HomeMy WebLinkAbout30241666 - PermitProjectAddress:1809 S Ross St
Assessor'sParcel: 015-051-09
Unit:
Blocki NA
Btdg:
Tract 1166
Address Range:
Historic: No
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: (7'14) 647-5853
Permit #: 30241666
Pin #: 643K{
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
lnzunza Buildprs lnc
11650 Church St
Rancho Cucamonga, CA 9'l
(562) 572-6405
01116002 s1602
01116002 5160C
01116002 51602
01116002 5777C
Amount
7.22
22.95
57.20
3.9'l
Fee
$21 .66
$22.95
$57.20
$3.91
Fee Type
Cap Fi)dures
General Plan Update
lssuance
Microfilm Records
Bobch+ i 5
0lI icel
Qry
3.00
1.00
'1.00
1.00
CTYH
l2/9/2O19 ID: CCUELLARTr0ns;: 1?7 1 r:f 3Ref;: 3(1241666
Rcpt+:0?831773 - t2/9/2lt!9 4!27 Pn
Troneoct ion Totol $S44.99
Inzun:a Bu i lders Inc
6eneral Plon lrpdote Fee0 16002- 916001100-
Plumb ins
01116002- 516020(rs-
llicrof ilt) & 0ocunent E
01I161102- 577700t10-
Visa
CC; r *********x**9710
s?2.95
$78.96
$3.91
Building Use:
Job Type:
Nalure of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Single Family Dwelling
Demolition
N/V-Demo
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2016
"v
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Alli
MID#: 2019-'156392
1210912019
Account#
01 116002 51600
01 1 16002 51602
01116002 57770
$22.95
$78.86
$3.91
$10s.72
$0.00
$105.72
Suite Range
Zoningi RlLot: 15
Luprecio Reyes
1809 S Ross St
Santa Ana, CA 927072226
(562) 6234300
Notes: Cap all upermitted plumbing
Phone:
State Lic #: 1054458
Lic Type: B, C-20
Bus. Lic #: 374563
workers' Compensation lnsurance:Carrier: State Fund, Policy #: 9255476
Expires: OGl11l2O2O
Buirdins Permit #: 102102480
Every permit issuod shall become invalid unless the work on tho sito
authorized by such permit is commonced within 360 days alter its
issuance, ot if the wotu authotized on the site by such pemil is suspondod
or abahdoned fot a period 01360 days after the time the wo* is
commenced.
Fee Total
Paid to Date:
Balance Due:
lnspector
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS olrNl:R utlt,tr0lr D!:t,cAR,\ r()N
I h.r.b! rfinn trndd !$rlry nr Nriur rltd I r .r. ,tr fron' rh. (ln rrckm t.ic.nsc La* lnr rhc tulkNng rcn\ r rS..7oll 5
ro rhc pr{,rni,nrs ol lhc Conlrrcto.\ l,iccnscd lr\ r('hrnr.r 9. C nn.n.lnS w rh S..rio. 7($0 ol I)iri\ion .1 of rhc Bu\nrs\ rnd
Pola\!kitr\ Codciorrhrrlror\hc n cxc rtrrho(lionrrn rhc hr\i\ lar rlt allcgrd crr {rtrnr Antri('lxr( olS.crr Tlr]l5hyrny
xtfli.rnr ntrr ttr'n,n suhic.hrl[ rppll.r0r ri r.iv'lJ[trrlrvol tur nxncr tr li!. hutr,lr.dJolhn lS5lx))
-1.
tr\ ostrool rhc ptr't,-rry. {,u) cnrploycc\ *ilh wr8es$rh.n vnc.onrpctr{nnr. rvill o rlE$or[r d rhc \turui. i{ rx
i'ncnd.d or orrr.d tur \rlc ( SLr 70t!. Br\ihr* md Pn,fcsion\ Co{lf Il'c Coitn(tr \ l-i.r * Ljw dn.{ nur amly t, rtr .wtrs ol
rhcln,t. y *tubuildsdn\r,vc\rhr.ui.dxlsh.d,r!\u.hr\rkhnn\cllorhcr\cllrrrlnonlhhi\orhcr.q..Dnk,tfu\.
oI.lxnrLri,,n. rtf, {)w.cr Buillcr *illhivc rhe ludcn.lpr'\ing ihrr hc or nr did nor hui or i'nnro\r rhc nn,riy fttr rlt nrllr,*or
-1.
