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HomeMy WebLinkAbout30140858 - PermitProject Address: 123 N Jackson St Assessor's Parcel: 198-25242 Lot: 147 Unit: Block: NA Bldg: Tract: 540 Address Range: Historic: No Suite Range: Zoning: R2 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27O2 Plumbing PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: 3O{4O858 Pin #: "r7fr7 Owner: Address: Phone: Tenant Name: Contractor Address: Phone: Alexander Dantes LLC 17300 Redhill lryine, CA 92614 (949) 383-8309 Cirus Development 17300 Red Hill Ave. #280 lrvine, CA 92614 (el6) 852-ss75 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 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 51 602 51 602 51 602 51 602 51 602 51 602 51 602 51 600 51 602 Fee Type Amount Water Closet 14.22 Shower/Bathtub 22.25 Sink 12.70 Clothes Washer 13.97 Dishwasher 11 .97 Garbage Disp 10.66 New Sewer (First 100') 64.60 Gas System 14 44.51 Wtr Htr (Res up to 50 gr 22.25 Water Piping (Each 100 44.5'l Rainwtr Pip'g (Each 101 21.66 Genera! Plan Update 22.08 lssuance 55.04 Qty 2.00 2.00 3.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 2.00 1.00 1.00 Fee $28.44 $44.50 $38.1 0 $13.97 $1 1.97 $10.66 $64.60 $44.s1 $22.2s $44.s1 $43.32 $22.08 $ss.04 State Lic #: 523605 Lic Type: B Bus. Lic #: 346797 Workers' Compensation I nsurance: Carrier: Hartford Underwriters lns Co Policy #: 72WE2O3188 Expires: 06/30/2019 Building Use: Job Type: Nature of Work: Single FamilY Dwelling OccuPancy: New Constr Type: Single Family Dwelling/OpglCode: R-3 SPK cPc 2016 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total: Paid to Date: Batance Due: New pre-fabricated/manufactured sfd with (3) bedrooffis, (2) bathrooms, laundry room, dining, kitchen, living room, & open patio in front. GGUSD #51 50Planning Conditions: Planning Approval By: Date: Plan Checked By: Date: Permit lssued By: Chavez, Dave Date: 0412512019 subject to Field: >- €-'. Account# Buildins Permit #: 10197831 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. 01 1 16002 51600 01 1 16002 51602 lnspector MID#: 2017-136574 4951 r r'TYlt $443 95 $0 00 $443 95 stS $22.08 $421 .87 AI 19.l PLUMBING-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby alfim urdcr pcmlty of pcdury ihat I m cxcmpt fmm th€ ContrlcloE' Licemc Lsw for rhc following @$n (5&.7031.5 . Bugines and Pmfcasion Codc): Any City or County which rcquircs a pcrmit to mNtnrct, altc, impmvq &mlish or rgrair Cn1 structurq prior lo its imare, alrc rcquircs thc applicant for ruh t,mit to lilc 8 signc{ statclmt that h or chc k liccnrd purguanr to lhc ltrovlrhN of thc Contnctq's Liccnsed Lsw (Chaptcr 9, Commcrcing with Sation 7fi)o of Division 3 of thc Businesr and Pmfcssions Codc) or thrt h€ or shc fu excmpt thcG&om and the b&!is for thc allcgcd cxcmption. Any violation ofsction 703 1.5 by any applicant for a pcmil sbjcts th. alrplicant to 8 civil pcmltyof mt mrc than fivc hundrcd dollm (15fi)). -1, as owner of the proF,erty, or my employees with wages as their sole compensation, will do the work and the structure is not interded or ofFered for sale (Sec.7044, Busirrcss and Professions Code: 'l'he Contraclor's License l-aw does not apply to an ou'ner of the proyrcrty wtn builds or impmves thermn, and wlrl does such work himself or herself or through his or her own employees, provided that such improvernenls are not intended or offered for sale. l[, lrcwever. the building or improvement is sold within one ]€ar ofcompletionr the Owner Builder will have the burden of proving that he or she did rnt huild or inpmve the progrerty for the purJnseof sale). -1, asownerof the property, amexclusivelyconlracting u'ith licensed contraclorsto construct the pnrject (Sec. 7M4, Business and Pnrfesskrn Code: 'l'he Contractor's License Law does not apply lo an owner of property who builds or improves lhereon, and who conlracts for such projects with a Contractor(s) licensed pursuant lo the ('ontractor's License Law). _l am exempt under Section_, U. & P.C. lirr this reason. l)alc ( )u rrer' IVORKERS' CONI PENSATION DECLARATION I hereby alTirm under penalty of perjury one of the following declarations: -l have and will maintain a Certificate of Consent to Self-lnsure for workers' conlpensation, as pnrvided for by Section 3700 of the Labor Code, for the performance of the work for which the permit ls issued. -l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perftlrmance of the work for which this permit is issued. My workers' comp€nsation insurance carrier and plicy number are: ,t-l A 0s tr. rsat\e)P>F (tr)Lfi L-\ \ rrd co j u>t st L k +o-Zol1Policy -l certify that in the performance of the work for which this permit is i.ssued, I shall not employ any person in any manncr so as lo become subject to the workers'compensation laws of California, and agree lhat if I stnuld trcorne subject to the workers' compensation provisions of Section 3700 of the Lahor Code, I shall, forthwith comply with those provisions.. WARNING: l;ailure lo secure workers'compensation coverage is unlawful, and an employer to penalties and civil fines up to one hundred thousand dollars (S100,000). in addition to the cost provided for tlre Section 3076 of the Labor Code, interest and attorney's fees. o^tu, ' 1'? 5-2 olert UUCLAn {.rrON I herc'by alfirrn under penaltyof perjury that I arn licensed under pmvision of Chapter 9 (commencing with Section 7000) of Division 3 of the Busincss and Pnrfessions Code, axl my license is in full force and eflect. a z3U 6 License n",.,' Lt-25-24? W I hercby aflirm undcr [tmlty of Frjury thst thft is 8 @ritruction lcnding agcrcy for the pcfomrce of thc m* ft,r which this lEmit ig isrucd (S@. 3097. Civ. C.). Lender's Name: Lender's Adclress: APPLICANT DECLARA'I'TON I hereby aflimr under penalty of perjury one of the ftrllowing cleclarations: Denxrlition Pernrits-Asbestos Notification l;ederal Regulations ('l'itle 40, Pnrt6) _Required [.ctter of Notification removalare nol applicable to this project. with all City and County and County to enter uynn the above nrentioned prnperty for Applicant or Agent Date: I L4 - LS_ 7 Qt1 l'ertnilee n:rrtr0 is UNDER GROUND Waste & Vent ql,a /r t hilrbt Water-Under floor .lit lt4 il,*lzrri Gas-Underfloor Building Sewer Area/Storm Drain I nterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Piping Fill Line/Back FIow Pool Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbins Final Gas Test /b - l/-t g DC}r!? lo) Meter Release 7€8 zt ?L2r t l41A M_/ FINAL l'Z-?oU tLcte,)e,,n*Lt7 RemaNotes rks, Etc. -+ DDD^€D