HomeMy WebLinkAbout30239808 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Countel (714) 647-5800 lnspection Requests: l'i14],667-2738 lnspector Section: (7'14) 647-5853
Permit #: 3O239EOE
Pin #: 3474
Project Address: 1801 S Flower St
Assessor'sParcel: 013-246-'13 Lol: 18
Unit:
Block: NA
Bldg:
Tract: 1888
Address Range:
Hisloric: No
Suite Range:
Zoning: Ri
E
Owner:
Address
Phone:
Tenanl Name:
Contractor;
Address:
lgnacio & Carolina Rivera
'1801 S Flower St
Santa Ana, CA 927071507
(714l. 287 4618
Owner-Builder
Fse Type
01116002 51602 Cap Fixtures
01116002 51602 Cap Gas Outlet
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
6.95
8.47
22.O8
55.04
Fee
$6.9s
$8.47
$22.08
$s5.04
Qty
1 .00
'1 .00
1 .00
1.00
Eotch+:{5217 - 8/6/2t118 I0: CCLEl.LAF
Office: CTYH Trons+! 55 2 ol "l
Acct+: RBf+: Jr:rz3?gr.rg
Rcpti:023{8909 - 8/6/?018 l1:04 An
frorsoct ion Totol t66r1.g$
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
4 Expires:
Isnorio & (:orol ino Rivero
Generol PIon tlpdote Fe€
01116002- 51600000-
Plur! ins
01116002- 516020110-
Cosh
Chonse
s66
( $tl
.0rl
15)
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Plannlng Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Alteration
N/V - Garage
Chavez, Dave
Date
Date
Datet"1..
08/06/2018
Account#
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Conslr Type
Code:
R-3
VB
cPc 2016
$22.08
$70.46
N/V - Remove unpermitted alterations to garage and
reatore back to original permitted use. Remove
drywall on ceiling, remove sink and gas line and
legalize mandoor in garage. Owner-Builder form on
file.
$92.54
$0.00
$92.54
Every permit issued shall become invalid unless the work on tho site
authoized by such permit is conmenced within 180 days after its
issuence, ot if the wo* authotized on the site by such pefinit is suspended
ot abandoned lor a peiod of 1 80 days aftet the lme the work is
comfienced.
lnspector MID#: 2018-145161
01116002 51600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Due:
.|]i
4
Notes:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG,COMMENTS OTVNER BUII,DER DTJT,CARAT'IoN
I h.rchy afirn unddr ltidry of pcrjury rhd I Dm cxcn$ lmn rhc Conrrh^ Liccnsc l,s for rhc rollowin8 mrv (se70r1.5
Ausircs $nn Pmfc$nnr Cdc) An, Cily o, ('ounl, shi.h rcqutcs a p.rmir t, .oi{ru.r, dlrc!, impovc. dcnmli\h or '6plt M,
strucrurc. nrin ro irs nluancc- ulso rcqut$ rhc lrpli.r ntr \u.l pc'rn ro filc. \iBncd sl.lcmat thir hcor shc t li&nscd turuMr
b rh. rnrli\nJn\ ol rh. Conrocrols l.i.ctr*d law (Chaflcr 9, Co'nmcncrnS qilh Sccln,n ?ffio ot Divi\n,n I ol th. Businc$ itrd
Pmlisions Codc) or rhrt hc or sh. t cxcnu rhcrcnoil nnd th. busis nn lhc rllcscd cr.nll,rn,n Any vidlaridr of S(tbn '7031 5 hy rny
f.ltr"d t.r.'F n'ir {,1.8\^thc rltl'i'n,rnJc'riltrri)nrni n{rthrn lrvc hunJrcdJ',11.tr\ r1\rc,
f4)
{&*,,**,,,rrt'"n",r"n,.urntrcrpl'trNsrrnq.qc\r.rh.r{ncoF,F1rrtr,n,s'llJ rh \'it axl rtr {tu1urc ^ nnr'7l"ru.i , " "nt".,r r"i *t r i* 7(!r B;nN.\ !n,t P.,l;si6N cdl., rhc (bnr.crois Li.cnsc ljw docs nor arply b ar owncr or
rhcBrIfiy whl huilds or in{'mv.s rlrmn. ud who dl)6 sucn so hinFcllorhcrclaorrhol8hhi\DrFiji.an.mployccs.
provnhd rhur such nnln,vc'*nh rd hn ihrctrdcd or otfcrcd lnr s L ll. hoscvcr. rhc hlildinS or impmknEnr is sll] *irl,h om,(tr
or.l,nrpktnn lhc (rncr Buitld w htrvc rlE htrddr of rovin! rld h. nr shc dil n, boild or in{Du $c pDFiy for rhc rotte of
-1.
