HomeMy WebLinkAbout30139828 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counler: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 39828
Pin #: 65273
Proiect Address: 4018 W Lehnhardt Ave
Assessor'sParcel: 104-722-25 Lot: 25
Unit:
Block: NA
Bldgl
Tracl:8924
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Mimosa Diep & Tien Nguyen
4018 W Lehnhardt Ave
Santa Ana, CA 927042219
(714) 785-8301
Owner-Builder
01116002
01116002
01116002
01116002
01116002
01116002
01116002
01116002
51602
5'1602
5160i
51602
5'160i
5'1602
5160C
5160i
Amount
14.22
22.25
22.25
12.70
't1.9?
10.66
22.08
55.04
Fee
$42.66
$22.25
$22.25
$50.80
$11.97
$ 10.66
$22.08
$55.04
Fee Type
Water Closet
Shower
Shower/Bathtub
Sink
Dishwasher
Garbage Oisp
General Plan Update
lssuance
Qty
3.00
'1 .00
1.00
4.00
1.00
1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Addition
Addition,lRemodel
R-3, U
VB
cPc 2016
Planning Conditions: A/C in rear yard.
08/08/20't8
Account#
Notes; New powder room. Remodeureconfigure (2) bathrooms
& kitchen.
$237 .71
$0.00
9237.71
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$215.63Every petrnit issued shall becomo invalid unle$ the wo* on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the wo authotizod on the site by such pemit is suspended
or abandoned for a period of 1 80 days aftet the timo the wo* is
commencpd.
lnspector MID#: 2018-143123
01116002 51600
01116002 51602
Fee Total
Paid to Date:
Balance Oue:
Occupancy:
Constr Type:
Code:
Planning Approval By:
Plan Checked By:
Permit lssued By: Brodowski, Teri
Subject to Field:
Buirdins Permit #: 101 96323
APPROVALS DATE ID/SIG,COMMENTS OWNER BT]ILDEII DELEARATX)N
I hcrcby nlrfln und$ |)(..lly ('r pcrjury rhdr I n cxcmnr ri.nr rhc GniB.t*s- Liccnxc l.!w ir rhc nrl[rwila rca$n (s'\701l s
Bunncss rnd P()lcssi{nr Onlt) Atry Cily or Counly which rc+irus I lfanir h con{ni.r. rlrcr. improvc. dcn$l'\h or rcnrt anv
{ocrurc. Drior b ir\ h\rdn.c. uho rcqutc\ rtu atpli.Mr fff $.h Firtril l(, lilc r siBftd i dcnEnr lhd ltor\ht is licctr{d Pu uxnl
n, rh tmlntnt oi rhc conrrlcloi\ Li..n\cd uw (chrlrs 9, c{nn tr0S $nh seclion 7(xn or Dlvision I of rlr Rurnnx( rnd
Pnni\\iotrs Conc)orrhnr hcor\h k.rc,nfl lhcctonond rhc hr\h for rhc rllcscJ crcdprion AnyvioldionolSc.riotrT0Sl.5bvonv
rDrlicatrr tur ! r'.!mir \uhjc.rslh. {prlicanrl,r rciviltcnalryol nor.rorclhln llvc hxndrcd dollars(i5(x))
I. dr o*trcr ol rhe prlfny. or nry cmployc$ snh was.r !s $.n $h .onrlcnvr iih Nill do rhc $ork a.d rlE i Mrm is nor
i .nd!n or oi.Ed f.i slc (5(.?1}{1. Burin.\! rtrd Pt,rcrs nl Cdc: -rhc Conra.ror's Licctr{ l iw dtr\ i.r ardv lo o$ncrot
rhcpn,Fny Nho builds or n4rcvcs rtuNn. a, wh. do\ $.h *o* hinrclf or hcrclf or rhooFh his o. hct o*n c'npbvc.\.
prorided rlur fth nn!()vcNnrs rE Bn inhndcd M offcrcd f s0lc. ll, ho dtr. rh. b{iklitrg or i'rymlcrm is sU wirhin otu ttd
ol.oDd.lion. rlt Owncr Buikld Billh.!c rhc bunlcnorF,!i'r! rl hc or slrc dii B, hdiu or i Imlc rhc PR,lcdv ror thc lrurlnEol'
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rs ow,f,r .r rhc Folxny. im c\chsiecly .ontr.rnrg q{h li.cn{d cotk3cr.s r. conslrucr rh. Ir(,j.tr ( scc 70's. Btrsift\
rid PnrL\sir (.odc:'lhc Conrr.tn s Licc.sc Law d..\ nor aPPry ro.notrncr ofPm!.dy qho builds or i'nBrvcs
'hcrcon.rnd who cont(chnrlu.hlnojccls*ilhrconrtu.rod\) ri.cnscdlru6udr b rhc cbntackn s Lic..s.l-Dw).
