HomeMy WebLinkAbout30139559 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39559
Pin #: 34923
Project Address: 5302 W Roosevelt Ave
Assessor'sParcel: 099-21247 Lot: NA
Unil:
Block: NA
Bldg:
Tract: NA
Suite Range:
Zoning: R2
E
Owner:
Address:
Contractor
Address:
Peter Pham
5302 W Roosevelt Ave
Santa Ana, CA 927032424
(714) 642-6608
Owner-Builder
01116002
01116002
01116002
01116002
01116002
01'116002
5'1602
51602
51602
51602
51600
51602
Notes:
Amount
13.69
21.42
12.23
42.85
21.25
52.98
Fee
$13.69
$21 .42
$12.23
$42.85
$21.25
$s2.98
Fee Type
Water Closet
Shower/Bathtub
Sink
Sewer Alte/Repair
General Plan Update
lssuance
Qty
1 .00
1 .00
'1 .00
1 .00
1 .00
100
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
8ot,:htr4{232 - 6/1lz
off icel CTYH Trfln:
Accta:
Ecpti:02291849 - 6.
Tronsact ion Totol
2n1g
Refl:
I 1./2r:r 1
Peter PhoD
$1r l4S
$1r 148.6I
6enerol Plon update
r'll11600?- 51600000-
Plurb ins
(r111600?- 5l6rl?0011-
Cnsh
Building Use:
Job Type:
Nature of Work
Occupancy;
Constr Type
Code:
R-3
VB
cPc 2016
Single Family Dwelling
Addition
Addn/patio cover
Planning Conditions: All materials to match existing
Planning Approval By
Amsden, Julie
Subject to Field
Buildins Permil #: 1 0195256
Evory permit issued shall become invalid unless the wo* on the site
authoized by such pemit is commenced within 1 80 days after its
issuance, ot if the work authoized on the site by such pamit is suspended
or abandoned tot a patiod of 1 E0 da$ after the time the wotu is
commenced.
o6t1112018
Account#
Convert existing attached porte-cochere into a family
room & full-size bathroom.
Addition of attached patio cover. Flood zone A.
Existing house 1041sf, proposed addition 240sf, less
than 40%.
$164.42
$0.00
$164.42
Plan Checked
Permit lssued
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 2018-140775
01116002 51600
01116002 s1602
$21 .25
$143.17
Fee Toial:
Paid to Dale:
Balance Due:
Address Range:
Historic: No
Phone:
Tenant Name:
PLUMBING.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
UNDER GBOUND /^
Waste & Vent '.zq.B 'llrn ?lrbv
Water-Under floor
Area/Slorm Drain
lnte orl Clarifier
TOP OUT
Waste & Vent
Roof Drain
Tub/Shower Test
Rou h Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pi n
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn rinkler
Back Flow Device
U4: E -f.Rough Plumbing al toltgG v2)
Final Gas Test U'
Meter Release
FINAL ffirua
Notes, Remarks Etc.
OE?IER BUILDER DELCIRATION
I hcrcb, atfun uds Fnalty ol Friury O l 6.rcmpt lrcn th. Co 6.lou Liene La* for ttE folLshB ,.ren (Se.7OLj
Businc$ 3!n Prolo3id. Codc): Any City or Cotrhly {hkh Equircr r tsnn io o.srd.( !tr6. irpb*. d.mthn or EFir lny(Murc,lriorrotu isuaN, llr rcquiB the.pplicMl lor such Fmi ro f c!sigmdidcmd lh rEorsh.btkcn*d po;o&r
ro llrc povisio,s of th. Comn loas Lien*d trw (Cluptcr 9, CommminB sith Serion ?OOO of Oivision 3 of ltE Busincss a.d
Pmtcssions Codc) or rhrt lI or .hc ii crcmpl rl*rcfrom ..d thc tEsis tor rn. rk8cn cr.nptiotr A.y {olsrion of Selion tol t ., br rny
amlic. for . ,Emir subiels rlt lpplica to a civil pc@lry of tur mr. thln filc nu rcd doues (t500).
