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: