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Home My WebLink About30142663 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 3O142663 Pin #: 39858 ,-1 ./ t./ Project Address:1241 E Dver Rd Assessor's Parcel: 411-131-36 Lot: NA Unit: 200 Block: NA Bldg: Tract NA Address Range: 1231-1241 Historic: No Suite Range: Zoning: SD63 Owner: Address: Phone Tenant Name: Contractor: Address: Phone: Greenlaw Partners 1231 E Dyer Rd #240 Santa Ana, CA 92705 (949) 331-1 316 KPRS Construction Service: 2850 Saturn St Brea, CA 92821 (7141 672-0800 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 53602 01 1 16002 5160C 01 1 16002 51602 01 1 16002 5777C Fee Type Amount Sink 13.68 Garbage Disp 11.49 Sewer Alter/Repair 4l .gs Gas Line repair/replace 4T.gs Tankless Water Heater 20.O4 Alter DrainA/ent 4l .gs PIC - 650/o 0.65 General Plan Update Z3.lg lssuance 59.30 Microfilm Records 4.0S Notes:Plumbin+,kT=HL r ::i,:,$ij 1 Qty -4.00 -2.00 3.00 6.00 - 4.00 3.00 935.66 1.00 1.00 1.00 Fee $54.72 $22.e8 $143.85 $287.70 $282.56 $143.85 $608.1 8 $23.79 $59.30 $4.05 a State Lic #: 751130 Lic Type: B, A Bus. Lic #: 188704 Workers' Compensation I nsurance:Carrier: Everest Premier lnsurance Policy #: CA10004028201 Expires: 10101 12021 a Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Commercial Tenant lmprovement TI/RF Mtd Equip SG Consultants 101 105453 Occupancy: Constr Type: Code: Date: Date: Date: B V B, SPK cPc 2019 02t'17 t2021 06t24t2021 Account# Misc. Receipt: 75047 Misc. Receipt: Misc. Receipt: Total ot' I l.rt 6 6CItrz- IAmsden, Julie 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 permit is suspe nded 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 $994 96 $4.05 Fee Total Paid to Date: Balance Due: I1116tr02.ilunb i ns rl I l6Lt0Z- :CL Ch ecl $1 ,630.98 $608.1 8 $1 ,022.80 lnspector MID#: 2020-163257 PLU M BI NG.I NSPECTOR RECORD APPROVALS DATE !D/SIG.COMMENTS OWNER AUILDER DET.CARATTON I hscby affm undq pqralty of Fjury thd I m qmp from thc Cotrtretoc' Liccre trw for thc following rwn ($c.7031.5 Buine and Profeion Co&): Aoy City or Coudy which rcquic a pamit to @Ntruct, alta. improve thnollsh or rtpair uy stsuctwc, prbr to its issumcc. also rcquirc thc applicut for such pqmit to 6h a signcd stdqMt that hc or sh b licorscd pmant to the provisiom of thc Conractor's Lhmcd Law (Chaptq 9, Comocing whh Sctioo 7000 of Division 3 of thc Buirc md PrcfeioroCodc)orthsthcorslrciscxmptthac&om8rdthcbosisforthcElcgodcxmption. AnyviolationofsetiotrT03l.5bey appli@tforap6nitsubjGtsthc applicuttoacivilpaalayofnotmorcthufivchundrcddollas($500). _1, &s owner ofthe propc.rty. or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's Licease l-aw does not apply to an owner of the properry who builds or improves thcron. and who does such work himself or herself or through his or her own employees. providd that such improvanents are not intended or offercd for sale. I[, howelrer, the building or improvemcnt is sold within one yâ‚¬ar of complaior\ the Orrner Buildcr will have the burden of proving thd he or she did not build or improve the propoty for the purpose of sale). -1, as owner of the property. am exclusively contracting with licenscd contractors to construct the project (Scc. 7044, Buiness and hofessbn Code: Thc Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projeds with a Contractor(s) licascd pursuant to the Contractor's License taw). -l am exempt under Section-, B. & P.C. for this reason. l)rto' WORKERS' COMPENSATION DECLARATION I hereby affrm under pcnalty of pojury one of the following declarations: -I havâ‚¬ od will mirtain a Cstifietc of CotMt to SdfJM for mrlo' ompmaiorq u Fovidcd for by Scrioa 3700 of thc Labor Co& for thc pqfotrrec of thc rctt fu which thc psmit b issucd ?D-l hlvc ad will miotsi! rcrk6' @mpqsrtbo inwq a rcquircd by Setioo 37OO of thc Lâ‚¬bor Codc, for thc Ffm of thc wrk fc which this panit is isocd My worto' ompasaion ire mkr ud policy omba rc: tl irx.*{yy Ssltl 5.. r;4), l*. . IoDO 1O cc ?ot lO.Ot - ?oDl -l certi& that in the pcrformance of the work for which this perrnit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should becomc subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with thosc provisiors.. WARNING: Failure to sâ‚¬cure workers' civil fines up to one hun&ed thousand Section 3076 of the Labor Codc interesr compensation coverage is unlawful, and shall subject an onployer to criminal pauhies and dollars ($100.000). in addition to the cost of compmsation, damages as provided for the and dtorney's fees. a 0 b' a4'3oa l f a*o<,e D, trlo' c'I ILICENSED CONTRACTOR DECII\RATION I hereby affirm under penalty of perjury that I am licensed under p,rovision of Chapto 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License.,*, IirA License Nurnber: 75 tt lo . tq - ?O2l fr*r, Drt"b-<t - lf,RS qs.tlt W I hEOy8ftDurdapoaltyofpajurythattftbaoE[lrctb! ladioggcy forthcpqforcofthcwort ftrvtichObpanit b irsuâ‚¬d (Se. 3097, Civ. C.). lada's Nmc: Lender's Address: -l cdiry thrt thc fod6d rrgulatioc ngarding cbctos moval rc not ap?licablc to thb prcjet. t2t ccri& tha I luvc red this application ard $arâ‚¬ thst thc abovc infomation is conc1. I agc to omply with a[ City and Couty ordimcc ed Ststc kw rclating to building construcliorr ard horby aurhorirc rclrstaivc of this Chy ud Couty to 6ts upoo thr above mentioned property for Applicant or Agent Pernritee nrme aI a,x lro-el 6-14 ru?.l UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ CIa rifier TOP OUT Waste & Vent Water Pipins Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fil! Line/Back Flow Pool HeaterlGas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbing Final Gas Test Meter Release I L FINAL t0 l.t1?) A.,'YgY INotes, Remarks, Etc. I flo to.Contrector:_ APPLICANT DECLARATION I her$r}, affirm under pcnalty of perjury one of the following declarations: Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. PaI16) -Requircd Lctter of Notification