HomeMy WebLinkAbout30138771 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CAg77o? Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 3,11138771
Pin #: 457li,4
q
Assessor'sParcel: 430-222-12 Lot] NA
Bldg:
Tract: NA
Address Range: 1901-1921.
Historic: No
Suite Range:
Zoning: Ml
Owner:
Address:
Phone:
Tenant Name:
lvy Geng
192'l Carnegie
Santa Ana, CA 92705
(9491 445-2435
UM Media
011'16002
01116002
01116002
01116002
01116002
0'1 1 16002
011 16002
51602
51602
51602
51602
53602
51600
51602
Qty
3.00
3.00
1 .00
3.00
205.79
1.00
1 .00
Fee
$4'1.07
$36.69
$63.12
$64.26
$133.76
$21.2s
$52.98
Fee Type Amount
Water Closet 13.69
Sink 12.23
Gas Line alter/extend/a( 63.'12
Wtr Htr (Comm up to 50 21.42
Plc - 65lo 0.65
General Plan Update 21.25
lssuance 52.98
Phone
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Subject lo Field:
Building Permit #
len
B
193944
1210u2017
o5t07 t2018
Account#
Misc. Receipt: 70303
Misc. Receipt:
Misc. Receapt:
Total
Commercial
Addition
Addn/Tl
Occupancy:
Constr Type
Code:
B, S-'l
VB
cPc 2016
Notes.
Date
Date
Date
Every pemit issued shall become invalid unless lhe wolk o, ths site
authorized by such pennit is commenced within 180 days after its
issuance, ot if the wod< authoized on the site by such pemit is suspended
or abandoned fot a period of 1 80 days after the time the wotu is
commencod.
$413.13
$875.05
($461 .s2)
lnspector MID#: 2017-138228
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Project Address: 1921 E Carnegie Ave Unit: G
Block: NA
Contractor:
Address:
Owner-Builder
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GHOUND ,4;-)
a<,*it7Waste & Vent talloln ii
WaterUnder floor ur
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rou gh Water Heater
POOL/SPA
P-trapi Drain Lrne
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn S prinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
**erZOzloslrq .n e)
Not es, Remarks, Etc.U rr -z
OWNER BUILDER DET,CARATTON
I h@by amrm undd FMIry of rcrjury rhll I d crempr trE th. ConnabE Licnk ljw for rne followirS rc!$n (Se.7031.J
BusiN$ !d P.6lc$ion Codc): Any Ciry or Couiry which eqlircs r l,6mn lo onsttur, !Is. in!ro!t- d.tulhh or EFit'6y
slru.turc. Fn. lo ilr isudc..ls. FquirB tlE rpplhsl lor sh Fmi lo 6k { si8rEd slar.ftnt $ar lE o. ilE b liccrerl pulslrr
lo $. nrcvirions ol tlE Conr6rois Lkcncd tl* (Chlplr 9, Comfti.E wirh S.cdon 7000 of Dilision 3 or lh. B8incas and
Pmfcssions Codc) or lhar h d shc ir cxcmpl rlEEhon eltd rhc haiis for rh. dhgcd cxcngrion. Any viohdon of Scdioo ?01L5 by by
appliconl for ! I'.rnn lubj.rls tlE lpl,lic.nt Io . civil pcmlly of ml mrc 60 riv. hu H dolles (S500).
-1.
as owE ofllp prctEny. or my cnnloFcs wnh v.eB I Ei. ek onlp.n$totr will & fi. wdl ard tE lmrtE i! mr
i.lcd.d or ofrcEn tor sk {Se.7044, Bosirc3r ud PrDfesions Cod.: TIE Co.lrdor'i La.M llv .kJ€ ml .pply lo M osB. of
lhc p,Dlrny wtb hlild! 6r ir+roB dx6n. rld sho &B sn ei( hinelr or l*elf or thhod hn o. hcr own cr'plortcs.
