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Home My WebLink About30136515 - Permitr/'Proiect Address: 291 I W Camile St-a- - Assessor's Parcel: 109-821-01 Lot: 149 Unit: Block: NA Bldg: Tract: 3915 Address Range: Historic: No Suite Range: Zoning: Rl City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing PermitCounter: (714)647-5800 lnspection Requests: St14)667-2738 lnspectorSection: (714)647-5853 Permit #: 30{365{5 Pin #: 94949 fltV Owner: Address: Emma N. Bennett 2919 W. Camile St. Santa Ana, CA 927041503 Fee Type 01 1 16002 51602 Lawn Spkr, per valve 01 1 16002 51600 General Plan Update 01 1 16002 51602 lssuance Amount 9.17 19.93 49.68 Generol Plon Update Fee 01116002- 51600000- F lutrtb ing rll 1161102- s1602000- Ilnster Csrd cc$: *r*r**I*rr*r 1352 Qty 4.00 1.00 1.00 Fee $36.68 $1e.e3 $49.68Phone: Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Bobchi:33799 5/3/2016 I0; PL0PEZS Off ice: CTYH Trans*: 31 I of IAccti: Refi: 30136515 [t,:pi3:01549495 - 5/3/2fiI6 10:01 An Tronsoct i on Tobol t tU6 .29 Emma H. Bennett t19. g3 s86.36 tI06 .2g Auth+:8062{9 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 Lawn Sprinklers Occupancy: Constr Type: Code: Date: Date: Date: R-3 VB cPc 2013 Notes: Lawn sprinkler valves. Owner authorization on file. Chavez,rru7?05t03t2016 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01 1 16002 51600 01 1 16002 51602 $19.e3 $86.36 Fee Total: Paid to Date: Balance Due: $106.29 $0.00 $106.29 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on fhe site by such permitis suspe nded or abandoned for a period of 180 days after the time the work is commenced. Inspector MID#: 201 6-128492 PLUM BING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hercby alfirm under penslty of pcrjury that I m exempt frcm the ContncloE' Liccns tiw for the following rc&sn (Stc.7031.5 Busincss and Profession C(dc): Any Cily or County which rcquircs I ]Emit to snstnrct. ahs. imlrcrc. &mlish or rcpair uy strucluE. Fbr to ils issuare. also rcquires the spplicul for such pemit to file I signcd slarcmnl lhrt lE or she ir liccr$d puNail lo thc pmvisions of the Contrrclor's Liensd Lrw (Chaplcr 9, Commercing with Sction 7000 of Division 3 of the Busincss snd ProfcssbnsCodc)orthathctrshciscxcmprthcrcfmmandlhcbrsisforthcalhgcdcxcmption. AnyviolationofSc{:lkrn7O.1l.5by8ny rpplicsnt for s pcmit subjâ‚¬ts the spplicant to 8 civil peulty of mt mrc thatr five hundrcd dollus ($500). -1. as owner of the property. or my employees with wages as thcir sole compensation. will do the work and lhc slructure is not intendcd or offered for salc (Scc.7044. Business and hofessions Code: Thc Contraclor's Liccnsc l-aw docs not spply lo an owner of the property wln builds or inpoves thcreon. and who dnes such work himself or hersclf or through his or hcr own employees. provided that such improvenrnts arc not intended or offered for salc. lf. howcvcr. thc tuilding or impmvenrnt is sold within one )â‚¬ar of comphtion. thc Owner Buildcr will havc thc burdcn of proving thot he or shc did not build or improve thc proF,cny for thc purpsc of salc). -1. as owncr of the propcrty. am exclusively contracting with licensed conlraclors lo construct lhc projcct (Scc. 7014. Busincss and hofession Codc: The Contractor's Liccnse L,aw docs not apply to an owner of propcrty who builds or irttprovcs thcrcon. and who contracts for such projccts with a Contractor(s) liccnscd pursuanl lo the Contractor's Licensc L:w). -l am exenrpt under &lir r u,*, S'2 -2i lL DECLARATION I hcrcby alllrrn undcr penalty of perjury onc of thc following dcclarations: _l have and will maintain a Certificatc of Conscnt to Sclf-lnsure lilr u'orkcrs' com;rcnsation. as provided frrr by Scction 37fi) of thc I-abor Codc. for the pcrfornuncc of the work for which thc yrcrnrit is issued. -l have and will maintain workers' compensalion insurance. as required by Section 37fi) of thc Luhor Code. for thc pcrlirrttunce of thc work for which this Jrcrmit is issucd. My workcrs' compcnsation insurancc carricr aml plicy numhcr arc: Carricr: Policv Numbcr: Exnires: -l certify thal in the perforrnance of lhe work for which this pcrmit is issued. I shall not cnrploy any pcrson in any nurnncr so as to bccomc subjcct to thc workcrs'conrpcnsation laws of California. nnd ngrcc that if I should hccornc suhict to thc workcrs' cornlrcnsation provisions of Scction 3700 of thc [:tnr Codc. I shall. forthwith cornply with thosc provisions.. WARNING: Fuilure to sccurc workcrs' conlpcnsatiot'r covcragc is unlawful. and shall subjcct an cnrploycr lo crinrinal Jrcnaltics and civil fines up lo onc hundrcd thousand dollars ($100.000t. in addition to lhc cosl of conrpcnsalion. damagcs as providcd for the Seclion 3076 of the Latnr Codc. intcrest and atlorncy's Dil",5-?- zpllf IIECLARA'I'ION I hcrchy allirrrr unclcr pcnalty of pcrjury Ihat I arn liccrrscd urxler provision ot'Chapter 9 ( cornnrncirrg u'ith Sccl iort 7UX)) ol' I )ivision 3 of thc Busincss arrd Pr<ll'cssiorts Codc. artd nry liccnsc is in full firrce arxlcl'l'cct. Liccnsc Class: Liccnsc Numbcr: C(INS'tRUC'TI(IN I,ENDIN(] A(:ENCY I hcrchy rffir[r uldcr pcMhyofpcrjury lhnl lhcrc is a constructi<n lcnding agcncy for thc pcrforn[ncc ofthc rvork lirr rvhich this lurnit is issucd (Scc. .1097. Civ. C.). hndcr's Nanr: krtdcr's Ad<lrcss: APPLICANT DECLA R,ATION I Myaflirmunder penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Tille 40. Part6) -Required l-etter of Notilication with al! City and County and County lo enler upon the abovc mentioncd property for IbApplicanl or Agenl Pernrilee nBnre UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Building Sewer ArealStorm Drain I nterceptor/ C larif ier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fil! Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back Flow Device Rough Plumbing Fina! Gas Test Meter Release FINAL /0 //-7 LCb/L /t%zr>W Notes, Remarks, Etc. -I Conlraclor:_