HomeMy WebLinkAbout30139711 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{3971{
Pin #: 79549
qProject Address: 1230 1/2 W Raymar St
Assessor'sParcel 010-282-03 Lot: 19
Unit:
Block: NA
Bldg:
Tract 1470
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Phone:
Tenant Name:
Conlractor:
Address;
Michael Hoang Nguyen
'1230 W Raymar St
Santa Ana, CA 92703
(7r4) 839-8824
Owner-Builder
Fee Type Amount
Water Closet '14.22
Bathtub 22.25
Sink 12.70
Clothes Washer 13.97
Dishwasher 11.97
Garbage Disp 10.66
New Sewer (Firsl 100') 64.60
Gas System 14 44.5'l
Tankless Water Heater 65.57
Hose Bibb 15.47
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
2.OO
1 .00
1.00
'1.00
1.00
1.00
1 ,00
2.00
1.00
1.00
F6e
$14.22
$22.25
$25.40
$13.97
$1 1.9i
$10.66
$64.60
$44.51
$65.57
$30.94
$22.08
$55.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2016
Planning Conditions:
Planning Approval By Date:
Plan Checked By: Date:
Permit lssued By: Hernandez, Kathy Date: 0711912018
Subiect to Field: Account#
Buildins Permit #: 10196328
Every permit issued shall become invalid unless the work or, tho site
authoized by such permit is commenced wiilin 1 80 days after its
issuance, ot it the woi( authoized on tha site by such permit is suspended
or ebandoned for a peiod of 1 80 days after lhe time the wo* is
commenced.
01 116002 51600
Generol Plon tlPdote Fee
01116002- 51600000-
Plurb i ne
0t 11611112- 51602000-
ICL (heck 00163
922. nS
$3E9.13
i7,371.2t
Bdtch+:4{900 - 7/l?/?Olg I0: HGAR(:IAoffice: CTYH Trons+; 41 5 oi' 1[Acct+! Rafi: 311139711
Rcpti:0?327953 - 7/19/?018 ?:Otr Pll
Ironsoct i on Totol t7 t37t.2tr
ll i.hoel Hoone l{sucen
$381.2't
$0.00
$381.21
Single Family Dwelling
New
ADU
Notes
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 2018-142742
01 116002 s1602
$22.08
$359.13
01 I 16002 51602
01 1 16002 51602
01't'16002 51602
01 't 16002 51602
01 1 16002 51602
01 1 16002 51602
0'1 1 16002 51602
01 1 '16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 5160C
01 1 16002 5160i
Fee Total
Paid to Date:
Balance Due:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS OIVNER DUIt,DER DELCA RA'I'ION
I hcrchy rfrl n undcr penalr, oitcrjury rhat InDcx.m lntrnrhcO rr.ros'Lianrc I!* In ihc f{,ln,wn'! rcasotr iscc 70:ll5
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nrmrur.. pridro ils issunn c. $ {qunc\rhc ryplicrnr forsuchpcnnii h rlk! li8ncd *ir.a*fr rhd hcor \hc t licciwl ttrrlrjir
b rlE pn,!isn,n\ ollhc Conlrrcror's Licctrscd ljw (ChtlPi.r l). Co m.nci!1! sirh S..riotr 7(Xx) of Divnion :] of rltr Btrsirc\s lnd
Prolis\i{rrs Codc) or rhrr hc .r lhc is ercmrr rhcrcirom md rhc brsk f.r rhc rlic8cdcxcnDrion An! violarn'notSdion 70.115 hy rny
npplicaN tur Nnnn sur,.,c.B rhc rmli.nnr ro acililpcnrllyofnol morclhatr fivc hundrcd dolhr(S5m)
I.asowtrc'olrhermNny.ornrtcnrttoy.crwirh*rgc\rsrhcnR,bconpcnsdnrn.willdotltr$orkiMdrslnrcrur.i\ior
i crdd orotlcrcd f(tr slc (Scc 7(14,,1. Busir.ssrtrd PdassiotrsCdl. ThcCotrr..tor's Li.cnsc Lrw doc\ not dptly lo atr o*rcr of
rhcptulcny aho huiLs.r iDtrovcs rhcto\'n. did who (rssuch(orkhnnsclrorhcr\clf.rrh&ughhis.rhcrowncnrtn,yccs.
