HomeMy WebLinkAbout30143283 - 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 #: 3O143283
Pin #: 88296
/;^
Proiect Address: 1224 W Cubbon Sta
Assessor's Parcel: 010-272-06 Lot: POR 10
Unit:
Block: NA
Bldg:
Tract NININGER
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Naui Huitzilopochtli
1224 W CUBBON ST
Santa Ana, CA 927034924
(7141 248-3821
01 1 16002 51602
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type Amount
Gas Line alter/extend/ar TO.64
Repipe Res (Each 100' 4l .gs
General Plan Update 23.T9
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
1 .00
1 .00
1 .00
1 .00
Fee
$70.64
$47.e5
$23.79
$5e.30
$4.05
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Pglicy #:
Expires:
Botch* : 596St t 6/ 24/ 2021 ID: offioro l esl S
Off i ce: CTYH Tronsf: 17 I of 1Acct*: Ref*: 301 43283
Rcpti: t"t3326346 6/2+/2it2| 9 tit? AH
Tronsoct i on Tobn I t2tt5 . 73
Hnui Huitailopachtli
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
Repipe/Gas
Zuniga
Repi peranU UaS{ i ne -a tter, I t-tI I 1f,1tt-t; - l,i oi-tir.it-u-i-
Genernl Plon Update Fee
ul I 161t02- Sltittt ttl0Lt-
llicnof ilm fr OocumentE
u 1 1 1 6tttt2- 1777{ttr[t[t-
Vis0
(:C+ : tr*r**trt** x4242
$23 .79
$4 . (tii
iI77 .g9
$2115. 73
Authi I [t531 2(
$20s.73
$0.00
$205.73
Occupancy.
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019
06t24t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Totat
Paid to Date:
Balance Due:
Every permit rssued 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.
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23.79
$177.89
$4.0s
lnspector MID#: 2021-166836
Arssv
PLUMB!NG.INSPECTOR REGORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent 711-?t brrof {z
Water-Under floor ?-lq e ll Wdlu
Gas-Underfloor '?-14-Ll offil 4>
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent 1 -l'l -?l rxcrlY {v
Water Piping )- lrl -2r ,Dderf .la
Gas Piping 7- l"l -U rrrtf?W
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back FIow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL io- l.l-1-l lur@i)
Notes, Remarks, Etc.
It
o\!'NItR lluIl,l)liR
t hmby alfim undc paalty of pdjury thd I m qmpt ftom thc CootretoE' Licw Law for thc foloving r@n (5€.7031.5
Buias and hofcssion Codc): Aoy City or County which roquic a pcmit to onstruci. alts, improvc dcoolish or rcpah my
suucluc, prior to its issuecc also rcquiB $c eplicet for such pcmit to filc a sigtrcd stdffit thd hc or shc b lic€rBcd pwattr
to thc prcvisioB of the Contretor'3 Liccnscd kw (Chapt6 9, Comocing with Setiotr 7000 of Divisbn 3 of thc Buine md
Profsions Codc) or that hc or shc is dmpt thft&om ed thc b6sis for thc allcgcd cxmption. Ary violatior of Sctbn ?03 L5 by uy '
applimt for a pamit subjGrs thc 8pplicut to ! civil pculty of rct mrc thu ,ivc hundrcd doll6 (3500).
-1,
as owner of the property, 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 hofessions Code: The Contraclor's License Law does not apply to an owncr of
thc propcrty who hilds or improvcs thcroru and who docs such work himself or hcrself or through his or her own cmployees,
provided that such improvonorts arc not intended orofftrcd for salc. I( howqrcr. the building or impr,ovonent is sold wilhin one )er
of complaion, the Orrner Builder will have thc hrdcn of pnoving tha he or she did not build or irnprove thc p,roperty for the purposc of
sale).
_1, 8s owner of the Fop€rty, am exclusively contracling with licersed contractors to construct the project (Sec. 7044, Btsincss
ard Pr,ofcssion Code: Thc Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projccts with a Contractor(s) licemcd pursuant to the Contractor's Liccnsc Law).
-l
am exempt undcr B. & P.C. for this
,n",f,b^ LY- 2 |
I hereby affrrm under pcnalty of pcrjury one of the following
-I
have ard will maintain a Certificatc of Conscnt to Self-lnsure for workcrs' compcnsation, as povided for by Section 3700 of the
Labor Codc, forthe performance ofthe work for which the permit is issued.
-I
have and will maintain workers' compensation insurance, as required by Secrion 3700 of the labor Codc, for the pcrformance of
the work for which this pcrmil is issuod" My workcrs' compensation insurancc carrier and policy numbcr are:
Policy Numbcr: Expires:
-l
certi& that in the performance of the work for which this permit is issued, I shall not cmploy any pcrson in any manner
so as to bccome subject to the wortetrs' compensation laws of California, and agree that if I should bocome subject to thc
workers' compensation provisions of Section 3700 of the kbor Code I shall, forthwith comply with thosc provisions..
c
WARNING: Failure to sccure workers' compensation is unlawful, and shall subject an anployer to criminal penalties and
civil frnes up to one hundred thousand dollan addition to the cost of damages as provided for the
altorney's
I hereby affrm under pcnalty of perjury that I am licenscd 9 (commcncing with Scc-tion 7000) of Division 3
of the Business and Professions Code, and my licensc is in full forcc and effect.
License Class: Liccnse Numbcr:
I)rr t o'
CONSTRUCTION LENDING AGENCY
I hmby affm under Fmlty of pgjury thd th@ b 8 @nstNciion kodiry agacy for thc pcfomcc of rhc mrk 6r which thir Fmit b
issued (Sc. 3097, Civ. C.).
knd6's Nme:
-
l,cnder's Address:
APPLICANT DECLAIIATION
I hoeb,y affirm under penalty of pcrjury one of the following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Parr6)
-Rcquired
Letter of Notification
_l ccrti& that the fcderal regulatioru rcgarding asbestos removal are not applicable to this project.
_l certi& that I have read this application and state that the information is correct. I agroe to City and County
ordinances and State laws relating enter the
above mentioned propcrty for tApplicant or Agent
Permitee
authorize representat ivcs to upon
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