HomeMy WebLinkAbout30139692 - Permit (2)Proiect Address: 2209 N Concord St
Assessor'sParcel 396-052-05 Lot: 13
Btdg:
Tract 4968
Address Range:
Histodc: No
Suite Range:
Zoning: Rl
v?
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: 1714],667-2738 lnspector Section: (714\ 647-5853
Permit #: 3O139592
Pin #: 24161
Owner:
Address:
Contractor:
Address:
Phone
01'l
011
011
011
011
011
01't
01't
011
011
51602
5'1602
51602
51602
51602
51602
5160i
5160i
5160(
51602
Aaron & Carol Rice
2209 N Concord
Santa Ana, CA 92705
'16002
16002
16002
16002
16002
16002
16002
16002
16002
16002
Fee Type Amount
Shower 22.25
ShoweriBathtub 22.25
Sink 12.70
Clolhes Washer 13.97
Dishwasher 11.97
Garbage Disp 10.66
Sewer Alter/Repair 44.51
Gas Line alter/extend/a( 65.57
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
4.00
1.00
1.00
1.00
1.00
1.00
1 .00
1 .00
F6o
$22.25
$22.25
$50.80
$13.97
$1 1.9i
$ 10.66
$44.51
$65.57
$22.08
$55.04
Phone
State Lic #: 867006
Lic Type: B
Bus. Lic #: 370019
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Botch+!44813 - 7/t6/?Olg I0; LRoSALESoffice: CTYH Trons+r 100 4 ot 4Acct+: Refi! ijr:'
RcPtt:02325930 - 7/16/2018 3:
Tconsoct i on Total llr
NHIR INC
6enerol Plon llpdate Fee
1396?2
19 Pt1
rl91 .3
Building Use:
Job Type:
Nature of Work
Planning Condilions:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subiect to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Fixtures
Nor"., r'ro "t,ft\|jlffflF.f[t#ooo-
_ t22.(r8
- s?97.0?
it r{t91.35
Auth +:025320
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2016 01116002- s1602000-
Viso
CCI: I*I*rrlrrrr0525
Date:
Date:
Datel
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa
Every permit issued shell bocome invalid unless the wotu on the site
authorized by such pomit is commenced within 1 80 days afler its
issuance, or il the wotu authodzed on the site by such permit is suspended
or abandoned tor a period ol 1 80 days aftet thg time the wo* is
commenced.
lnspector MID#: 2018-144667
01 1 15002 51600
0'1 1 't 6002 5'1 602
$22.08
$297.02
Unit:
Block: NA
Tenant Name:
MHIR INC
200 Orange Grove
Placentia, CA 92870
(714) 334-8562
$319.10
$0.00
$319.10
v 07t16t2018
Account#
Fee Total
Paid to Date:
Balance Due:
DATE IDiSIG.COMMENTS OWNER BTIII,DER DEI,CARATIoN
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B!\n$\ trtrd Pdi\\n,n ci d) Any Cny .r Cdunrt $hich r.quir.\ r Firnir b con{nr.t. ,lrs. nnororc, dcmlish or Etratr liy
slru.lurc. t,riortu ils issu,trcc,.ho rcquncsrhc ipnlictr tursuch0cnDirro lilc0 s srcd ( cmnr rh3r lror\nc L hcnscd Nhuir
|o rhc pmvi\ions ol rl.c Conrrtrctr's l.iccn\cd taw (Chrplrr 9, c(,mltnci,rg wirh Sc.rion 7UX) or Divhion I oi lhc Busine$ lnd
nppli.rnl ttr J Fnnit sub.,cctsIlN rprrlicinl tor.ivilNnrltyoIlx-'I nmrc rh r fivc hund'rd dolh6 ($500).
-1.I
owa of rhc,tuFnr. or m,.rplotEr shh wre6 e. rhch slc.onFrdion, will do llE sct a,n Eilr8re k tul
inrci'd.d m oddrd fd sL (Se.?O44. Busire$ ed PrDfcssions Codc Tlr Cldrrrols Lirn$ trs &e ml rrply lo o owmr of
lh. pmldy whot ild3 or inleK ih.6n. rd who do.s *h m* hiNelfo. h.Mlf o.Ihrcugh his or hd o*n crploy.rs.
prcvided rhar sen ihnhrtunrr e mr hrod.n or ofrcEd fdeL.lt ho*lE. rh. brilduE or inFtMlml is $ld ehhin oE )w
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-1.
