HomeMy WebLinkAbout30139843 - Permit (2)Assessor'sParcel: 399-065-14 Loti 14
U nit:
Block: NA
Bldg:
Tract 1306
Address Range:
Historic: No
Suite Range:
Zoning: Rl
n-l
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, c\g27o2 Plumbing
Permit Counter: (714\ 647-5800 lnspection Requests: (714],667-?738 lnspector Sectioni (714) 647-5853
Permit #: 3O139843
Pin #: 68860
Owner:
Address:
Contractor
Address:
Laurie Tayco
1802 N Towner St
Santa Ana, CA 927063533
(7',t41 552-5282
Homex Plumbing & Rooter
8393 Mango Way
Buena Park, CA 90620
(714) 495-6891
Fee Type
011 16002 5'1602 Sewer Alter/Repair
011 16002 5160C General Plan Update
01 116002 5'1602 lssuance
Amount
44.51
22.O8
55.04
Fee
$44.51
$22.08
$55.04
Qty
1.00
1.00
1 .00Phone
Tenant Name:
Phone
State Lic #: 1040076
Lic Type: C-36
Bus. Lic #: 370225
Workers' Compensalion lnsurance:Carrier: Exempt
Policy #:
Expires:
80tchi!{5360 - 8/t1/2ttt8 I0: 1-p6541Ea0flice: CTYH TrRnsts 4 I of IAccti: Ref+: lul S9g43Rcpt+t0235{312 - 8./r{,/?0tg 9:t? At1Ironsoct ion Totol l 12l.63
Horex Plurb ine & Rooter
Generol Plon Updote Fee
01116002- 51600000-
Pluob ins
ttll16002- 516020(r('-
Vi so
0ci c*rfiIItr***r3566
_ i22.t:rg
_ f99.55
tl2r,63
Authi: tr2777G
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Pianning Approval By:
PIan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Sewer Repair
Occupancy:
Constr Type:
Code:Notes
\!xernanoe., xattry
Oate:
Date:
Date:08t14t2018
Account#
lvlisc. Receipt:
N4isc. Receipt:
[Iisc. Receipt:
Total
Every permit Bsued shall become invalid unless the wo* o, fhe sito
authoized by such pemit is commenced within 1 80 days after its
issuance, ot il the worl< authoized on the site by such permil is suspended
o( abandoned for a period ol 1 80 days after the time the wotk is
commenced.
lnspector MID#: 2018-145355
01116002 51600
011'16002 51602
F-ee Total
Paid to Date:
Balance Due:
$22.08
$99.55
$'r 21 .63
$0.00
$121.63
Proiect Address: 1802 N Towner St
R.3, U
VB
cPc 201 6
PLUMBING-INSPECTOR RECORD
APPROVALS DATE owNER lttIr_DrR D1]_CARA',UON
, hcrchr_ illtn u .r ltrmlry ol FrjLny thrr I cr.mfr t n nE Conti.l,r Li.ct\c I rs i,t rh. nnk'*inI rc vD (Stc 7011 5
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ar owncr ot lhc lorcny. or o, cnploFca qirh wagcr as rhen sb con{xNrtiotr, *ill do llE wdt ud lhc sltucl@ is mt
i.rdrd or orcEd for sL (Se.70,t4. Busims rnd PrDf.ssio.s Codcr Thc ConrBdols Liens Llu docs oor apply 16 s owE. ot
rhc r,Dpcny sho hild\ or iarhhr [t@n, o'd who d.Es {cn @lt fiinrclf o heMltq rhergh hG or h.r own cm,'loycos.
pmvidcd lhlt such irymtmnls @ m! htcndcn orofcnn fo! slo. lf. honwi rhc t{ilditrE or tnrmEftnr is $ld si(nin dc rttr
of.otq,lcrhn, th. olrM auiicr will haw llE t{d.n of Fovin8 rnd ,r or sh. dil mr tni! or ilrrcE r]lc rrorEry ro. dE p6lbs or
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0s owmr of rhc
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an crlusivcly contncring wirh liccned co,rEcron lo snntud rL tftirl (S$, 704.4, aLiG$
,nd holssb, Codc: -rhc Co.tncror'. Liccn* L{s d@3 nor.ptlr ro d ownq ofpmp.ny wlb brilds or nnprcvcs lherdn.
strd who c.ntmB for such prcjels with a ContEcio(s) lk.nsd puls to rhc Contnclofi Liccnr. lrw).
