HomeMy WebLinkAbout30140288 - Permit (2)city of Santa Ana 20 Civic Cenler Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counler: (714) 647-5800 lnspection Requesls: (7'14) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 3Ot40288
Pin #: 37O9O
Proiect Address: 309 E Warner Ave
AssessoasParcel: 403-143-13 Lol: 23
Unit:
Block: F
Bldg:
Tract: 638
Address Range:
Historic: No
Suite Range:
Zoning: R2
q
Owner:
Address
Contraclor:
Address:
Phone
Tenant Name:
Amount
99.92
-177 .O4
22.O8
55.04
Fee
$99.92
$-177.04
$22.08
$5s.04
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
17141903-2002
J&Glndustrieslnc
18627 Brookhurst St #302
Fountain Valley, CA 92708
(714].903-2002
Fee Typo
01'116002 51602 Cap Sewer
01116002 51602 Fee Exempt
01116002 5160C General Plan Update
011'16002 51602 lssuance
Qty
1.00
1.00
1.00
1.00
Phone
State Lic #: 571859
Lic Type: ASBS, A, HAZ, C-21
Bus. Lic #: 160248
Workers' Compensation lnsurance:Carrier: State lnsurance Fund
Policy #: 0802847
Expires: 1OlO1l2O19
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Demolition & Clear Lot
Demo
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2016
Notes: Demo and clear lot. AQMD on tile. .'.FEE EXEMPT PER
MEMO"'
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buildins Permit #: 101 98394
Every pemit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 180 days aftet ils
issuance, ot if lhe wo* authoized on the site by such pemit is suspended
or abandoned fot a peiod of180 days aftet the tine the work is
Misc. Receipt:
Misc. Receipt:
1112012018 Misc. Receipt;
Account# Total
$0.00
$0.00
$0.00
lnspector MID#: 2018-147759
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
.Z
M::,
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNET AUIDER DELCARATION
I hcr.by a0im und.r D..ohy ot prriury rh.r I h cx.mpl fmm thc Coir6clo6 Lic6r Low &r rh. f.lLwing ra$i (Se ,iol I J
BNin.$ ai! Prefc*rion C6rL): Ary Cny or Counry whi.h EquiB a Fmii lo oncruct. .h6. imtmw. domlirh o. cfair any
srEchrc p.ior b ns i!Mm., aho r.qliE rfi. 6r,pli., for $ch FDir ro fik s srrn d sr$cMr rhar tE o. dr b ltco..d Dum.r'l
ro rh. ,mvirioN ol$. Conrrlclors Lic€n!.d t w (Chrpr.r 9, C.m.ein8 wilh S.crior 7000 oa Divi$ion 3 of lhc B!iin.$ ..d
Pot sioN Codc) or thd h. o, CE i! .x.t!pt lh.E&.n rld th.68r! to. th..lLg.d .x.frplio AnyviolllionofS.sirn701I5by!!y
.pplic.d ror a p.mn subjel3 llE applic.nl to ! civil p.mlly ofml mrc lh.n fiv. hlndr.d dollaB (S50o)
-1.
s owr of dE pop.ny. or ny .nplortd wit ore6 s lh.n $k on{Enr.rion, will do th. sut &d llr lrnrt@ a el
inr.ndld orotr r.d Ior $1. (Se7044, ausiks Md Pmf.lsioN Co<k:'lh. Co r.cloCs l-ien* Lao do.s mr .pply lo !. ow.d.f
rh. pispcn, wh6 hild! d i@rcc dE6c ltd wlE .lG *h ft,t hi@lf or l'.elf or itmwn htu or h.r ou.rplorE&
povidcd lh.t sch iq'mrrEr e @ ftr i nxLd o.o,E!d 6r ek l[ holtr. d* t ildi.g.r iriibEnmr c $ld {hh,n om }o.
ofQtrpkrio'! rlE O$rur Builda will hav. th. lrrd.tr ofprcving thar lE or shc dil ml brild or intooc 6c pmFry a.r th. purloF ol
I, osowmrofrh.rmp.ny,.n.icllsivclyconiroctins pnh licnr.d conrtutoB ro.oa{md rh. pDjdt (sd.7044. Busines
rnd Pmftsrr Code: l h. ConlEclor's Li..N. Law do* mr alply ro a. ow.r oflmn ny uho t'uildF o. imDroe.s lhron.
lnd who contE lr for Nch poj.ds wirh . ConrBcro(, lic.nBd plBur1r ro rh. ConlEclor's Lt.trr bw).
