HomeMy WebLinkAbout30138368 - 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 Sectlon: (714) 647-5853
Permit #: 3O13E368
Pin #: 85158
Proiect Address: 1133 W St Andrew Pl
Assessor'sParcel: 015-220-14 Lol: 3
Unit:
Block: NA
Bldg:
Tract: 1367
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address
Contractor
Address:
Oiocese of Orange
13280 Chapmar Ave
Garden Grove, CA 92840
(949) 299-5300
J&Glndustrieslnc
18627 Brookhurst St #302
Fountain Valley, CA 92708
(714) 903-2002
Fee Type
011 16002 51602 Cap Sewer
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
96.18
2',1 .25
52.98
Fee
$96.18
$21.25
$s2.98
Qty
1 .00
1 .00
1.00Phone
Bqtchi:39696 - I
0ff i ce: (:TYH T
Acct+:
Rcplizfil?764?4
Tr6nsoct ion TotsPhone
State Lic #: 571859
Lic Type: ASBS, A, HAZ, C-21
Bus. Lic #: 160248
Workers' Compensation lnsurance:
Carrier: State lnsurance Fund
Policy #: 0802847
Expires: 1OlO1l2O17
Building Use:
Job Type:
Nature o, Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Demolition I Clear Lot
Demo & Clear Lot
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016
Planning Conditions;
ate
Zuniga, Allissa
Date
Date
Buildins Permit #: I 0193736
Evety pemit issued shall become invalid unless the wolk on the sifo
authodzed by such pemit is commenced within 180 days aftet its
issuance, or if the wo* authoized on lhe site by such permit is suspended
ot abandoned lor a peiod ol 1 80 days efrer the time the wott< is
commenced.
08107t2017
Account#
Misc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
$21.25
$ 149.16
$'r 70.41
$0.00
$'t70.41
lnspector MID#: 2017-137866
01 1 16002 51600
01 1 16002 5'1602
Fee Total:
Paid to Date:
Balance Due:
Tenant Name:
JtGIndustniesIo(
6enerol Pltrll Update Fee
rll 1 161102- 516001108-
Pluob ins
01116U02- 5t6ri20u'l-
ICL Check 0119328
Notes: Demo and clear loucap sewer. AQMD on file.
PLUMBING-INSPECTOR RECORD
APPROVALS DATE rD/srG.COMMENTS OWNEN, BUILDER DELCARAIION
I h6.ry .mm und6 Fnaty ol pajury llln I m q@pl 6Dm rn Co.lretoa Lica. t w for lhr foUowin8 lwr (Sa.70l l.t
Busin* lrd Prof*ion tu.): A.y Chy or Coudy which r.qune a Ftrh ro condrucr. .ltr. ihprovc ddrolilh or i?!t ey
5o.r!r., Fi,rro ili iss@cc. abo rcquiB thc applic&r for s!.h p.rnn lo 6L a sign d rld@d tl'd h. o, slplb li(dd tGtrrd
lo the FovisioB of rhc Co.lmtoas Licdid kw (Cl',9rd 9. Com@ing wilh Sedon ?000 of Divnio, I of th. BBi.cs'rnd
Prof*io$ Codc) or thll lE or sh. is cxmpl lhftfron ad rhc h4ie tor rh. dLg.d qdplioi- Any lioLrioi ofscdion 7011.5 b, &y
rpplic&r lor . psDn subjcls lhc .pplicd lo a civil p.rahy or nor nor. rho fiv. h!tr(hcd doua (1500).
I, a ol,G of rlE F!p6lr. or oy @plor6 with !as6 a rh.t $!c conp@lio.. \illdo rlt@li dd tlE 3|nde b @r
i d'd.d or o,I6cd fm s.L (5€.?044. BuiIB sd ProfdioN Cod.: In. Codra.lo. s Liccffi trw d,6 trot @ly lo o owDd of
rhcFDpqty {ho hil& or @trcv6 $@i. ed who d6 tuch ert hiMlt or h6dfo. rhrcugh hi! or ns oM @ploy'c.
