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HomeMy WebLinkAbout30143143 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 30143143 Project Address: 2033 N Mantle St Assessor's Parcel: 396-01 1-20 Lot: 1 15 Unit: Block: NA Bldg: Tract: 3902 Address Range: Historic: No Pin #: Suite Range: Zoning: Ri Owner: Address. Phone Tenant Name: Contractor: Address: Phone Mary Espinosa 2033 N Mantle Ln Santa Ana, CA 927057614 (7141 450-0499 Alan Smith Pools 227 West Carlton Ave Orange, CA 92867 (208) 353-1 082 01 1 16002 51602 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Pool Heater Pool Piping General Plan Update lssuance Microfilm Records Amount 78.27 47.95 23.79 s9.30 4.05 Qty 100 1 .00 100 1.00 100 Fee $78.27 $47.95 $23 79 $s9 30 $4.05 I State Lic #: 571196 Lic Type: C-53, C-27, C-51 Bus. Lic #: 107 Workers' Compensation I nsurance:Carrier: Arch lns Co Policy #: ZAWC 1254540 Expires: 0410112022 - 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 Alteration Pool repair Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cPc 2019 reroJ I l6t-tt. 05/1 212021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes:Replace existing after pool replaster Fee Total: Paid to Date: Balance Due: Amsden, Julie 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 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 01 1 16002 57770 $23.79 $1 8s 52 $4.05 $2 1 3.36 $0.00 $213.36 Inspector MtD#' 2021-166109 PLUM B! NG.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI'ARATION I h6cby rffm und6 pcn8hy of pqjury thd I m qcmpt from thc Contractos' Licw L:w for thc fullowiq mn (Se.7031.5 Buines and Prcfeion Codc): Atry City or Courily which rcquic a ponit to oostrucl, altq, imgrcvc doolish or cpair ay structurcpriortoirs issuacc.alsorcquisthceplimtforsuchpcmittofilcasigncdstalmt thrrhcorCEblicoscd plmal to fic prcvisioN of thc Coohrctor's Licoscd Lrw (Chspt6 9, Commhg with Sction 7000 of Division 3 of thc BuitB md Prcf*iom Codc) or that hc tr slrc is qmpt thc&om 8nd tlrc bsis for thc dlcgcd aopion. Atry violatioo of Sction 7031.5 by ey applicut for a pannit subjets thc appti@t to 8 civil pculty of not morc tlur fivc hurdrcd dollm ($500). -[. as owner of thc propcrty, or my emplo]ces with wages as their sole compcnsation, will do tttc work and thc stnrcturc is not intendcd or offcrd for sale (Se.7044, Business and Profesions Code: Thc Contractor's Liccnsc l-aw does not apply to an owner of the propcrty who btrilds or improve thcron, and who does such work himself or hersclf or through his or her own employeca, providcd that such improvcrnents are not intcnded oroffercd for sale. I[ howwer, the building or improvement is rcld within one ],Ear of completion, the Orvner Buildcr will have the hrden of pnoving tha he or shc did not build or improvc ttrc propcrty for the purposc of sale). -1, as owncr of the propcrty, arn cxclusively contracting with licarsed contracton to construct thc projocr (Soc. 7044, Brsiness and hof€ssion Code: Thc Contraclor's License Law docs not apply to an owncr of property who builds or improve thcreon" and who contracr for such trojec'ts with a Contracto(s) licerccd punruant to the Contractor's Licensc law). -I am cxempt under Section-, B. & P.C. for this reason. Owner: WORIGRS' COM'ENSAT'ON DT'.cllUIATION I hacby allim undo pcnaltyof po'juryonc ofthc following delmtioro: -l havc ild will msintah I Cqtificatc of ColMt to Sclf-lNurc for wrko' ompcruation, I providcd for by Setion 3700 of thc bbor Codc, for thc psfomcc of thc rcrk for vtich thc ponit is issucd, {ffh"u" "nd *ilt ,aintain workm' compcruation ircurecc, I rcquircd by Sction 3700 of thc Libor Codc, for thc pqfomecc of tlic work for which this pemit is isucd. My workc' compcnsaion imurucc cui6 ed lDlicy numbs sc:u. Policy ,. fr"*i$ that in the performance of the work for which this permit is issued. I shall not ernploy any pemon in any manner so as to become subject to the worters' comp€osation laws of California, and agree that if I strould become subject to the workcrs' compauation provisions of Section 3700 of the l-abor Codq I shall, forthwith comply with thosc provisions.. I- I WARNING: Failurc to sccure workers'compensation covcragc is unlawful, and shall subject an cmploycr to criminal penaltic and civil fines up to onc hundrcd thousand dollars ($100,000), in addition to the cost of compcnsation, damagcs as provided for the Section 3076 of the Labor Code, interest and attorn€y's fc6. Dx", tlPlTFlA App*cenr: &*r* kurr*n -t 1 I LICENSED CONTRACTOR DTfIARATION I hereby affirm under pcnalty of perjury that I am liccnsod undcr provision of Chapto 9 (commcncing with Sectbn 7000) of Division 3 of thc Busincss and Profssioru Codc, and my liccnse is in fuU force and effcct. License cbt Numbcr: Dare: 6ln lUlA ll rl W I hwby affm undo p68lty of pgjury that thcc is a @Btruclion lcnditrg rSacy for th€ pqfomce of thc work for which thb pqmit is isucd (Se. 3097, Civ. C.). Lender's Narne: l,cndcr's Ad&ess: APPLICANT DECTI\RATION I hct*Draffirnr undcr pcnalty of ffiury one of the following doclarations: Dernolition Pcrmits-Asbestos Notification Foderal Regulations (Title 40, Part6) -Requirod lcttcr of Notification -l certi& that the fedcral regulations regarding asbestos removal are not applicable to this projed. and state that the above infonnation is correct. I agree to comply with all City and County and hereby authorize rcpresantatives of this City and County to enter upon the above mentioned property for inspection Applicant or Agent Permitee name UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ CIa rifier TOP OUT Waste & Vent Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA n P-trap/Drain Line 1-t,l-v.\,a-€ Main Drain/Pool Pipinq 'l- 14- lt ,/) trt\Y Fill Line/Back Flow Pool Heater/Gas Line tr*)tu-lrr.tlN0 ?-t{-Ll D^J442 Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewerl0ap Back Flow Device L1 Baq -zt t F -ri" 4t Rough Plumbing 1-l4.lt b?o {r. Final Gas Test Meter Release FINAL Q-19.?t E2-t {r- Notes, Remarks, Etc. Dete:_ Exoires:4l ie)2? o,,", flfv.lzrru