HomeMy WebLinkAbout30139561 - Permit (2)Project Address: 2226 S Halladav St
Assessor'sParcel 016-104-18 Lot: 17
Unit:
Block: P
Bldg:
Tract: 668
Address Range:
Hisloric: No
Suite Range:
Zoning: Rl
E
,,
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, C*eZi6t" Plutnbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owner:
Address
Contractor:
Address:
Juan
Hernandez
Santa Ana, CA 92707
(714) 651-189s
lnter-City Energy Systems, I
I175 N DEL PLACE
Ontario, CA 91764
(5621 777 -1142
Fee Typo Amount
01116002 51602 Wtr Htr (Res up to 50 gi 2'1.42
01116002 5160C General Plan Update 21.25
01116002 51602 lssuance 52.98
Qty
1 .00
1 .00
1 .00
Fee
$21.42
$21.25
$s2.98Phone
Tenant Name:
Phone
State Lic #: 587709
Lic Type: C-36, B, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensation lnsurance:'Carrier: Zurich American lns Co
Policy #: WC03816460
Expires: 0710112019
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval Bla
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type
Code;Notes: Plumbing
Date
Date
Date
lvlisc. Receipt:
N,lisc. Receipt:
NIisc. Receipt:
Total
web user
Every pemit issued shall become invalid unless the wo* on the site
authotized by such permit is commenced within 1 80 days aftet iE
issuance, ot if the work authoized on the sile by such permit is suspended
ot abandoned for a poiod of 1 80 days aftet the lime the wotk is
commonced.
lnspector MID#: 2018-143919
0611112018
Account#
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
$95.65
$95.65
$0.00
Permit #: 3013956{'
Pin #: 58538
Single Family Owelling
Miscellaneous
Plumbing
R-3
VB
cPc 2013
\PLUMBING.INSPECTOR BECORD
APPROVALS DATE rD/srG.GOMMENTS OWNI]R BUII,DER DELCAIA'N()N
I hclcby rltm u.dcr Nnalr, of lcrjury rhrl I cxcnu riorn rhc cotrtr.k J Liccnsc ljw nn rhc iollorin8 rcrsn (Scc 70ll 5
Ausincss 0tu Prolc\sn'n (tdc) ny City or CouNy w[ic[ rcquncs . rflnil ro consrrud. ills. inl'rolc. dcmni\h .r 'crln u,
srucrurc. prior lo irs issuancc. llso rcqlncsrhc amlic l r'or such !f,rnirto lik 3 \i8ncd (lremnr rhtrr ll or\hc i\ lrrn\cd pr^arnr
b rhc flovi\nnN olrtE Conkfloi\ Licctrsed li* (ch.rr$ 9, cl)mnrNing snh sccrion 7000 of Divisnr..l ol rhc Btrsinr\\ nnd
Ptufc\\ion\ Cod.) or rh3r hcorshc i\.kc rrrrhcrr,i.Dan,lrhchr\islorrhc!llc8cdcxcnrpri.n AnyviolarionorSccrionT0ll5 hya y
.pllicanr lnru nci,nn \uhjatsrhc rmli.an' h n .ivn pc.nk! .r ior m,c rhrn llvc hundicddollars rs5(x)).
_1. as owner of rh€ I,DFdy. or iy crDloy*s qirn *agcs as rhcn sk coryEnsrion. *ill do th. wrk aid llE irrEt@ ir mr
iit nd.n or olf.rcd fo, $& (Se.7044. B$incai and Profesio.s Codc Th. Conh.roCa Uccns kw des .or ,Iply ro e owmr of
llt pmFfly v,x, builds tr inpoa thcmi, ud who de3 scn sll( hins.lf or bcisclf or lhmugh hh or h6 own cm!hlr*.
r,ruvi(M lh,r 3uch i,lmwftdrm mr i.rddcdorofcrcd forsh.ll howcw. tnc bildins or irplftmnl hsldvirhin (rur
ot@rmbrao rh. O*dr Buikb $ill hlt dE t{dcn of !rcvin8 lhd h. or sh. dil mr }Dild or in{,mw lnc po!6ly for tlE purlbs of
-1.
as ow.cr oI thc pmpcrry. !o .xcluii{.I, .onrturing wirh licen*d co.rracro. ro on{rucr rlE pmi$ (Sc. 7014. Busim$
ard Eaftssion Codc: Thc Contactol s Lic.nrc kq d@s mr lptly ro !n own.r of prop.ny who builds or impmvcs thcreon,and {ho co ra.6 ror such lmjccB wnh a Conrr,tu(r) liccn$d plrunr b rhc Coora.rq\ LEcnk Li*).
