HomeMy WebLinkAbout30139695 - PermitAssessor'sParcel: 398-201-05 Lot:
Bldg: Address Range: 650-66OfrOO- Suite Range:
Tract Hawktn's Add, TowHistoric: *d:t,ll"n zoning: sD7't
Unit:
Block
q
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2739 lnspector Section: (714) 647-5853
Permit #: 30{39595
Pin #: {8929
Contractor
Address:
Phone
Tenant Name:
Jose Montejano
940 E Civic Center Dr.
Santa Ana, CA 92701
(7141 270-7817
C A Plumbing lnc
13901 Yorba St Apt #28
Tustin, CA 92780
(7r4) 769-5908
01116002 51602
01116002 51602
01 116002 5160C
01116002 51602
Amount
12.70
60.68
22.O8
55.04
Foe Type
Sink
Min Fee Adj
General Plan Update
lssuance
Qty
1.00
'l.00
1.00
1.00
Fee
$ 12.70
$60.68
$22.08
$55.04
Phone
State Lic #: 102535
Lic Type: C-36
Bus. Lic #: 370026
Workers' Compensalion lnsurance:
Carrier: Exempt
Policy #:
Expires:
C A Plulb ins Inc
Generol Plon Upd(te Fee
01u6002- 51600000-
Plunb ins
01116002- 51602000-
CnEh
Chsnse
t22.0s
at2s.12
tl51.t0
( ltl .50 )
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Mixed-Use
Miscellaneous
Fixture
Occupancy:
Constr Type:
Code:
"v
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Zuniga, Allis
Every pemit issued shall become invalid unless the wofu on the site
authoized by such pemit is commenced within 1 80 days after its
issuance, or it the work authodzed on the site by such petmit is suspended
or abandoned fot s period ol 1 80 days after the time the wotu is
commenced.
lnspector MID#: 2018-144683
07117 t201A
Account#
0'1 1 16002 51600
01116002 51602
Fee Total
Paid to Date:
Balance Due:
$22.08
$128.42
$150.50
$0.00
$1s0.50
Project Address: 940 E Civic Center Dr
Owner;
Address:
Bo[ch3!449{l - 7/t7/2t)tg ID; L&o$ALESoffice: CTYH Trnn5+: 9 I of 1Accf+: Ref+! 3r:1139695
RcptS:0?326316 - 7/17/2019 l|:r:25 Al1
Tronsoct ion fotol i 150.50
R.3, U, B
V B, SPK
cPc 2016 Notes: lnstall new sink
PLUMBING.INSPECTOR RECOBD
APPROVALS ID/SIG.COMMENTS OWNI'R BU!LDI]R DEI,CARATIoN
I hcrehy rfitm undcr p.nalry of pcriury rhlr I dn crcn,rr rio'n rh. co trct,r l-i.cD* liw for ih. loll{,*i're Eas,n (Se 7(rll 5
Bu\iicss !'xl Pnrc\\nD Cdlc) Atry Ciry or Counry which rqnncs a p.rmir ro conntud. alrcr. nIJ)ro\c. dcm.li\h or ftnrrrny
srruclurc. tnirlo ils nsu.ncc, iho rcqutcs rhc ipnlkrnr ior such n nnn i{,lilc r siStrcl satmnl lhd hcot !h. is li.ctr\.d Purnri.r
h rhc !rcri\n,ns of rhc Conrruc(r\ Li.cn*d Lrw (Chrfl& 9, Connnch-.in8 wirh Sgcrtnr 7fiX, of Division :l oflhc Dusincs\ rnd
Pior.\snJnsCod.rurrh(hcor rh{ i\c$mfl rhcrcnoNotrd rhc h"r!i\ iitr rlN lllcrcd cr.n,triotr Atryviollr'otrofSdiot?0.ll5byrn,
nl'!Ii..nl ior r !.rnrir uhjccls rnc opplicf,nrft,rci!ilncntrlrrornor rorcrhntrnvchundrcddollaF(S5fir)
-1.
s owftr of llE plrpcny. or my .npt,yes wnh w.gcs s rh.i. sh @npcBslion, will do rlE wk lnd E sburm is mt
inc'ilcr! or oft€rd fo, eL (SG.7044. Busimss dd Pr.a.isions Codc Th. Conlr.dois Li€ns Lru de! .ol .pPly lo s owftr of
lh€ pmFny who tdldr or in{,mt6llx6r aid who do.s such hlt hitutlror hcelf ot lhmush nis or nq oso cmplo}t s.
polid.d rhlr srch imprckftnts e Nl hl.nhd or oficrcd ftr sL ll hovctr. tlE hildu8 or impmwmar is sold widin onc Jtd
ofsnptr6n, dE Owmr Bli*La will nsr llt h!d.n of pmlin8 rh,r tr or {E dil d hrild d irpow 0E Fo|El, aotr dE lr{ns of
-1.
