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Home My WebLink About30143743 - PermitCity 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 #: 3O143743 Pin #: {63{3 y',r,^rProject Address: 3640 S Bear St Assessor's Parcel: 412433-04 Lot: 1-8, A, B, C Unit: N Block: NA Bldg: Tract: 1 1859 Address Range: 3600-3TT0 Historic: No Suite Range: Zoning: R4 Owner. Address: Phone Tenant Name: Contractor: Address: Phone South Coast Springs HOA 3440 S. Bear Street Unit #N Santa Ana, CA 92704 (e4s) 5814e88 Partners Plumbing lnc 22365 El Toro Rd. Unit# 290 Lake Forest, CA 92630 (s4e) 583-s744 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Amount Gas Line repairlreplace 4l .gs General Plan Update Z3.Tg lssuance 59.30 Microfilm Records 4.0S Qty 1.00 1.00 1.00 1.00 Fee $47.95 $23.79 $5e.30 $4.05 t4 . t-t5 $ 1Lt7 . 25 $ 135 . t:t9 Batchi:6114? 0f t ice: (:TYH Acct*: Rcpt*:11343934 General Plon UPdate F crl I 160[12- 516tt00[ttt- 11 icrof i Im & Documents tf l 1 1 6(ttt2- 37771r[t[t[t- P1umb i ns t:r1 I 16trtt?- 51 6lr2tl00- I(:L Check ilr:tl?ll fi21 IDI ELIZABET}I1of 1 301 4 3713 9332 AH State Lic #: 1057706 Lic Type: C-36 Bus. Lic #: 374727 Workers' Compensation lnsurance.CaTTieT: ACCREDITED SURETY AND CASUALTY COMPANY INC Policy #: 1ATCA1 G00241T2 Expires: 1010412022 [r sn so':t i on Tot n I Pnrtners Flurnbins Inc , Building Use: JOb Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Condominium Miscellaneous Repair Gas Piping Chavez, Dave Occupancy: Constr Type: Code: Date: Date: Date: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total R-2 VB cPc 2019 (/10t18t2021 Account# Notes: Repair gas piping. 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 sife by such permit rs suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 s1602 01 1 16002 57770 $23.7e $107.2s $4.05 $135.09 $0.00 $135.09 lnspector MID#: 2021-1 69490 PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCIIRATION I hcrcby afftrm under penalty of Frjury th8t I m exempt ftom thc Conurctos' Liccns lrv for thc followint reNn (Scc.7031.5 Busincss and hofession Codc): Any City or County which rcquircs a pcrmit to onstruct, alts, imprcvc, dcmlish or rcpair my stncture, Itrbr to its issume. also requircs thc rpplicut for such pcmit to file a sigred slatemnt thrt he or dE is licensd pwsant to the povisions of the Contmctor's Licensd ku (Chapts 9. Collmrcing wilh Sslioo 7000 of Division 3 of thc Busiress ild PDfe$sions Codc) q thf,t hc q shc is exenpr thorfrcm atd thc bssis for rhc allcged crcmption. Any violstioo of Sefbn 703 I .5 by oy applicant for r pcmit subjsrts thc applicant to s civil pcmlty of mt mrc thar fivc hundrcd dollus (S500). -1. as owncr of thc propcrty. or my cmployees with wagcs as thcir solc compcnsalion. intcnded or offered for sale (Scr.7044, Busincss and Profcssions Code: Thc Contractor's Liccnse l-aw docs not apply to an owner of thc propcrty who builds or improves thcrmn. and who docs zuch work hinuself or hcrsclf or through his or hcr own employecs. provided thst such improraenrnts are not interxled or offered for salc. I[, however. thc building or inproverEnt is sold within orc ]tar of complction, the Owncr Buildcr will have the burdcn of proving that he or she did not build or inprorc the propeny for thc purpose of sale). _1. as owncr ol'the propcrty. arn cxclusivcly contracting with liccnscd contraclors lo conslruct thc projcct (Scc. 7044. Busincss and Profcssion Codc: Thc Contractor's Liccnsc Law docs not apply to an owncr of proJrcrty who builds or improves lhcrcon. and who contracts for such projccts with a Contractor(s) liccnscd pursuant lo lhc Contractor's Licensc Law). -lantcxclnplunderScction-.B.&P.C.l<lrthisrcason.Date: Owner: WORKERS' COMPENSATION DECI ,TRATION I hcrcby affirrn under pcnalty of pcrjury one of thc following dcclarations: -l have and will maintain a Certifrcate of Consent to Self-lnsure for workers'compensation, as provided for bySection 3700 of the labor Code. for the performancc of the work for which the permit is issued. _l havc and will maintain workcrs' compensation insurance, as rcguircd by Sc.ction 3700 of the labor Code, for the lrcrformance of thc work for which this pcrmit is issued. My workers' compensation insurarrcc carricr and plicy numbcr arc: n-+D ) f& 5: ".?aY I +7< qZ TY ,r/?/rz-O Z7/72 .D Policy _l ccrtify that in thc pcrformancc of the work for which this permit is issued. I shall not employ any pcrson in any mantrcr so as to bccornc subject to thc workers' compensation laws of California, and agree that if I should beconrc subject to the workers' comgrcnsation provisions of Section 3700 of the L:bor Codc, I shall, forthwith comply with thosc provisions.. WARNING: Failurc to liccurc workers'compcnsation coveragc is shull and ill lhc t DECI ARATION I I hcrcby allirm undcr pcnalty ol'pcrjury that I anr liccrrscd undcr provision of Chaptcr 9 (contnrcncing with Section 70001 of Division 3 of thc Busincss and Profcssions Code. and nry liccnsc is in full forcc and cffcct. -g.4 702t Licensc W I hcrcby afftrm urdcr pemlty of pcdury th8t thm is r consrruction bndiry agercy for thc pcrforec of thâ‚¬ rcrk for which this permfu is issued (Scc. 3097, Civ. C.). Lrndcr's Namc: A PPLICANT DF'CLAITATION I hcrcby uflirm undcr penalty of pcrjury one of thc following dcclarations: Dcnmlition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6) _Requircd [-ctter of Notification certify that the fcdcral rcgulations rcgarding asbcstos rcmoval arc not applicable to this project. ccrtify that I havc rcad this application and with all City and County^Uru)'"and Statc l-aws rclating to building above rnentioncd propcrty for inspection Applicant or Agent Permitee nnme and Date: j UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Building Sewer ArealStorm Drain I nterceptor/ CIarif ier TOP OUT Waste & Vent Water Piping Gas Pipino Roof Drain Tub/Shower Test Rouoh Water Heater POOL/SPA P-trap/Drain Line It/ain Drain/Pool Pipinq Fil! Line/Back Flow Pool Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitarv SewerlCao Back FIow Device Rough Plumbing Final Gas Test Meter Release A F!NAL tdrcltt Ja Etc. I -)) an x