HomeMy WebLinkAbout30120426 - Permit (2)t City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738
Plumbing Permit #: 3lo12o426
I nspector's Section: (7 1 4) 647 -5853.la
al
Project Address:329 E Wa keham Ave
Assessor's Parcel: 01 1-044-16 Lot: 7
Suite:
Block: NA
Bldg:
Tract:584
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires;
Marco A & Josephina Chavez
329 E Wakeham Ave
Santa Ana, CA 927015953
1714132'.t-1949
FeeType Amount
Water Closet 8.55
Shower/Bathtub 8.55
Sink 8.55
Sewer Alter/Repair 16.85
Extend Gas Line 24.75
Wtr Htr (Gas) Res/Com 8.55
lssuance
._34.00
Notes:
Fee Total:
Paid to Date:
Balance Due:
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$8.55
$8.55
$8.55
$16.85
$24.75
$8.55
$34.00
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Addition
Addn/remodel
Amsden, Julie
Occupancy:
Constr Type
Code:
Date
Date
Date
R-3/U-t
V-N
cEc 2004
08t17t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit
This permit shall expirc by limitation and become null and void if the wo* 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 work is commenced for a period of 1 80 days
Before such work can be recommenced, a new permit shall be first obtained to do so.
$109.80
$0.00
$109.80
Account #: 01 1-01-5912 lnspector MID#: 2006-67533
PLUMBING.INSPECTOR RECORD ?
APPROVALS DATE ID/SIG.COMMENTS
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 It lrt ,/,LA
FinalGas Test
Meter Release
FINAL
Notes, Remarks, Etc.
I hrcby af6m uda pcrs.lty of pGjury thlt I u uopt fom thc ColtrrtoB' Lirc Law for thc following rmD (s.7031.5
md Profxioo Codc): Any City or Couty which rcquiro a po'mit to oElnrct, alta, iEprovc, dootish or rcpat uy structEc, Fior to ils
issurce also rcquiu ttc appliot for such pqait to filc r signrd stat@t that hc or shc b lic@scd prut ro thc prcvisiou of thc
CoDtrrctor's LiccBad taw (Chaptq 9, Comocirg wirh Sction 7000 of Division 3 of thc Bwioq ud Proftssiou Co&) ortba hc or
shc is aopt thacioo and thc bssis for thc allqcd a@pio! .A!y violstio! of Satiotr 7031.5 by uy applimt for a pcmh subjets thc
applicagda civil paahy of aot morc tha fivc huodrcd dollm ($500).
!{s o*oofthcpropqty,orEy@ptoycwithwag6sthcir$lccomp@sstioD,willdothcwotk&dthcstuctebrotirtodcd
or offccd for salc ( Se.7044, Buircs ud Profsiou Codc Thc Conrctor's Licre kw doc oot rpSrly to u ow of thc popaty
who builds or improvc throq ud wbo do6 such work hirclf or bmlf or through his or ha om oploye, providcd thar sch
iD[rcv666 qc trot iatadcd or offqpd for salc. I[ bowws, thc buildilg or inprcvaot is sld withi! orc yE of @Eplaio!, thc
Omq-Buildq will havc thc burdm ofproving thar hc or shc trot build or improvc for thc purfrcs ofsalc),
_I, u omo of thc propaty, u acluivcly @ltrsctiDg with liccascd oalEctoc to @lstruct thc Fojet ( Se. 7O44, Buias ud
Pm&sioa Co&: Thc Coatrattor's Liry Iaw dG rct apply to e ow of propaty wbo builds or improvc t!ao! , ed who
coilrets for such projcB with a CooEacto(s) licascd putMr to thc Cofiraclor'c Li@ kw.).
_lu Sstiotr &for ihis 160g.
Datc:I
I hacby affm unda pculty ofpojury oac
_I havc ud will minaio 8 Cstificltc of Cot$t !o Sclf-IM for w*c' oupastion, r prcvitod for by Scctio! 3700 of thc
hbor Codq for thc pqforc of thc wo* 6r which tbc pamit is iscd.
_l havc ud will EaiDtsin wotl6' ompoation isumcq r rcquircd by Scction 3700 of thc Labor Codg for thc pafomcc of thc
worL for wbich this pmit is isucd. My wortm' compcsstio! islrurc wicr ud lrclicy aubo uc:
Policy Nuba: Expircr:
qfhir sgri6iimea mt bc complctcd if thc pmit is for Orc hu<bcd do[6 {Sl0O} or l*)
v-l cstiry &ar ia tbr pqforw of tbc wort for whi:b this pamit is isc4 I sbEll mt qby uy parca ir uy ma rc u to
bcec $bjct to th. mrtc ' oupostba laws of Califonia, ud agc &at if I sbould bcorc subjEt to tbs wqr(6'
of Setiotr 3700 of thc hbor Codc, I sb8ll, fonhwith comply with tho* provisiou..I /z 6
Failuc to suc wortc' omposatiol is udawful, md shall subj@t e @ptoF to md civil
fi!6 up to orc hu&cd thouynd dola$ ($100,000),iD
thc Labor Codc, iDt66r ed ammry's f6.
addiriotr to thc cost ofcomp@sarioo, daoagc s providrd for Setion 3076 of
LICENSED CONTRACTORII DBCI.ARATION
I barby afm uda paaty of pcjury that I u licelcd uDdq prcvisior of Chapc 9 (orccing with Sctioa 7000) of Divisior 3 of
thc Buiw ud hofcsios Cod., &d Ey licry is ia full fore ud cffcr.
Licruc Clas:_ Liw Nuobq _
Datq Coatr*tor:
CONSTRUCTION LENDING AGENCY
I hacby affm udc pcorlty of pcjury that th@ b a coutnrslio! lcodiag agocy for thc Isfomc of rhc work for which this pqnit ir
issucd (56. 3097, Civ. C.).
lad6's Nmc:
[:ods's Addrs:
APPLICANT'S DECLARATION
Dcmolitioa PmiB-Asbcstos Notificatioo Fcdral RcgulatioE (Titlc 40, Part 6)
_ Rcquircd tato ofNotificrtion
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