HomeMy WebLinkAbout30139268 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O13926E
Pin #: 59591
qProject Address: 1405 N Hastinos St
Assessor'sParcel: 198-311-14 Lot: 73
Unit:
Block: NA
Btdg:
Tract: 1944
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Fee Type Amount
Water Closet '13.69
Shower/Bathtub 21.42
Sink 12.23
Dishwasher 1'1.52
Garbage Disp 10.26
Sewer Alter/Repair 42.85
Gas Outlet, each Add'l 6.80
Hose Bibb 14.89
General Plan Update 21.25
lssuance 52.98
Dung Nsugen
Botcht:{3187 - 1/to/2n18 r0r LRoSALESoffice: CTYH Tronsi: 17 3 ol iAcct+: Refi: 3r:1139269
Rcol?.O22?8279 - l/lttl2(rlg 1l:2? All
Tronsdct i on Totol ttt622.92
Dung Nguyen
1405 N Hastings
Santa Ana, CA 92703
(7141722-t452
Owner-Builder
011
0'1 'l
011
011
011
011
011
011
011
011
16002
16002
16002
16002
'16002
16002
16002
16002
16002
16002
51602
51602
C IOUZ
51602
51602
51602
51602
51602
51600
51602
Fee
$13.69
$21.42
$12.23
$1 1.52
$10.26
$42.85
$13.60
$29.78
$21.25
$52.98
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Addition
Addn
Occupancy:
Constr Type
Code:
R.3, U
VB
cPc 2016 Notes:
Generol Plon Updnte Fe
01116002- 516000t10-
Plurb ins
01116002- 516020r:10-
V iss
CCi: rlx***r*II**4594
a?l ,E
-
i?08.33
ll t 62?.92
Auth+ r 132311
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buirdins Permit #: 10194120
Every permit i$ued shall become invalid unless the work on the site
duthoized by such pemil is commenced within 180 days anet its
issuance, or if the wgtk authoized on the site by such pemit is suspended
or abandoned lor a period of 1 80 days aftor tlB time tho wo* is
commerced.
\*
Hemandez, xattrv
Date
Date
Date o4t10t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$229.58
$0.00
s229.58
lnspector
01 1 16002 51600
01116002 51602
$21.25
$208.33
Qty
1.00
1.00
'1.00
1.00
1.00
1.00
2.00
2.00
1.00
1.00
Phone:
Fee Total:
Paid to Date:
Balance Due:
MID#: 2017-135398
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
UNDER GROUND ,<\
Waste & Vent 5-31"]s k.
Water-Under floor \7
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent )a r -la
Water Piping l1/
Gas Pipinq t1-vz
Rool Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Back FIow Device
Rough Plumbinq
Final Gas Test
Meter Helease
FINAL ['-9 . /tr I I
Notes, Remarks, Etc
OWNER BT]tLDEX DELCARATloN
I hcrehy 0tfirn lnncr ncnllrt of pciur! rhll I a'n.xrmrr no rht c(, rurM! Li(cnsc L:* anlhc lblbwtrStn$nlscc70315
Bx\inc\s ilnd PoL\qn,n Cdlc) An, Cily.r Counry which r.quncs n tsnri ni con{dd, dr6. infrovc. dcmlilh nr rcnon iny
nrudurc. pritr ro ns isu.tra,.l\o rcqutcs lhc rrplicanr n)r wh pcnnir t,6lc r siBNd (nrcnf,nr lhat hcor shc is liccnrd Puruair
h rh. tnvni('ns .r thc C.nta.rofs l-iccn$d L'w (Chiprcr 9. (om.rcnciDs sirh s.crion 7o{n or oivisrr I of lhc Eusincs rnd
Pmrcs\bn\ C.dc)orrhri hcor shc tcxcmplrhc,ctomlnd rhc tusis Lr lhclllcscdcrcnprn,n ,^ryvn riionofSccrionTi)ll5 hyrny
ap,llicrtrltdapcnnns,lcckrncrrplicanrro!civilpenlliyotnormrcrhanfirchutrdr.ddollus(5500)
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r\ osnoolrhc lh,J.dy. (r
'ny
rnlPlo)r$ wirh e.ecs !\ rl{n s[.on[.ns ior. *ill d. rh. so'k d rh. sMuru is mn
inichdcd ur ofl'crcd lor slc l S(.?01,l. Ausincs nnd Pmfc$n r Codc: 'l hc Cofta.d s l-i.cnsc Lrr docs nor nptl] lo ni osnc, or
rhc pn,pcny who huil& or inDn*ts rhljd , aftl N h, drN such $r)& hnnsc lf ot hcrcll or ltougi his or tcr o$n cnfl.yc.s.