!s owtur of rte i'mpcrry, !n cxchrivclt .onr,.ling wirh li.cn*d .onlr0dors to snsltocr llE pm.id lse 7lxl, susmss
adl Pro6$ar. codcr Tic Conreror! Licc.s Llw d€s nor opply rD & 6wn.r of polcny sho builds or imlovcr rhcNtr
d who .onrErs for such porc{rs {irh a Conrscrorls) li$nsd ptrlsnt lo llE ConrElols Liccn* Las,.
-l
am crenDr u.dcr 56r
l,xr. (\'n.r
WORI(ORS' COMPENSATION
DECIdAAIIO!
I hcrb, sffirn lndcr F.dlry or pcriury onc ol ltu folLwing delu.rions:
lhrvcrtrdwilln n rinrCcnific.rc ofC.nsctrrr' SclFltr{rc litrNorkc^ conDrn\lrtud, \ FJvidcd ntr htScction:171X)olrhc
I 160r Cul.. lor rhc p.rbrm3ncc o f rhc tork (tr e hirh rhc l{ nir rr i*u.rl
_l hovcand willminrsin worLcs' conp..sdrion insursnc., as rcqliEd by Serion l?OO oflhc LlborCo.lc.lot th. pdfornMcc of
rhe *ort lbr *hi.h this !€rmir is n{.d. My wdl{trC coniF.sarion in{rmc cMicr 3d p"licy nudbcr el
I ccnilt finl in rhc pcrlorrume ofthc worl for which thh perdil ir L\flcd.l shall.ot cnPloy ony pc6oo in a.y mMncr
$ &\ro hccome slbrccr ro thc workc( .oEpcnstion low* ofcalifomia. a.d lsEc lhat ill should bccom rnbid lo llE
$0*6 comtcnsorion rmrisionr ofSetbn l7{D of(h. Ijbor Codc,I shall, fonn*nh.nnply wnh rhoePmvkions.
WALNlNc: F,Iur. ro $curc workes' ompcnsrion covco-qc n lnhsrul, and shdll suticl 0n cnDlolt. lo sinindl lEnalris and
civil iin.s ut ro oft hundrcd lhousa.d dollon ($100,in lddition rd rhc.os orco Epcnstion, dadscs a3 providcd lor $c
DECLAf,{IIA!
I hcrchtlr'lhtrrundcrpcnahyollcrurrrhd Ia lie.{d unddr 8,vi\ion or Ch{pb 9 (.ommncins *irh Sc.rio. 70 ))o{Diski{,nl
or rhr Bu\incsqard Pmllssid$ Codc. {nd nrylncnsc is in tullnrc. a rff.cr
ca! BIJClllrNrENDMiiliE!.Er
I herchy rrilrnr uM.r lxnalryolpcrjury rhrr rhcrc n r con{tocri,n fundins nPcNy ror llt punmunla otrhc sork aor which rhi! Fnnir n
n\kd (S.. :1097,Ci! C ).
AIILIllrtNtDEcLAIAIl9l!
I LJrby dtinn utulcr p(n,lry ortoju,y onc of rhc followin8 dccl!r.tions:
Dcflelirion l'crmirs Asb.{o\ N.rifi.arion Frcdcr.l RcBullrions(l irlc 40- Pln6)
-Rrquircd
Lcrrc! ol N.rifi .,ritrr
I ccnilyrh{ rhc lcdcml ESul0lions rcEurding a\t{sros rcnDvd a.c no' drplic$lc to Ihn pmjcd
-l
.cnify thal I lst t ad this 0ppltalion ull sl,L thar thc .hoE inlomlion t @@L I !8c to omply *nh !U Cny 8nd Cotr.ry
odio,nfts rd staic h*s Ehrina ro tuildins sulr'ri,r rp.cscnLtivcs oflhis Cilyand Cbr.ryro ctrrer uFn
'h.on)vc nrnri,nRl pmpcrry lor iBnc.r
A0plica orA8enlSiFnllu 't/ , t/ t,4
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Rool Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing ?21 ls /r44fi),Uer! SwlL- DLI s,^,,'T
Final Gas Test t.t *a,lA - t*
Meter Release
FINAL .-uzq fe)
Notes, Remarks, Etc.\:/
DATE
P.nll4n n \ennllrz
Back Flow Device