HomeMy WebLinkAbout30140332 - Permit (2)city of Santa Ana 20Civic Center Plaza (M-19), Santa Ana, CAI27O2 Plumbang
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 30140332
Pin #: 43221
Project Address : 1263 N Cabrillo Park Dr Bldg:
Tract 9207
Address Range:
Historic: No
Suite Range:
Zoning: R4
E'
Assesso/sParcel: 400-172.12 Lol: 12
Owner:
Address:
Harlan Levine
1263 N Cabrillo Park Dr
Santa Ana, cA 927013181
(714) 357-5050
Fee Type
011'16002 5160i Wtr Htr (Res up to 50 g.
01116002 5160C General Plan Update
01116002 51602 lssuance
Amount
22.25
22.O8
55.04
Qty
'1.00
1.00
1.00
Fee
$22.25
$22.08
$5s.04Phone
Tenant Name:
Rescue Rooter
740 N Hariton
Orange, CA 92868
(714177',|-7441Phone 60
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onsi: 3
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Stale Lic #: 765155
Lic Type: C-36, A, C.{2
Bus. Lic #: 319175
Workers' Compensation lnsurance:Carrier: Liberty lns Corp
Policy #: WA763D508631018
Expires: 1010112019
*t9 .
;P Fee
l
l1!riit
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2016
Noles: Change out
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allis v Date:
Date:
Date:11t27t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo* on the site
authotized by such pemit is commenced within 180 ddys alter its
issuance, or il the wod< authoized on tlE site by such permit is suspended
ot abandoned lor a petiod of 180 days aftet the timo the wo* is
commenced.
$22.08
$77 .29
$99.37
$0.00
$99.37
lnspector MID#: 2018-147915
011 't6002 51600
01116002 51602
Fee Totat
Paid to Date:
Balance Due
Unit:
Block: NA
Contractor:
Address:
Single Family Dwelling
Miscellaneous
Water Heater
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUII-DI:R I'I'LCARATION
I no.hy dfllrm ufrld lleMlry of perju.y rhd I an cxcnpr irem rh. Conlracros t-i..n€ li{ to. !h. a.lloqhS rc.$n (S( ?rrl l t
Eushcss rnd Pmlcssion Cod.lr Any Cily or Counly qhrch ..qurrcs ! ,mn r. .on{rul1, ih-. ihptok, &nxnish nr nr'.n .ny
srrucrur., piorlo 'ts iiMmc, il$ r.qutr* rh. aFplicmr lor$cnpc.mrro lilr.risn n d.mht rh'l h.orsh. b lic.n€d l)uNant
tr rlic lmvirn.r ol rh. c.nraclor s Liccnsd Law (chaFr.r 9, commcncnrs wirh Sectn,n ?U)0 of Oienidn I ofrh. Bu$n(s 0nd
I'n' Ic$om codc) or rhat h€ or eh. scxrtrr lher.fm and lh.h0sis lor lhc alk-qeri cxcmlrrn Anyvrol^rionoascctsn?(r:)l 5hy.ny
applrcr loraDcmirsijecNthe.Dplicantrorcivilpenrltyol'nolnn,crhanfivehundRldolltis($500)
_1, $ owEr of th. psFny, or my .mploFs wirh MB* N rt t $1. odp.d$rioi, will do tu w.l! and dE nrudr b ml
inr.ixlrd or off.rcd for sL (Sd.?04d BuiK ed Pdfc.lioo. Codc: l'll. Co, r..lor'r Lic.N. Lrw .b6 ml .n ly to an owr of
lh. p6pdy wt!. hitb or i,proc rlEoi\ !d who dc $cn so* hiN.lror hftlf or ihoo8h hii or h.. om cq,lor!4
pmridel rhar BEh inrrslnrm e rcl i.roxLd orotfold &r ak. l[ how,llE t{ildi,{ or lrpm6dr is $ld silhin oR rlt
oforpkrioq dr OwF Buitla *ill hlw tu burdo ofpmliis tlEr lE or slE did ml hlld o iqmw 6. pmFly for tlE ,!qn* of
l. ar own.r ofrh. pmperry, oD ciclnicly contr&rins sirh lic.tr*d conrracr.B to o.srucl rh. !mi.{t (S.c 7044. tsunmsi
and PNesion Cod.: Th. Contrcbls Lic.ne L.w doe. mr .pply ro 0n own r ofpropcny who hu il& or inpovcs lh€.mn,
and who $nhcts aor such ,miBrs with a ContEclo(s) li..nsd N6unl ro th. Conlrrclvt Lic.ns. L5w).
