HomeMy WebLinkAbout30128354 - PermitProject Address: 510 N Bristol St
Assessor'sParcel: 405-073-16 Lot: 9
Unit:
Block: NA
Bldg:
f 'aclj '1152
Address Range: 610412
Historic No
Suite Range: 6'10-612
Zoning: SPI
City of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) U7-5853
Permit #: 3O128354
Pin #: 93304
Owner:
Address
Contractorl
Address:
Phone
Tenant Name:
Amount
83.92
-148.69
'18.54
46.23
Fee
$83.92
$-148.69
$18.54
$46.23
City of Santa Ana/Gilbert Castillo
PO BOX 1988
Santa Ana, cA 92702
(7't4l647-5647
J&Glndustrieslnc
18627 Brookhurst St #302
Fountain Valley, cA 92708
(714) 903-2002
Fee Type
01'116002 51602 Cap Sewer
011 16002 51602 Min Fee Adi
011'16002 51600 General Plan Update
01 116002 51602 lssuance
Qty
1 .00
1.00
1 .00
1 .00
State Lic #: 571859
Lic Type; ASBS, A, HAz, C-21
Bus. Lic #: 160248
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 0802847-2010
Expires: 1010112012
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Demolition
Cap Sewer
176064
R-3, U
VB
cPc 2010
Noles: City projecufee exempuno bond.
Planning Conditions:
Planning Approva
PIan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
I Bv:
Every pemit issued shall become invalid unless the wot*
on the site authoized by such pemit is commenced within
180 days after its issuance, or if the wofu authoized on the
site by such pemit is suspended or abandoned tor a pedod
d 180 days after the time the wotu is commenced.
lnspector MID#:. 2012-104801
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
i0.00
Date:
Date:
Date:09t,19t2012
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
N/A - No Balance
Phone:
Occupancy:
Constr Type:
Code:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
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
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL /o/, "/t t,,At ,n
Notes, Remarks, Etc.
oMd-Blildo DeLnriotr
t !s.by rtrm und6 p. hy of pdjlry 6n I u en ford th. ConlIldotr' Li@E Lrw 60r Uc followiig t6on (d.?Ol l 5 Buind
.td Ptofeion Cod.): Ary City or Couty whEh rcqutg ! FDn 10 @@rruc! d. inprov., d.elilh or r.p!n ey rrrudu., ,rior to i!'i!tu!.., rho ,cqut6 d!. rppliGl for iucj pqmn ro filc . iiSn d 3[!o.tn $r! h. o, tb. i lic.N.d tust to th. provilioE of E
Coilrldor'r Li@N.d L.a (Chrplo 9, Com.eiry wirh SErion 7000 of Diviiion I ofrl8 BBin63 ud P@f6rioN Cod.) or $!r h. or
sll. n q.mF lhd.fiom rnd $e b.!i! for d. tlLe.d dmpiioi .A.y viollion of S.dion ?03 ! .5 by sy .ppliot for . !.mn subJ..lt r&
.pplidnl ro r civil p@Iy ol not doc n5& fiv. hundrcn dol]lR (Stoo)
_I, a om6 of dE popary, or my .nploy6 with Mg6 !r rhci, roL 6np.Mlio4 will do 0!. wo.k r.d rh. 3r!uc.u. i. not inrad.d
or ofd.d lor d.( 56 70,14, BuiGt.trd ProldioB Cod.. rh. Conricloa! L&8. L:w dG rc1rpply ro x omc olrn p.opdy
wlD buikb or improv6 dE@,! od who do6 ruch wort hi@lf or h@lf or rtuouSh his or ns oh dployd, providcd lt![uch
impro@.rE u. mr int..d.d or ofis.d lor slc ll hosve, 116 buildinS or inprov.m.n! i! rold withi! on. y{ ol @mpl.rio4 rt
Ow(BuiLld will hrv. ttrc budc! of p.ovioS thll t! or in nor build or ioproE for lh. purok ofoL}
I, a ohs olth. prop.n , u elosiv.ly @nh.ring w lieEt d @nu.cros ro @Nrrucr ih. Fojei ( 54 ?044, BEis* &d
Profsrion Cod.r 11I. Conr.crofr Li..B. L* do6 mr +ply ro e orM of propcr, *ho buildr or imlrovd 6.r@n , .d qto
6fu.6 aor iuch prcjel! witn . coturcr,o(o 1i...!.d ps6r lo rh. conr'.doi! Li@. rrw. )
I !n.x.hpr unds S.dion
-B
& P C for rhi! r6on
WORXERS COMPONSATION DiCLANATION
I hqc6y.ttirh unda peMLyofFrjuryon of ihr followirg d@leriod
_l h!e. ad viu 6.inr!i, r C.nilldEof CoE.lr !o Sclf-t86. for m cR @hp.MrioD, u provido.l for by Sccron ITOO ofth.
Lrbd Co&, hr lr!. pqforltl|@ of th. vdl for *iicb th. pqEn ir iriu..l
Ih.v.&d*illMi rin mrkar' oDpcutio, iBunme s r.qun.d by S.crlr 3?0o otd.Lbo. Cod., for th.Dafot neof6.
wo,k for which tti! p6ai i5 i$ucd. My mrle comp.Ntion @uD6 uric, dd poli.y nuhb.r rc:
fltu s*lion n .dtut b.6npLt.d iath. pcroit t fo. Ooc hundr.d dolbB {Sl0O} orlq)
I ccn'fy tl inrh. paform.e ol th. *ork aor which rhi! p.rmn i3 i$u.d,I !h!ll no.dployr.y pd3on ininynrnn.rsosro
bd.hc subjdt to thc workas onp.Brion .!dl8rert if I rhould t@@ rubj.c ro 6. worlct
CA \
WARNINC Flilurc to sccurc *orkc6'ir unbwnrl, Md lhrll Bubjd .n .mploy.r to 6mi6l pcMh'6lnd civilfu6 up !o on. hundr.d thou{rd d6lLr! (ll
the trbor Code, i d6r md i!@m.r'3 16
00,00o).i, .ddhion b th. @n of@DFMtioq d.og6 s lrovitd fo. rh. S{rion 3076 of
LICENSED CONTRACTORS Df, CLARATION
I ha.by lrtrm uda prDlty of pajuy tblt I s li@.d lds provnion of Cbpla 9 {@mm.ncin8 w S-do. Tooo) ofDiv6Dn 3 of
in Bui&lr .nd Prof6lion! Codc, and my lice6. ir i. lull fo,@ od dldt.
L E \ t3:<.
b Ir.trt,e
I hd.by.trm !ftld p.D[y of Fjury tl
irsu.d (S@ 1097, Civ C.).
kn ling lgcocy fo. ttu D..fodne ol !h. wo,t aor ehich rhi. p.rnit is
ATPLICANT'S OACT Af,ATION
Dmoliri.n PcrEitr'Albdror Noifiorio. r.dd.l R.suLdotu (Tnl. 40, Prn 6)
_ R.quu.d tatt6 of Norifiotion
I €nify th.r th. f.d.6l r.gularios r.8i.din8 db6tos renovil .rc nol rppliqblc lo lni5 projd.t,
Ls rehdng lo buildii8 @crrdio4 !.d h.r.by .lthoria rcptddlrrils of tlir
\
Q-, C..(n
I
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mbing-lnspodor R6.ord.doc 0331 06
POOUSPA
M isc
Water Service
WL
D{. __OM.r
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iad tha ippliotlion !d rEt th O. lbovc infom.tioi t @r*t I lsrc ro 6sply wnh rll Ciry lod County
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