HomeMy WebLinkAbout30139939 - Permit (2)Permit #: 30{ 39939
Pin #: 43293
Bldg:
frcd 3741
Address Range:
Historic: No
Suite Range:
Zoning: R1
EProiect Address: 1518 E Twentieth St
Assessor'sParcel: 396-064-09 Lot: 43
Unil:
Block: NA
Owner:
Address
Contraclor
Address:
Dan L Lyon
t5't8 E 20rh sr
Santa Ana, CA 927057166
James Decennaro Plumbin!
4122 E Chapman Avenue, Sr
Orange, CA 92869
(7141747]t762
Amount
44.51
22.O8
55.04
Qty
'1.00
'1.00
1.00
Fee
$44.51
$22.08
$s5.04Phone
Tenant Name
91? I
Authi:236228
$121 .63
$0.00
$121.63
State Lic #: 869840
Lic Type: C-36, B
Bus. Lic #: 370088
Workers' Compensalion lnsuranceCarrier: State Fund
Policy #: 9221802
Expires: 11l21l2UA
Fltln Llpdnte F€e- 51,5t1r1r:1t10-
: ,rll.1rrlr.l
I'lostpr {-:qrd
CC+: *;r*;rI;**r*9867
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Sewer Repair
Chavez, Dave
52-c'
R.3, U
VB
cPc 2015
Notes: Sewerrepair/cleanout.
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
09/06/2018
Account#
Every pennit issued shall become invalid unless the wo* on the site
authonzed by such permit is commenced wilhin 180 days after its
issuance, ot if the wo* authorized gn the site by such permit is suspondod
ot abendoned fot a peiod ol 180 ddys dft6r the time the wo* is
commenced.
lnspector
011 16002 51600
01 1 16002 51602
$22.08
$99.5s
Fee Total:
Paid to Date:
Balance Due:
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requesls: (714) 667-2738 lnspector Section: (714) 647-5853
Phone:
Fee Type
01116002 51602 Sewer Alter/Repair
01116002 51600 General Plan Update
01'116002 51602 lssuance
Bqt,':h+:45775 - 9/6/2t1LB I01 NGARCIAtlfii,-er (l/li lrnnsi: 77 I 0i tAr,:ti: Refi: 30139?3,
R.pt +; r.t.1379!44 * 9/6/2gtg 3t14 Pfl
Tronso,:t isn Tot{l l1?1,6I
Jo es 0ecennoro
Jo es oecennoro Pluob ifis
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
MID#: 20'18-145953
PLUMBING-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNER ITIILDER DELC NATION
I h.rcby offirn !nd.r pcMlly of Fdury fiul I m qcnlpl &u $c Conlacloh Lie.e tlw for lte follo*itg rcasn (S€701t.5
Busin$s ltn &olcssi.n Codc)r A", Cily o, Connly enih EquiEs a r{mil ro mntMl, .hci in{)rev., &tulilh .r EIE dv
itrudllc. priir lo ns nsumc. al$ Eqdes lh. sPPltel for such lEmit !o ljlc I siSn d slar.m rhal tE .r shc it liccnsd 'prma
ro ltE l,hlisions of $c Co.trl(lols Li.cned Llw (Chptr 9 Comd..cin8 siih Scction 7000 of Division I of thc Bnsine$ md
Pofesions Code) or lhol lt or shc h cx.t{,r lh.rciiom snd rlE h@ir lot ilE llk8cd ex.nfli.'tr Ary viohlhn ofsdrjon 7031.5 bv a.,
,pplicer for ! pcmir slbjers rhc apllicanl lo ! citil P.mlly of Nt @E lh.n fivc hundmn do[rs ($500).
-t.
f,c ownn oflh. FoFny. ot my .DPlott* v fi qlBcs as lhet $le omp.tretion *ill do tlE wnt &d lhc s$r1@ n mr
inted.d or ofi.6d ao; ;h (Se.?o44. BNift$ ed Ptllcssion. Cod.: TIE Co trrort Licin* L!* &c! .d +plv lo o ow, of
rh. prcFdy who builds or in{,6ts Uxmn. .,1d who dms trh k* hiru.f or hmlf or lhDugh hii or hd own cmplo]eer.
pmvidcd Ihar such it ,lovtftnls e nol inkid.d o, ofTold ror slc. lf. hoevcr, rlI hnildin8 or iqmwmd h $ld wi$in orc Fd
;lor?L1ion. tL O*mr BoiB.. vil hlE rlr bldcn of povine lnd rE or slE dit rcl hnB or inprcE tlE proFrv ro lrE I,lrtDE of
-1.
as oercr oI rhe Is,poly. an cxclusile ly conirelinS uirh li.cned conl8ctoo ro co.stDcl lnc Imjccr (sN. 7044 Blsircs
dd PDrca\i'n Cod.: Thc Conlracror's Liccnr L.* dcs nol lmly ro u ornf of pnpcrl y sho builds or imlmts rn ..o..
d who onr@k 16r skh pmrrts wnh a C-nrdclo(s) lkcnrd puMnl lo rhe Conttclols Li.cnk tiwl.
