HomeMy WebLinkAbout30142801 - Permita
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 #: 3O1428Oi
Pin #: 73W
Proiect Address: 1426 N Lowell Sta
Assessor's Parcel: 405-302-24 Lot: 13
Unit:
Block: NA
Bldg:
Tract 1032
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
State Lic #: 1013495
Lic Type: C-53
Bus Lic #: 377776
Workers' Compensation lnsurance:Carrier. Exempt
Policy #:
Expires:
Russell and Nicole Gee
1426 N Lowell
Santa Ana, CA 92706
(41 5) 320-7001
Rock N Pool lnc dba Swimr
1233 West Primrose Dr
Rancho Santa Margarita, Cl
(714!- 60e-4281
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type
Pool Trap
Pool Heater
Pool Piping
Genera! Plan Update
lssuance
Microfilm Records
Amount
23.97
78.27
47.95
23.79
59.30
4.05
Qty
1.00
100
1 .00
100
100
100
Fee
$23 97
$78 27
$47 95
$23 79
$s9 30
$4 05
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Swimming Pool/Spa
Spa
Occupancy:
Constr Type:
Code.
Date:
Date:
Date:
N/A
N/A
cPc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By: Zuniga, Allissa
Subject to Field
Buirdins Permit #: 1 01105797
04t14t2021
Account#
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
Total
Notes: lnstall in-ground spa
Fee Total
Paid to Date.
Balance Due:
Every permit issued 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 sife 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
01116002 57770
$23.79
$209 49
$4 0s
$237 33
$0 00
$237.33
lnspector MtD#' 2021-164054
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PLU M BI NG.! NSPECTOR RECORD ra
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DEI,CARATTON
I h6cby afiim und6 poalty of pqjury that I m qcmpt &om thc Coilracto6' Lic@ Lrw for thc followiag rcn (Se.7031.5
Buios ad Prcfsion Codc): Ary City or Coulty which rcquira a po'mit to @ostruct. alt6. improvg damlbh or npair oy
strcturq prbr to its issurec slso rcquic thc applicut for such pcmit to filc 8 8igncd stdmr thal hc or dE is licascd pwsnt
to thc provisioB of the Contretor's Liccmcd lrw (Chspt6 9, Comacing with Sction 7000 of Division 3 of thc Bsin6 4d
Profxioro Codc) or that hc or shc is cxmpt thq€&om md thc b0sis for thc allegcd aopion. Any vioLrtion of Sctbn 7031.5 by ey
applicmtforapqmitsubjctsthc applimttoacivilpcruftyofnotmorcthefivchuodroddollss($500).
-1,
as owner of the property, or my ernployecs with wages as their solc compersdion, wil do ttte work ard the snraure b not
intcndcd orofu for sale (Se.7044, Business and hofesions Code: The Contractor's Liccnsc [aw docs not apply to anown€r of
the propcrt'y who hrilds or improve thcron, and who does such work himsclf or hcmclf or through his or hcr own qnployce.
provided that such improvanrents tre not intenH oroftrcd for salc. I[, howwer, thc hliHing or improvemcnt is soH within one ]€ar
of complaioq the Ovner Builda will have thc hrden of proving tha he or shc did not hrild or improve the property for thc purposc of
sale).
-1,
as owner ofthe prop€rty, am cxclusively contracting with licenscd contractors to construct ttrc project (Soc. 7044, Brsiness
and hoftssbo Code: The Contractor's Liccnse Law does not apply to an owncr of propcrty who builds or improves thcreon,
and who contracts for such projeds with a Contracto(s) liccnsod pursuant to thc Cpntractor'g Licqtsc l-aw).
-l
am excmpt unda Section-, B. & P.C. forthis reason.
f)qlo.
WORKERTI' COMPEN SATION
DECLARATION
I hcreby affrm under penalty of perjury one of the following declarations:
-l
have and will maintain a Certificatc of Consent to Sclf-lnsure for workers' compcnsation, as providcd fot by Section 3700 of the
I-abor Code for the performancc of thc work for which the pcrrnit b issued.
-l
have and will maintain workers' compensation insurance, as required by Section 3700 of thc labor Code, for the pcrformance of
the work for which this permit is issued. My workers' comperuation insurance carier and policy number are:
Policy Numbcr: Expires:
_l ccrti$ that in the performance of thc work for which this pcrmit is issucd. I shall not cmploy any person in any manner
so ils to become subject to the workcrs' compensation laws of California. and agree that if I should become subject to thc
workers' compensation provisions of Scction 3700 of the Labor Code. I shall, forthwilh comply with thosc provisions..
WARNING: Failre to suc wkm' ompquation covwge is ulawful. ud shall subjet I @ploy6 to cimind psulics md
cMl fuc up to ooc hutrdrcd thoMd dollm ($100.000). in sddition to thc cog of compcostion, darage a prcvidcd for thc
Sction 3076 of thc lrbor Codq intaet ud aonry's fe.
A ^^l:--..
LICENSED CONTRACTOR
DECT.,ARATION
I hereby affinn under penalty of perjury that I arn licensod under provision of Chapto 9 (commancing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
Number:-
W
I hmby affm undo penalty of psjury that th@ is a construction lcodiry agmcy for thc pqfolruc of thc mrk fur which this pqrnit b
Civ. C.).
l,cnder's Ad&ess:
APPLICANT DECIIIRATION
I hcr,*y affimt under penalty of pcrjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Rcquired
lrtter of Notificaion
-l
csrirythd thcftdalquhtioro rqrdiag rbatomvalre norrppliebhto thi! prcj.d.
-l
6ti& thd I hsvc rad thb applicatioa od ststc that thc alovc idorDdb! is @nEt. I rgr to ooply with all Cily ud County
ordire6 md Stdc LM rcldirg to buiuing oDdructio!, md hs6y ruthori4 Epr6atdiE of thi! Cily snd Couty to 616 rpotr thc
aborc mationcd prcpary for inspccion purpos
Applicant or Agcnt
I'trillilcc ililrnc (priilt):
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line ,/,a .J
Main Drain/Pool Piping 5/n 70/rf{unrau r@
Fill Line/Back Flow /f \.a
Pool Heater/Gas Line -k4 Cr?/a>,t
Miscellaneous '*f0oe flod
Gas Service ./tr" lylw V
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
Roush Plumbinq
Final Gas Test
Meter Release I Itl ,,
FINAL 'r/ ,{vl Wrfu wu
Notes, Remarks, Etc.
License Class:-
Drte:
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