HomeMy WebLinkAbout30142631 - Permitv-Proiect Address: 3709 S Alder Sta
Assessor's Parcel: 410-031 -03 Lol:27
Unit:
Block: NA
Bldg:
Tract: 6308
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (114) U7-5800 lnspection Requests: (714) 667-2738 lnspector Section: Q14) 647-5853
Permit #: 30142fi,3{
Pin #: 125o^1
/ttr
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Cristina Ferguson
3709 S. Alder Street
Santa Ana, CA 92707
(s62) 318403e
Flat Rate Remodeling lnc
369 N Fairfax Ave #7
Los Angeles, CA 90036
(323) 761-7540
State Lic #: 996391
Lic Type: B
Bus. Lic #: 376268
Workers' Compensation !nsurance:Carrier: State Fund
Policy #: 91 1ZBT1
Expires: 0912312021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Addition
Addition
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019 Notes:
Fee Total:
Paid to Date:
Balance Due:
Plumbing for addition.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Amsden, Julie
Subject to Field:
Buildins Permit #: 101104621
11t30t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 the site by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-1 61401
01 1 16002 51600
01 1 16002 s1602
01 1 16002 57770
$23.79
$104.98
$4.05
$132.82
$0.00
$132.82
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type Amount
Sink 13.68
Dishwasher 12.90
Garbage Disp 11 .49
Gas Outlet, each Add'! 7.61
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$13.68
$12.90
$1 1.49
$7.61
$23.79
$s9.30
$4.05
Botch*:57370 -
tlf f ice: (:TYH
Snergr
1116u(r2
Iumb i ns
PLUMB!NG.INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS
UNDER GROUND
ffitr,Waste & Vent I I 1,D:
Water-Under floor I t
Gas-Underfloor ,.'?
Buildinq Sewer
ArealStorm Drain
I nterceptor/ CIa rifier
TOP OUT 1
Waste & Vent I 7
Water Piping ' '-t'
a
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back FIow Device
Rough Plumbing
Final Gas Test l0t ?.1
Meter Release I
I
FINAL Y)t 1t t(tr\4P
Etc.
I
a
tlu I l,DIilt Dt,t1,('A ll^'t'l( )N
I hacty sffim unda pcmlty of pcrjury tha I m cxmp fiom thc CortrrctoE' Licffi t w for thc following rcn (Se.703 1 .5
Buine ard PrcfBion Codc): Any City or Couily whkh rcquic a pomit to aNtrucl, altr. imprcvq danolish or rpeir oy
struclurq prior to its isuucq also rcquic thc spplicmt for such pcrmit to filc I sigtrcd statmmt thit hc or dE is lic@lcd ptllMt
to thc FovisioE of thc Contrrctor's Licmscd trw (Ch8flq 9. Commming with Sctios 7000 of Division 3 of thc BBin* md
PrcfsioN Codc) or that hc q shc is qmpt thsrfrom od thc bosb for thc dlcgcd qmFioo. Any violatiotr of Setior 703 I .5 by uy
applicmt for a pcnrit subjcts thc spplicut to a civil pcmlty ofoot morc thu nvc hundrcd dolles ($500).
-1.
as owner of the propcrty. or my anployees with wages as their sole compensaion. will do the work and the smntne ls not
intendod or offered for sale (Soc.7044. Business and Profcssions Code: The Conbaclor's License law does not apply to an owner of
the property who builds or improves thcroru and who does such wort himself or herself or through his or her own anployees.
provided that such improvcnrents arc not intendod oroftred for sah. I[, however. ttrc hilding or improvenrant is soH within onc ]car
of compklion the Orner Builder will have the hrdcn of proving ttra he or she did not build or improve the property for the purpose of
sale).
-1.
as owncr of the propaty, am exclusively contracting with licerued contractors to construci the project (Sec. 7044, Buiness
and Pnofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thcreon,
and who contracts for such projecrs with a Contracto(s) liccnscd pursrnnt to the Contraclor's Licensc l-aw).
-l
am exempt under Section-. B. & P.C. for this reason.
WORKERS'COMPENSATTON
DECI.ASAIIA!
I hoeby affirm undo pcnaltyof pcjuryonc ofthc following delratiom:
/ havc md will mintain a Cmificatc of CoMt to Sclf-lrcurc for work6' compcnsalion. r povided for by Sction 3700 of the
2/[abor Codc. forthc pqfonnece ofthe work for which thc pqnit ls issucd.
and will maintain workers' compensation insurance. as rcquired by Section 3700 of the tabor Code. for the pcrformance of
work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Policy ?/egl z-zt
-l
ccrtirythat in thc perfomncc of Ihc work for which this pcrmit is issucd. I shall not mploy any pcmn in any mons ,s astobccomesulicttothcrrc*6'compcnsatioolasofCalifomia,ildagrcthatiflshouldbcomcsubjcltolhc
wortc' compquation provisiore of S*tion 3700 of thc libor C.oda I dull. fonhwilh omply with thor prcvisiom..
WARNING: Failurc to suc rcrks' compwtion sv@ge is unlawful. ild shall subjet e mploler to qiminal pouhics ud '
civil fine up to onc hundrcd lhouild dollm ($100.000). in addition to thc cost ofcompcEalion. dmag6 s providcd for thc
Setion -1076 of the tabor C.odq intc€si md attomcy's fs.
Ds.et ll l\ot,'2,-2p sgptant \/t*e @l Nflii-
LrENSED coNTRAcroR
DECI.686JIIAN
I h@by amrm und6 pcnaltyof pcrjury thal I m limscd undc povision of Chapte 9 (commocing s'ith Sction 7000) of Division 3
of thc Buins md Prcfasiom Code. and rny licru is in full forcc ad cffct.
License ctass, 6 License Number:fvc c?,
ortu, ltl3ro)2.c2-F/or- )+*t, bvrv,o J 161('ontraclor:u L,.,-
CONSTRUCTION LENDING AGENCY
I hereby affrm under pcnalty of pcrjury that there is a corutruction lcnding agency for the performance
issued (Sec. 3097, Civ. C.).
Lender's Name:
APPLICANT DECLARATION
I hereby affirm under penalty of perjury one of the follorving declarations:
Demolition Pcrmits-Asbestos Notification Federal Regulations (Title 40. Parr6)
_Required Lettcr of Notification
_l certi& that the federal regulations regarding asbestos rernoval are not applicable to this projcct.
and
above mentioned property for inspcction purpos6.
Applicant or Agent
Permilee nnme
d
of the work for which this pcrrnit is
Lcttrlct 's r\tltlt css.
the
^ru, tllaolzoto
Remarks,
l)atc:
Ni.\