HomeMy WebLinkAbout30117876 - PermitCity of Santa Ana 20 civic center Plaza (M-19), Santa Ana' cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738
Plumbing Permit#: 3O117876
lnspector's Section: (714) 647-5853A
Project Address: 2522 N Jacaranda St Suite:
Block: NAAssessor'sParcel: 396-372-11 Lot: 11
Bldg:
l.acl:7287
Address Range: 2522-2524
Historic: No
Suite Range:
Zoning: R2
Owner:
Address
Contractor:
Address:
Phone
Tenant Name
Susan Dulaney
2522 N Jacaranda St
Santa Ana, CA 927056943
(714) 633.{856
Appliance lnstallers lnc.
3823 lndustry Av
Lakewood, CA 907'12
(s62) 5954500
Fee Type
Dishwasher
lssuance
Notes: Change out. Mail-in permit.
Amount
31.00
Fee
$7.75
$31.00
Qty
1.00
'1.00
EX fr
State Lic #: 594282
Lic Type: C-36
Bus. Lic #: 0161261
Workers' Compensation lnsuranceCarrier: StatE Fund
Policy #: 1739711-2001
Expires: 09/01/2005
Building Use:
Type of Work:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Duplex
Miscellaneous
Dishwasher
Occupancy:
Constr Type
Code:
R3
VN
cPc 2001
Amsden, Julie 06/02/2005
Building Permit #
This pemit shall expire by limitation and become null and void if the wo* authoized by this pomit
is not commenced within 180 days from the date of this pemit, or if the wod< authorized by this
pemit is suspended or abandoned at any time after the wotk is commenced for I peiod ol 180 days.
Before such wod< can bo recommenced, a new pemit shall be lirst obtained to do so.
Date
Date
Date
Fee Total:
Paid to Date:
Balance Due
$38.75
$0.00
$38,75
Account #: 01 1-01-5912 lnspector
/$m.\
li44h?
#+*{ts
Phone:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
APPROVALS DATE ID/SIG.COMMENTS Oma-BuiftLr D.cl&lrio
I h4by.fllm ud.r p6dry of Fdory fi{ lMGxf,F am $. CoriEroc' Lic.n* be fq rh. folloqint rcad (N 70! I t BainB
&d Pmf..id Codc) Aiy Crty d CMt, *hich rc9!i6 r Fnu to @N$lcr .ltd, iFprov.. .lrtoliih tr Eprt &y lEkrut' prio. to iE
i!ru-c., .ko rlquic $. +pli r fd ru.h Fhil lo frl. r 3i!r.d ,rlld6t ln.t h. o h. i! licar.d pun6t ro rt. Prlritimr 6l th.
Cmt&rG ! Lis.d Lle (Cnrt6 9, Cm,tl4inl wilh S6lid 7000 of Ovitid ] of d. BBi.d sd PmfBtis! Cod.) thx n. or
th. n .xmP( tn@flm ed !h. bri! fq $. rll.i.d .xd9tion Any viol.li6 ol Scdo 701 I t by .n, lppli.d ad t Fmn lubjeB fi.
.p9li6r to . citil p.nnV oa nd ll@ tho liv. hnlr.d &lla (1J00)
_1. s ownd of d. Fopdy, tr my mployd wifi w.a6 s th.n loL .6p. .lion. *iU do th. woa ud $. !h.td. i. nd inr..d.d
tr oftr.d fd !!1. ( 56 ?04a, BurinB ud Phf.sion! Cldc Th. Cor&ror'! Li.ar. Lrw de! nor lDDly b M own.r oa
'h.
pr.r.ny
who builds d inFoe6 th.en, sd who do.r ruch wd! hielld h6.la* drcu8h hir tr h.r on.mploy..s. Fovid.d !tsuch
imp.oyftnl3 & nor inrcndcd s offdld fd tlk lf, ho*or, th. b(ildrng or imprcv66r is sold anhin on. y.o olcohpldion.lh.
