HomeMy WebLinkAbout30138264 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: 014) 647-5800 lnspection Requesls: (714) 667-2738 Inspector Section: (714) 647-5853
Permit #: 3O13E264
Pin #: 95920
Project Address: 2019 N Broadway
AssessoisParcel: 002-161-05 Lol. POR 9
Unit:
Block: B
Bldg: Address Range: 2O1t-2O21.
Tract RESUB ORANGE GBistodc: No
Suite Range: A-H
Zoning: P \g
Owner:
Address:
Phone:
Tenant Name:
Contrac{or
Address:
Mlchael & Lou3 Baron
921 S Broa.lway
Santa Ana, CA 927015645
(916) 698-6826
Foo Type Amount
01116002 51602 Water Piping (Each 100 42.85
01116002 51602 Min Fee Adj 0.00
01116002 5'1600 Genoral Plan Updale 21.25
0'1116002 51602 lssuance 52.9E
Foo
$85.70
$0.00
$21.2s
$s2.98
Owner.Builder
Phone
State Lic #:
Lic Type:
8us. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
6tf,/
nTo
oel
rol
6r"rl
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multl-Fsmlly (5 or more unl occupancy:
Mlscsllaneous Constr Type
Repair Wat6r Plplng Code:
Date:
Date:
Oate:
U, R-2
VB
cPc 2016 Noles:
07to6t2017
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
Teri
Every pemil issued shell bocome invalid unless li€ !rcIk o, thg sife
auiptEed by such pemit is cgmmen(fd within 1 80 days altet its
issuance, or if tho wot* autllotized on the site by such pemit is suspended
or abandoned lot a pedd o1180 days afret the timo the wgtu is
@,,l,motr@d.
$159.93
$0.00
$159.93
lnspector MID#: 2017-'137257
0't 1'16002 5'1600
01116002 51602
$21.25
$138.68
Fee Total:
Paid to Date:
Balance Due
Qty
2.00
1.00
1.00
1.00
Building Use:
Job Type:
Nature ol Work:
PLUMBING.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS owNan BUIl,t tS Dllc r TloN
t H, .fta u!& pory ol Firy {r t e aa$ t@ dr c6rD.a.n Li@ te 6. rh blbeint .d. {Sc.7!11.5
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iud!!. Fir i, i. irr-..' & .r$iq lt T?lrd tu. rxlt Fln lo fl. . .i!d d fir h. or &c i lild.d Flrar
lo rhc FlrbbE of tb Coltnaft Lk6r.d Lt* (c!B(, 9. C.rtucina witt S6ri, 70@ of Oivtb! I olrt BliE..d
ftlt ia Cod.) d lt.lE d !t i aaqr Oadlo d fi.lEi 6r ttE dL8.d q@Fi@ Aly lbldio! of Sclit 7011., !y uy
qls,r ftr.FEI dti..allt ry9t dro..iv pdlyot@i dtrb fiE ho(H&[.t(lim}
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irod r oltrd h. nL (Sc.rU.. BrliE d.l rr!ft.nod coib: TIE Cod-!6! lj.ga l:s .lo- Br ryly to !' 016 or
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.rd r.lb 6d.dr 6r Bi Flidl' * ! . c.'rr.ldl, lis-ri putur lo rl* com&ror'' Ltdg t&)
l6.ddilrsdd;7:6,- t 7
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DLr-_!_!B-\Lla:
I h@by lrm und6 pdElty of
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t { &d will o.ia!i, . Carlftr. of CoEtr io Sdt-lrqe 6. wt6 @qdri,t . FdiLd br b, Satir lr@ of tlr
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lh. ett 6, whtt rhi. Fni i iodt My srtd 6'!FEriD iffi 6b ri poltt Nob. G
I cdiry lh.r h tlE Ffo,rEa. ortlE *sl f6 etit lhll FEN i io.d. I trll 6r .qby @, Fe h or 6!G
- . lo h@od -li( to rL rut6 @qdid hs of cdi6mj.. !n iE lltr if I {buld b6.E abFd to lh.
srto @6patdbo D.!ri.b6 of S.6b! l?00 of 0E Lrbo. Cod.. l tlL fa{si! ody ert tu- FoEba.
cNl fiE uF lo on fiun&.{ lhoNrd dollD 100.000), i" ..ldirion ro th. con of cotrE@dioo d.e.s6 a Flvrd.d tu dE
Sd6n 1076 ofrl! Ut.r Cod., iflarn.d
7_ 6-17
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ol th Bui6 -d PrDf.riB Co& rd Ey lt@ ir i tulloc rn.tiEr
calirBlJgrcxrEdDl {itcl!(r
I hotb,fEh udd Fuh, ofFjury rhr rhd. !. co.dru.1nn Lndms 'Ifty fd rh. p6hmd.! oarh. $orl aor shichnrir pa' i\
usucd (se !097,cir ( )
tad..AAha _
AIU.ICAITDICIJEAIIO!
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-r.srirld
Lrra of ta.'tif..iE
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d&rsalaD46ld. Lr6 r.r4 ro h'lddr @etd.r in ha.U, A,IDE rera.dr^ 6 of rtu cfl, &d Cou,ny to 016 '4or dE.r-,.-,,&r-d" r- id-"-* 'l;"-/X;"-:?-Z-&"d / "-- -,. V - 6- /7
"-,,--\@ lcutS Bqrc^
UNDER GROUND
Wasle & Vent I
Water-Under floor/ il -Czt. I /,2/i1 "> \r>aLrlll f\(
Gas-Underfloor
-T
Building Sewer
Area/Slorm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pi ptng
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Waler Service
L awn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
marks, Etc.
DATE
,4.a.._fA--.'-
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FINAL Tltql ? '.tY Uort a I
INSP{2 2C]3 CRC
fhis document moy be lound dt...httc / 'I,.r'sant3-ana orqi oba,'
(P/ease use a black or blue ink ball-point pen)
*-SNTA
NAffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex Smoke & CO
Alarm Affidavit
Project Address: 7O t )011 N Erra"{r," ^Permit N umber:30 t3.DLq
Property Owner:Loo1, g Earcrt
Contractor:License #:
State of Californla requires that smoke and carbon monoxide {CO) alarms are installed in residential
bu ild ings.
California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be
"retrofltted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required loca tions.
A eo,t boxes below must be checked:
tJ
P Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
6edrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
*J-\fl Smofe alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
rodm, and on each level of the dwelling.
Retrofitted detectors may be ba ttery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall {SFM). Battery life must be 10 yeai.s.
I hereby certify that I am the contractor or the property owner of the above project. lfurther certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
manuf acturer's instructions.
S ignatu re:-4. 0,,r*'"".-^ ll*Dot ?:7 -.)f '/7
lcheck oneJ tr Licensed Con tractor P roperty Owner
NOTE: fhis self-certificotion is only used lor projects thot dffect the EXTERIOR ol the structurc. This
ptocess is applicable ONLY to prcjects where occess to the interior ol the dwelling by d Sonto Ano
lnspector is not requhed.
Have this completed form and the job-card readily available on final inspectionl
P.O. Box 1988 (M.19)
Santa Ana, CA 92702
(714) 647.s800
w!\ ,v sant3-ana.otq