HomeMy WebLinkAbout30239860 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permil Counler: (714) 647-5800 lnspectior Requestt: (714\ 667-2738 inspector Secticn: (714],647-5853
Permit #: 30239860
Pin #: 51069
Project Address: 217 S DaisrAve
Assessor'sParcel: OO7-261-32 Lot: 2l
Un:t:
Block: A
Elcg:
Tract 233
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address;
Phone:
Tenant Name:
Contractor
Address:
Juan Olvera, Susan Lambaren
2'17 S Daisy Ave
Santa Ana, CA 92703
1714t. 322-2366
Owner-Builder
Fee Type
011 16002 5160i Cap F[iures
011 16002 5160C General Plan Update
01116002 51602 lssuance
Amount
6.9s
22.08
55.04
Generol PIan Updote Fee
0r116002- s1600000-
Plurb ing
01116002- i1602000-
V isa
c(:+: rr*rrr*rrr{*?98{
Qty
'1.00
1.00
1.00
Fee
$6.95
$22.08
$55.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expares:
Botthis{5{41 - 8/17/?trLP' I0: NGAR(::
offices CTYH Tronei! 16 I oi'
Arct+: Ref+: 3D23?g6rl
Rcati:02356?46 - 8/17/2018 10:26 Ai1
Tronsoct ion Totol i84.tl7
Juon 0lveror Suson Lofiboren
2.I
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2016
Planning Conditions:
Planning Approval Byl
Plan Checked By:
Permit lssued By: Zuniga, Alli
Subject to Field:
Buildins Permit #: 1029491 5
Auth+: 1677
Notes; Remove unpermitted water heater and cap back to
point of origin. No P & I per E. Rodarte. Auth on file.
$84.07
$0.00
$84.07
Date:
Date:
Date:08t1712018
Account#
Misc. Receipt:
l/isc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the wo* on the sita
authorized by such pemit is commenced within 1 80 days aftet its
issuance, or if the work authodzed on the site by such pernit is suspended
ot abandoned fot a pedod of180 days aflet the time the wo* is
commenced.
lnspector
0't1'16002 51600
01 1 16002 5't602
$22.08
$61.99
Fee Total
Paid to Date:
Balance Due:
Single Family Dwelling
Alteration
Alter
MID#: 2018-145269
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS orvNER BUll_tr[:R t)n,(ARA',lloN
I hcrchy rtltnr rnder llrilrf oi p.iuiy rh ln cx. rpr fro , rhc (,nnrrchr l-i.c sc lrs lorrltr followmt rcr\{r (S( 70:ll5
Btr\inrss rtrd llror'c\ion ('odc) Atrj_ Ciry or Coxn', shich rcqtrnc\ 0 |lrnir ro con(nrd. !l'cr. ilrll]rovc. tlcnxni\h or Eprn rny
{ru.rurc pri*b n\ n{ri.c,ll.o rqondsrhr rtpli.rtrr tur \u.h nd,nirh lilc r \iEncd {rrrm.nt rhar}ror shr i\ li.cn{d plnhir
nprlica nn rFrn \unjc.r\rhc arpliclnr b r.ivllpcnalrror nor nFrcrnln lirc hundrcddollm lS5u))
-1,
$ owffi of trE |'lFny. or ny.,ployes wnh wae.. &r rh.n sk orwnralio& will do 0r NrL a.d dE srBiw is ol
hlcrxlcd or oficr.d for sk 1Sd.?OU. Blsimss and 6Dfc$io.s C.d.: Th. Coffaclo.'s Licn* L.* drr.s ml lpply to owr of
It. pmF ly wt[ bdk r or irproB tlEotr,rn wb.r0$ ikn slt hiaclf o. heBllor thmulh hk or trr ow! ctrlphyni
,ovi&d th sah lq,rcl4ft se ml inrdidcd orotrcrd for nk lt lIo*M, rl! boihirS or inprortu k$Usnhhnne,@
ololphriotr lh Oqmr Euihler will hrk ltr h{dei of prcviig $n tE or 3h. dil mt hild of iqrcw $c p,Dpdly fo. rlE pu.Fe ol
-1,
&s owmr ol rh. pmpcdy. .m cxclusikl, .onlBclhg *nh [ccr*d .onti.ros ro .o.smt rlE l!ft]r (Se. 7044. BujR$
aid Brrlsii Cort : Thc Conlrrior'r Lkcisc Lr* dNs mr !pp,y ro m oeNr of p,opcn, wno huildi 6r impmhs ihcmn.
