HomeMy WebLinkAbout30120137 - Permit (2)Project Address: 5007 W Fifth St
Assessor's Parcel: 100-242-09 Lot: POR 11
Suite:
Block: NA
Bldg:
Tract: 1078
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738
Plumbing Permit #: 3O{ 20137
\
lnspector's Section: (714) 647-5853 \*
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier;
Policy #:
Expires:
Owner:
Address
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By
Permit lssued By:
Subject to Field:
Westminster Press lnc
4906 W 1st St
Santa Ana, CA 927033110
17141210-2888
Single Family Dwelling
New
New sfd w/att garage
Amsden, Julie
Fee Type
Water Closet
Shower
Shower/Bathtub
Jacuzzi Tub
Sink ,/
Wash'g MaSf
Dishwaslter
GarMge Disp
New Sewer
Gas System
Amount
8.15
8.15
8.15
8.15
8.15
8.15
8.15
8.15
23.50
16.00
8.15
8.15
32.50
Fee
$32.60
$8.1 5
$16.30
$8.1 5
$48.90
$8.15
$8.15
$8.1 5
$23.50
$16.00
$8.15
$16.30
$32.50
Qty
4.00
1.00
2.00
1.00
6.00
1.00
1.00
1.00
1.00
1.00
1.00
2.00
1.00
\rVtr Htr (Gas) Res/Com
$::"'::'
N
Occupancy
Constr
Code:
Date:
Date:
Date:
2ooJ
06/09/2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes: Letter of auth on file.
Fee Total:
Paid to Date:
Balance Due
MID#: 2004-54539
q
Building Permit
This permit shall expire by limitation and become null and void if the wofu authoized by this permit
is not commenced within 180 days from the date of this permit, or if the work authoized by this
permit is suspended or abandoned at any time after the wotu is commenced for a peiod of 180 days.
Before such work can be rccommenced, a new permit shall be first obtained to do so.
Account #: 011-01-5912 lnspector
$235.00
$0.00
$235.00
f
PLUMBING.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Oma-Buil&r Dcclantim
I hacby rfEm u&r FoElty of pqjury thlt I m cx@pr fm thc Cqt$toa' Limc llw ftr thc following Bn (16.7031.5 BuitrB
md hofeio Codc): Any City 6 Cmty which EquiB t pqoit to cffitrut alts, improvc, dmolilh c rcpoir uy stucm, pric o irs
isucc, abo rcquiro thc ryplimt fa ruch pcmit to filc a signcd st8&m6t that hc tr rhc is limcd pmwt to thc provirim of thc
Cmtrfq'r Licascd 9, Comcirg with Serion 7000 of Divisiq f, of thc Bwine od Profeimr Codc) r thar hc r
fc $c allcgcd cxmptim .Any violetim of Sctim 7031.5 by uy applior ftr a pamil subjca thcshc is
a civil pcnslty of not mm th8 fivc hutrdrcd dollm (X500).
will do thc wqk ud thc atruclw is not intandcdtrla* dG nd apply lo e oma of thc propcrty
vho buil& r irnFova $m, md who dc suh wqt hirelf q hoclf u thmgh his tr h6 m mployccs, Fovidld fiar such
imFovf,@E e not intcndrd tr offsrcd fG salc. It howwo, thc building or imprcvmt is sold within 6c yo of omplaio4 thc
Ownq-Builds will havc thc hrdfi of Foving fur hc q shc nor build a imprcvc fc rhc purposc of sslc).
_L a omq of thc popaty, o acluivcly mtrcting rith liord mtretG to coltruct thc Foj@r ( S4. 7044, Buine ud
PrcfBim Codar Thc C6tr8.ttr'i Licffi Lr* dc not spply !o u ma of popaqr who buil& r imFova thow , ed who
cotreE fc ruh proj€ls wilh a Cotrtrrcto(s) limcd pmwt lo thc C6tr&ts'5 Liqs€ Law.).
-lm
u&r Sation & P.C. fq this so.
Datc:
1-
I hcby affim u&r pcnalty of pqjury @c
_l havc md will mint8in a Cqtilicate of Coroot to SclfJuw fq uqtm' ompcnstion, c prcvidcd fw by Setio 3700 of thc
Labq Codc, fq thc pafme of thc wqk fo which thc pcrmit is isucd.
_l havc md will mintain wqtm' mposatio irouac, s rcquircd by Satim 3700 of thc labq Codc, fqthc pcrfme of thc
wq* fq which thic pamit ir isucd. My wor*m' mpa8atim irolme cuia ud policy numba m:
Policy
(Thit grd-nccd not bc mplctcd if thc pqmit is ftr otrc hu&cd dollm ltlool q l6s)
l2!t *lty tlai"tc Ffme of tlrc wak fa which thir pamit i! isuc4 t shall oot arploy uy paso io my mns s a robce $bj6r !o thc wat6 ' cdnp?Grtim lm of Califmi!, ud agre th.t if I rhurld beom sbjd to thc wqto'
provisiw ofScctio 3700 lrba Codc, I fcthwith cmply with thcc Fovisios..
t
Failurc b sccw wtrk6' @mpcndion
6nc up to oc hu&cd thmd dollm ($ I 00,000),in
thc labq Codr, intsur qd anmcy't f6.
additim to thc c6t
LICENSED CONTRACTORSi DECI,ANATION
I hely rffm uds paulty of pcrjury thrt I m limcd udfi provisim of Chsptq 9 (ffiacing with Scrim 70Oo) of Divisim 3 of
thc Buineud Prcfeim Codc, md my lirc is ir full f@ad cffc(t
LiwOs,_LifficNmbq
Dd.: Coffiaate
CONSTRUCTION LENDING AGEN'CY
I hqcby gffm udsr pct dty of pqjtry thd lh@ it E mtutio lading agocy fc thc pafm of thr wqt fc whictr thir pcrmit ir
isncd (Sc. 3097, Civ. C.).
landa's Nmc;
landq'r Addrs:
APPLICANT'S DECI./\RATION
Dsnolitio Pmilt-Alb6tq Notificatim Fcdaal Rcgulsriw (Tidc,f0, P.rt 6)
_ Rcquircd lrtr6 ofNotificaio
with 8ll City sd Couty
sd CMty !o 6tq upo0 thc
Applimt c rgot rig.
Pmittellsm(prini):
G7 / z@e
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL
Notes, Remarks, Etc.