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