-l
ah ercmp mrtc. Selio
lrrrc _ Otnrr
wotrx"xs corupoxSlrrrw
DECITIX{IXA
I hcrcby am.6 uod.. F.ely of lsjGy oN o{ rn. rollowin8 ddbtalions:
-t
havcandwillm'inr0i.sCcrlificalcolcorrntro s.l neurc for sorlds comptnsllion.ar lmvided ro! bvSNlion lT00 olrhc
L$or A'dc. foi rhc pcdommcc oflhc uo lor whth rhc lcmn is tsud.
-l
hnv. snd will roinlain wdrkcB' comp.nsation insuratuc. a( rcquind by Selioi 1700 of lhc Llbor c,dc, fc lh. p.lformft 'r
his ,crmir k ksD.d My vorkc6' conrFnsdion insnramc .aFi.r ud nolicy .u
L k n/ -19LL(Bot
-l
ccnily rhar in rlrc pcrfolmmc oa th. *ork for whth this i,crmn ir issucd. I nE nor cnDloy {ny Fson in aov lmmr
$ as b hcNm subitr ro tlE wol*6s comnchsalion hwr of CdlifomiE. o agN lhar ilIrhould t(oe slbr{l rolhc
wo*s €onrDcnsarion DrcvisioG ofSelt'n 3?@ of rhc hho, tuc.l dull.lonhvnh mnply wnh rlrc tttuvisions.
WARNINC: Flilue lo scw workcs' mnqrcnsalnin .t\ttug. is unhwtul. and sh0ll subirl .n cq,lorti to aimiml pcmLicr.nd
ro oic hundr.d Ihousand dolld\ ($l(x).(xx)). in 0ddilior h rh..o( oi.onDcnslrion. dam4cs as [ovidod f.r rh.
Sdion 1076 of rhc llb., Cod.. i crcn ddromy s acci
du ,fpnlonr:7 ?-
n ofChoprcr9 (cohmncing *irh SLrrirn 7(rco)
torncr"r,*<t)zl
I h.Ehy amrn under lf,ulty ol Frju.y thlt lhse h u on{
issu.n (s.c. 3097. Ci!. C ).
irscrct f6r thc nc onrMe oarhcsotk
Lrndd r Nrm.
k.dcar Addrsi:
-
APIUIANLDECIAMIIIJN
I l$$y alIntr undcr leialry or pcrjurt om oltbc folk,sins ddLtrrrions
Dcmlirion P..mirl^sbcalos Norin.arion F.d.ral Rcauhtions (Tirl..r0, P.n6)
Rcquircd t llcrofNorificrrk tr
iry lhar rh. fcdcrtrl rcsuLrln,ns dg,rding ash.sros rcrmlal are nor amliclblc lo lhn [.r..r
I hlvc rudrhis!r icllion 0nd ll3lc Ih,l llE tr ncotur I agd k,con[ly*ilh ullCiryrnd County
ur faws rlatin8 io bDildin8 .on(ruct r€prcsnraritcr otrhk Cilyand Cou.lyro Mrcr upon IIE
abovc Nnr i,ncd nmp.ny lot inspc.lio
ADDlica.l or Asonl Sistrot
P.mile nomc 1onnl):4 t l1
UNDER GROUND
Water-Under Iloor
Gas-Underfloor
Buildinq Sewer t '/rt/r* I iry?or-D /62 -
Area/Storm Drain I I
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbing
Final Gas Test
Meter Release
FINAL a 7/A/tt t .,//r/W /trZ-
Notes, Remarks, Etc./
-t
DATE
Waste & Vent
Pool Heater/Gas Line
Miscellaneous
I h.Eby rffifln undcr pcmtly of r.rjury rhd I sm lienan
of th. Busiftss alld Prefcsn'nc Codc, nrd ry liccns is in tuU trcc 8nd cnccl
r_r*^"cr,*, . ( - 5 G r_,.",,,"",^*,, . gCqgXJ_l)
',,",.1_H*
*", - ?- 6-i t