HomeMy WebLinkAbout30239848 - Permit (2)Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: 1714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 3O239E48
Pin #: 474oi1
Project Address: 1439 S Olive St
Assessor'sParcel: 013-122-10 Lot: '15
Unit:
Block: 23
Bldg:
Tract: 352
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name
Contractor
Address:
Victor & carmen Madrigal
1439 S Olive St
Santa Ana, cA 927071520
17't4l437-1741
Fae Type
01116002 51602 Cap Fixtures
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
6.95
22.08
55.04
Qty
1 .00
1 .00
1 .00
Fge
$6.95
$22.08
$55.04
Phone
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance
Carraer:
Policy #i
Expires:
80 t':h+;
olf iret
Acrti:
R(pti: (
Trsngo(
t/15/2018 ID
inonsi:19
Ref+! 3l- s/15/2018 1r
fotol
Victor & Carlen llodr isol
6enerol Flqn Updotc Fee
r11116002- 51600000-
Plurb ins
tr111600?- 5160?((10-
Cosh
Chonse
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Fieldi
Building Permit #:
Single Family Dwelling
Miscellaneous
NAy' - Demo U/P Work
Chavez, Dave
Date:
Date;
Date:nt.0811412018
Account#
Occupancy:
Constr Type
Code:
R.3, U
VB
cPc 2016
10297357
Every pemit issued shall become invalid unless lhe work on th6 sife
authotized by such permit is commenced within 1 80 days afler its
issuance, or il the wo* authoized on the sile by such permit is suspended
ot abandoned for d peiod ol 180 days after the lime the work is
commenced.
Remove unpermitted alterations to garage, Remove
unpermitted electrical and cap back to point of origin.
Remove unpermitted plumbing and cap back to point
of origin. Demo unpermitted addition. Owner-Builder
form on file.
$84.07
$0.00
$84.07
lnspector MID#: 2018-145375
01116002 s1600
0'1 1 '16002 51602
$22.08
$61.99
Owner-Builder
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Noles;
Fee Total:
Paid to Date:
Balance Due:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG,COMMENTS OIVNI.iR B(JIt,DllR DII-CAR'l lON
Ihcrhy fln'n rndcr !.naht.f Frlury rhar I rn crcnfl liorn rhc (in r! nl l,icdn\c lrw fd rh.foll.wing rclson (Ss70ll.5
tru\i.c$ i Prolc$n'n Gxlc) Any Ciry or C,rtrry whirh rc{lriru\ I ,.rnir r. .oinrud. .lrc,. imprDc. dcnolish or rcprn rny'
ntucrlr.. pritrr, ic issuank, d!$ rcrtuncs (hc n!fli..d lir. (uch tEnnf h liL r \i8md {dcmnl rh3r h.or sh- i( li.cnq] Pu(urnl
b rhc pmvhion\ ol ltE Co.rru.lor{ t.iccned liv lchxprrr S. Conm.n.in! wirh Sc.rion 7U)O ol Dirhnrn I ot rhc 3o\ cr\ nnd
PDfusions Cod.) or rhrr h. or shc i\.r.mlrr rh.rcfrun ind rh. bdsi\ ror rhc.llL8cd c\.nrflnu An) ridiionofS..rbtr?0115 tyany
l,)pli.nnr forrptmn \uhJLr( rh. rptlic0nt ro acivilpctrdllro, not nDrcrh!tr lirc hundrcddollr^ (55U)r.
yJ4. ,. "**, "r,r'"
p",p"n y. o, my cn,plojrc\ siri wrgc\ a\ rhcn v,t con,,f, isootr. w,ll do rhc Eolk lnd rhc srMrr i\ ft,r
inluulcd or o,Icrcd iff $lc ( S( 7l!.1. Btr\tr\ atrd B.tis\n N C.dcr Tht Co rk!tr's l.i(c!\c l ,rs ttoc\ nor amly t, dn smr of
rh.tinJ|Iry uho hikh or inrrrotcs rhctr)tr anJ wl'ir docs ch*orkhinscllorhd^clfnrrhn)ughhnorhctown.mlloycci
pn,vid.d rhrr \kh nlllro!. rnh c,sr ir ctrdudoroflarrlfornrlc ll, hotrcv.r. rh!hiildi',!ori'npn,v.rf,d hsold eilh n.n. }[Jr
olcomdcrion. rhe ONrcr Buikler willh"rc rh huftlcn olruvinE dd h. oi shc did tror hnild or imfl.t thc preFny turhc Puqx,sor
-1.
os owr of the I,ol&ry, m cxclusiwly .ontrerine wilh li..n$d conhdor lo snsltuct rh. tmrer (Scc, 7Or4. BEift$
ffd PrDlNbn Codc: Th. ConrEcrols Licens. lja des mr.pply to ano*icr of[openy {lt buil& or imprcts thso..
lnd *ho @ Ers for .eh prbj.rts wnh ! C.m@b(, li*trkd ptrtsMr ro fi. Conlrlor's Li.cnrc L!w)
-l
amcrcmpl undr Sdlh
qOB6EBa..CI}IIIE{IAIIO!