p(,!id.d rld ch impn,vcnrNs tm ior inrc lcd or ollircd l'or srL lll h{,$$ ci tnc boildin! or nnpnivcmf is sokl Birhin orc )! r
oiconlhrinr lhc Osi.r Bdildcr willharc thc hurdcn ol nrous rlrr hc or shc tlid nor huild or i'ntmlr rhc phpcny lor rhc purrN ol
-1.osowncroflhcpmp.ny,.m.xcltrsivcly.o
rtclins *irh liens.n conrracrosro $nlirucl ihe pmj.rl (Sd 7044. Bliincs
md P,rttsi.n Codcr 'rhc ConrEcrols Li.cnse lnw d@s not amly ro an ownc. of propcny vho builds or imprcrcs thcrco..
and wto ontracls lo. such poi.cls wirh . Co 6cror(9 liccnFd pucusnt ro rfic Conmcrort Licclsc l-w).
I {ncxcnrpr lndcr S(t
uaf,KDAtlloMt[lsArlo!
DECIdBA.IION
I hcrcby niliirn undcr pcnally or pcriury.nc ofrhc tollowins d(ldarions:
I n,vc onl qill msintain a Ccnificrrc ofConscnr to Sclf.lnsuE ror vorkctr onpcnerion, ns providcd for 6t Sccrion lT0ooirhc
Lllir Codc, lbr lhc pcrformomc oflhc wolt lor which thc p.nnir i\ issxcd
Vh c r n,r , ill rndinl,m rorkcF comncnsar nn rnsurlKc. as BquiEd by scctio. 3?0o or lhc ljbor cbdc. lbr thc pnlbrmncc of
thc {or* for shich lhir lemi is issct My *orkc6 compcnelion insurine c.Eicr md policy numh.r scDl9 CrUPGT>
/", ) ,un)
I.cnilirhd n, rhcp.rronun..ofrhc wur( fq whichlhh pcnnil is
^\ucd-
I \hrll nor cmphrrny
s N lo bccom subiel b lnc *oltsc coolp.ns ion l.wsofcolifor.i0, md !8rcrhol ifI should hccom sub.jcd lothc
workem comtcnsalion prcvisionsofScclion 3?00 ofthc t$or Codc.I sh.ll. lonhwilh omply wilh thosc pmviions..
WARNINC: F,ilurc to surc worke 'comrcnsa'ion ovcmBc is unlartul. ond shlll slhjel an cmplorcr r. (imin0l pc@hics,nd
.ivil fincr ut lo onc hlndrd rhou\add dollus (5100,000). in Bddiriotr ro rfic cdsl ol coFpcn\ario.. .la@gd as rovidcd ror rhc
inrc'c{ Md orrcr's lrs
,r.r-]
!11!!2llid1la!
in und$ I.nolrrotI)€rjlry lhlt I am liearn undcr prolisionotChaptc.9 (ommncins,ilh Sction 7(](xl) ofDivhion 3
of the Busircssand Pofcssions Codc, dld mylhcn€ t in fxlllde md cfi*r.
11_
CONiIts!j:D0NIENDII$:IIiIN!I
issrcd(Scc .li)97-Civ C )
APfLICANIDECI.ABAIION
I h.dry affm !.dcr lenalty of lerjury ore of rh. folk qins d(hrutions:
DcnDlition Pcrnits-Ast sros Notific*ion FcdcBl Rcguhrions (Tirls 40. Pdn6i
Rcquir.d lr(rr dlN.rilicdioi
-l
ccnilyrh lhc fcdcml rcgulaliotrs Egarnin8 osbcstos rclmvalarc noramlic.blclo lhis rmjccl
l.cdi,tr lhrvc Bd rhi\appliclrion rd {rrcrhd rncahovc inforn bn nconc.r I tBrd ro n'nrply wir h all Cir! rtrd C.unry
.rdinrkesMdSr,r.ttr*\rhrinEk,building.ondturion,lndhcrcnyauhoritrcprc\cihriv.solrhisCiry,ndCounrybcmcru!.nrh.
lhvc mnttuncd lropcny frtr in spc.l ion puryoses
Applic.nl or AEetri SiaElrre *,"-zf nf rc/
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent r /- l, z>^[^-Waler Piping f/r rqlty'''q-zL
Gas Piping
Tub/Shower Test
Rou gh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL J/z,t/n 4,#ql
Notes, Remarks, Etc.,lo/"rlk ilbtu / aoa I'*._ .-,M-)
I
ID/SIG.
L,r-.dcr'. AdCrc$:
-
Roof Drain
Gas Service
Water Service