I m.x.mnl udcr S(lion . B. & t.C. fo' rhrr ron.
Dr,
.u&8aE8S:.CAUIIXSATTOB
DECIdSAIIQ!
I h.rcby ltnd !nd.r n.dlry orrrjury oc ofthc followins dftLBraoNl
I hsv(r.duillmainlainsCenificrtrofc.nr.nr ro sel nsu.e n]r sorkcs conDcnsalion,0s Dmv cd forhys(rbn 1700olrlt
l-al,)r cGa.. nn rh. pdlomm..f thc work for whi.h dc n rnril ic issu.{l
-l hov. !d qill minllin eo,l.tr con .Bariod inso6N. ar c{un.d 6y sEiion 1?00 of lh. titnr Codc lor llE no{.l111,m ol
thh ,mir ii rss.d. My worlss onl}.ndio. ir$dme cad.r and Flicy .umb.r sc:
t )
U\o-
-l
ccnify that in rhc perfomrc. of rh. w.* fo. shi.h rhi. lrrnl ii isiu.d, I3h.ll nol.mployrny lcmn in tny m&n..
$ * ro h.sm. iutict b th. mlt6' comr.derion laws olcalifohi4 and ast. rhar it I .tbtrld h.coft sbj.ct to th.
m.t .!' onrrm$tion lovirioN oas.ction l?00 oflh. LntDr Cod., I slsll. fonhsnh onnly whh rlb* ,ovkioni..
wARNlNc: IailtrB to sur. work6' 6m!.nsdion srm!. is unlo*tuI. .nd shall ohi{ an oploy6 ro ciminal FEhi6 otd
.iv!l fin.i !t lo ne hldrcd rhouend dolhn ($100,0{0)in rddrnn ro rh. cosr ol conp.nex6n. dim!.s as 8)rided tnr rh.
Sdion 1076 ofrh. Litfr Cod.. inl.r.s ard rtiorEy!lt-zT) g
r)r;( r.l\ra,\r'(r\
I h.Eby 6firm u.d.r ,,.dlty o r r.rjury that I m licBcd !rd.r rmvilion ol Chapld 9 (comm.in8 wilfi Setion 7000) ol Divirioo 3
ot $. Bu.iN snd PD,i.rioN Co&, &d my lic.M is in tuU aoM.td.fIer.
)
,.,. ,l-27\ l?
AtfucilLD[ct af,aua!
I tstlry ailm utul.r ,.nally or p.aury one olthc folloqins d.cl0rilions
UcnDlirion fcroik &hesr6s Norific.ton lredcml R.CuLrions (l[1.40, P.n()
R@uned L.ll.rof llorifi cdrion
-l
c.niry thar rh. a.dml csuldhN Ge&dine arh.sros Eooql u. ml appliobl. lo lhis pmj(rt.
-l
c.niry rhar I ha!. Md thir rrplicathn lid !lrr. lhar Ih. dtsv. inli'mliotr h conel. I .!rG lo on{,ly wnh .I Cn, lid Colnry
odtutu6 lid shr. Lrw. Ebri,rg ro aurhorn. rcpr.Edarils .frhir ( ry s.d Countylo.nlB uFon tlE
oh,v. mntiokd nmreay lor
Appllrtrnl or,{p.il SlgnNlur.:rn ;., lt'2)-lx
UNDER GROUND
Waste & Vent
Water-Under floor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Meter Release t,l
FINAL ftlbl$\t,vzr,M 'iA /u l, \-'Notes, Remarks, Etc It
9^"
goNilauquoNrDlDllc-acrxcr
I h.r.by arm und.r FMlty of p.rju.y thal ln E h s orstrucli.n Lidins asdcy lo. rh. prlom.c. oith. vork br whkh rhic !.mir ir
istucd (se. 1097. cie c. ).
L.nd.''! N!m.
-
Lc Jci( A,ldr.\t
/o Gru
Gas-Underfloor
Final Gas Test