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Home My WebLink About30142654 - PermitProject Address: 914 E Clemensen Avea Assessor's Parcel: 396412-06 Lot 91 Unit: Block: NA Bldg: Tract: 4226 Address Range: Historic: No Pin #: 1 Suite Range: Zoning: Rl City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 301426,54 Owner. Address: Juan Madrigal 914 E Clemensen Ave Santa Ana, CA 92705 (7141 656-866e Fee Type Amount Gas Line alter/extend/ar 70.64 Pool Trap 23.97 Pool Heater 78.27 Pool Piping 47.95 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 $70.64 $23.97 $78.27 $47.95 $23.79 $5e.30 $4.05 Phone: Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 51 602 51 602 51 602 51 602 51 600 51 602 57770 .l t Building Use: Job Type: Nature of Work: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling Swimming Pool/Spa Swimming Pool & Spa Occupancy: Constr Type: Code: R.3, U VB cPc 2019 Notes: New inground swimming pool & spa; change gates to open outward. Letter of auth on file. Planning Conditions: Planning Approva! By:Date: Date. Date:Amsden, Julie Buildins Permit #: 101 105430 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. lnspector MID#: 2020-163232 12t10t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01 1 16002 51600 01 1 16002 s1602 01 1 16002 57770 $23.79 $280.1 3 $4.0s Fee Total: Paid to Date: Balance Due: $307.97 $0.00 $307.97 + - PLUM BING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcby affum undr psulty of pcrjury thd I m qmpt ftom thc ContracloB' Licm trw for thc following ren (5â‚¬.7031.5 BGines srd Profsion Co&): Any Chy or County which roquirB I p6mit to orstrucl, alt6, imprcvq danolish or rcpair my structG prbr to its i$mcc ako rcquic thc agplicet for such p6mit to filc a signcd stdmot th.t hc or rlrc i9 licoscd pwant to thr prcvisioE of thc Cotrtrstor's Licoscd taw (Chspt6 9, Comming with SEtion 700O of Division 3 of thc Busire od Prcfeions Code) or that hc or shc is cxâ‚¬mpt thqcfrom ud thc b6sis for thc sllâ‚¬gcd cxmption. Any violatiotr of S61ion 7031.5 by my applicant for . pcrrnit subjdts thc spplicant to a civil pcmhy of rct mrc lhe fivc hundrcd dollm ($500). M* om6 of thc Fopqty. or my mployc with wag6 a thcir $lc ompcrsarion. will do thc w* ed tlE $rudr b mt 'intqrdcd or ollacd for sslc (Sc.7044. Buins md Profeioro Codc: Thc Contrsclor's Liffi Lrw do6 mt ry9ly to m ow of the poperty who builds or improvs thcron. md who does zuch work himsclf or herself or through his or her own employcc, provided that such improvanrcnts re not intendod ororFcrod for sah. lf, howarcr, thc building or improvemcot is sold within one )Gar of completion, the Oryner Builder will have the burden of proviqg that he or she did not hrild or improve the propaty for the purposc of sale). -1. as owner of the propcrty, am exclusivcly contracting with licenscd contractom to construc't the project (Sec. 7044. Business ard koftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improvcs thereon. and who contracis for such projects with a Contracto(s) licarsed pursuant to the Contractor's License Law). _l am exempt under B. & P.C. for this reason. orr", /2rft'k) I hereby aflinn under penalty of pcrjury one of the following -l have ard will maintain a Certificate of Consant to Self-lnsure for workers' compasation. as p,rovided for by Section 3700 of the I-abor Code. for the performance of the work for which the perrnit is issued. _l have and will maintain workers' comperuiation insurance. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issuod" My workers' compqrsalion insurance carier and policy number are: a JI that in the performance of the work for which this permit is of California. issued. I shall not employ any person in any manner and agree that if I should become subject to theas to become subject to the worketrs'cornpensation laws workers' compensation provisions of Section 3700 of the l-abor Code I shall. forthwith comply wilh thosc provisions.. WARNING: Failure to sccure workers' compensation coverage is unlarvful. and shall subject an onployer to criminal porahies and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compâ‚¬nsation, damages as provided for the Section 3076 of the Labor Code, interest and attorney's o*e, 12 ' /O' ?- O /e<.- I hereby affrm under penalty of perjury that I am licenscd 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. License Class: License Number: l)al c CONSTRUCTION LENDING AGENCY I hmby alfim und6 paalty of pcrjury rhat th@ is a con$rucrion bnding agocy for thc pahtrmcc of thc wk for which this Fmit b issucd (Sc. 3097. Civ. C.). kndq's Namc: lrnder's Address: APPLICANT DEC I.,ARA'TION I hereb), afiirm under penalty of perjury one of the follorving declarations: Demolition Perrnits-Asbestos Notification l:ederal Rqgulations ('l'itle 40. Pan6) -Required Letter of Notification _l certi& that the GeituthatIha'e fbderalregulations rcgarding asbcstos removal are not applicable to this project. read this and state thal is correct. I agree to comply with all City and County r represcntatives of this City and County to enter upon theand above mentioned property ,,." /2 ,/o'ZoApplicant or Agent purposes. Permitee name tprin,l' b4Ll I f L authorize /)7 UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Building Sewer Area/Storm Drain I nterceptor/ Clarifier TOP OUT Waste & Vent I ,^ Water Piping o t.Ll. u bo4trd,6 i6r Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA t P-trap/Drain Line l'L('u wt r{ Main Drain/Pool Pipinq l'+'**hntb,6tr Fill Line/Back Flow t'1..)r htvrt w^ Pool Heater/Gas Line l, vt' ?l E+aeo(,$6n Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbing Fina! Gas Test Meter Release I I ir^ ,1 ?-e a FINAL l0lNl31 arwup Sq tr Notes, Remarks, Etc.tt ,^31-21- Feotrd4 il D..A fu/r*t lMa ,/ *ra/ 4/yA.l)-C-L A \J AIâ‚¬Z L Contrnctor: ordinances and State , ,