notification Fâ‚¬dcral RcguhtioN (Titlc 40, Prn 6) _ Rcquircd Lrrtcr ofNotiriqtion I enify thrt the federrl rcgulations rcgardiru Bb6to5 rcmoul uc not rpplieblc to this prcjct. _ I @rtiry thEt I hsvc red this applietiotr strd rtEtc thrt thc sbow inforrotion ir @rccr. I agre to omply with rll City lnd County ordiBnc6 tod Ststc l:s rehdng to building 6Etruc{io4 sod hqcby ruthorizc rcprutativs of thi! City snd Couty to mts upotr thc ebovc mcntioncd propcrty for insprction purpose. Applicant or agent Permittee nsme (print): I'lata' UNDER GROUND Waste & Vent Water-Underfloor Gas-Underfloor Building Sewer ArealStorm Drain I nterceptor/ C larifier TOP OUT Waste & Vent Water Piping Gas Pipeing Roof Drain Tub/Shower Test Rough Water Heater POOUSPA P-trap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Misc Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back FIow Device Rough Plumbing Final Gas Test Meter Release FINAL Ex ptf,{<tt) /t Notes, Remarks, Etc. )