HomeMy WebLinkAbout30140313 - Permit (2)t
I
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714],647-5800 lnspectlon Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3014O3{3
Pin #: 6.258,4
Proiect Address: 1061 E Fourth St Unit:
Block: NA
Bldg;
Tract NA
Address Range:
Hisloric: No
Suite Range:
Zoning: SD84
E
Assessor'sParcel: 398-381-10 Lot: NA
Owner:
Address
Michael Martinez
1061 E 4th St
Santa Ana, CA 92701
FeeType Amount
0'1116002 5160i Wtr Htr (Comm up to 50 22.25
01116002 5160i Min Fee Adj 51.13
01116002 5160C General Plan Update 22.08
01116002 5'160i lssuance 55.04
Qty
1.00
1.00
1.00
1.00
Fee
$22.25
$51 .13
$22.08
$55.04
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
/2r/
nnsi
Phone llr
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Commercial
Alteration
Water Heater
Occupancy:
Constr Type:
Code:
B
VB
cPc 2016 Notes: lnterior. Auth on file.
Planning Conditions:
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
te Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa 1',U2112018
Account#
Every pennit issued shall become invalid unless the work on the site
authorized by such permil is commenced within 1 80 days aflet its
issuance. ot if the wo* authorized on the site by such permit is suspended
or abandoned fot a period of I 80 days after the time the wotu is
commenced.
$150.50
$0.00
$150.50
lnspector MID#: 2O18-147867
01 1 16002 51600
01 1 16002 51602
$22.08
$128.42
Fee Total
Paid to Date:
Balance Due:
Date:
Dale:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNuR a!tLtluR DttLcaRA I l()N
I herehy innr uDd.. ptn y olJr.rjury rhit lMexenrr lrch thc Contrcrna l-i..trse Li{ nr rhc [,ll,,w'ng rc,ch (seu70]15
Itusin.ri r Proaeson Codc): AnyCn,or CouDly qlnch.cqtrtcs o p.nri i, conrlru.',.l'8, nnnKrle, dcnr|sh or qsr an!
srdctrrr, Drcr t' s Fsrrnc., rko ftqlr.s rlE rrpl'cinr fttr such pern n, lilc. ssn d rdcm.nr ltd h.or slE h rcssl pus \
ro rhc pmvhions olr[. Gtrlraclo.s t-icensed L.w (( h0!r.r 9. Conmrncins $ilh seclion 7000 ol DivBion ] oi(hr Bu{ncs inda
Pnnassions C.de) orrhirheorshe ii er.nrrr the,efrom md theh.sh fffrhe ill.s.d.\cnuron nyrkrl onofs(hn70lltl.yrn,-
Dpnlrlnr ,i, r,!cnn slhJccls rh. lpplicrnr r. . oril pcmhy o l nor mr. ih3n filc hunddl Jollr. (S5flrl
_1. d owffi of tt poFny. or my .nplorE wi$ qirs d th.n sL otrD€darb,r will & t mit r,!d llE rlndE ie mt
inradcd or oltdc<l for sL (S6 7()44. B!.in4.od Plbfst N C.d.: TnG ConlEclol3 LilE L.w &t. bl opdy |o d owB of
th. rmp.dy wts lril& or i,tl,bB ltEml\ iid who drq $t sll( hid*lf or h.6.llo,lhmt8n hh or tE om.nPLrt*.
thvid.d $al $ch intprcwnEt! e El iddd.d o,.ft..d &r ek ll towe,llE btrildnE or i,r{ftrBrMl ii sld wilhin oE }w
ofotrpLlior\ rh. Owrc. auildE vill IBE rh. hodm ofp,lvng tlEr L or slE dil mt t{ild or ini'68 $. t,oFry for llE pu.F r of
_1. es o$,nd olthc !6r.ny. .o .rcluriv.ly c6 arinS with li..N.d .onlrsclou to snddcl llt Fsjc.r (Sd 7044, BBrffi
rnd htfdeion Cod.: l h. Cootncloa! Licens Low do.s ml lpply to a op..r of tmpdry wt6 buildi or impm!.s lhcr@(
aod who oni6cl. for iuch tbjak wilh a coilrrdo(o lr..tri.d pulMr io rh. Co rodor'3 LiccM L.w)
llEcLaSAUo!
I hachy lilim undd p@lr, ofpEjury oR ofth. following dehEtions:
I I'ir. d Nrll mndfln iCcdific.r.ofconse lo S.ltlnsuic f{tr Ndrhc('conr!.isalion,.s lovd.d lhr byS.crnnlT00of'ht
I-ahJr corL. fir rh. r'6l maM. ol ihc qo* lbr which rhe nfnrir is resued
I hrve rnd rvrllnDrnrrnrsorkers co'nnrnsrr on
'n\0rxncr.
n\ r.qtrrd hySe.ron r7([)firlE LahorCodt. Lrrherrhanimeol
lhc *or[ tur$h]clrrhh!.r, isFsd Mylvor[m d,nncn\nr(nr trsrr.'E. cini.r rnd lio[cy nurnhcr 3rc:
l'olicy NuDh.r
-l}rrcr
-l
ccni&lhrr in th. pofomtuc of rh. worL turehich rhG p@n is 6fled, I rhlll ml.mploylnypcMn in tn, mdnrcr
$ as b hor subje( to th. mdr6C €mp.nsltion t0wi ofcilifomio, and .sG inar if I lbuld t.sm $bjet lo th.
wo d' codDmrtio. povirioN oI Sc.lion 3700 of the Lak'r Cod., I shall. lonhwrln 6nply wilh lbs lJmvilions..
wARNlNc: llhE ro surc wofk.B onl,.Mrion o l. ond sh.ll shj.il e 6ploF 6 dininal pcEh
clvrl lin r u! t' om huodr.d tholsnd dollan (5100,00{o rht co{ ol conp..$roi.
Sect.n 10?6ofrlE I rh)r Code. inr.r.{ rnd
I hRby afiim und.r p.mly of p.rJury filr I m lic.Nd lndr pNlirion of Ch.$r I (6.1ming wilh Sdt
of !h. Bwi6r o.d Pmf6bM Cod.. rd my lic.M ir in tull foc dd .rdt.
_ Corlr..lor:
caasl!lJcu9N"LllulNc-f,Gflcr
I hcrby rmrnundd pcn.hyofrcrluryrh.r therc F n con(dcrhn lendrtrs as.nc! ror rhe Fr,imnce olrhc *ork hr *hicn n(s rdhir rs
'so.d (S.c ll09?, Civ C )
Lende' t ddr.rs
Allucaal![clABAlll]!
I h4l,y rllm und.r p.nolty of p.rjury orc oI th€ follotins dcctlnl(,ns
Oenolirr. P.rm r Ash.{os Norincalon lr.dcnl R.8ul0li.ns ( lnl.40, Plnr,
R.qun.J L.n.r of Norillcolbn
-l
c.diry rh.r fi. fcdcdl rluhtioB ceddiiS 6rb.{.r E@hl ar. nor lpplisblc to lhis pmFt
I asid lo mnplywnh allCity,nd Counly
ordiMtus lnd Slll. L!*
ab.v. m.nlioftd ,bl.ny
iv6 ol$E Ciryrnd County ro.nln lpon th.
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
lr4ain Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbing
Final Gas Test
Meter Release
FINAL \\h,q\\q LM}'\(
Notes, Remarks, Etc.
*",_&214D_
Roof Drain