and *ho conrtrts for sh rlirrs *nh ! Conhcro(s) lirnr.d pu(@i
'o
rh. C4nr&roas Liccns L.w)
I hcrcby aanln u0dcr nrrulryorprrury o oa rtc n'llo*in8 dslaroltns:
-l
h.w ald will @inllh. Ccnii. c olco.*n to s€lt-lnire fd @t6 @np.Mnhtl e Drovith<l for by Seio.1700 01lll.
Lrho, Codc. for lh. l,crfotrlgG ofrt w* fr {hkh thc p6hir t isi!.d.
I haw and will muifliin worte.a comnc.rodon insu.arce. &\ equircd by Sdion 1700 olrh. Linor Codc, for the pe.fo@.e of
the wot ror ehbh rhh p.mi is hqrn, My work B ohpetudion i.$dkc ceier lid poliy nunrbc. ae:
! c.nif, lhar in lhc pc.formakc orrh. wor* r.r which rhk p.rmir is irsxcd, I shatl nol cnp,oy,nyp.non in eny mrnmr
s' as to bccom slbjccl lo llr worlcB ompcns ion llws oacrlir.hio. and a8rcc lh if t snould hccom slbj(l lo lhc
*o sl om!.nsolion pmvisions of Sccl ion 3100 of lh. kbor Codq I oEll. fonhwith omply ,ith ltFs polisions..
WARIIINGT Foilu.. '. *urc *orkch .omr.osaiio.nhwrul. Nrd sh,ll subi{'cmploF b aiminol tEBhLs and
ion, damgcs as provilcd lor thccivil fin.s u,r ro oft hundEd rhoDsnd dollds ($l
I hcnbyoillrmundcr p.triry ofF lury rhtrr I d r {d undcr pm!tn'. ol Chnpr rncin8 with Sftlhn ?0{D) ol Divhio.l
o{ rlE Blsincss lnd Pmfc$ions Codc. lrd my liccrs is in tull forc on cfiNt
D.t.: (:onlrmlor
Il) SItrUEI]()NIENDINCr\(iIiN!I
Ihcrdbyrlfinnricrpcmlryofp.'jdr,ihrrrhrci\rcon{rucri,,trLndirslAcn.yf{nrhcpcorn,ncc.frh.w.rkl whichrhtrp.nn[ i\
issucd (S.c.:1(D7. Civ C.)
APPLICANT DFCI dRATTON
I H,y Inirn u.dcr pcnrlly of lcrjury onc oflhc lolt'qing del!r0rions:
t).mlirio. Pc.mirs-Asb{sos Noritcarion rtdcral RcSuldion! (TirL 40. Pd6)
-Rcquncd
Lcltcr.aNolilidlbn
I ccdilyrhd I hr\c rcd rhi\r n)n rl n)rr rhd rhc finc ifktrn r on i\.otucr I agIN t, cotrDly wnh allCiryr0d C.u"ty
o,dnxn.sr sriru l..rv\rcprcscnlolircs of lhis CilY !fl d
al$r mnriokn pmpcny aor i
ArrDlitonl or,\,:ml Sllnrl
u I anz/n*or-
/7
UNDER GHOUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Bouqh 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 Plumbinq
Final Gas Test
Meter Release
FINAL 9l,Aslft r1>^nr,r-ur,r'?' )
Notes Remarks Etc.
POOL/SPA
I.eniiyihtrl rhc ndcmlrcsnldi,,F Esarlirs a\lEslos reN)ulIc tror lnrlicahlc io lhi\ rmJccr
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