-1.
a ow*r of rhc |lml'eny, or my cmploFes wirh w.eca eq thcar stc onpc.sat ion. eitt do dE m* .In rtE nnt1@ i. mt
inrei&d or o,Lrcd td eL (S( 7044. Busincs ,nd Pma.sionr Codg Thc C.nlrodols Liccn* tlw dcs nor ortty to cn owmr ot
lh. tmpcny *ho hoilds 6r inll'mws ttEMn. .nd who de. *h e* himFclf or hcMlr or rhftrgh his d hcr own cnrlolB.
providcd lhrr such imprcktunh arc mr hrcndedoroffcEd for eb.lt h.Eer, ficbuitdinBor nrrmwm is sld wirtin one rwof@nll'ktir lhc Owftr auitlo will hor lhc budo ol pr.ving thar hc or shc did ml h.ild or ift+&r 6e nmlcny aor th. pu4Ds of
asownfoarlE pmp.rly. m€rclusiv.lyconnEtins *nh lensd.o 6.106ro conslruct th. proi.d (Se. ?O{4, Burinc*
ald PtDftssim Codc: Thc Conreloas Liccnsc L{w de3 ror arlly to !no*mr oaproFny who bnitd..r inprews d.rcon,ond who @ $crs for slch Fmlf,rs viri a C.nielo(, lic.sd pr6u{r ro rhc C.flractois Liaosc L3v).
-l
rm crcnDr ldcr Ssrion . B. & P.C. tor rhis Esson
It o.*. ?
\\oRXFR$ CONIPENSATIoN
Dr.cI ,\niT(tN
I hcrcbydfiirmundcr p. lryolp.,juryomof rhcfollowinEdnladraons
l.rhtr (,trlc. li{ rfu D nr r rc ol rho {o,k nn rhich rhc ,trrrir n niut
_l hlvc and willdai.rain qortcB comp.ns.rion ins!.inc.. trs rcqutun bySccrion17fi)ofthc Lahor Codc. for rhc F formec of
rhc work for which rhi pemi is isn d. My wor*B .on cDsarion insumncc .fi.r 0d Fli.y .unber m:
-l
enif, fiat in rh. pdformm. of !h. wort fo whirh lhk Frnit is hsEd. I shltl.or cm0toy any p.mn inrny lmde &s to bccom suhier ro llE slt6 6mpcn$ti.n lN3 olcdiromi!. .nd +G tnd if I struLl bcne subirr h Be*c6' ohFMrion lDri.iooa of Scction ll00 ol lhc t t r Cod.. I slEll. lonnwitn onply uidt rtos poviiioni..
Sccrnr .11)76 olrhc ltrlitr L]trlr. cfun nnd ronry ( t.cs
eL,fl!J2a)g- eepr*t ?4E*' LICFNSFII CONTTUCT(JR
DECI.ABAIIqI
P++Ar.r
I h.re6y lrtrm undd Fndry of pcqury thlt I am lisn*i undc, ,ovision of Chaptc 9 (.omEing wilh Selbn ?OOO) of Division 3
of lhc ausires dd Prcf.ssions Codc. nd oy licen* is in tult foE. .rn .l[er
(xlNsrRuclI(lN I ENDTN(: ]r(:FNCy
I heEby rfirn undcr acnulryolFiuryrhd rhn. is a onsrtudion h irS u8cn.y for lhc poror@oce of rhc vo* to. which lhi\ Frmil k
issu.d (sc. 109?. Civ C.)
APPI I(IAN-I'DIC! A|LA I(TN
I ltRt,arllnnutucr Fndxt orl).rlur, otu ofrh. followinB dn.'hr ionr
Dcrml ionPcnnirr \hcnor Noriicdio. Fidcr.l Rceutrrnn\tlnt.(). Pan6)
Rcqdtci Lctrcr ol Norff, Jrhi
-l
dily tur rhe fcdc.ll rcslhrk ns E8lrding .shcsros rcmvd arc nol {pplicrbL b rhis pmF.r
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enify rhul I navc rdd rhi*.rplicarbi d stutclhll ln. abovc inforturion is cotrcct. I asre to ondy wnh altCirysid C.lnry
ordin0n.{r rnd Srarc Llss rchrins ro bxilding co.stucrion- and hcrebt Drhorir rcpescnrlrivcs ofrhis City&d Counryro chr.r
ft[n,tud por.ny lirr msFcri pur|oscs.
^, ot/tr/tpt4
DATE
Gas-Underfloor
Buildino Sewer
Water Pipinq
Gas Pipinq
Sanitary Sewer/Cao
/-8-/8 5:VZ
'+4 P,?flar4
L.1dn's Addrcs:
ar1,1
I DATE
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