UABESS:IIIMPEIIAIIITA
DECI.Af,AJUON
I tcrc6, am,m lndcr pcMuy of r.rjury o* of rhc followin8 delaElhai:
-lharc
Md trillminra o Ccrrlicarc oaA,nsnr lo Sclf-lnsurc for workcr' .onwnsrr bn- rs Dmvidcd tn, h,Ss.'ri(,i.l?(x) ofrhc
L3txtr (_o{c- ior lhc psloi,roncc of lhc work rbr *hich rlr ,)mit i\ ksucd
I havc trnd *ill mlinrain worle.a conf.nr,lbn iftu,skc. ss Equtcd by Seti,n :1700 or rhc tlho, C.dr, for lh. p.rlormnc. of
rhc eo.t f.r shhh rhh Fmn i{ hsxcd. My work6 @dpcnsurion in.uEnce.n* d{ policy.umbcr m:
-l
ccnily rhrr in rhc pcrfonrrn . ofrh. work for whih rtir Frmir is issucd. I shall not.nployrn! pcmon in an, ru.ncr
$ db tEo,nr suhjccr ro rh. *ortcn compcn\dion luss ofcoliforni!. and lEE rhar ial should tE{om \lhrcsl ro ttc
wulkcn.ontn\arn,ntn,visions.rS.cri6nlT0OofrhcljlnrCodc,lshall.fonhwnh..mdy*iihrh.epm!iri.ns..
WARNINC: Failur. lo suE workeE omp.nsrk)I .owEB. is un!.wiil. $d shall slb,cd e c,phrlr lo dimiMl |aelras.rtd
civil fincs !p ro onc hhdr.d rhoo$nd dollm ($100.0m). in .ddirio. ro rhc osr of onFns.don, dles.s as ooritcd lor lh.
Sdion 1076 ofrhc bhor Codc. inr.rcsl ud anomy! lcs
LII;ENIEO.CANIAASIAA
DECI AIIAT(i]{
I h.rhy rfliii!.dcr pcnllryorFrj!ry tbdt I m li.cn*d u.dcr pr,!i\i.n orchrprr9 (conrmmi.S wnh s.crion 7ux)) ol'Divisn'n ]
ot rhc Dusirc$ !n.l Profc$trn\ Cod., !d my liccns is in full lbrc! uxj cfrcr
Corlo.lo.r_
caNsr&]!: 0NtiNIIxclGE!(r
I hcrhy rllnm undcr prnrl(y.l t^-.rurylhrr rhcrc i\ r.oNru.rim lcBlin! r8.ndy k{ rhc pdrlarmrn.c ol rtu s.rl1,, I hkh rhn Itrn,ir n
i!{rc(l(Sc. 1097. Civ C )
AITLICINLDE.CI"AB{IION
I lurhy jnnund$ pctrrlry oft,crjury otrc olrtu lnlbwnr! dc.ld tun\:
D.nri lir i(r Pcrmir\ slr\ro\ Nori6ur ion FcdcBl RcguL ions r-l irlc J(J. Pfi 6)
Rcquircd Lc(.rolNorilLdn r
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ccnify thlt rhc fcdcrat rc8llatiotrs Ega,{itr8 ash.sros nmval m mr apt li.at k ro rhn Inj.{r
odirrn.cs 3trd Shlcl-rsa rcldilr3t' huildingcon(rucrtnr rnd hcrchyndlFrtc rcprc{nrxlivc\ of(hi\ ( iryrD.tCornryk'.ir.r uE)nrhc
at$c nrnrn)ncd pn'Fny hr nrlpc(riotrlurtRr
Appli.nrl or Aeerl Sianolu
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough 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 6)
7,f,t -id da€tc,)fd?
Notes Remarks , Etc.
d4.a,_tz '/z-r d,/;- I a1/tl
Gas Service
Water Service
FINAL
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Mcx€mpl undcrSalion-. B. & P.C. forrhisrcasor
Dote Ovn.r
Li*N. Cbs: Liccns Nubdi
-
L.nder'r Nrm _
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