!s owicr of rhc rlodry, ah exclurivcly conr6lioS wirh li.cnkd coor,rcloB lo onslrcl rhc Fjc.l (S.c 7I),l4. Butin6!
afll Ao6ssiod Con Tnc C,nlE.lols Liccnrc Lov dcs nor lprly ro do*..r oflrcpenywno huildsor improvcs rhcrcon.
ind sh6 @.urcrs for .uch Fojers wilh . Conlrero(9 lk.nsd puBunl lo thc ConlBclor's Liccns L{w),
_l M cr.npl undo S6ti.n- B. &
^,\ ?-Q-lg
I hcrcfiyatlinntr cr pcrulryotp.rjxry onc ofrhc t)lk,wi,t8 dc.larti(rs:
in ll* lcrfornEna oflh€ wort for wnicn lhh pcrdn is kstr.d. I shall not cnploy any lEson in lny Me,
{rhjc.r xrrhc*ork.^.onpci\,ridn hqs or crlironrir. .nd iarcdhar iil nmuH h(omc \ubj.ci h rrt
$ork.^.omt.\dn,nI,n,vhbtrsofSc.rionlTmofrhctjhnCodc.lshlll.t)nhsirhcorulywirtrh,{pn,vhn,nr.
WARNIN(;: Frilrrc ro $curc sorkch $mp.nsdion .ov.flgc
,nil lnc. dn r', nc huhd('i rh u.rtul d.llJr. r1ll(].ovr,. tr1
Sccrion 1076 ofrhc llhr Gxlc. imrh{ aftl d[oirrr's ltcs
Ls unlo*lul. ond slEll rubicr !n
addnion ro thc cost 01c
r-/ -/ g
I h.Nby rfirm undcr r.n.lryotFrjury rhar I !m liens{ undcr rrovisionol'Chapr..9 (o.mncing wirh S.clion 7tlo0) ofDivnion l
of rtc Bx\ims nnd Porcssions codc. md my liccns ir in full lor..,trd clisr
Licisc cbss:-Lien* Numb.t
Drle: Contmctor
Cj)NIiIaIJCUQNT}II!C_&A!!1;I
i\\u.,I(Scc .1(D7, ('iv C )
AIIUCANLI,IEIIA8A.IION
I lf,r'by,ninn undcr t,.n0lty ol pcrJury orc ollhc l'ollosinr d(lurarn,n\:
DcrBririon Pcrnir\ A\hc\ros Noriacotion FLicfll RcAUhr ions (rirlc 40, P!n6)
Rcq0iNd tr(di of No ficltior
-l.cnifyrhar
llE l.d.rnl rcsuhiion\ r.!!dins !\$.{o\ rrnn,vrl irc ior rprli.rhlc lo lhn ntoiccl.
&t driry rh,r t hNc &rd rhis 0prlidn,. nn,l (trrc lhd rlrc rntrt innmul ior i\ corccr I lrr& t, .o rJry wnh .ll Cny atul Coutrl,
.rdirunc.s &d Siar. ljs mhri.g ro blildinS .on(rucrhn. {n rcflcscnirri\r\.lrhn Cirydh'l Coutrry b cnrs upn rri
ADpli.{nl or A*enl Si*nrlurc:
UNDEH GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Pipinq
Gas Pipino
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{raplDrain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL /-tu-19 JfuJAI,A 6gt
Notes, Remarks, Etc.
-,
-l
haie.nlwill mrinhin!Ccnifi.rrcotCo.scirrosclflnsurc r workoJ .onpcnsd n,r. rs Eovidcd lor b, Sccrii,n]?00 ofrhc
lirxtr cod..Ior Ihc lf,rlbrmncc oIIhc wori lo, r'hich ihc pcrnril n is\ucd
-lhavcand
sill mainrain wor[cB c.hln.\ n,ninsuatrcc,x\ rcquimd byscdion]?0oofrhc Lahor Codc. fff rh. pdn,nnnc o!
rhc work aor{hi(hrhi p.rhn is issucd Myworkcn L$mp.n\rrn r inntrarcc c.nic, ud policy numb.r u.
tf,nd.r\ A,l.lc*
rbov. nrtrrnn,cd pnp.ny ftn nuccrn,n
^,.,,*-6 -1d
u€ )^a-
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