HomeMy WebLinkAbout30139587 - Permit (2)Bldg:
Tract 8924
Address Range:
Historic: No
Suite Range:
Zoning: R1
E
Assessor'sParcel; 108-721-14 Lot: 75
Unit:
Block: NA
@ 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 Sectaon: (7'14) 647-5853
Permit #: 3O1395E7
Pin #: 24756
Owner:
Address
Conlractor:
Address:
Phone
Tenant Name:
Vicky Nguyen
14272Webbet Pl-
Westmlnster, CA 92683
17141623-0204
H L Home
11071 Dune St
Norwalk, CA 90650
(562) 412-1818
01116002 51602
01'116002 51602
01116002 51600
01 1 '16002 51602
Fee
$13.69
$12.23
$2',t.25
$s2.98
Foe Typ€
Water Closet
Sink
General Plan Update
lssuance
Amount
'13.69
12.23
21.25
52.98
Qty
1.00
1.00
1.00
1.00
Phone
Stale Lic #: 812009
Lic Type: B
Bus. Lic #: 354204
Workers' Compensation Insurance:
Carrier: Exempt
Policy #:
Expires:
hi:44349 - 6/18/2r,118
ce3 (:TYH Tronsi: 80i: Ref+:
I0: pZr
st]l3
3! 28
T L tlr:r
tql+ttt229?872' 6/lg/2lt|$
ronsoct ion ToloI
rt t HonE
6enerol Plon Updote Fee
']u16002- 516000110-
F IuHb ins
ul1161102- 516112000-
l,l i50
CCi: *;x***rr*r**?5lS Aulh+r
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Additlon
Addn/Patio Cover
Chavez, Dave
10195551
Date:
Date:
Date:t 0611at201a
Account#
Occupancy:
Constr Type
Code:
R.3, U
VB
cPc 2016 Notes: New family room, powder room (no shower), & open
patio with solid roof cover.
(--
Every permit issued shall become invalid unless th€ work o/l lh6 slte
authoized by such pemit is commenced within 180 days after its
issuance, ot if the wo* authoized on the site by such permit is suspended
or abandoned fot a poiod ol 1 80 days after the time the wor* is
commenced.
lnspector MID#: 2018-141437
01 116002 51600
01 116002 51602
$21 .25
$78.90
$'1 00.1 5
$0.00
$100.15
Proiect Address: 1026 S Dennis St
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Planning Conditions: Shower not permitted in addn. All materials to match exisling.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS oWN!:I{ BUN-DER IJEI,CAR{]'ION
I hcrcl,y alltu uRlcr p(ulr, {'f p.rlury rhd I tnn ct. U from rh- Cotrhcftrs t-i.cnsc ljw fdr rhc lalb{iu rc6{r (Scc l0ll 5
Bu\inc\l J'd Pr.fc(\i,r Cd.): Any Ciry or C.unry whi.h rcqtirc\ r Frnrir h coNru.r, xlrcr. inrli(^t. dcrdnh or rclrn any
srrudurc. rrior ti ik isluMcc- slv) tuquncirhc ll)oli.rtrr lot such Pcanir lo lilc s \is,f,d {dc *nr rhd lror shc is li.cnscJ Prllurnr
k, rhc pn,vi\i( \ .frh. Cotrrrcrois Licctrscd Llw (Chrrr.r 9. clnn mcnrs siih Scclion Tri()l) ol Divi\i.n I .r rhc Btrsirrci\ nnd
I,rorls\n,nr(bdc)or rhrr h or sh. s .kmrr rhlrcrmn .nd rhct'\is Inr r[callcrcdcicmprnrn anyvidrrion.iScu'inr 70]l5 hy3ny
apflic{ r r,rs p.nnir rubJd.h(h. rmli.a.l h acivil|.na[yolnor morc rirn nlc huidrcd dolid\(35001
-1.
&s oemr of th. I,ol*ny. or ny .rlplorr. wilh wr8!s s iFir $lc on!.Mlio.. *iI do ir! wt dd tlE slrd@ h ml
i c'd.d or orcrcd for slc (Sc.?044. 8udfts ud P,lf.sriors C.dq TIE C! ocroa3 LieN ljw &rcs nol rpply ro & owE ol
dE FoF.y who hiftls or i,qtuB rlE@n, d who rlB sh w* hins.lfor hmlf or lhrcu8ll ti. c hr ovn.r9loyccs,
provilcd rhar such improw s e ml i cnd.d troficnd for sle, lt ho*.E. tlE hrildi'B 6 nrptDEEfl k $U wilhin om )€r
ofotrq,hrior tlE OwM Build, wiU haw 0E hrhn ofpoving tlEl lE or slE dil ml hild or irpow 0'c FoPdly for tlE pt!|b* of
-1.