Ownd'Builda willhiv. th. bur&r ofpbvi.S rh.t h. s!h. nor build or impror. for th. purpc. olsal.)
t. s own.r of 6. prop.ny, m crclBivcly co.r..1i.i *irh lic@t.d contui* to con{ cr fic poj6l ( sft 70.{4. adindr Md
Pmf6lio Cod. Th. C6idor'r Lica4 L.e dc nd .pply ro x owra of p.or.ny *ho buil& r inprov.s lhdon , ud *ho
c6r&s for luch prcj.cB *nh . coofuro(, lic.n!.d plBuur to d. cont&ror's Licnr? L.w )
_l h.xmF undn S.ci@
!oatrEa5lq!&l!$n0!_arc
I hcr.by.{Iim und.r p.nalry 6f Frlury on. Dfrn. follo*in8 deldions
_l h.v. sd will tulntrjn r C.rlifid. of Cdrdr |o Sclf-!tuuE ld wo.l6 cmF.sllion, s prcvid.n fdbyS.dio lr00of$.
uhq cod.. fd th. F rdfuc. of lh. *olt for *hich $. p. it ir isu.d
_lh.v. d *ill roinrin wdk6t comFnt.rion iNUMc.. s rcquiEd by S.si@ 1700 of th. LlLd Cod.. for rhc Frfmc. of rh.
*orl for*hich ti!Fmtirirsucd My wort6 .mpG1io insuruc.6idad policy norb.r.E
_l .fiify rh.r ii th. p6fd1ue of tn. *dt fd ?hi.h tnit Fdn t isu.4 I rh.ll nol dploy oy Fsn in uy mend rc a lo
b...m subjd ro th. rortd ' cmp. nion l.n of C.lifmi!, ud lge lh.t ir I ihdld b.cm tubjd to thc *ofi6'
.mF.gtion p!.visionr of Strtis 1700 of !n. L.baCod.,l rhill. farhvith cmdy silh $d. prcviti@t
WAix ING Frilur. ro rr.urc wdka c6Fnai@ .ov.r.8q it unl.wful, sd lhdl sutiel & dployd lo Fimrill F..luB ud civil
fin6 up lo onc hud..d 0Eu d.loll3 (lloo,oao),i. rddhioi lo fi...n of cdFrtarion. d.d.aB a providcd fd th. Sftlio.,076 of
lh. Labq cod., in!.rd &d .tl6cr', ld
LICENSED CONTRACTORS DECLAXATION
I hebr.mm ui&r Fllty ofFrjury rh.r l6liensd uid.r prcvili@ ofCh.pld 9 (.mmncin, wilh Setion 7000) of Division I of
ln. aBiiqr rd Prof6tim! Cod., ud my li@r i! in tull f@. Dd.fi.cl
CONSTRTICTION LENDING ACENCY
I h.rcby amm uhd.! Fddrr.f Frjury thar rhft is i conr'tucton l..d1n8 aSacy for Ihc pcrfomonc. oarh. *ork for trhth lhu p.frit rs
iss!.d (S.c 1097, Crv C)
Alturaar5..Dlc!,AEAMN
Dholnion PdiB-a$drd Ndificlrid F.d.r.l R.gul.riw Clirl. ,10. l.n 6)
_ Rcqsi !d t,ltn ol Nodfic.ri@
_l ccfiif, th ln. fcdnl c8ullli6r E8rdjng sb.sr6 rhovrl e nol .pplicibl.lo thii Folct
_ I c.nify d!.r I h.v. c.d rhi! lpglidion xd !d. d.! $. .bovc infmdion i cotr..l I 48,6 ro cmdy with n! Cn, ud Cdnt,
ordinsc6 ud St6r. Llwr nlrin! b buildin8 cotuructio. ed i.Gby.ulhdiz. rcprdolarivB oflhn Cny dd Ctunly lo dlr upoo dtc
r!.v. mon6.d Fo?.ny fd inJp.dion p!.ror6
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
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
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
\slNAL- b-Xptw_3-26-7t Ft4h)
Notes, Remarks, Etc.
PLUMBING.INSPECTOR RECORD
CEiF
Poli.y N,.b--Expnd
-
(Tht ecrioi ft.d ior bc.6rld.d iflh. pod i! fd On. hond!.d <lolla It l0oI a ld)