HomeMy WebLinkAbout30143673 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 Inspector Section: (714)647-5853
Permit #: 30143673
Pin #: 82542
Proiect Address: 2617 N Linwood Avea
Assessor's Parcel: 396-253-05 Lot: 14
Unit:
Block: NA
Bldg: Address Range:
Tract 4885 Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Pada Torres
2617 N Linwood
Santa Ana, CA 927056955
(7141 904-774s
Ultimate Builders lnc Repip(
19326 Ventura Blvd . #201
Tarzana, CA 91356
(866) 737 4781
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type Amount
Repipe Res (Each 100' 4T .gs
General Plan Update Z3.lg
lssuance 59.30
Microfilm Records 4.05
Qty
2.00
1.00
1.00
1.00
Fee
$95.90
$23.79
$59 30
$4 0s
1
State Lic #: 927892
Lic Type: C-36, B
Bus. Lic #: 338197
Workers' Compensation lnsurance:Carrier: Guideone Mutual
Policy #: 010028806
Expires: 0911512022
BotcIt; 3 6]lf ice: (
Accti:
tcpt*: uJr
llE I filgue
6enerq i
t I I l6r-ttr2
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Repipe
t$ Hernan dez, Kathy
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019
09t22t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes.auth on file
Fee Total
Paid to Date:
Balance Due:
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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23.79
$155.20
$4.0s
$183.04
$0 00
$183.04
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lnspector MID#: 2021-1 68938
D.
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCANATION
I hocby affum under petrdty of pcrjury thsr I u Excmpt ftom th€ Conrac{m' Licns trw for the following ren (56.7031.5
Busincss and Prcfc$ion Codc): Any City or County whth rcquircs a pcmit to construct, rlter, imprcvc, demlish or rcprir uy
structre, Jrbr to its isswc. also rrquircs thc applket for-iEh pcmit to fib r sigEd slatcmnt tlul hc or slE b licnsd pu$sril
to thc pmvisions of thc Contrrctor's Licensd lrw (Chrpter 9, Comncing wilh S6tion 7000 of Division 3 of thc Busircss ud
PrcfcssionsCodc)orlhslhcorslEisexempttlusftomstdthcbalisforthcalhgcdcrmprion. AnyvblationofsclbnT03l.5bymy
spplicsnt for a permit subj$ts thc applicant to a civil pcnalty of not mrc the frvc hundrcd dollm ($500).
-1.
as owncr of the property, or my emplo)rces with wages as their sole comFrcnsation. will do thc work and thc stnrture is not
intcndcd or offcred for sale (Sec.7044, Business and hofessions Code: Thc Contractor's Licensc [:w does not &pply to an owner of
the propcrty who builds or improves thereon, and who docs such work himself or hersclf or through his or her own employecs,
provided that such improvcnrnts are not intcndcd or offcrcd for salc. lf. howcver, thc building or ir{novcnrnt is sold within one )rcar
of conphtion, the Owner BuiHcr will harrc the burden of Snoving that trc or she did not build or inqrrove the propoty for the purposcof
sale).
-1.
asowncrof thc propcrty. amcxclusivclycontracting with liccnscd contractorstoconslrucl thc projcct (Scc.7M1, Busincss
and Pnrfcssion Codc: Thc Contractor's License Law docs not apply to an owncr of proJrcrty who builds or improvcs thcrcon.
and who conlracls tbr such projccts with a C<lntractor(s) liccnscd pursuant to thc Contract<lr's Liccnsc Law).
-lamexcmptunderScction-.B.&P.C.forthisreason'n^a^.
WQETESETI}MPINSAtrON
DEII.ABAIIAN
I hcreby rffirm under pcmlty ofperjury onc ofthc fotlowing deluotions:
-l
haw ard will mintain a Ccnifrcatc of Conrcnt m Sclf-lnsurc for workcro' comlrcnsation. as prcvided for by Sation 3700 of the
tibor fuc, for thc pcrfomrcc of thc mrk for whhh thc 1Emil is issucd.
/l havc und will mintain workcrs' comrEnsation insuronce, as rcquircd by Setion 3700 of thc hbor Codc, for thc pcrformre of
thc work for which this Jrcrmit is i.ssucd. My workcrs' cornpcnsation insurance carricr and plicy numlxr arc:
a
Policy
D
-l
ccrtify that in thc prfornuncc of thc work for which this pcrmit is issucd. I shall not employ any pcrson in any manncr
so as to bccorne subject to ttrc workcrs' compcnsation laws of California, and agrec that if I should bccome subject lo the
workcrs' compcnsation provisions of Scction 3700 of thc Labor Codc, I shall, forthwith comply with those provisions..
WARNING: Failurc to sccurc workcrs' compensation covcragc
civil fines up lo one hundred thousand dollars ($100.000). in
, is unlawful. and shall subjcct an cmploycr to criminal Frcnaltbs and
addition to the cost of compcnsation. damages as provided for ttrc
Section 3076 of thc l-atnr Codc. intcrcst and attorncy's fccs.
n.,a^.
I hcrcby allirm undcr pnalty of pcrjury that I arn liccnscd undcr (comrncncing with Sc.ction 7000) of Division 3
of the Busincss and Professions Code, and my liccnse is in full forcc and cffcct.
Liccnse
Dale:
I hcrcby affirm under Jrcnalty of perjury that thcrc is a onstructbn lending agcrcy for thc Jrcrformncc of thc work for which rhis lnmit is
issucd (Scc. 3097. Civ. C.).
[rndcr's Namc:
knder's Address:
ATELIGANLDECI.ABAIIIIN
I Myaffimunder lrcnalty of perjury orc of thc following dccltrstions:
Dcmlition Permits-Asbcstos Notification Fcdcral Regulstions (Tide,l0, Pa(6)
-Rcquired
l-rncr of Ndifrcatbn
-l
ccrtify that thc fcdcBl rcgulatio$ rcgEding rsbcstos rcmval m not spplicablc to this prcjcrt.
_l ccnify rhat I hsw rcad this rpplication and ststc that lhc sborc inforEElion is coffit. I agE to @mply with all Cily ard Coutrty
ordimnccs and Statc [aws rclating to buiHing constructiort ild hcrcby suthorirc rcprcsnlotivcs of this Chy and County to cntcr uIDn thc
abovc mcntioncd prolrcrty for
Applicant or
Pernrilee
l )rrlr
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent t- l t,^a(Water Piping I lqlat arail 0tqffi
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
N/ain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heaterlcas Line 4
I
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back FIow Device
Roush Plumbinq
Final Gas Test
Meter Release I /lt 2
FINAL t0////A/W/il(ru4ry
Notes, Remarks, Etc.(
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