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Home My WebLink About30143441 - PermitCity 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#:30143441 Pin #: 59142 Project Address: 210 W Murphy Ave Assesso/s Parcel: 410-062-02 Lot: 48 Unit: Block: NA Bldg: Tract: 6433 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address. Phone: Tenant Name: Contractor: Address: Phone Raylene Casares 210 MURPHY AVE Santa Ana, CA 927074927 (7141 686-8066 Safe Step Walk-in Tub Coml 15262 Pipeline Lane Huntington Beach, CA 9264 (7141 373-8s4s 01 1 16002 51602 01 1 16002 s160C 01 1 16002 51602 01 1 16002 5777C Fee Type Amount Whirlpool Tub/Foot Spa 23.97 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 1.00 1.00 1.00 1.00 Fee $23.97 $23.79 $se.30 $4.05 Botch+ :60316 Sl l 2/2{t2l I0: ov i ctor i o Off ice: CTYH Trons*: 15 3 of 3Accti: Ref * : 3tl1 43++l Rcpt*:03377271 8/12/2ttZI 9:43 AH Ironsoct i on Toto I l+87.31 Snl'e Step Uolll-tn lub (.otilPone j State Lic #: 983603 Lic Type: B Bus. Lic #: 365881 Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund Policy #: 9002477 Exprres: 0110112022 Generol Plqn Updote Fee ttl I 16tttt2- Sl6t ttt0tttt- Plurib ins rr I 1 16tr02- 5l 6tr2(t0tt- fl icrof i ln & Docurents 01 1 1 61102- 1777ttrr00- U iso CC* i rrr*rrttt***81 79 t23 .'79 tg3 .:27 14 . t-t5 1187 . 31 Auth* :0992 1 G Building Use: Job Type: Nature of Work: Single Family Dwelling Miscellaneous Bathroom Occupancy: Constr Type: Code: Date: Date: Date: R-3 VB cPc 2019 Notes: Plumbing for replacing existing tub with walk in tub Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Zuniga, Allissa Subject to Field: Buirdins Permit #: 1 01107489 Every permitissued shall become invalid unless the work on the site authonzed by such permit is commenced within 360 days after its rssuance , or if the work authorized on the site by such permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. 08/1 212021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23.79 $83.27 $4.05 Fee Total Paid to Date: Balance Due: $1 11.1' $0.00 $1 1 1.11 lnspector MID#: 2021-1 68003 a il PLUM BING-INSPECTOR HECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby afftrm urdcr Fnshy of pcrjury thrr I m crcmpt from thc Contreto6' Lirnrc [rw for thc followin8 rcamn (Sa.?031..5 Busincss atd hofcsion Codc)i Any City or County which rcquircs s pcmit lo @nstruct, 8ltc, impmrc, dcmlish or rcpqir my structurc. prbr to its is$mâ‚¬, rls rcquircs the applLEnt for sEh pcmit to file s sigred ststcrcnt thsl lE or slE is lienscd puEusot lo Ihc provisions of th Contrrctor's Li.rn$d hw (Chrplcr 9. Comrcing with Sctbo 7000 of Division 3 of thc Busircss ud PDfcssionsCodc)qthattcqshâ‚¬iscrctrrptttsrfrcmdrdthcbosisforthcalhgedexerption. AnyvblstbnofSâ‚¬lhn703l.5byany applicant for a pmit subirts the applicsnt to 8 civil pcnalty of not mrc the live hundred dollars (S5fi)). -1. as owncr of thc property. or my cmployecs with wagcs as thcir solc compensation. will do the work and thc structure is not intend or offered for sale (Soc.7044, Busincss and Prrofessions Code: The Contractor's Licensc l-aw does not apply to an owner of lhc propcrty who builds or inprows thcrcon, alrd who docs mrch work himself or hcrsclf or through his or hcr own cmployccs, provided that such imSnorrcnrnts are not intended or offered for salc. If. however, the building or improvenrnt is soH within onc )rcar of