HomeMy WebLinkAbout30141216 - PermitI Project Address: 1418 W Carriage Dr
Assessor's Parcel: 412-014-20 Lot: 31
Unit:
Block: NA
Bldg:
Tract 6036
Address Range.
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20CivicCenterPtaza(M-19), Santa Ana,CA927O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30141216
Pin #: 22292
Owner:
Address:
Phone.
Tenant Name:
Contractor:
Address.
Phone.
Shauntae Chandler
1418 W Carriage Dr
Santa Ana, CA 927046713
17141 679-5333
Home Renew 360
3711 N. Long Beach Blvd. #l
Long Beach, CA 90807
(561) 800-0s30
01 1 1 6002 51 602
01 1 16002 51602
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
Fee Type
Water Closet
Shower/Bathtub
Sink
General Plan Update
lssuance
Amount
14.78
23.12
13.20
22.95
s7.20
Qty
1.00
100
1 .00
1.00
1.00
Fee
$14.78
$23.12
$13 20
$22 95
$57.20
I
>-
J
State Lic #: 982343
Lic Type: B, C-39
Bus Lic #: 373438
Workers' Compensation I nsurance:Carner: State Compensation lnsurance Fund
Policy #: 9144686
Expires'. 1011312019
Botch+:51405 8/12/2fr19 I0:LR0SALES
0f f i ce 3 CTYH Tron s+ 3 15tt 3 of 3Acct+: Refi: 3fl111216
Rcptf : fi2716599 - 8/12/2tt[9 2:{8 Pll
Tronsoct i on Totol t463.32
Hcr,ne Reneu 36Ct
Generol Plan Updote Fee
r1l I 161102- s1600000-
Pl unb i ng
0u 1600?- 51602000-
Viso
CC+ 3 ***r**rrr**141fi6
922,95
_ $ 10g, 3(r
$463.32
Auth+:05463GBuilding Use:
Job Type:
Nature of Work.
Single Family Dwelling
Alteration
Bathroom Remodel
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
R-3, U
VB
cPc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By. Hernandez, Kathy
Subject to Field:
Buildins Permit #: 101 101048
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#' 2019-153558
08/1 2t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51602
$22 95
$1 08 30
$1 31 25
$0 00
$131 .25
PLU M BI NG.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER I'ELCARATION
I hcrcby aflim uodcr pcmlty of pGjury that I m cxempt fiom th. ContrrctoE' Liccn$ Lrw for thc followirg m$n (Ss.7011.5
Bwin6s and Pmf*ion Codc): Any City or County which rcquiffi s Imit to @nilrucl. ahd, imprcvq &mlish or ctEir af/ .
structurc, prhr to its iesancc, alio rcquiffi thc epplicant for sch lEmit lo filc a si8rcd rtatercnt lhst hc or sh€ b liccned pumant
to tlE pmvisions of thc Contrrctor'r Li@ns€d L8w (Chapto 9, Commcrcing with Scction 7000 of Divisioo 3 of thc Bwines and
PmfcsionsCode)orthathcorrhciscxcnrptthrcfromsndthcbosliforthcallcgcdcxcmption. AnyviolationofSctionT03l.5hyanyl
applicant for s pcmit sbjcts thc applicanl to a civil pcmllyof mt mE than five hundrcd dollm ($5()0) . t
_1. as ou'ner of the property. or my enlployees with u,ages as their sole compensation. willdo the u'ork and tlrc structure is nol
interxle<l or offered for sate (Sec.7044, Ilusiness and Professions Code: 'l'he Contractor's l.icense Law does nol apply lo an owner of
the property wln builds or irnproves thereon, and who does such work lrimself or hcrself or through his or her own empl<lyees,
provided that such improvements Brc not intended or otTere<l for sale. ll, hou'ever. the building or improvement is sold within one year
of completion. the Owner Builder will have the burden of proving tlurt he or she did nrt huild or improve the property for the pur;xrse of
sale).
_t. asownerof the property, amexctusivelycontracting with licensed contraclorslo construct the pmject (Sec. 7M4, Business
arxl Prnllxsion Code: 't'he Corrtractor's l.icense Law does nol apply lo an o$'ner of property u'ho builds or intprovcs thereon,
and who contracts for such projects with a Conlraclo(s) licensed pursuant lo the Contraclor's License [-au').
-lamexe]nptunderSection-,B'&P.C.ftlrthisreas<ln.
Owner:
DECLARATTON
I hereby alTirm under penalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for rvorkers' contpensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which the permit is issued.
_l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perlormance of
the work for which this permit is issued. My workers' comp€nsation insurance carrier and plicy number are:
I'olicy
I
--
_l certify that in the perlirrmance of the work for which this permit is issued. I shall not employ any person in any manner
so as to hecome subject to the workers' compensation laws of California, and agree that if I stnuld become suhject to the
workers' cornpensation provisions of Section 3700 of the Latnr Code. I shall, forthwith comply with tlnse provisions..
b
WARNINC: l;ailure to secure workers'compensation coverage is unlawful, and an employer to criminal penalties and
civil fines up to one hundred thousand dollars (S100.000), in addition to of compensation,as provided for the
Section 3076 of the Lahor Code, interest and attorney's
I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License
Date:_-!]41
W
I herchy afftrm under pcnsltyof pcrjury thar rhsc is a @nstruction lending agcrcy for the pcrformarcc of the work for which lhis Pemit ic
issued (ss. 3097, Civ. C.).
APPI ICANT DECI ARATION
I haebyaffrmunder penalty of perjury one of the following declarations:
Demolition Permils-Asbestos Notifrcation l;ederal Regulations ('l itle 40, Part6)
-Required
Lctter of Notification
_l certify that the federal regulations regarding asbestos renmval are nol applicable to this project.
_l certify that I have read this application and stale that the atrrve information is correct. I with all City and County
ordinances and State Laws relating to and County to enter uJnn the
above mentioned property for
Appllcant or Agent
Pernritee nanre
arrl hereby
P-/L-
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Cla rifie r
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back FIow Device
Rouqh Plumbinq
Final Gas Test
Meter Release tl
FINAL lD/ta/n,rLO 31
Notes, Remarks, Etc I ,^
trt /rz /-, tH6Pe4 7 ATTU;lL avanfiW fzb{71)
f \-,/
Expires:
orr", 9-/2-4
(ti t en