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HomeMy WebLinkAbout30143394 - Permit (2)Project Address: 2109 N Towner St Assessor's Parcel. 001 -182-14 Lot: 32 Unit: Block. NA Bldg: Tract: 2194 Address Range: Historic: No Suite Range: Zoning: Rl City 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 #: 30143394 Pin #: 98688 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Karla Salinas 2109 N Towner St Santa Ana, CA 92704 (949) 444-7009 Premier Pools Orange Coun 26052 Merit Circle #106 Laguna Hills, CA 92653 (94s) 2154144 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 5160C 01 1 16002 s1602 01 1 16002 5777C Fee Type Amount Gas Line alter/extend/ar 70.64 Pool Trap 23.97 Pool Heater 78.27 Pool Piping 47.95 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 1.00 1.00 1.00 1.00 1 .00 1.00 1.00 Fee $70.64 $23.e7 $78.27 $47.9s $23.79 $59.30 $4.0s 2/?t-tzState Lic #: 798298 Lic Type: C-53 Bus. Lic #: 366736 Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund Policy #: 9158204 Expires: 0510312022 Building Use: Job Type: Nature of Work. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling Swimming Pool/Spa Swimming Pool $Hernan dez, Kathy 07t22t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Occupancy: Constr Type: Code: Date: Date: Date: N/A N/A cPc 2019 Notes: New, in-ground swimming pool (240sf) Fee Total Paid to Date: Balance Due: Buildins Permit #: 1 01107 305 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its rssuance, or if the work authoized on fhe sife by such permitis suspended or abandoned for a period of 360 days after the time the worl< is commenced. lnspector MID#: 2021-167534 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23.79 $280.1 3 $4.05 $307.97 $0.00 $307.97 PLUM BING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER I)ELC/IRATION I hcrcby offrm undcr pcmlty of pcrjury that I m cxempt &om thc CoilrsdoB' Lic!trs lrw for the following rcen (S:cc.7031,5 Business and Proftssion Code): Any City or County which rcquircs I Imit to @nstruct, sltcr, imprcre, demlish or rcpsir rny' structre. [rbr to its issume, ds rcquircr thc applicml for sEh pcmit to tih r signcd ststcrcnt thrt lE or slE b licen$d pusunl to thc lrcvisions of the Contrrctor's Lkensd trw (Chapter 9, Comming with Setion 7(m of Divisbr 3 of thc Busires ud PrcfcssionsCodc)orthsthcorshcisexemptthrefmmandthcbasisforthcallcgcdcrcmptio[ Anyviol{tionofSstionT03l.5bysny applicant for r tErmit subjcts thc rpplic8nt to r civil pcElty of rcl mrc lhu fivc hundrcd dollus (5500). -1, as owncr of the propcrty, or my employees with wagcs as thcir sole compensation. will do thc work and the stnrcturc is not intendctl or offcrcd for salc (Sec.7044, Business and Professions Code: The Contractor's Licensc I-Bw does not apply to an owner of thc propcrty who builds or improws thcreon. and who docs such work himself or hcrsclf or thmugh his or hcr own employees. providcd that such improvcnrcnts arc not intcndcd or offcred for salc. If, howcver. thc building or improvcnrent is sold within onc )car of comphtion, thc Owner Builder will have the burden of proving that he or shc did not build or improve the propeny for thc purpose of sah). -1, as owncr of thc propcrty, am cxclusively contracting with liccnscd conlractors to construct thc projcct (Sec. 7M4. Busincss and hofcssion Codc: The Contraclor's Licensc Law docs not apply lo an owner of proprty who builds or improves thercon. and who contracts for such proicts with a Contracto(s) liccnsed pursuant to lhc Contractor's Licensc kw). -IamcxcmptunderSection-'B.&P.C.forthLsrcason.Il., r ^. WORKT' RS' COMPENSA TION DECLAITATION I hercby aff-um undcr pcnalty of perjury one of the following dcclarations: -l have and will maintain a Certificate of Consent to Sclf-Insurc for workers' com;rcnsation. as provided for by Sc.ction 37fi) of the Labor Codc, for thc performance of thc work for which thc permit is iszucd. -l havc and will maintain workers' compensation insurarrce, as rcquired by Section 3700 of the l-abor Code, for the perfonnance of the work for which this permit is issued. My workers' compcnsation insurarrce carrier and policy numhr are: Policy Numbcr: Expires: -l certify that in thc grcrformancc of thc work for which this permit is issucd. I shall not cmploy any pcrson in any rmnncr so as lo bccornc subpct to the workers'compensalion laws of California, and agrcre that if I shcluld becornc subict to the workers' comlrcnsation provisions of Scction 3700 of the l",abor Code, t shall, forthwith comply with thosc provisions.. WARNING: Failurc to sccurc workcrs'comFrensation covcragc is unlawful, and shall subict an cmploler to criminal pcnaltics and civil lincs up to onc hundrcd thousand dollars thc cost damages as providcd fior the Scclion 3076 of L:bor intcrcst and altorrrcy's I hercby aflirm under penalty of perjury that I am licenscd under provision of Chaptcr 9 (comnrcncing with Sc'ction 7000) of Division 3 of thc Busincss and Profcssions Codc, and rny licensc is in full forcc and effect. Liccnsc W I lmby dFrm unds pcmly of Frjury that thsc is a @NIructbo lmding agmy for thc Frfotlffic of lhc wt br whi:h thb Fmt it tusucd (56. 3097, Civ. C.). lrndcr's Naurc: Lrndcr's Addrcss: APPLICANT DECI ARATION I lrcrcby atlirm undcr pcnalty of pcrjury one of thc following declarations: Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6) _Rcquircd lrttcr of Notifrcation -l ccrtify that the federal regulations rcgarding asbcstos renrcval are not applicable to this proi'ct. _l ccrtily that I havc read this applicution and statc that thc infornution is corrcct. I agrcc to comply with all City and County ordinances and State [:ws rclaling to authorizc reprcscntativcs of this City and County to cntcr ugnn thc abovc nrcntioncd propcrty for Applicant or Agent Permitee *r", 7,/, - /r UNDER GROUND Waste & Vent Water-Under floor Gas-Underf loor Buildinq Sewer Area/Storm Drain I nterceptor/ Clarif ier TOP OUT Waste & Vent Water Pipinq Gas Pipinq Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line B-Q-zt t ll, l\Iain Drain/Pool Pipinq 3-1-?Irzsn4 Fill Line/Back Flow Z -Q -?l / /-{a, Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCao Back Flow Device Rough Plumbins Final Gas Test Meter Release FINAL loa \-2,t 9-{' {+ Notes, Remarks, Etc Carricr:- W