HomeMy WebLinkAbout30139824 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19). Srn?e,)". CA[27O2 Plumbing Permit #: 30{39824
Pin #: 65032lnspection Requests: (714) 667-2738 lnspector Seclion: (714) 647-5853
Proiect Address: 515 N Daisv Ave Unit: B
Block: NA
Bldg:
Tract 384
Address Range: 515-517 -
Historic: No
Suite Rangel
Zoning: R2AssessoasParcel: O07-052-27 Lot: 8
ALICIA MOON
515 N. DAISY AVE
Santa Ana, CA 92703
(714) 349-5058
01116002
01 1 16002
01116002
01 1 16002
01116002
01 1 16002
01 1 16002
5160i
51602
51602
51602
5 I rruz
5'160C
c touz
Fee Typo Amount
Shower/Bathtub 22.25
Sink '12.70
Gas Line alter/extend/a( 65.57
Wtr Htr (Res up to 50 g. 22.25
Repipe Res (Each 100' 44.5'l
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$22.25
$12.70
$65.57
$44.51
$22.08
$55.04
Phone:
Tenant Name;
Conlractor:
Address:
Owner-Builder
Phone
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2013 Notes: Plumbing
Planning Condition3:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web user
Date
Date
Date o81o712018
Account#
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authoized by such pemit is commenced within 1 80 days after its
issuance, ot if the v,/od< aulhorized on the site by such permit is suspended
or abandonad for a penod of 1 80 days afret the time the wo* is
commenced.
$244.40
$244.40
$o.oo
lnspector MID#: 2018-'145235
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
v
Owner:
Address:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Duplex
Miscellaneous
Plumbing
PLUM ING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMEIITS
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent ?--1r-lcl lz-LA7
Water Piping 2-26,11 Lc'zrl
Gas Piping
Roof Drain
Tub/Shower Test 21f -/q Ea Zit
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service at'r-? .26 .t1 (-c- z 17
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Devrce
Rouqh Plumbinq
Meter Release / /
FINAL 4ht l/4 PLqt2fa-/-ol
Notes, Remarks, Etc
OWNER IITIILI}ET T'EI-CARATION
I h.rcht allto undcr lxnlh, or |rrJUr, rhar I rD urcn,Jn lirnn rh. (i'nti.ru^ l-icrn{ I dq f.r rhc lollowin! rcasnr lss.?0ll 5
Busi,,L\s and ltorc\li,nr Gnlc) Any Cny .r Couiry *hi.h r.qtrn s i Fnnir t) . nsrr.r. .lrcr. iD|tovc. dcnElir[ or rcP3t uy
(rurhm. fllorro ts ($rcc. d$ rcquncsrhc rmli. trr tur surh Nmi o lllc r (i8rcd {llcnEnr rhir tu.r \hc n li.cn\cd pursunnr
ro rhc prcrisionr ol ihc Conrrrcntr s I-ic.n\cd lr,* (Chrtrcr 0. (i)m!r.n.in! sirh scdn,n x[x] of Division I ol rhc Bu\nE\\ nnn
d,rpli.rdniattchnn\uhtccrtrlt,ppl].nnrrod.ivilt^*n!kyormrnnncrhtrlivchunllr.ddollnr\(S51x))
_1. {s own* of rhe nrcFny. or ny enplo}Bs wirh $gcs a! thcn sb conD.Nstion, will do lhc vort und lhc srcl@ ir nor
inLrxk trod.ed for sl€ (56.?044. Busin6s lnd BofcssionrCodc Tlrc Co rsrol! Ue.* hw <ro.s mi l!pl,
'o
o owrcr of
rIE tmFny sno hilds o. Lr{,ows rtEsn. dd who dc sh wd( himsclf or h6*laor $F!gh hk .t h.i ow..mrloyei
pmvidcd rnar such inlroEftnrs m n.t inicnd.d .r .trc'st f.i sh. Ir. homwi lh. tnildin8 or ir{,mmnr h sld silhin onc Fd
ofsnpldhtr rlE Owmr Builhr wil h.rc rlE bord.n of proving th.r lE or dE dil mr b{iu or inpr.E rhc pmFdy lff th. purpor of
-1.