-l
am.xcmpl und.r Sdrion , B. & P C. for rhis ,!&n
lUOBtr,8SteOll8EtSArq!
DEqdSAr!!)!
I h.,cby amrn u.d.. ,,.tuhy ofp.rlury.E offi. tollo{ioe ddhnliotrl:
_lhrvemlwillmainrrinrc.n'licdrolc.n*mbs.lflnsur.fin\orlcrsconrpensiridr.rsp()vided,i,rhySecri,,n:1700olrl*
l.ahor C.dc. i(trrhcnurLmanc€ofrh.{o'{ lor*hichrhe pmnir N rsn.d
_l hav. and willmadain workers conDensltion inflEnce,.s requircd by Scdion 3T00oflh€ Labor Cod.. for
'h.
pdfomMc. of
tr'h'.hrh'rncmi F rN.d Vv wo, Ld r .o@.nrihn ,nqmftc cnn '.r indp.l() numh( &.
'S]---L"- F"n^.L
to ?-?r.{1 \\-l-l (
-t
cdiryrhar in rh. I,€.lormm..frh. work tor which rt( pernilr (fl.d,I shillno' cmploy.nyp.fon in ant ronEr
$ a* ro b..on. sub.i6l ro rh. wortm'smn.tr$tion hw3 of Crlifomid, .nd nsc thlt il'l sh.uld b.coft $bjst ro thc
w.** ohp.rsrion tmvieiom of S..lion lrl)0 of
'h.
L,b.r Cod., I stbll. fonhs'ith comFly wilh rtD* porirfB
WARNINC: ljailo,. ro E.@ m*d' on{esrior @v.6sc ( lnhwtuL r .,Ell flbj.rr r. mph}lr lo simnd Fultis and
16 o.. hundEd rh.u.,nd dollnB ($100,0091, io add[i.h b (hc con ofcomncNliol damscs as Drovided ror rhc
s.dion 1076 ofrlE Latnr Cod., inr.r6l and.liomey !f-.. <- L-i r-
l)tct A.8r!9[
,h.r.6yimnnud&penilrrolp.'ltrrylhdI.nliccnscdnnddlnJ!'sionol(huerI(mnnncrcingqirhs*rioo7000)olDrvsril
ol ih. Busrcssanl Pmfcrs'ons cod.,.nd nryl&nsc r,n lxlln,rc.drl.filcr
5-11 ,s-c(-.!
-l O "-o*N
caNEraucllQIl.llDtdclctiacl
I hcrhyamrmu e. Fmhy of p.r!ry r hd rhse k d Lrnstucrirn Lndin! .8. y lor th€ l).rlommc oI rlE (ork tor $hicn rhn tdn( r.
hsu.d (Sec. 1097, Civ. C )
attttcAlr"DEclaaalla!
I hdlby aflim unds ,.nAlry ofndjlry on. of rh. hlloeine ddhErioni
D.mlition P.mirs'Ash6tos Norilicslion Ldcml Rqulalions ('l illc 40, Pan6)
=t&.quircd L.rr.r olNotifr.rhn
I c.ni&rhar rh. l.ddal..8!ltrh.s E8mrlin8.si*{os r.mv.lar. nor oDplic.bl. l. lhis nmj.Tt
-l
.tn it ll[l I hav. E d r hir aDplication afll storc llul the atrrt inltm,ri.n h cor..1 I rlG r. 6q)ly wilh all Cily rnd Count,
by auohrizi ..rmr^htiv6 oltht Cty rnd County lo cnlq l|xln lh.odimmcs and Shr. L.,s Ebrins r.
obovc mntiomd pmpny for
-" \ 1.,/raAppllca l or Aseur sunrlurc \-
c-
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterce ptor/ Clarifier
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler /A
Sanitary Sewe/Ca'p)l-2'l?).\41U/
Back Flow DevicY l,/
Rough Plumbing
Final Gas Test
Meter Release A\
FINAL , -31"11 .\.\ul{)
Notes, Remarks, Etc v
,*4a-I-fl
L.ndn'! AddEs:
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