-l
!h .rcm un lcr 56
O*ner:
YOBIEIS:.COTdPJIIAIISN
DECI.ASAIION
I hdcby rffim !.dc. pcnaht of pciury o.c of rlt follo{ing deltltions
I hnve ud will minrlin ! CcnarMr. ol Cons lo Sclt lnsurc rot w.rkcn conq*nsrion. ,s polidcd for b, Serion lr0o of lnc
lihor CDdc. nr !h. lcrformncc of rh. wod( lor which lhc pc.mir is ilslld
-l havc lnd wiu ninhin workcs compe nssrn,i nrsuin.c. rs rcquied hy Sftr ion l?00 of rhc |iht C.dc. lor th€ |'erfotl1ec of
rtc uork ror Bhich lhisFrmn k hsEd Mywo.knc ompcnBlion inslBrc ortr &d polty nuotx. e:
Policy Nuobcr:-Exltcs:
l .rdiS lhal in rlE ,,cr{or@ne ol lhc woIk tu shich rhn P.rn is tsucrl, I sMll Nr cmlloy !try I'cNn in {nv m ncr
$ $ro tc&ft ruhld ro lhc mltcr'anF.glion ln*{ of Cllifornh. dd sgm ihar if I sbould beoft $5rel lo th€
wo*sl conpcoqrion DmvGions ofSeclioo 1700orlhe Lthrr Codc, t shall lonh*irhomply wilh rh.r pmvisions..
WAf,ltlNC: FliluE lo 3 e wokc6 con{ENlion covcEge k ulastuL &d shall subit! 4.mplor.r lo dimin l Fdlli* ed
civil frci ul to om hundrcd lhouend dollG (llm.ooo) io addhio. io rc cosl of @nvEasdion. dsBgcs
'3 Pova'd for rh€
Srrin J076 of thc Llbor Codc, ur.d .d omy < ftrs
ucENlrD-colirxacrlle
TECT,IXAIIAN
I lErcbylliirmondcr FnrtryofFrjury rhlr I !m lirtndl uid.r lmvision olCnllprcr 9 (onnmncia8 wi'h S(ri,n ?000) orl)ilision l
or rhc Busflc\s0nd Pd'cs\n,ns codc. d ry liccnsc n in lull n)mandcfLcr
-k.nic Nnmh.r:
---
Co Nlor:-
coNgrBugrxlxrElDlNcllilllr
I hcEbyaffi, ufr,$ Fn.lry of llcrrrirr rh th@ i a onirudion hndins dscmy lor lhc l,cnnrmn { oi rh. work rhr qhich
'ht lxrhir is
issucd (SE.1097, Civ, C,.
Lrndd r:{rm:
-
-l
ccnirythdr rhc lcdc(l rcaullrionl Egddin8 $b.nos tctrxr!{l{c nor rPllic.nb lo rhk PmF.r
l.drifyrh0r I havcrcadrhisntllic,tionnn\hrcrhal rh.!h,v. inLrnnlion i\.otrer I aEe lo comPlv {irh rll Cirv lnd Counrv
oniindm.s;nd Shlc Llws abriiS t, buildin8 con(rucriofl. a'n h.tby authorizc tqrrcsnhrivcs oflhn Cilvatul Counrv ro cntcr upon rhc
atDvc eoin,tud rmpcnytu insp.lrkn purFscs.
Apnllont o. Agenl SigErure:-
I'emil.e romelprint)
UNDER GROUND
Waste & Vent 4 I I Lg1 lzv)
Water-Under floor I I
Gas-Underfloor
Buildinq Sewer
Area./Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
lvain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
I
Rough Plumbing {z>)
Final Gas Test U v
Meter Release
FINAL f.( \4t)
\,gNotes, Remarks, Etc.l(U
PLUMBING.INSPECTOR RECORD
A.IPLIIAILDIIELIMIION
l,srbylnimlndcr penrlry offcrjur, ore ofrhe folhwnrg d..lMlions:
DrnDhion Pc nilr Asttnos Nolit'E0lion Fcdcnl Rcsxhrn,ns (Tnh40. Pln6)
-R.qunc{
l.rrs orNo lf, sliotr
Waste & Vent
1 lltQ(