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ard Pist{rbnCodc, Thc Co m.rcrt Lic.n* ti* dfti no! .tpl, to an own.r ol rop.ny q ho builds or inlpNvcs rhcfun,
lnd who onltrrsftr s.h prci{l. *i'} a Conhdorl9 liccnEn r!M.r roihcCoorEcld s Lhcr* ti{).
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TOAf,!&I:I:OI4IENSAIION
OES,AAAIIQN
I hceb, llfirm un&r t'.n!hy of pdjlry orc of rh. followins delimlhns:
-l
hlr a,n *iU minrain a Cdrifrd. of Con* lo S.lf'lNr aor Frkds @nFNlrk .. c FDviH for by Sc.lion 3700 of llt
trbor Cod., aor l,r. !6fo,!rec of tt rc* aor wtth llp psEjl b iss.d.
-lhrlc
andsillmainloin workcr' coofcnsnrbn inslrdnce. as rcqlircd hy s..rio.lTmorrhc Lobor Codc. rbr rhc pcrfortuncc ol
rh. sork Inr shi.l, rhis pcon i\ is\!o{l nly ..dDcn*urn,n in\unnc..rdi.rd plicynunrbcruc
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ccniry rha in thc pcraorrore of rnc wort for qhth rhis tEmn is isslc4 I shau mt cr{,loy any F mn in ony nurcr
o rc ro b.om $birl ro rhe m.ts s,rF.eiion Uws ofcaliromi& .rd r€B lh if I should bccoft suhjel lo tlE
mrk N 6npcn$rio. pevieionsofSc.lion 3?0o ofllE bixr Codc.l slEll. fonhwitt omply $irhrho* tmvtions..
WARNINC: hilurc to $urc wolkcr' compcnsalion n unhstul. rnd srBll \lhicr eq)loycr to aimiml pcMlli€s .nd
civil nrcs uF lo onc hundrcd lhousand dollaF (S ) in rddirion h rhc ro{ ot co r .hm8ls as pmYiicd lor llE
S(rion 1076of rh. Iitbra.d. inrcrcrrand I
'""''V/6 tE
DI':( I,\RA'I'I0N
I hcrcby a0nnr udcr Dcnahy ot Frjury rh8l I u li.cnrcrt undf Eovisioo pa chlprn 9 (co
oi lhc Busi.css and Pmfcsions Codc. ed hyliccn* n in flll forcc Bn cre.r.
qirh Sccri)tr TOiX)) otDnniir I
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coldltrlcllaNr[lur(iiu,llr
I hcru$y dl6rn ond., Fndry or Fqury ih8l lhcr. k 0 onsfldhn LndinS agcncy fu lhc
is\!.d (56.:1097, Civ. Cl.
olrhc work lor which lhh Fanit h
AITLICANI,JTECI.ASAITAN
I hot+yllti und€r Dctr!lry oincrjury onc ofihc lbllowins dc.larations:
Dcmlilion Prir.irs.Asbcslos Norificaliotr FeddEl RcPllations (lirlc.r0, Pani)
-Rcqu
ncd Lcllcr of Ndiirorion
I ccdily lhd thc icdd.! E8ll.rions reBadinB sbestos gmvd rc not olplicablc lo rhh l)oirr
-lccnilyrhar
I huvc rcod rhn aptlicarnrn a.d {arc rhar rtc uh'vc in h com.r.I tr8e rocomplysirh rll Cirylrd Counry
rpr.scnlnrirs oflhk ciry ord couir! ro cnrd lpon rh.ordimnccs und Stalc L.Bs rclrling
rh,vc rdri0rdfn,p.nyl{n
t
UNDER GROUND
Waste & Vent (/u/lz 1\+r
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Rough Water Heater
P{rap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 4/u/lb ,t>6'6
Final Gas Test
Meter Release
FINAL 1/40/14 5\{t
Notes, Bemarks, Etc.
PLUMBING-INSPECTOR RECORD
APPROVALS
TOP OUT
POOUSPA
Lctrdcl' Addrc*:
-
b! ild irg co nstrud ion, ind
-,7,/ 6'/tr
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