provlt d lh.l sut imF!\ful! e ml i..la'd.d or of6Ed lor !aL. l( how.c, ih. hriling or inprovE srl i. $td wnhh orc ]a
olo.pldiotl, tlt o'*G Buili:ld wiu h.v. tlE hrrl, ofrdiig $d lE or !h. did not hin or inFlw th! FlFly fo.Ihc Frpoe of
I, a ol,E ofrhc Fopqtn m q.lBiv.ly .otnr..lins wnh fi.da.d conradoB ro coonod rhc prcj..I {Sc. 7044. BtaEe
6d A!6slh Codc: th. Conlrelois Licdc Lar do6 not opply lo s owr6 of proFny {no builds ot improvG lhs@n,
rnd $,ho onrrlcrt fu luch Folcl3 wirlt r Contaclo($ li@!.d pB@r ro rlE Conrdclo, 3 Li(te l-3w).
I m cxmpr und6 Sdlion , B. & P C. lor this r@n
u48f,E8l:coMtENSArIA!
DECIAAANO!
I nc.by amm utrda Fn.lty of Fjury otu oflhc followin8 d.clEarioB:
-l
hd. drl will @jrldn ! Cdlifi.li. of CoDEl to S.r-tose for vortd co'npo.dioi. u Flnidld for by S6lio. 1700 of 0E
L.bor Co<le for tt Ffo'rl4! oath. srt fo. enich !n psDit ie iitlcl
--l hN! and will maintain wort6 coop.Nalion iNur.n.c. B r.qutcd by Sel ion 1700 of th. L.bor Codc. for lhc Ffomu& of
rh. w hr whict rhis Fiir is is.d. My wo.I6 onpaslior iNuruc. tri6 !d policy nunbd sc:
.o d\tD-\-t-7
I cdi8 rbd io lhc pdfoda.cc oflh. wort for which this p€nil ir isuc4 I snaU nol dploy any p.Bon itr any mm.6
e s lo b.co@ slbjel to lh. worl6 onp.nsion la$ of Califoina ard .88 lh,l if I rhould b..of,. lubj<r 1o rh.
worl6'onp.MlionprcvbioBofsalionlT00ofth.r$orCodelslull.forrtuithco,nplywilhtho*pmvisioN..
WARNINC Failtre ro suc sorkdd comt@rarn,n b udrwtul. ed sh.ll tubid m @ploF lo ciei!.I pduli6 ad
addnion lo rhc c@l of conFNrioI' da@96 a Fovidcd fo. thccivil lincs up lo o,. hondrcd rhouend dolld (!l
s*rioK6
1 L.l < C-. r..
t)t._( t,,1r.\t l(rN
I @y rtrEo !.dd p@.hy orp6ju.y lhal I @ licc.d @da Pl.vilion of ct4ld 9 (@Mi!g enh sdio. 7000) of Divbion 3
of t!. BoliB &d Profcsb6 Co<t , &d 6y lkce L io ftll fod rA .ft.r.
-,.*, <1\%(\
I hftby lftrm udd Fulry o I p..jury thal lh* is ! conslruciion lodin8 rs6cy for ll'c Ffomecc of th. No,k lor trtic,! $B pEf,il is
i$uel (Sd. 1097. Civ. C.).
dffllc NLI)Ii(faB t!(2!
I hod" afid und{ lcnahy ofpcrjury one oflhe follo\rins ddararbns
I)cnolilion P.rmns-Asb6ios Notific.tion led6.l R+uhrhns ( 1 nle 40. ld6)
Rc{tutcd k(e otNoxfi carion
I cdiry rtd lh.lidaal rcglLlioB E!adj!8 abdo!r@ovalu. nor applt.blc lo rhis poj61
I colily lhal I hav€ r.ad lhis ud sral.lhal rh. abolc infonnarion is coErr. I aBre ro onDlyqnh all Cny
ordinance dd Srare liws ud hacby ruthoriE r.!r6dt.,liv6 otlhis Cily md Couily t
abov€ mqrionsj prcp.ny for
-^. ?rl-7(ff*
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler-4\. ./r^\
Sanitary Sewdlcap I K-zi "\/Y.U,o(.l
Back Flow O"ke-/vt
Rough Plumbing
Final Gas Test
Meter Release I
FINAL a//4/A'APN Yn-l4c))
Notes, Remarks Etc.
C." r