conpbtion, thc Owner Builder will have thc burden of proving that he or she dirt not build or inprorc the propcrty for the purposc of salc). _1. as owner of thc propcrty. anr exclusivcly conlracting with liccnscd controctors to construct thc projcct (Scc. 7(}{4. Busincss and Rofbsskrn Codc: Thc Contraclor's l-iccnsc Law docs not apply lo an owncr of propcrty who builds or inrprovcs thcrcon. and who conlracts tirr such projccts with a Conlraclor(s) liccnscd pursuant to thc Contractor's Licensc l-aw). -IantcxclnptundcrScction-.B.&P'C.f.orthisrcason. woRKERt' arnn*o*tnrron DFCLARATION I hcrcby affirm undcr penalty of prjury onc of thc following dcclarations: -l have and will maintain a Certificatc of Conscnt to Self-lnsurc for workcrs' compensation. as provided for by Scction 3700 of the [:bor Code, for the pcrformancc of the work for which thc pcrmit is issued. -l havc and will maintain workers' compensation insurancc. as required by Scction 3700 of thc L-abor Code, for thc pcrfonnancc of the work for which this pcrmit is issued. My workcrs' compensation insurarrce carrier ard policy numhr are: a Policy 6 t ltlr?- I -l certify that in the;rcrfornrancc of thc work for which this Jrcrrnit is issued, I shall not employ any pcrson in anyrnbrrner so as to become subict to the workcrs' conrpcnsalion laws of California. and agrce that if I should hecome subjcct lo the workcrs' compensation provisions of Scction 3700 of the Latxrr Codc. I shall. forthwilh comply with thosc provisions.. a WARNING: Failurc lo secure workers' compcnsation covcragc is unlawful. and shalt subjcct an cmploycr to criminal fiiuhies and addition to the cost of compcnsation. damagcs as providcd for thccivil lincs up to onc hundred lhousand dollars ($l ill Scction 307e9 the Labor Codc, intcrcst and fccs. LICENSED CONTRACTOR DTCLARATION I hcrcby alfirm undcr penalty of pcrjury that I arn liccnscd undcr pmvision of Chapter 9 (comrrcncing with Scction 7000) of Division 3 of the Business and Profcssions Code, arxl nry liccnsc is in full forcc and *"r. Liccnse Numbcr:1esb8 I hcrcby aflrm undcr Fnalty ofpcrjury that thcrc is a construdion lcnding agcncy for thc pcrfornunce oflhc work for which lhis lErmit is issucd (Scc. 3097. Civ. C.). kndcr's Narnc: l-cntlcr's Adclrcss: APPLICANT DECI ARATION I hcrcby allinn under penalty of pcrjury onc ol'thc folkrwing dcclarations: Dcrnolition Pcrmits-Asbcstos Notification Fcdcral Rcgulalions (Titlc 40. Part6) _Rcquircd lrttcr of Notification -l c{rrify that the fedcr8l rcguhtions Eguding asbestos rcmval re mt applicabb to this pDirt. _l cc{rify lhat I have rcad thii applicstion Ud st8lc thrr the sbovc infomtion is cml. I rgrE to olply with lll City 8rd Counly ordimrccs ard Stalc [rws rhting to building conslruclioc ard hcrcby ruthorire rcpresntltiuf this Cily aod Counly lo eils upon the abovc mcntioned propcrty for Applicant or Agenl Permitee name *,", ahzfzl UNDER GROUND Waste & Vent Water-Under floor Gas-Underf Ioor Buildinq Sewer ArealStorm Drain I nterceptor/ CIarif ier TOP OUT I h Waste & Vent V tfElu bA.IFI ( Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line N/ain Drain/Pool Pipinq Fill Line/Back Flow Pool Heaterlcas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCap Back FIow Device Rough Plumbing Final Gas Test Meter Release tr I FINAL DWVS'I Notes, Remarks, Etc. t Dale:( )rvlrcr: c""i",, ?Tf,rg f ortuD 'F',Idrz dF (l+ - tut'Al-A