HomeMy WebLinkAbout30143548 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927o2
Permit Counter: (714) 647-5800 lnspection Requests: (714') 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit #: IOi4II4I
Pin #: T'1625,
Project Address: 805 N Morse Dr
Assessor's Parce!: 100-261-17 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range.
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
PHUONG LOUIS
805 MORSE DR
Santa Ana, CA 92703
(7141 487-7245
Care Plumbing
6054 San Fernando Rd
Glendale, CA 91202
(818) 565-0080
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
Sewer Alter/Repair 47.9s
Repipe Res (Each 100' ) q7.gs
Water Service (Each 100') 4T .gs
Hose Bibb 16.67
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qt)'
400
100
1.00
400
100
100
100
Fee
$1 91 .80
$47.95
$47 95
$66.68
$23 79
$59 30
$4.05
Phone.
State Lic #. 740599
Lic Tvpe: C-36
Bus. Lic #: 352555
Workers' Compensation lnsurance:
Carrier. Mid-Century lnsurance
Policy #: A09496868
Expires. 0911812021
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
Plumbing
web_user
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes. Plumbing
Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date.
Date.
R-3
VB
cPc 2019
08t23t2021
Account#Total
N/A - No
N/A - No
Balance
Balance
$441 .52
$441 .52
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the srte by such permit is
suspended or abandoned for a period of 360 days afterthe time the work
is commenced.
Inspector MID#: 2021-168324
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILNTR DFLCARATION
I hereby alTirm under penalty of periury that I am exempt form the Contractors' License Law for the following reason (Sec.7031.5 Business
and Profession Code): Any City or County which requires a pcrmit to construct. alter. improve. demolish or repair any structure. prior to its
issuance. also rcquires the applicant for such permit to file a signed statemcnt that he or she is licensed pursuant to the p,rovisions of the
Contractor's [.icensed Larv (Chapter 9. Commencing with Section 7ffX) of Division .1 of the Busines and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption Any violation of Section 70-l I .5 by any applicant for a permit subiects the
applicant to a civil penalt-v of not more than five hundred dollars ($.s00).
f,o l. ,, o\\,ncr of rhe property. or my employees rvith rvages as their sole compensation. will do the wcrt and the stnrcture is not intended
or offeretl for sale (Sec.7M4. Business and Professions Code: The Contractor's License [.aw does not apply to an ovner of the prop€rty
rvho builds or improves thereon. and rvho does srch wort himself or herself or through his or her own anployccs, provided that such
improvements arc not intended or offered for sale. lf. hcnverrer. the building or imp,nrverrcnt is sold within one year of ccrnplaion. thc
Owner Builder u,ill have the burden of proving that he or she did not build or improve ttre properw fcn the purpose of sale).
NO t. at o\\,ner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and
Profession Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon. and
rvho contracts for such projects rvith a Contracto(s) licensed pursuant to the Contractor's l-icense Larv).
No I .rrl exernpt rrncler Section . B. & P.C. for this reason.
\I'ORKF'RS' COMPT'NS^TION NFCI A]IATION
I hereby affrnn under penalty of perjury one of the following declarations:
*! t n.". and will rnaintain a Certificare of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
l.abor Code. for the performance of the rvork for which the pennit is issued.
YES
_l have and rvill maintain rvorkers' compensation insurance. as required by Section -1700 of the [:bor Code. for the performancc of the
work for which this permit is issued. My rvorkers' compcnsation insurance carrier and policy number are:
FARTERS IN3URANCE EXCHANGE
Carrier:
---^oaaoatat
Policy Numbcr:
oen',/2021
[:r pires:
NO
I certify that in the performance of the work for which this Frrmit is issued. I shall not employ any person in any manner so
as to hecome suh.iect to the rvorkets'compensation larvs of California. and agree that if I should become subject to the workers'
comp€nsation pror,Lsions of Section -1700 of the Labor Code. I shall. forthwith comply with those provisions..
WARNIN(i: Failure to secure worters'compensation covemge is unlawful. and shall subiect an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000). in addition to lhe cost of compensation, damages as provided for the Section -1076
of the l-abor Ccxle. interest and attomev's fees.
LICENSFD ('ONTRACTOR t}FCI AR ATION
I hereby alTinn under penalty of perjury that I arn licensed under provision of ('hapta'9 (conrmencing with Section 7000) of Division 3 of
the Business and Professions Code. and my license is in full force and effect.
c3c
[,icense Class:
7a0'ee
[.icense Number
CONSTRII('TION I FNNING AGFNCY
I hereby affirm under penalty of perjury that there is a constnrction lending agency for the performance of the work for which this permit is
issuc<l (Sec. .1097. Cir'. ('.).
Lender's Name:
l-ender's Address:
APPI ICANT ]IF('LAR.ATI()N
I herebv aflimr under penalw of perluw one of the followng declaratrons
I)enxrlrtron Pernrrls-Asbe$os Notifrcation Federal Regulatrons (Title 40. Part6)
No_ Required l.etter of Notifi cation
YEs l certifi,lhat the federal regulations regarding asbestos rernoval are not applicable lo this pro.iecr.
YEg
I cenify that I have read rhis application and state that the above infonnation is correct. I agree to comply with all City and County
ordinances and State Larvs relating to building construction. and hereby authorize representatives of this City and County to enter upon the
ahove mentioned property for inspection purposes.
Reroof
Roof (Diaphragm Sheathing/Frame)
Structural Final
Plumbing
Under Floor I Under Slab
Rough 7)-Zoa {Lcnzr,t
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final /'"9o4/rLLte ffi-zr/
Electrical
Service (Meter I Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanica!
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.