.i owfr of rhc ,io!.nr. m cxclusitly o rrclinB with liccn*dcoorrlom lo.onsrtud llt por.cl {Scc.7044. BusiN
,d Proi*riu Codd Th€ Conrrckrt Li.en* tlw des ml sr'lly lo d own.. ot DroFny sno builds or improtr rhm6n
ond who ontEcrs for sucn pmjers qirh a Conmd6(, licced puRMr lo lnc Conlturol! Lien€ tte).
-l
amcxcmpr ud.r Setioi-, B. & P.c for lhi. t!@n.
Drl.:__ Owner:
IOASEISIAMSENIAIION
DECLARAT'ON
I hcEby artrm under pcn.ll, of Frjlry orc 6f thc following delr.iioni:
I h.votukt$ill rn.ir{CcnificrrcofCon{ roSclflr\urcr{tr$orkc^..nDcrsrion.!snmvidslturhySNrioDl7(x)ol,hc
lj}t{tr Gxlc. turrtu n.rnm rc.flM\ork hr$hich,hcpcnnir i\i$td
-l
hav. ,d will minlsin *ortc* conllcNolion iasaxq .r EquiEd by Ssliofl 3700 of lhc lrboi C!dc, for fic F{o anaof
fic sork for ehich rnis lf,rmil is is.t. My *o e6 odpcnsdl.n insuBK .tfrcr &n polty n!nb., @:
-l.cnify
th.l io lhc prformmc of lhc so for uhi.h lhis Frmir h L\rucd,I shall ml €rPloy tny persi i. nny Mncr
$ s ro h@om subjer ro rhe *oiGi .on{rns! ion l,ws ol Califomia. .nd B8N ltar if I slbutd tr.oG rubiEl to lhc
qort.ts @npcBlion povisionr of Sdion 1700 ol lhc Llt{r Codc. I nE[ fonnNilh compl, *,th rhos Pmvisions
WARNINC Frilurc to suc Bor*c6 coma.nsation.ovcEBc is unlawful. strd shlll slhj.ci an cinploycr to aininll FnalEs ud
civil fincs un Ioorc thdrcd rholsa.d dollos (!10o,0o0), in 0ddnion to lhc co or.omD.nklio.. drm8cs as Fovidcd for rhc
S.cri.n 1016 nfrhc lihorcndc inrcr.n MJ
"",",t6ltp.[ tE
^,0,,*o")4-
DECI.AAA.III]N
I hcrcby aritnrundcr pcnnhy oI r.rjury Ihd I an li.cn*d undcr pnvttun oaChalrd 9{connmmins *irh S.cli,n 70fl, ofDivi'ion I
ol rh. Btr(i',.s,M Pmfc(ions Codr. r m! li.cnsc i\ ii full lircc od cffccr.
\t
EANSIBUI:UANuIIIIINCAGIiI'CI
Ihcab!altrntund*nnrhyolpcrjuryrhdrhcrcil!con(rucrirLndinBr*cncyforrhcPcrlbrnEn.torrh.*orktuf,hichlhnIEn.irt
i$ud (Scc. .l(r97, Civ C )
I enify rhrt th. fcned Eslhthns EgardinB a.b.srd rcmvdl m not lppltobk l. lhh p&,xr.
-l
ccnif, llBr I haw rcld rhh .mlh,iion aid $ulc thal thc at-E iflfomion i. .onsr. I {8rs to conqtly qnh lll City &d Counry
odinanccs und Srurc hws rhnE ro buildi.8 con(ru.riotr and ncreby lurhod. i.
rbvc trrnriuEd pmpcny i, in\pdt,n lurl$sc*
Applic. or Agerl Slgolu )4
*-**';.ltil;Lf,
UNDER GROUND .4.
Waste & Vent ?1 lo,
Water-Under floor / ''\-)
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent t J.r.,t '0 .,[*a n
Water Pipinq /D)yt o\-,
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{raplDrain Line
ltrlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
I
Rouqh Plumbinq Yt /rr>
Final Gas Test tl 'ul
Meter Release
FINAL lp t I (Ti >r)
Notes, Remarks, Etc UI
ts(to o
conrncror:)l_
l. r' .
^.1d,-.:
-
A.EEUIANLDECLAXATA!
I hdry.IlnnuDdcr pctrrllyof pcrjtryo c olihc r.llowingd.cl0tuliotrs:
Dcfr,liri,n Pcnnns-Asb.sos Notilicltion Icdcol Rcaullrions (Tirlc 40. Pr6)
_Rcquncd blrcr ol Ndif{llion
Dr Ullt)\
Gas-Underfloor
Back Flow Device
,t ttP fttltt+"
r.nc.erJ4