{sotrn.rollhcrn,rcrr}. itrrcx.losivcly.otrtr.tr! {irh li.ctrsc coihr.ttrrt,..n{ru.r r,f, lrload lscc 7rx]. Bu\ir.\\
d, F\rns\ir (inl. 'l'h.('d nrnr'\ l-i.cn\r l-swdncs norrlplt t) Jio{ crofr(itrc t{ho huild\.r nntroves rM.con.
lnd sho conriicrstn un t,olccrs u'irh u (ilrrtucnn(s) liccr{(r pu \urtrr b rhc ft.r,lcntr sl.kcn\c |JNr
-l
amcxcmpl utrdc,Sccrion-- B. & P.C rnrrhG rcason
Df,lr: ()*n€r,
IIOBKEBIU:AMPINSAI]ON
IECI.AXAII!]N
I h...hy rrftrn undcr pcnlh, of F jury om ol lhc followin8 de..ltrllionsl
-lhav.itu*illauinxrioa(tnilicltcofConstrrroScllltr{{ctursorlcn'conr!.ns0rion.us
i,ovidcd n hySsrio!]7(r)ofrtc
trtnn Codc. hr thc nsfoirutr.c olrhc wo for qhich rhc Dcani i\ nsucd.
_l hlvc and Rill@inl.i. work rs .omlEnsarion i.samftc, $ rquir.d byseri.n 3?m ofrhc bbor Cod.. for lhc psfo.mrc or
lhc m lor whih this pcmn i ir$.d. My wortda .on{Ens' io. insum cmicr od ,slicy numb.r m:
I nlvren R. Fv^a4z.ts ?o
I ccnilythlr in rh. pfilormn.. ofrh. Dork 16, $hichrhi\n*nl h hrucd.I rtull mr cnDhyonyp.Mn inanrmnmr
ir N ro tEom s!$lf,t lo lhc vo sl coqrnsarion kws ofc.liforn ..d.se
'nal
if I sholld lccom slbFl roOc
wo*.G cuwnsur ion tmli\ions of Sction l7(,0 oa thc Lah, Codc. I shall, tonhsirh anq,ly Bith tho* INvniooi.
WAINING rrilurc b Nurc qortcN' .onDcnsrri(,r .ov.rugc is unhqtul. rnlr rhill suhjc.r an onploycr k, ftiflinrl n.;,,[r. u
civil fincs up lo onc hundrcd lnousnd dolltrs ($l00.mo), i addniotr to lhc osl of compcnsalion. damScs as pnvidcd for ltc
**,9L4911]n
u[!Ltx,[lQr
of rhc Ilu\ims md PnrtsnnN Codc, dd ny licrn\c i\ in tull lffr rid rf,icr
b LaSlqsS'1 2 rtA.tvtza Bvi Lcter lnq
cllltrBucrpNtElDAtilclNtr
I ncrcby 0finmundcr rEoalryofncrjury th.t lh.rc is ! onslrucliotr LndinE 03crc, tu lht pcrr.rmre oathc q for*!thrhh Fmn is
issucd (SE. 1097, Civ. C.J
AfELICANLIECI,INAIIO!
I hcrct'yriftrundcr pcnalryoltE jur]onc olrhc r bsin8d..hmrknrs
Drrmlirion PcrmirrAsh.sior Norili.arion Pcd$nl R.etrl.rionr (Tirlc.l(1, P.fi4,
-Rcquncd
Lclr.r ot Nolifi carion
I ccdifrrharrhclcdorlrcglhri('n\ rclrding L\hc{o{Emo$lirc nor rpl'licrhlc b rhi\ pn,l..(
-l
ccnitythrr I hov. read $h aldi.ariotr aad stsrcrhrlrhc.t vc 'onnorion h coFccr. I oBrc ro co'n ly wnh ollCitydd Colnry
surhorir rcpresenrlrivcs olrhis Ciry lnd Cour, ro e.rr upon rlEodi.ake\ and Stlre L3wsEltrri,rt ro
lhovc mniiomd lmFnyfor
Applic.nl o. A!.nl Sl[nalo ^ ^,",
tz/ g//,
P.mlls n.me(rrlni):..1z^uz-ato ?a ,
^4s
UNDER GROUND
Waste & Vent
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
G as Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
Meter Release t .1
FINAL z/rt/ z.r:zA(t v/,/
Notes, Remarks, Etc.
.F
Water-Under floor
&uild+rs lu<
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