HomeMy WebLinkAbout30139770 - Permit (2)Proiect Address: 1001 W Stevens Ave
Assessor'sParcel: 930-416-16 Lot: 1
Bldg: 31
Tract 10158
Address Range:
Historic: No
Suite Range:
Zoning: R4
E
city of Santa Ana 20 Civac Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 3013977lJ
Pin #: 57649
Owner:
Address
Conlractor
Address:
Phone
Tenant Name:
Janet Tominaga
1001 W Stevens Ave #316
Santa Ana, CA 92707
(7141 557 -1311
Sterling Builders Group
18375 Ventura Blvd #811
Tarzana, CA 91356
(866) 303-0820
011 15002 51602
01116002 5160i
011 16002 5160C
01116002 51602
Fee Typo Amount Qty Fee
Shower 22.25 1.00 $22.25
Sink 12.70 1.00 $12.70
General Plan Update 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.04
Eotcht:{5077 - 7/30/2013 IDi CCUELI.AR
0f:'ice: CIYH Tronei! 22 3 of 4Acctlt Refi: 301397711
Rcpt+:023{{402 - 7 /30/2018 10:27 All
Tronsoct ion Toiol t539. ?8
Sterl ins BuildeFs 6rouD
Phone
State Lic #: 1012240
Lic Type: B
Bus. Lic #: 364004
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9158786
Expires: 05/'t0/2019
Generol Plon Updote Fee
ofl 16002- 5160m00-
Plurb int
01u6002- 51602000-
ICL Check 0r38m
122,08
r89.99
,539.28
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
Bathroom Remodel Code:
Date
Date
Date
R-l
VB
cPc 2016 Notes: Remodel existing bathroom
Misc. Receipt:
Misc. Receapt:
Misc. Receipt:
Total
lnspeclor lvtlD#: 2018-144983
07130t2018
Account#
01116002 51600
01116002 51602
$22.O8
$89.99
Fee Total
Paid to Date:
Balance Due:
$'t't2.o7
$0.00
i112.07
unit: 315
Block: NA
Planning Approval Byi
Plan Checked By:
Permit lssued By; Zuniga, Allissa
Subject to Field:
Buildins Permil #: 101 97165
Every permit issued shall become invalid unless the work on the site
aulhoized by such pemit is commenced within 180 days after its
issuance, ot if the wotk authoizod on the site by such permit is suspended
or abdndoned fot a peiod of180 days after the tirne the work is
comnenced.
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELC]ARATION
I hcrcby alIrm lndcr o€nslry of rsiury lhd I m crcnpl lmn th. Conslm Li.rcn* Llw fo. llt follosinB E&so (Ss.7011 .5
BBines !d Profession Codc): Any Cny or CNfiy vnifi tquiEs ! IEmil lo @n$ru.l all6. inpmk, d.mliih or qEn e,
structurc. prior b ns n$.ra, .ho rciuircs lhc sprlicanl for Mh I'mI |o fib 3 siSned nllcmnl ihat lE or dE ir Iimn$d puNail
ro lhc Fn"isios of tlE Co ncl6l3 Liccn*d Lae (Ch.prc, 9. Conmrcing wnh Scclion 7000 of DiviskJn 3 ol rlr Bximss a.d
PDlc$ions Codc) or rhor nc or sh. is sxcnpr rherciior .nd rhc bosh for rhc {U.E!d cxcnprion. Anyviohlionofs.dionl03l,5byany
uotli@nt for a pcmn robiFrs rhc rpplicanr lo ! civil pc.llry of mr mE lh& firc hundcd dolbs ($m).
-1.
c o*er of thc ptupcny. 6 ny cr!,lores with wigca a. rh.t sh @mFlerion, wil do tlE wdt !d tlE $iete b hl
i cM.d or oflcrcd f6 sle (Se.7044. A!!i*$ od PEfc$ioo, Codc: 1tc Conlreclor's Lkctre Llw do6 not qptly lo a ownd oa
rlE F,Fny vho huilll tr inFreB rldatr .rd ano doR tuh m* hin*r or lEMlf or llhlsh his d id om cnplort.s.
pbvlhd lhar sch inlmlEmnls @ mr inrcndcd uofcrcd aor *lc. t[ tr*wr llE building o inprcwm.l is sld *ilhin om Fe
ofo'riEtion. d. OwM Builrf oill h{E th. h,rh. otprcvhg rh.r h. 6 ilE dll rpl buiu or irpltr 0E FoFry fo, tlE Flrrs ol
-1.
d o*ncr of rh! nmp.ny. aor .rclusivcly co.lBclirg wilh liccnscd conlracloB lo .onsmd llt lolcct {s6. 7044. Busrms
md Pioassim Codc Th. Conrruroas Liccnsc L.* des ior apt ly ro d ownr of proEiiy who builds or iq,mEs lhcron,
,nd who @nr{ck for .uch pmj.cis wnh e Conrnctods) Iie.*d l,urunr ro rhc Conmdols Lienlc liw).
