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HomeMy WebLinkAbout30142407 - PermitProiect Address: 3709 S Alder Sta Assessor's Parcel: 410-031-03 Lot.27 Unit: Block: NA Bldg: Tract: 6308 Address Range: Historic: No Suite Range: Zoning: Rl t City 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 #: 3O1424OT Pin #: 35822 Owner: Address: Phone Tenant Name: Contractor: Address: Phone Christina Ferguson 3709 S Alder St Santa Ana, CA 92707 (s62) 318403s Flat Rate Remodeling lnc 369 N Fairfax Ave #7 Los Angeles, CA 90036 (323) 761-7540 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01116002 57770 Fee Type Water Closet Bathtub Sink General Plan Update lssuance Microfilm Records Amount 15.32 23.97 13.68 23.79 59.30 4.05 Qty 2.00 2.00 2.OO 1.00 1.00 1.00 Fee $30.64 $47.94 $27.36 $23.79 $se.30 $4.05 State Lic #: 996391 Lic Type: B Bus. Lic #: 376268 Workers' Compensation I nsurance:Carrier: State Fund Policy #: 911 Zgtl Expires: 0912312020 Botch+:56131 9 lgl2fizfr I0: }IPINEDA Off i ce: CTYH Trnns*: 55 4 of 5Acct*: Ref*: 301421fi7 Rcpt*r03061897 9/9/2020 12335 PH Transoct ion Total t995 .79 FInt Rnte Rer*odelins Inc Plumbing for bathroorn remodel. $?3, 71 t165.2, Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling Alteration Bathroom remodel Occupancy: Constr Type: Code: Date: Date: Date: R.3, U VB cPc 2019 rt t Notes:$997,7 09/08/2020 Account# Misc. Receipt: Misc. Receipt. Misc. Receipt: Total Amsden, Julie Buirdins Permit #: 1 01104591 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 MtD#'.2020-1 61338 01 1 16002 s1600 01 1 16002 51602 01 1 16002 57770 $23.7e $16s.24 $4 05 Fee Total: Paid to Date: Balance Due: $193.08 $0 00 $193.08 PLUM BING.INSPECTOR RECORD APPROVALS DATE ID/SIG I COMMENTS OWNER BUILDER DELCARATION I hercby affirm under penrlty of perjury thrt I m crempt from thc ContrsctoF' Licen* [lw for the follouirg Esn (Ss.7031.5 Busincss and Profcssion Codc): Any City or County which rcquircs I lmit lo snstruct. 8lts, imprcw, &mlish or rcJnir 6ny structurc, pdrr to its issu!re, ds requircs lhe rpplicsnl for such tEmit to lilc 8 sigrcd sl8lcmnt thrt hc or shc is liensd pwanl to thc provishns of thc Contrsctor's Lbenscd t w (Chrpter 9, Comreming with S6tbn 7m of Division 3 of thc Busircss md Prcfcssions Code) or that hc or she is cxctrrpt thercfrom 8nd the basis for thc 8lhgcd cxemption. Any viohtion of S$tirn 703 1.5 by rtry applicant for I lf,rmit subjcls lhc applicant to a civil penalty of not mrc than five hundrcd dollus ($500). -1. as owner of the pmpcrty, or my employces with wages ss their solc compensalion. will do the work and thc stnrturc is nol intcndcd or offcred for sale (Scc.7044, Busincss and hofcssions Code: The Contraclor's Liccnse [-aw does not apply to an owner of thc propcrly whcr builds or inpmves thereon. and who does such work himself or hersclf or through his or hcr own employees. provided that such improvenrnts anc not intended or offered for sale. If. howcver. the building or improvenEnt is rcld within one )rear of cornpletion. the Owncr Builder will have thc burden of proving thsl he or shc did not build or improve the propcrty for thc purlnsc of sale). -1. tsowncrof thc propcrly. anrexclusivclyconlracting with liccrrscd conlracl()rs lo construcl lhe projccl (Scc. 71X4. Bttsiltcss ard lhrlcssion Codc: 'Ihc Contraclor's Licensc l,aw tlocs nol apply to an owncr of propcrly who builds or itnprovcs lhcrcttn. and who conlracts lirr such projccts with a Contractor(s) licensctl pursuant ltr lhc Contraclor's I.iccnsc l-aw;. -lalltCxclIlptuntlerSection-.I].