DECLABAIIO!
I hcrliy arfid !nd€, Fnrlry ol pojury on. of the followi.8 dRlrolions:
I hrrc xnJ*ill nBi ai', r('cnifi.rrcofC.f\ctrrtu Sclllnnnc lor Norkcr' corFn\rrion. r! !r,ridcd ftr by Sc.tion :l7U) ol rhc
LrhtrC.n..lorrhc l]cnhnurcc o1rlt k.rk i,* whi.h rhc PCfl ir is i(\ucd
_l hsvc and {ill m.inuin workcs comt'cbsolion insursncc. as rcquiEd try S(t ion 1700 ot lhc tibor Codc. lor thc pdornwc of
lhc erl lor ehkh rhis p.mn is iliNd. My wo.kdl conpcndion i.sumrcc cuicr !d lolky nlnbq mi
Poli.y Numh.r:-Eipnc\:
Ull .cniry rn0| in rh. p.'formE ofulE worl ror whth rhis pcrmir is L\$ed. I shdll nor .nploy .nt FRon in any Mnner
s us ro bcom subFr ro rhe so*cF ompcnerion l,Bs ol CaliLmia. and a8tc lh8l if I shou6 lEcom sliitr lo rlE
qorlcR sr4xnsrion rbvisionr of Sc.rio, !rO0 ot rhc t$or Codc I srEll. fonhwilh Lor{ y wilh lhos poliqionr..
WARNIN(;: Fxilnrc k, sue wor[cr' coarEn\lrbn covca-qc ir utrllrlul, Md \hall $b].dr r .'nrh'ycr ro niminal Iicnllri\ !rut
cjril 6n.s up to onc hDndrcd rhou$nd dollur ($loo.(xx)). in addirin ro'h.c.n of.omr.nqlion. drrMses as p,ovidcd r rh.
Sccrion 10?6 ofrlE tjhor (ldc. inrcrc$ and onomy\ fcc\
,*., - t'tttr ^,ow"cyel* 4/4&rtLrfFNsEpc(,NTn c riJR A
DCCIAf,AION
Ihcrchyarfirmundcrpenahyorr.rjuryrhlrItrrli..n*du.d$tn)!i\bnolChrflcr9(snnitnirg*nhSc.rion?ur0)ofDivision:l
oi rhc Busnrs.nd Pftrtsion\ Codc.ond ry li.cn\c n i! fullnnen"d.ff..r
Liccnsc Chss:-Liensc Nun$.r
Drr.: Cont
COiiSItrUEIPNIIBDIIQIC}:NII
Ihctuhyrf,lrfludcrFtrilry.fp.,iurylhllthcrcisrcon{ru.ri.nhndinsrlcicyrorrhcrr,ntnn.co(hcwotktir*hi.hrhi\Fnnirn
isucd (s( :1097. Civ C )
AfELICANLDECIA&UIAN
I h.hby lilmuMcrlcnnlryoltf,rjuryotrc o, rhc nnhqirE rjccl rliors:
l)cnnnIion P.nni( A\bc{o: Nori,icdion Fcd$rl RcEUlrti( \llir]c J0. Pin6r
Roqdncd Irncrol Norifi.nridt
-l
ccfliry thd rlE f.d.ml Egllirio s rgar,ing alt.ros rmrl 3e mt atdh.bh ro lhi! pDird.
E4.*r, ,", r r,* *a ,rrii .rnlicdion rrld tr.rc lnll E aboec inaolrErioo k.mr.I l8B ro o,pl, qirh !n cnyaod Counry
ordiorcs.nd Srarc ti*s rchdng ro hoildin8 consrncrio[ rrld hcEby.ltho.ia EpE$nl8lircs ofthis Cny ald Cou y ro..rd lpon tlE
sbov. ,Entiorcd pm,cny for i,spcclioi
Appli(8nl or Agcnl SiFMloR .r-t4'l(
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underlloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release I
FINAL 1/tt,/t*-W-.///
Notes, Remarks, EiC.
D",",. tr-tq- If
Lan lcr', Adtlr*
-
Waste & Vent
POOL/SPA