HomeMy WebLinkAbout30239778 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAT27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714], 647-5853
Permit #: 3o239774
Pin #: 557f)7
ProjectAddress: 1524 S Van Ness Ave
Assessor'sParcel: 013-192-20 Lot: 20, POR 21
Unit:
Block: F
Bldg:
Tract 53'l
Address Range:
Historic: No
Phone:
Tenant Name:
Contractor
Address:
Remy OC LLC
PO BOX 16337
lrvine, CA 926236337
Owner-Builder
F6e Type
01116002 51602 Cap Fixtures
011'16002 51602 Cap Gas Outlet
011 16002 5160C General Plan Update
011'16002 5160i lssuance
Amount
6.95
8.47
22.O8
55.04
Qty
4.00
1 .00
1 .00
1 .00
Fee
$27.80
$8.47
$22.08
$55.04
Botchi:45097
0lf ice: {TYH
Rcpti:023457
Tnongqct ion
? tiL/ZtJtg
inons+:103
Ref+:- 7 /31/2Al&
I
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
JUZ
fobol
F:ene 0{
t
benerol r
u11l6tl02-
Fluib ineIl I16002-
Vieo
CC+: r**r
rn Updote Fee
5160u000-
51602000-
***{*}*4709
I
Building Use:
Job Typel
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Alteration
N/V
Occupancy:
Constr Type
Code:
R.3, U
VB
cPc 2016
rlut
Noles:
Date:
Date:
Date:
lvlisc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kalhy
Every pemit issued shall become invalid unless t e wor* on fre site
authoized by such permit is commanced within 1 80 days aftet ils
issuance, ot if the wo* authoized on the site by such pemit is suspended
ot abandoned for a pedod of 1 80 days aftet the time lhe wo* is
commenced-
07t31t2014
Account#
$22.08
$91.31
$1 13.39
$0.00
$113.39
lnspector MID#: 2018-145052
01116002 51600
01116002 51602
Fee Total
Paid to Date:
Balance Due:
Suite Range:
Zoning: Rl
Owner:
Address:
l
PLUMBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDER DELC,{RATION
I hcrcby atfirn undcr Fn.lly of p.rjury lt'd I m cx.npl fi,om rh. C.nlh.ton' Liftre Ijw for lhc lollovin8 rclsn (Se.?031.5
Businc$ and Profcision Codc): Any Cily or Counl, {htn r.quircs 0 Frnit lo o.nruct. .lts. iq,rcve dsmlish or 'lpsn lny
!l cr!e.,,rio, ro iri iriumc. .L$ Equacs rh. aptli.ml lor sch l,mir ro 6lc ! sigftd 3rd.ftfl rhar lt or dE k lic.Nd plr$sir
lo rhc provisiom of lt! ContEclols Liensd Las {Ch!pr6 9. Commftirg with SNlion 7000 of Ditisio. I ol UE Buirc$ and
Pof.ssio.s Codc) or thll lEor sh. iscxctrpl ttErcfrommd E bacis fo. lhc alhg.d er.np on- tuy violdioo ol Se.ti.n ?031.5 by a.y
attli.a.l for i pemar sublrrs rhc aipli.er ro . civil p.Mlty of mr mB lhu filc hundEd dollu! (l5m),
I.tr\orrcrolrh.proNny.ornrycDployccs*irhtrdlcsrsrhctrslc..mncn\di.n.Nilldorhctr(nkmrlrh.{nEruaismr
ir{cNlcd or off.r.d for slc (s.r 7(llJ. Br\incs\ rnd hofc\sio.s c (lcr'l lE cotrrrn l,tr \ t.iccnsc lj* doc\ Dor |aply h rtr.wncr oi
rhcpnrp.'l! rehohnrld\orin0nivc\ihcFri.rMuh)doc\{'rh*()rkhinr\clforhc^cllorrhru!ghhi\orh.rownc rtl()yccs.
ol (n\rlciir[, Ilr Owncr aulucr willhnvc rhcburdcnofF,vin! rhJrhcorstu did n hildori'ryrort rhc nnlrny lffrhL pumsol
-1.
!s owncr olt propcny. M eklulitcly .oru&ri.g wiln licctr*d co ,&106 lo @n$tucr rt l,ni*l (Scc. 7044, Bcmas
ard PNftasi{ Codc: Ttc Conlroclols LianF L,w do6 mi xpply 16 d o*..r of |,otEny who huil& or impmws rhcmn.
a.d rho co.rek fo 3sh Foiitr wirh r Conmcro(s) li(Tscd pu^unr ro thc ConlBdols Ltcns L.w).
undd Serion-
^'l
DEcLilSAM
I heEby arrn undcr penalry of !.rru.y oM of rhc followins dclaBrions:
lf,hrCoJc- n)rr[c Nrinrrcc.lrhc s1trk hr $hich rlt lcrn irNsucd
-l havc afld will minroin workcn conlcns ion insuEtuc. !s rcquied by SNl ion 3700 ol thc Llbor A!dc. for rhc p6l6rmncc of
lhc *tr* for which fiis r.rmn ir isflcd. My worke^ ompcn$rion inru.e. c!trier,.d lolty n!nb., e:
-l
c.nify rhlr itr rhclrc fornunccofltc wort for whkhrhis Dcrnril ri issucd,I snllloot cmrLyanyFson inonynunocr
s asbrr$ft birr ro rhc w*cB mrFnsrhn taws ot Calitomia, od usrcc thlt il I should tE{otu obj(l ro llE
workdc on'JrEsarion tDviiioni or Sdio. 1700 of rhc Lih.r Codc. I shaU. fonhwnh .oddy wnn rhos llolhbB..
WARNINC: rlilurc lo scurc Mrkctr comrcnsalio. mvcmgc is !n10wtu1. &d shall subjd u cmlloFr lo ainrinal lcmltics and
cilil fincs up lo orc hundrcd lhousrnd do *t;ffi,ffi:--"
D&CIdSAIIIIN
lhc Li}xn Crxlc- inrcrc\l rnd
I h.r$y lfrn unde peDlry of p.dury lhal I u lie$cd unLr Fovisior oI Cha0t6 9 (@nmein8 wilh S.crbn 7000) of Divilioi 3
ol rlE B$iKr..d PrlfdsioN Cod.. ard ny ticcM ir in tuU forc lrn.ffdr.
DriP: Conln.l.r
CONSIAICUO.II"LENDI!(i.AGENCI
Ihcrcbyslfiirnundcrpcnahyofpcrjurylhdlnerciiron$rudionLndinSdSckylor$cp.rfonMnccolthcwolkrnrnichlhisrErnrilis
issucd (Scc 1097, Civ. C.).
AfILII;AITI.IIECI.AAA.IION
I M,y diimunds p.trtrhy oiFcrj!ryorc olrhc loUowins dccluturi.ns:
Dcmlni.n Pcrnna-Asb.s.s Norifi.arnrn rcd.rnl Reularion\ (Iitlc :10. Pad6)
-Rcquncd
IJlr.. oi Ndif(dirn
_l ccni{y llEl thc fcd.ml rcgularions Ee0rding 6b6ros Bmvd m nor .,plicohl. to rhis pr.i,t
I.cnifyrh,lhrrc rud rhi\rtpli.nn,n rnd nakrh!! rhc fi,vc inlbnrB!n,n i\cotrccr IrgrdbcomplysirhallCiryrndCounry
ordnrnkcsatul srrrc InesL-.t in!ri buikli !frlhcrctyflurh.ri7, rcpEsenrdrilc( olrhh Cny rM C.
$ovc tunrioocd prapcn, fo.
A ppl icanl or Aaent S ianllu a
UNDEB GROUND
Waste & Vent
Water-Under floor
Gas-Underlloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Linei Back Flow
Pool HeateriGas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
tplq lfi1n .afuirC-a'(l 'r.l)
Notes, Remarks, Etc.UI
ID/SIG.
P.rDllE u!r. Odd):_
Water Service
FINAL