HomeMy WebLinkAbout30238134 - Permit (2)Project Address: 1332 S Cyoress Ave
Assessor'sParcel: O14-O21-2O Lot: 16
Unit:
Block: B
Bldg:
T.acl:245
Suite Range:
Zoning: R2
E
Permit #: 3O23E134
Pin #: 98609
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Vicente & Guillermina Gonzalez
1332 S Cypress Ave
Santa Ana, CA 927071317
(714) 4s4-9155
Fse Typo
01116002 51602 Cap Fixtures
01'116002 51600 General Plan Update
01 116002 51602 lssuance
Amount
6.48
20.56
5't .26
Fee
$6.48
$20.56
$51.26
Qty
1.00
1.00
1.00
,uo}rc€
oF woLAnoN
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buildins Permit #: I 02931 30
Every permit issued shall become invalid unless the wor* on lhe site
authoized by such permit is conmenced within 180 days after its
issuance, ot if the work authoized on the site by such permil is suspended
ot abandoned for a pedod of 180 days aflet the time the wo* is
lnspector MID#: 2017-134552
R-3, U
VB
cPc 2016
o5t3112017
Account#
01116002 51600
01116002 51602
$20.56
$57 .7 4
Fee Total:
Paid to Date:
Balance Due:
Noles: Remove unpermitted plumbing and cap back to point
of origin.
$78.30
$0.00
$78.30
Single Family owelling
Alteration
Alter - nrv
Occupancy:
Constr Type
Code:
Date
Date
Date
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 Section: (714) 647-5853
Address Range:
Historic: No
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
1
5r
(:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/srG.COMMENTS OWNER BUILDER DEt'ARATION
I h@ry .ftm u.rk p<ulty of pajury $a I M q69t tle thc Co,n .6oE Lic.e t * for ft. lollowiis l@n (se.7031.5
B$iB! &id Prcadsion Co<h)r Atry Ciry or C!o'{y which '!q!nq r Fmt to @rutucl, rlc. i6Fo1c &noli^ or tr,an !tfilc{lc FbrIo it3 iB@e,.to rcquiB th. !ppli.@t for su.h Fmi lo fiI. ! si8i.d dddr thrt h. or 3tl. i! lkcn.d Fclh
to fi. Foviriod! ot rhc ConrEctolr Lic6!.d L.e (Ctaprd 9, Co'm.NinB wirh S*rion 70m of Divhion I of tne B6ine! lrd
P,!f.$ionr Codc) or Or rEor shc ii qonpt rlEctom r.d rh. b..L for rh. dl.s.d doprioi. Aiy viol.tioi ofserioi 70t t.J by ey
+pltdt b. ! F@n {bjcl! rhc .pplic&r ro r civil po.lty of mt m.c th!. tivc h!.drcd dol!.B (ts00).
[1j]. c oue otrrc pmp<ty. or my.mplor6 wih w.E6 s rhct sL 6mp.n*doi. will.!o rh. wst rd rfi. srrucr@ i! oor-Inlqd.d oro,IE d aor rl.(Sr.7044, Blrind ud PrDfdioB Cod.:fhc Cort6crd t Li.6e LlN &6 tul6pply t horrcot
&cFop6ty *t!o huil& or tiFo6 rlE6r. dd wlD d.6 lrt @rl hilMlf or h6&lf or thmush hir or td om eplo)6.
providcd rhd 36h inp.ovqftd3drDr itrqld.d qoturd 6r slc. tf hoca6. rlr hliHi'E or irflEer i'mld$nninon )aofohplclior', tt Oq!.. Alilb win hlE U. hr&n ofpronng t, ll. or dr di.l @l hdu or iftpros th. poFny for thc plrro$of
-1.
a oMq of 1fi. FDprly. e dclBiv.ly conrr.lins wirh li.m.d .onl61oE ro oidnEl rtE Fojer (56. 70{4, &'siB
6td Pr!ftsion Cod!: Th. Contradoas Li..m. L.w do6 .ot lpply ro s ownd o f prcpqly who builds or ilnpre!6 thr6n.ed who co Ecrs ror su.h pmj.d5 vith d Conr6cro(!) ltddl,!B@ rorhcco r6cror's LiccBc L.w).
z
DECT.Af,AIIO!
! h@by altirn undd Fn.ly ofpqjory orc ofth. lollo*hs d.(bBtioE:
I havc and will ,nan(aio s Cdincarc olconsr to Sclf,lNurr aor Lvor te s coll]pemirnnr. as pl o\ ided aor by s{rn{ 1700 otlhc
libor Codc for rh. ,,oaonnancc oflh. $o'r lor sticn lnc ponn is isu.d
_ I h&c 6d will iainlrin work6 .omr.nsat ion iB@n c. I r.qutcd by Sd ion 1700 ollhe txb.r ftid.. aor rh. Ddf.rll@. of
lh. wo,k fo. which thie pmnil is isu.d. My work@ conpo3rlion insur.ncc canjd and policy numb.r &l
PolicyNurnbd:___nv
Utr(l<dit rhd in
'ha
pdfotum. or rh. wod( ror whkh dtu Fmir i! is.d. I shlll mr dnploy riy !o&r in .ny 'rmffi$ alo beorc 3ubjel lo lh. mrta'onFtu.lion lM oac.lifomi.. dd.gE rh.r if Llbuld bc.o@ rltid ro thcmrl6' cominstion p@viioE orscdio! 3?00 of th. Lrbor cod.. I sl6ll. fonl*nh omply wirh rho* provirioff .
WARNINGT Fsil@ lo cE s!rt6' oftp.Bdion ordrSc ie u.h*tu|. did sfirll subjal s @ploF to aihi.al poetb adciil litr6 up 16 on. hundrcd tho@.d doll6 {J100,000). in sddition lo rh. losr olcomFMlion. &'MU$ !r prolid.n for lh.
Sftlion 1076 oflh. L€bor Cod., inrdcl snd. <Jm.y iiS.3t- lV I
OECIAAAIIOT
I hcr.by aflirn u.dq poallyofpoj'trylllal I dn liccn*l undLr trorision of('h,pl6 9 (c.,nmcn.ins Nnh seclion 7l)00)otDivision l
of th€ BNins.nd F oaesionsCode, Md 'nr licc,R is in lu ll lircc dd cfi(r.
Li.(rsc( n\i: l ir. (( \tr rlr'
Co.tndo.:_
coNs't RUCfloN t,ltNlltNG cEN( l'
I hs.by amnn undd Ff,olrr.lpdjuryrhar lhft ii a consnlcrt'n l.ndinr as$ct lorrhc poh!n.r.c olth. \ro.k fitr shic[ rhis psnil is
isu.d (Sd..10e7. Cir C.)
AITLTCA.NTDECT,:1IAIIIII
I lEel,y .mN undc. !. alr, ol psjry on. of the folloNirs dNl0rar ions:
D.molnion PcrhiB Asb€sros Notificalion reddal R.AUlariotrs (r'i1.,10, Pe(,)
Reqoircd l-ctrd olNorifi cahn
Dlyrith lll( irtiid Counry
Ciry tud Counry !o .nld upon {E
abov. ,ndlion.{ prcpdly fot
Arpllcnnr or gorl Signrl!rc:o,,". sJ :1}
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnte r/ Clarifier
TOP OUT
Waste & Vent
Water Pi ping
Gas Piping
Tub/Shower Test
Rou gh Water Heater
POOL/SPA
P{ra p/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL r/z-*hl Gvuq>r-/Notes, Remarks Etc
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Roof Drain
Gas Service
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