.s owncr of thc l,oFny. am crclrsiEly onEacrins *nh [cctrEd .onreb6 b onsLlct rrE troj.rl (Se. 7044. Busircs
,rn Protlssi, Coder Thc ConrBcroi s Licc.$ trw des ml qT,l, to e own.r of prc!.ny sho blild. or ihpoks rh.rm..
lnd who snlnds for s.ch pmjats *ilh a ConrBclo(t licenscn p!6u ro rhe Conrrrctm s Liftmc bw).
I u ercrur urd.r S6tur ,A.&P.C.lorlh Eesn.
UOATESS:.(;OITIINSA.IIIIN
DEq.AAAIIQ!
I hcrcby !flifln undcr Fnohy of lisjlry onc of lhe followin3 dcchftlionsl
I hnv. dkl $ ill rniNrin r acn licnlc ol Con{trr lo S.ll lnsn lnr qrlrku^ comNn\xri,,i, a\ tR)vid.tl lar h, S.dlion :17(} I oi rhc
Intbr Gdc. lnr rh. p.rlnnnncc otrhc qoA Ibr whicl rhc p.mrt N i\sucd
-l
hovc ahd will nsinrain *utcn compcnsalion iNrarcc. !s rcllircd hy Scciion l7(D .fih. bb.r Codc. for rlrc !.rfo,mre ot
thc work for *hich rhn pcmit is issucn. My aolkcc .omr..sarion insurarce .da.r &d poli.y numb.r ml
PolirY NuntEr:- Ernrcr
_l enilyrhat in rhc lj.rfomENc or rhc wort ror whichrhisFrnll k issucd,I sholl nol employ !n, !.r$tr in lny @@,
$ $ b h.\Tm subjcd to lh. wrtsj ompcnslhn hws of Cllifonio. and lrE lhlr if I .houkl b.com .ubjd lo llE
w.lts om,,.nsaltun tmvisions of Ssl ion ITOO of lhc Lllnr Cde, l slEU. f.nhsirh 6mplt w,rh rh.{ povirhnt..
WARNINC: Fdilur ro *m sotkc6 @mFnulioo corcag. i! unLwtul. snd shrll su6jrcl rn cnpblr to diniMl pcetis &d
civil fincs up ro otu huftlcd rhoo$nd doum ($100.000). in addirio.lo rhc cost of.omp.ndio4 datugcs as polidcd for lhc
Ser io. 1076 of rh. Ltbor C.dc. inr.e.l and .llorcy\ res.
lhlr, ,\ppli0nl:
UCIINSILIaNIIACIAB
DECI.AAA.IION
I hcBby rlbrrxndn tr.mltyofpcrjurt rhr! I a liccnsd undcr provision olChaprcr 9lonmnciig {irh sc.lirn r00o) olDivntun l
ol rhc Bu\irc$ond l}otsnrBAd.. rnd'ny li.crs. t ir1 tull laNd .llarr.
CQNSIAIJCII3}NIINOITG.ACII.C1
I h.tuhy afinr uMcr Firlryofpcrjury rld rhcrc is a.otrsrudbn lcndi.s lscrcy ror rh* pdf.d,,m. orrh. work lar whtrh rhis Fiint is
is\ucd rscc 1097. Civ C ).
Attuc rfDlrclrtf,allllN
I hNiy Mnfl uMcr !<ruky ollE jury orc of the rbllowins dcclmri(n'\
D.nr,lnion P.nhn\ A{rn.s Norific.rn Fcdcnl Rc8ul.rids (Tilc,ll), Pan6)
RcquirL{ lrncr of Norifi .irbn
-l
.cnify rha nc lcdcBl rc8ulorions rcgrrdins asbcstos rcmvrl !,c .or atplttrblc ro rhis pbirr
Applic. or tsetrtSi*nnlurel
Miscellaneous
Final Gas Test
Co m.lor:
ttr1.,1.''. A,lJ'r$
I..niftrhd I lBm rc:drhn 3flrltnri,nro i3rr rhd rhcxtx'!c 'innrdnr i\.orccr lrsRr,,conrplytrirhLllCirylndcornrr"
odnr cr!ri SrrrcL's\ftlarin!k)burldnr!.on{tu.rbn.drdh.rcbtr rhorizcrcnr$ iriv.\{,lrhkCilyflCntiryt,cdrcru ntrh{
abvc.rnri,nNd prop.ny n)r in\|*di,nr pu'poscs
I
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