phvij.d rh'.l $ch itr{ftEmol3 @ el inrc.dcd.r off@d aor 5lc. ll hrffi, dx boildinS tr irprowmnt ir sld wilhin om )Erofotrpblbr t& OsE. Buib.r wil lEw llE hirdcn of FDrine lhd h. or dr dil ml tuild d inTrcrc dE 9lotEiy fq t,t po.!o. of
l. $ ostur ofrhc,,mllcny. !mcrclusiElycotrlE rin8 wnh licns.d conlr.doF ro.onslrucl llE pDj.d (Se.70{4. Busrms
a.d Eoissbn Codc: The Conlrdor's Lic.nf Llw docs mr aDply ro an o*no or pmlrny who nliEs or inprov€B rhclon,
rnd who onrrlcr\ lbr such pmJ.Tls qirh a Afl sl liccnscd pumu.l ro lhc Conrmltr r Lie.* llw).
I hcrcby afi undcr p.tullyolprjuryo'E ofrhc fol
-l
hlE ard viU minllin s Ccdifr.l. o,Corknl lo Scf-ln.urc aor w6rk6' .onrE.slion. 6 p,b{idcd for bys.clion J700 of0E
l,bor Codc. aor llE pcrfom@ ol E sort for whhh rlE pcmn is iaru.d.
I h!!c adl {ill tuiirain {orkc.i co4.nralbn inslEmc. I rcquncd by Seliotr 3?(n of lh. tibor Codc. for lh. pclfo.mrc of
fi. mrt for whkh rhis n(nn ir irscn, My worl6 mmpcnsslion in$.omc .eicr sd rnlicy nlnl,er e:
-l
c.nify fid in rh. p.rrotmRI 6r rh. work for wtich rhis ocrmil is i\rucn. I sfisll nol ctry,loy uy Frsn in !n, i rcr
e s
'o
tE{m suhj(l lo thc wrlcr'ompetr$lion laws ofcdifomin, $d aCft rhor il I shuld hrom subi$ ro tlr
qorlGl comFnsalion nrovisions ot Sedbn l70o of $. lntsr C{'dc, I rhal,. fonhwirh 6r{rly wirh lho€ provisions .
WARNING: Faiht lo *@ wo,kc^ oqrnsrion.owEgc is lnbwtul. lnd shall slbrc.l cn{,hFr lo ain nll pcellis and
cilil finc\ ur ro om fiundrcd rhouend dollar (Sl ,. ir addhion lo ll* ost ofcompcnetion, d!tu8ts ar povidcd for thc
s..ri,tr,.10?6ol rhc lrh,
I hcrchy afltn und.r p.tulry.f r.rjury rhrr previsio. oi Chlnlc, 9 (omnucinc $ilh Sc.li,n 7000) ofDivi\i<,n J
ol rhc Blsinc$ Md PFftsions Codc. dd my licctrsc is in tull forcc 0d cffccl
COIIIB],,EIONIENDNGJ
I hcrcby lffirnr !trdd trnolry ol Fcrjlr, rh rhcrc is a onsrrucliotr lcndir8 o8cmy for lhc pcriormnmc ollhcwork tu enich lhis pcrmil t
h\ucd (SN. 3ur7, Civ. C.)
dItlllANfDEg.rISAIlgN
I lrtdry lllirtu uidcr FnalryofFrju,y om oflhc followin8 daln.rions
Dcnniion Pcnnih Ash.sro\ Norificorion ledcn, Rcsullrhtrs (Tirlc40. Pan6)
Rdqutrd lrnrr or Mnifi clrbn
_l.cdirrrhar rh.tcdcalrcslhrn,nrrsrdingashcsrosr.nrvalnc nor lldi.ahlc to rnn pmj.rl
rcld lhG cpplicalion si srulc rhar $. at$w inr6mioo is .o@r I uere b sntly
ws rel,r in8 to 6!ildin8 con{rudirtr ard au|h6rn. rclftsnrdaEr olrht Ciry ild Connry lo c.!cr ul[n ttE
Water Service
FINAL
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