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amcrcnpt undcr Scdion-B. & P.C. for lhis Mson
truaKE8s:Cr.lllrErsarroN
DECI.AX{IIqN
, hcrc5y 0lfirm u.dcr p.nllly.f pcrjury om of thc followire dehrutions:
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bh.r Culc. fir rhc p.rlonihcc of rhc *ork ln whi.h rhc pcnnir a isucd
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lh€ *ort ror wtich lhis tcmil is nnrn. My sortm con{Ensarion insliane cori.r oJxi Fli., nlnh.r ml
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Nnifyrhar in thc rErfortudc dfrh. u6,k ror *hih rhh p.rmir i\ is$.d, I shnll mL.nDloytrf,y lcr$fl in !try manrcr
so trs ro h.cDm \ubj.cr ro rh. wrkcc orr.nsarion laws of calirorni!, ond .BE thol if I shotld bccoe subidr ro rhc
wo*cs.omFnsulionrrvhionsofScclion3?0OoflhctjtrCodc.lshlll.fonn*ilhc-'nplr*ithlhospmvisions..
WARNINGj Failurc ro scrc soturc' ..nDcnsarion covemBc n u.hwtul ll subjd un cmployci L dioiml ,*Mhics ond
ofconncnsrion, ddnEg.s ds phvidcd for rrE.ivil i.cq ut rt! onc hundftt rhouend dollrs ($ltu.fixr). in rddirnrn lo rtrc
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I hcrby oflirn u.dcr pcnrlly ol pcrjtry rhlr I ao laNnsl n pmvirion olChrrb 9(.omn.in8 vnh Setiotr ?000) olDirision l
of ttE Busircss and Pmrcsiotrs Code. un my licstr€ is in tull forc $d ellar
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I hcEhy amrm u cr pcnahy of pcdury rhar rh.rc h a
h.u.d (sd 3097. civ. c ).
bn lcdi.g ascfty for iE p.rfomN of rtu vorl tur *hth lhh |rmi is
ATIUCAIiLI]ECLAf,{IION
I h.i'bt tnrutucr pcnolryofpcrjry onc oflhc rbllowin8 delnarion!
Dctu,lirion Pcrmirs A\h(n.\ Norifi.{n,n Fc&rrl Rdgtrhrn,ns (Tnb{0. P.n6)
Rcqrncd Lcrr.r.f N.iili.diotr
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c.nily lhur th. fedcrll rcsohrion\ E!0rdina a\hcstx rcmovll @ nor apdic,hlc ro thh pmj.rr
I c.dilyrhd I hdc icad rhi\ otplic.rion ad slatc Ih,r rhc aiFw inlorrotioa i\ corar. I lsre ro conqiy *irh !U Cilyand Counry
ordnBkc( ,trti srirc bwsEhrmS ro huildinS cnn{rud .rxl h.6hy nurrbrizc r.Ires arncs or this Ciry od Cour, ro cnlo Won th.
as{'!c nrcnrioncd lnrFny li,r in\pc.rion
Applicant or Aaml Siatulue:
Pem le,rhe(prld):
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Rool Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
trilain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler Z)
Sanitary Sewer/Cap 9.lL'tE 4...,^a l6s----/
Back Flow Device
Rough Plumbinq
Final Gas Test
Meter Release
FINAL r_LL.t7 47 lz'7\VNotes, Remarks, Etc
ID/SIG.COMMENTS
PolicyNuibcr: Ertirc.
bndcarNsR'-
t ndci\ Addr.c.:
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