I anr.r.mnr und.r Sdhr .B &PC forlhhE.{n.
Drl.: ()*t.t
IOBf,EBS:IOMTEIIAU!.N
DFCI ARATioN
I hcrcl,y cffinn undcr p.nalryotpcioryotu oftk followiig dtlMri.nl
,r- I hnvc ud s r ll mintain a CcnrlEarc uf Chn*nr r. Sclf lnrue for erkcB $mp.nsltion. ns providcd fot by S<r ion l7m or (hc
/ tib.{ Codc.ln thc rErrormne ollh. wqk r({ *hkhrhcIlcmi n n$cd
-l h{vcond will minrain *nrlcrJ con'p€nsrrion insuratuc, us rcqutcd by scdion 1700 ofthc Llhor Codc, for rhc !.rromum. of
rhc *ork {orwhichrhhpcm ir i$udl. My workcB conpc.ssr ion insumncc caricr ud plic, nlmbcr @:
1Wl7 (t,tto
q r -1
-l
cdnif, lhnt in rh€ lciforroftc olthc work lor which lhh pc.rnir is irsucd, I shtrll nor cmployrny p.ison in lny melrcr
s as ro t8om subjccr to rhc {orkdC conp.nerion hws or cllifooie. ,nd a8N rhd if I stblE lEcotu subiu ro rtE
sorkcl .ompcnsarn,n povirioos or Sslion l?m ofuh. tjbo. Codc. I sh0ll. fontwith coryl, virh rho* novisio.s .
WARNINC: ljailurc b ecurc solt.* comFndn,n .6vcmB. i\ unhwful. lrd sh6ll suhJccl !n e,npk,y$ !o dihin.l pcuhi.T ond
civil uncs up lo onc hund.cd rhou\r d dolllr\in Mdnion ro rhc cosl ofcodpcnsllio.. da@lcs !s pmvidcd lor lnc
Sc.rion 30?6 ofthe Labr c.ne- inr$csr Dnd
D!(l-&ut!Jr
I hcrhy drfird uidcr l.hrlryorp.rjurr rhrr I liccnBl undcr pnvtiotr ofChrtlo 9{conmn.ing wnh Sccliotr ?000) ofDiviiion:l
ol rhc Busidss a.d Pmfcasio$ Codc. od my lkcns ig b full foN o,n cfiec-
e
c()Ngral]cu0xrllDllri-&GErtr
I hcrchy.rfiiin unr,cr 0,n0llyol pc,jury lfilr rturc h !.oisrdcri," lcoding ngcrcy lor rhc lcn'onnmcc oflhc worr ror *hi.h rhis Fflnil is
iriucd (Sc...l{lr?. Civ C.).
I .cnirt lhar rhc rcdcr0l rcgulol iotrs EsrdinB ostEnos rcmral uc nor sprlk$lc ro rhis tmFI
-l
ccnify fiar I hlr tcad rhh ,I kal ion &n {alc ln,t dE lhw infomlion k comcr, ! asIG ro @nply wilh all City snd Colnty
itui..s rnd Srur. Irws 6Lr ine n)ildin8 con(rudion, ad hcrcby,urhoriz. r!'r.scnHivcs ofOt Cily and Countylo enld Uon lL
w mnlioncn pml.rly for
Applienl or A*.nl Si*nrltr ,,,r,1/s-:Jlt
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent I to f.b
Water Piping g'l'ru \vTql
Gas Pipinq
Roof Drain
Tub/Shower Test I \il-+e t '{hrrla-t<'L,z'
Rouqh Water Heater "-t"
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Bough Plumbing tthfir vn(wt-)o,
Final Gas Test
FINAL tthl k €.-n4rr*/ 6-2--
Notes, Remarks, Etc.
Meter Release
-*, a120L4
+
txndn !
^,J&.r\
-
ADPLICANT Nf.CI Af, ATI(IN
I hcrcny.]lmr undcr pcn0lty olpcrjuryonc oalhc nnbsins dElararnrns:
Dcfrririon Pcmir$Ash.sror Nor incarion ft'lcral Rc-qul0lioDs CTirlct0. run6)
-Rcquncd
Llkr of Norifi dion
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