HomeMy WebLinkAbout30139417 - Permit (2)Bldg:
Tract 1347
Suite Range:
Zoning R1
qProject Address: 2318 W Borchard Ave
Assessor'sParcel: 407-111-11 Lot: 32
Unit:
Block: NA
City of Santa Ana 20 civac Center Plaza (M-'19), Santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3lJ139417
Pin #: 8E97O
Owner:
Address
Phone:
Tenant Name:
Conlraclor
Address;
Jacob Zimlichman
230 Riverside Dr #6L
New York, NY 10025
(908) 25s-2178
Owner-Builder
01116002 51602
01116002 51602
01116002 51602
01 I 16002 51602
0'1116002 51600
0'1 1 16002 51602
Fee
$13.69
$21.42
$12.23
$42.85
$21 .25
$52.98
F€o Type
Water Closet
Shower/Bathtub
Sink
Sewer Alter/Repair
General Plan Update
lssuance
Amount
13.69
21.42
12.23
42.85
21.25
52.98
Qty
1.00
1.00
1.00
'1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance;
Carrier:
Policy #:
Expires:
P,atchi:43682 - 5/10/2t119 ID: ofiorc
0ffice: CTYH Tnons+: 39 3 ofAcct+: Ref+: 31.t13?417
Rcpti:02?6087(r - 5/10/201s 11r21 Ail
Trsnsoct i on Totol $1ri2rlr.,gJ
,Jo,:ob Z ifiI ich ttn
'ienernl Plnn updste Fee
lrl I 16ul:t2- 5160ut1011-
F'lUmb ine
ruoe.,
"u*'
i1iflrf.l'l3, 51602000-
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:\I
Date;
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
Single Family Dwelling
Addition
Addn/patio cover
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016
Hernandez, Kathy
Buildins Permit #: 10195694
Every pemit issued shall become invalid unless the wo* on lhe site
authorized by such pemit is commenced within 1 80 days aftot its
issuance, or if lhe wo* authoized on the site by such pemit is suspended
or abandoned for a peiod of180 days after the time the work is
commencecl.
lnspector MtD#. 2018-14',1715
05t1012018
Account#
01116002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
$21 .25
$ 143.'r 7
Address Range:
Historic: No
$164.42
$0.00
$164.42
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNIiR BUtI.Dt.]R DELCARATION
t h€rchy r ifln undc! t^..nalry ,,r p(rjuy rhd I d .x.n ln,6 rhc CtnrracnN l-icc \c llw lnr rhc ftrlo$ins @en (Se., 7l,.lr 5
Bu{i'r.s\ rfrl anrc$i{nr Codcl ny City or Croumy uhi.h r.quncs a ttm k' conirucr, ,lrcr, inwovc. d.rmlish oi to|ur ,
iruchtrc. ttrro ir\ ilsuai.., rho r.qrnci rhc orplicsnt rbr u.h pcnnir l,' filc ! silncd nrtcmrnt rhll hcor she is licc!{d pncuent
ro thc Ptuli\n,ns or rh. Co.rB.lor\ t,iccn$d ljw (Chnfrcr 9. conmc,Eins Nnh Sccrinn ?O(r) ol Division I of llE Bu{nc$ ntrd'
Itirt\\ions Codc) or ilDr lI or !h. ir cknpr rh.rciom lnd rhc hssir aa, $c rllcgcd crc.,flnrn AlyliolarionolSccrbnT0-ll5 by tr!,
amli.rnr for ! pcnnir suhjcchrhc il]pli.anl ro u.ivilpcnilryornor iktrcrhM filc hundrL{ doll!6 (!5(D)
l. r. ov*, of $e poJrny. or my.q)lolEs ,irh *agls Ds d.n $h onpenetion. wil do ihc mlk.rn dE s,ufu b mr
inlcJicd or or.rcd for sh (Se.7o44, BBies. and Profcsions C.de: Th. Co.rrclo. . l,irB Lrw d@r rcr qjply io e owB ot
lhc p6Fny *ho builds or irpbE! t E@r od aho dcs uh tu* himscll or tcrclf or ttmush hir or tcr o$i crqloyces.
pbvacd ft.l such imloEmnts E mr inLd.d orofGl f( elc. la, tbBE ltE bu,ldare q inpmEeDl i. sU whtf, oB J@r
of6.rpk{hn. dE OwN, Btrildd wul tEE tlE hrdcn of !revin8 $ar h. s slE dil mr hild or impow th. Fopsry for dr Frpo$ of
-1.
!s o*rr ot rh. fmFny. !flr c(clusiv.ly conrad in8 wnh [..ns.d ..ntd.r n, snshd ih. pn'rftr {Sdc 7044, Buvms
lnd PiuhssionC.rl.: Th.Cd.rrd{r\ l-iccnsc Lae.locs not rrplrlo !n o,ncr of [o!.ny who buiklsor im,rrovcs thcrcoo,
qnd who contncts for such lml.ch ,iln a co .rc'o(s) licc.$d puruor ro rh. Conrrd.ror's Ltc.se lj*)
-l
!,n cxcmpi under Sa'o/,t&qloIar -l
DES.AAAIIIIU
I hcnhy aaliro undcr pcnahy ot tojlr, otu of th. lbllo*ing d6l&srions:
I h.vc..d will mainlain a Ccnificarc ofconsnr ro Sclf'ltr$E for mrkcs .oml'cosrion, $ prcvidcd lor by Ssrion l'700 offic
Litor Codc. for lhc lErfommc ot th. Bork for wlfth lh. Fmlil is issucd.
-l h&w a.d will mainldan porlm compcniaraor iniuhme, as rc{!n d br Sccrion 3700 of rh. Llbor Cod., for rhc pct6.l1@c or
lhE sor* for {hich $n l'omi ar bnEd. My snl6 @m0.nsdion iNuMc 6icr ald policy .uhber e:
l.cdili rhar n' rhc rqrorroift orr& *olk aor snkh rhh Frnril h tsu.n. I shtrll nol cmplo, anypc,en in any mlrn
s s to h.crm subid b rhc *odcrs conD.n\0rion laws orcdlir.rnid. rnd 08m rhs! irI $duld b..om aubjd n' ih.
worlc*.o'np.ns,rionp&vi\bnsofSNriotrlT00.frhclrtxtrCodc.lsh,ll,fonh$irhcortlysirhrho*fbvisn,ns..
WARNINC: FriluE to suR rortcB' mnD€mdion svcEgc ir lnlawtul. sd rhnu slblri o .rplo)er ro oioi.rl FruliR dd
civil fircs up lo orc hubdEd rhous..d dolla lsloo.ooo). an addation ro th. .o{ of..rp.nsrri6r dlmgcs ns prolidcd for
'hcSdrion 1076 of lhc tihor Codc. inlmq &d
-,, { llolll
^tu -J Ll*'h n-
I,IE1;IAf,A.IIAN
I hcrehy om n uMcr t nrlry oi I'crjMy rhal I rnr lic.{d u.df rn,vnion ol Ch,Ir$ 9 (conmrm inC wnh S..l iotr r00o) ol l)iri\ion I
of (hc Busirr\\ind l,rofc\sn,ns Cod., rl nrt lkc.sc is ih lii ll 6..r aid cflirr.
qONEIAITCIONIENI)INI CT'!!IIhcrhtnllnno.'rumhyoftrruryrhrrrlrcisacon(rudt,nl. i,rgqcn.y ftrhcncrlonNncc.l rhc*or! nt whi.h rhn ,fnnit 'si\\uc.l(S.c .l(r97. ( i\ C )
ATTLICAtsI.IEII.AE{IION
I hcr*,y ofiim ! ndcr lcn0lly ot !'.rjury onc olrhc lbllowin8 ddldrarion(:
Dcnnlilioo Pfnnh-Ashc{or Norifi.otion Fcdc..l R.Sulrrio.s (Tirlc 40. Pan6)
R.qut d lltrcr of Ndifrdion
-l
enif, lh8l lhe fcdsal r.Bulrlions ESardin8 .sb.slos rcmrul ac nol |Fplkrbh to lhis prercrr
-lccnifyrharIhnveEtrdlhislpplicrrion0dnlrclhdrhc
rw nrforminr nconccr luBrL{ros'rplrwirhlllCiryondCouory
ordinanccs nod Srsrc liwr El,ring ro buildiry con{rudn,n, lnd hcrby aurhoric r!rc\cnrdilcs ofrhis Cn, rd Cou.(yro cnrn ulx)n tlf,
ohor mnri0*d pmncny ror in 4,^il k, *,",{,!ppli$nl o. Al:.nl sitnoluft n IC
auLilAd Tl+t l<i'
UNDER GROUND
Waste & Vent drale &)57-
Water-Under lloor
Gas-Underfloor
Buildin g Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Bou gh Water Heater
POOL/SPA
P{rap/Drain Line
It/ain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Hough Plumbing &,alP'7a 'z\,/
Final Gas Test lt u/
Meter Release I
FINAL t0l6hK fhtr*'t 04
Notes, Remarks EtC.I
Liccn* Clars:-Li.cnsc Nlmbcr:
D.t.: cortmtor
Tub/Shower Test
Miscellaneous