&P.C.lilrlhisrcastllt.l)ate: Owner: _ _ lYORKERS' CO[I PENSA'I'ION DECLARA'tION I hcrchy al'l'irrn untlcr pcnalty of pcrjury onc ol'thc lblkrwing dcclarations: _lhavcarxl u'ill rnairrtainaCcrtilrcateofConscntto.Scll-lnsurclirrrr'orkcrs'compcnsali()n.as providcrl fbrhyScction-17(X)ol'llrc l-lbor Codc. lirr thc pcrforrruncc of thc work lirr which thc pcrrrrit is issucd. ff#una*ilt nuintrinworkcrs'cotrrlrcnsalioninsurlncc.ns rcquircdhySccli('n-17([ofthcLaborCodc.forthcJrcrfonmnccof' ihc work for which this pcrnlit is issucd. My workcrs' conrpensatiotr insurancc c{fticr dd lnlicy numbcr m: l'olic1' q 1l 7(z Za -l ccrtify that in the pcrformance of thc work for which this perrnit is issued. I shall not enrploy any person in any mBnner so as lo bccome subjcct to the workers'comlrcnsation laws of California. and agrc.c lhat if I should become subjoct to the workcrs' compensation provisions of Section 37fi) of thc t-abor Code. I shall. forthwilh comply wilh tltosc provisions.. WARNING: Failure to sccure workcrs' compensation coverege is unluwful. and shall subject an employer to criminal penaltics and civil fines up lo one hundred thousand dollars ($l00.m0l. in addition to the cost of compensation. damages ss provided for the Scction 3076 of lhc l-^abor Codc. interest and allorncy's fees. 1i-- I hcreby affirm under pcnalty of perjury that I am liccnsed under provision of Chapter 9 (commencing with Section 7m0) of Division 3 of the Busincss and Professions Code. and my license is in full force and effecl. e$uv 1r ('ortl r:tclor: W I hcrcby ull'irm undcr Fn{lty of Frjury thilt thcrc is fl constructbn bnding agcncy lbr thc pcrli}rroncc of the work for which lhis 'tnnil is issucd (Scr. 3097. Civ. C.). Lcndcr's Nanrc: l.ender's Address: APPLICANT DECLARATTON I hcrcby affirm undcr pcnalty of pcrjury one of the following dcclarations: Dcnrolition Pcrmits-Asbestos Notification Fcderal Rcgulations (Title 40. Part6) -Required [rtter of Notification _l certify that thc fcderal rcgulations regarding asbcstos rcrrrovularc nol upplicablc to this projccl. ccrlify lhat I have read this application and stale thal the atxrve informalion is corrcct. I agrcr to comply with all City and County ordinailccs and Stotc llws rclating to building construction. &d herchy authorizc rcprcscnlllivcs ofthis City ond Counly lo cnls ulmn thc atxlve nrcntioncd proprly for insJrcction Agrpliurnt or Agent Permitee nanre ,",". ct [ $l ? o UNDER GROUND (\.s( Waste & Vent I Water-Under floor Gas-Underf loor Building Sewer ArealStorm Drain I nterceptor/ Clarif ier TOP OUT , Waste & Vent zn - hL(-t/, Water Pipinq q'ltolu)'-7r' b1444< Gas Piping I I I I Roof Drain I Tub/Shower Test 1l trlltD 7 tl lL 'h) Dtr*9 Rouqh Water Heater r- t I POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewerlcap Back Flow Device Rough Plumbing Final Gas Test Meter Release t\N FINAL \e\sil,lr \ EtcRemarks \ {q{t> Prt a DKA*7 I h'lLt hlp*,v Carricr:- Exnircs: Licensc Cfo.r, 9,",.,-QlS{-2o--License Numbcr: