HomeMy WebLinkAbout30139524 - Permit (2)Project Address: 2313 W Brook St
Assessor'sParcel: 407-072-23 Lot: 53
Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
city of Santa Ana 20 Civac Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: \714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714)647-5853
Owner:
Address:
Contractor
Addressi
Daniel Mohr
2313 W Brook St
Santa Ana, CA 927042809
(7141697-9224
Orange county Services dbi
3801 Lenawee Avenue
Culver City, CA 90232
(310) 838-0408
Fee Typo
01'116002 51602 Wtr Htr (Res up to 50 g.
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
21.42
21.25
52.98
Generql Plon Updote Fee
01t16002- 51600(10(r"
Plurb ins
01116002- 516(r20u(r-
ICL Check 033338
Qty
1.00
1.00
1.00
Fee
$21.42
$21.25
Tenant Name
Botch+!44065 - 5/31/?018 ID: ll6AR(
0ffice: CTYH Trons+: 76 1 ofAcct+i Refi: 3r]15952/
Rcrtt:02285218 - 5/31/2918 3t1g Pn
Transoct ion Totol $?t.65
State Lic #: 765436
Lic Type: C-36, C-20
Bus Lic #r 164117
Workers' Compensation lnsurance:
Carrier: Redwood Fire Casualty lnsurance Company
Policy #: M|WC81t668
Expires: 01/01/2019
orqnee Counte Services dbn Ilil
Planning conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Water Heater
Guevara, Jerry
R-3, U
VB
cPc 2016
,fi Hernanoez, xatnv 05/31/2018
Account#
05t31t20't8 l\risc. Receipt:
lVisc. Receipt:
lvlisc. Receipt:
Total
Every pemit issued shall become invalid unless lhe v,/o* on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the wo* authoized on the site by such permit is suspended
or abandonod tor a peigd of 1 80 days after the time the wo* is
commencec!.
lnspector MID#: 2018-143709
01 1 16002 51600
01 1 16002 5'1602
$21 .25
$74.40
Fee Total:
Paid to Date:
Balance Due:
$9s.65
$0.00
$9s.65
Permit #: 30{39524
Pin #: 57497
Bldg;
Tract: 3711
Phone:
Phone:
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
Notes: in garage
APPROVALS DATE ID/SIG.COMMENTS OWNI'R BtJILDI.]R D!]I,CARA IoN
I hcrchy slrim u cr ncnnlly or pcrjury rhar I um cxcnrnr ri. rhc Cin ftcl',N Ltcnsc li{ Ior rhc folbwnrS e,s'n (S$ 70:ll 5
Au\inc$ frl Pruristnr Cqlc)r Atry Ciry or (1)u y qhirh rcqutcs n rcnnil h .on{dcr, xlrcr. nnpr.rq dcasli\h or rcpun rny
{rurrorc. prktr b n\ n$am., rlv) rcquirusrhc rmliclnr ld uch pcnn'l ro ilc r \i!md {rlcnEnr Ihr! tEor shc i\ liccn{d pur\uunr
ri rhc lRri\i{ro\ ol lhc ( onnd.ror's !-i..trscd trv (Chrfrcr 9. (lnnnrcncins *irh Sccrn,n 7(XX) of Oivisnrn I oi llrc Busirrc\\ and
I'>n,fc\sn,nt C.dc)orrhrl hcorshc i\c$nu rh.rcfron od rhc b!\n nn rh.al!.!cdcx.trrt]ri,,n. Afly violrliorofSccti,n 70.r15 hyriy
lprlicr nr!pcDir suhjcc( rhc rpplicrrt, rcivil!.nakyornor murcrh!tr rirc hudrcd dolllr is500r
-1,
ss owncr of th. pmF y. or my crolore3 {irh qogcs &s thcir sb @mr.nstion, *iI do llt wk atd tlE sltwlc ic mt
inrs'dcd n oficEd fd sL (5€.704, a$ims .nd Pr.fesions Codc: TIE Conlrelol! Lice tiw (!o.s ml .PPly lo & ok, ol
lh. pmlEly who boildr or nq'mEs da&l! aln who dc! rBh s* hins.lf or hcelf or llhrgh his or hn own cnplottcs.
povilcrllh.l .uch i,p,o\rc@nls m mt , .d.d nofidd for slc, lf. lbrt6. rlE trilding or iqmwfrnl is $ld qbhin oE Je
of@rphlhr tlE O*nd Builihr wil hlw lhc h(hn ofpmtjng &d h. q rh. dll ml tdild or itrptut thc tiotE y &. ilE P'!Fc ol
-t.
!so*rcrof rhc Imltay, udclu.iwlymntB.rins wilh lk.ns.d co n lor b onnel [E pmj.d (S(. 71144. Ausimn
.rd nDtu.bn Codc: Thc ConrKtor's Liccn* Lap docs nor arptyto un o*nc, ofprcFny eho blilds or imptovcs lh.mn,
Md *ho @ rts for s!.h poFcr! siln ! C.n!.io(, ltc.*d pusul lo llr Conoeroar LLr.k ltw)
-l
dcicmfl lnderSccrh
troxf,ESslsoMEEBsAllo!
PECLASAIION
I hcEby !flirmlndcr pcnohy oI p.rjury.m olrhc lolhwinBdel.rclions:
-l
hcve dd pilt minrlin . ccrlirKlr of conr.t ro scla-lnsuE lor lorLsi oop.malion. rs povil.n for by seion l7m of th€
Lltnr Codc. for rhc pctolrl@c ol ihc worr for shich thc Frmil is isEd.
-l
hrE and will mainhin workcr' conpcBaiion in$ramc. a3 r.quircd by Sethfl l7m of thc L!ho, Codc, lor rh. lcrlorroflcc of
rhe w for khth lnis l'cmir is ir$cd. M, wo*6 @np.ns,rion insumc. .micr dd policy nunbct ml
Poiicy Nunr^(r
-l.rpr.'
-I
.cnify thli in rhe Frrormncc orrh. w6rk fDr *hkh rhis l*rnir h irslcd,I shlll nor cmploy rny !.Mn in onymanrcr
o ns ro b.$nE sublxr ro rhc qoicrs con{E.salion hws of Cllifooia.
work n mmFneiion pmvishns of Sslinn 3?0O of rh. Lihor
vcmC. iq unhwfiil. rnd shlll slhitr !n
,oO0). in rddirhn ro thc cosr na coa{Eo\ar
IIIIIUiDgTNIAACIOB
ITiCLIAAIIOI
I hcruhyxflir undcr tl.mttyofpcrjurylhol I am liccnsd !.{icr povi\i.n orchrprn 9 (o'nmrcitrs *irh Sccri,n 7m0) ofDivision l
0
Pofcssi.ns Cod., fui nry licens! k in 6iI forc and cller
3C
cQNSrBUt JtOIiUrSDMi j jillilr
I hcr-hy dlfi nuMcr lxnrlrtol tcluryrlurlhcrc n!.on$rucrio', h.di'rgrgci., Iorrhc p.rfonnrmc olrh.s.rk turwhichrhi\ Pcrmtr t
i\\ucnrs$ .1m7. civ c )
ATII.ICANLDECI.ABAIII}N
I ho$y rrm und6 p.mlty of pdiury oflc of tlt followin8 deLralioN:
Demlirhn P$ml.-Asbcstos Nolilicrtion F.d.nl Rcgul,lions (Tilk 40. Pan6)
acdcrul rcgrhrn,ns rlt'ding rsh.{osrcnhval
-I
I havc @d rhi, trpplicarion and srar. ttlst rtc sbov.I rgre ro .onl,l, vilh aU
Srmc L!*s rbrins ro blildinB.on(rudion.
UNDER GROUND
WaterUnder floor
Gas-Underfloor
Buildino Sewer
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Tesl
Rouqh Water Heater
POOL/SPA
P{rap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Meter Release Ir
FINAL l)It l8 t(ii-
Notes, Remarks, Etc.
PLUMBING.INSPECTOR RECORD
Waste & Vent
Area,/Storm Drain
Pool Heater/Gas Line
Final Gas Test
Lcndc.\Nam.:
-
L.nd6 i Adfcs:
-
f------r-----
I
f------T------
u5,/?1,':tr1B .i 7: 29 714438115.
tt3/LZt2gA9 tA:01 e3?8636
I-0STA IESA L:]C i
l T.€ FFICE
PA6E 841',8i
FA€ OJ
v-r 't*ll
Te4 ---l'L?V--trr===5--- .1-d.7eq.-{./f,'(. trs
iil{rt!.E#rdlNet
t10 €rB
fr
xIr'tDI
F_.E'''{Dr ir
t1
iNo t 0
Sl.lOlllONOo
SN
fNo
v I t_vo ]N l,
3Nn AtuAdqud Ivau,u"Ff"R]-] d:
lrt-a rErlsYNV,.td rold
55o
N
NOISIAIG gNINNV'Id
OSAOHeldV
{
l
I
1
tl
\r1 yae \@ [-4A
rrq\)1)u {1
sNOl-Llcli',1.
sNYld 3dv3s0N\n 1lfisns L
o:urrio;u e ttt.tlStros D
x= gcr,,.ir oi s"tytu?rvn t-tv E
^l/sNo[Yuf]l\ u/Jlb]!{J ohi E
A]MJ l.i" UolU:.LNl c
:MO-ll
NY O;IY33HC Sn:l.Ll Ol IC3l8n
l^fH funlnr uol sw]d Nlvl;
OLL)
O3Uln03U lrolISSdSNl CNINNV'l
VC A8 03UUfJSNVT
f$
Tri
ilt'lI
T
1l oL
,w,'.t)
----.-rvxtc
-Hgno