Drovnhd rh xuch inl0n\rmnh rE mr i.rcndM or olIcrci] tir, eh lf- ho{ ckr. rhc hikiin8 or nnFnr cnnr is <,ld wi,hi otrc ,ur
or.oopktii,n. rh. o*tur auikln qlll h,vc tE brdcfl of!(,vinB rlu nc o, thc did ftn hikl or itrPr.vc rhc pmrd,lorrtr pu{Ds or
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ss .wmr of rlE FUp(ny, am cxclusirly conterine wirh li.en*d .onn*'o6 ro oneo.l rh. tmjd (Scc. ?O14. B6itu$
{nd ADL*I, C.d.r Thc ConrBlol s Lic.nsc trv dss ml .mly ro u owncr of Fopcny sh6 build. tr i,rpows lh€Er,
and *no conrrck for Mhtmjets wnh aContr&bns) lkmsd puF@l lolhcConhclo* Liccnsc bw).
I mcKmol undcr Scdion ,B.&P.C LrlhaE&sn
I2T!LA.B[I]ON
I h.rcby affirn utrdcr !.oally of,trury onc of rhc folbea.g deborions
Ihr\catrd{r!lnx,ir rmnCcni,j. coiCotr$ roscllln\urclir*o rs' c.n|Jrn\rrnnr, $ I'ktnkJI'orhySccinrn.lT(x).lrh.
l-!tnn C,xl.. nn rhr Fnnnru.c ol rhc sork lor whrh rhc Jtflnir h i\{rca
I hovc .nd will mrinhin worl.ts codpcnsation inss!rcc. &i r.qlird b, Sdion 3?00 of lhc Lahor Cod.. lor thc ,ofre of
lh. wrk for whth rhis Fmit ir b$d My sortcB onF.srion insurm fficr en lDlicy Nnlf,r e:
PolicyNunbd: Erpncs
WARNINC: Foiturc ro slr turkcs or{xn9li6n .owngc i. lntawtuL uid shall subFcl rt cqrloyo ro onind lcmllts and
civil fin.s u! ro om lDndftn rnoosnd dolls (3100.000). in lddirion ro the cosl of mmp.nslion. dregcs $ prcvidcd lor lhc
S(lio. 1076ofrhc L.tior Cod€. intcEsl andolromr.s tccs
o"'., C)l { -lD --)o
(t n,",-*k
ttDct ArL{TroN
I h.Ehy atrn !nd.r pcnalry of Frjury ft{ I am ,ieosd undr n6vni6f, of Chlpts 9 (
of thc BBires .d Pmfessions Cod., !d my lkcnE n in tuU forc an l cfld.
CAIEITU(:II!}NIEIIING.EGENII
I hcEhy llfirn ondc. Ilcnllty or p.ijury rh.r thcrc is a cons!ructi,n h.difls ugcncy t6r
'h.
p.rlblmm. oi rhc wrk for $nich rhh IEmn i!
nsucd (s(. 3097. civ. c ).
NETCAN:LDECIdBAII9!
I bdrl,y afiim uaLr pcnrll y of pc.j(try onc ol rhc n,l!,wing dcclEar ionri
Dcmlnion P.rFn$Asb.ros Norificlrion F.ncnl Rc$lations (Tirlc 40, Pd(,
Rcqui.cd ktrcr of Ndiamtion
-l
.cnify rhlr th. fcd.ral Gsularion\ rcg,rdinE sh.eos omvdl rc nol !,'l,liclblc lo rhn torctr
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enifylhd I hrlc rcad rhis ,ntlicdiotr and starc lhal rhc atFvc inlom ion iscoftcr,I aE@ ro.omply wilh lll Ciry and Counr,
ordi.aNs dd Srltc L,ws Ehlng ro buildine consrdction. a hcrcby oultorirc ep.cenrar ifts or rhh Cny and Counly lo cnle llnn lh.
obovc aEnrion€n IroDcny ro.
Applicon( or Agenl Sian.lle
r/8L
rJfnA)
Pool Heater/Gas Line
-,.01{ Io l( .*"
l.cdifyrhal in rh. ,).rformorc ol lhc wort for whichlhk peirnn n iss!.d,I shau nor.ntloy an, l'cson in uny mader
so $ r" l$o'E slbjcd ro rhc w.drds oq).n{rion Lvs or c0lilomio, and agB thal il I \nonld b..om subjd io llE
work.6 drn\rnsarion nDvicionsofsdion l,moIlhe tiff Cod..I null fonhsnhcodtly *nhrh*lmvisions..
Lie.sc Closs: Lkc.s. Numbc
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