HomeMy WebLinkAbout30141927 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (7'14)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 30141927
Pin #: 95E47
Project Address: 2048 W Washington Ave
Assessor's Parcel: 004-1 62-26 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address:
Phone.
Steven Tran
2048 W Washington
Santa Ana, CA 92706
(7141 510-1 792
01 1 16002 s1602
01 1 16002 51602
01 1 16002 51602
01 1 16002 s1600
01 1 16002 51602
01 1 16002 57770
Fee Type
Water Closet
Shower/Bathtub
Sink
Genera! Plan Update
lssuance
Microfilm Records
Amount
14.78
23.12
13.20
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$14.78
$23.12
$13.20
$22.9s
$s7.20
$3.e1
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Bntch*:li4r CC:
3
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4
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Building Use:
.lrio Type:
J
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Single Family Dwelling
Addition
Addition
Occupancy.
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019
$73
hh+:[t19220
Planning Conditions: All materials to match existing.
Notes:Plumbing for new bathroom
Fee Tota!:
Paid to Date:
Balance Due:
02t12t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Subject to Field:
Buirdins Permit #: 1 01 1 01444
7r'
Every permit rssued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$22.9s
$108.30
$3.91
$1 3s.1 6
$0.00
$135.16
lnspector MID#: 2019-154330
PLUMBING.INSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS OWNER BUTLDER DELCARATION
I hcrcby aflirm undcr penalty of pcrjury that I en cxcmpl frcm the Contractos' Licens Law for thc following rcaen (Ss.7031,5
Business arl Profession Codc): Any City or County which rcquircs a lvmit to construct. alto, imprcve. demlish or rcpair my
structurc, lrhr to its issuancc. also rcquircs thc spplicsnt for such Frmil lo filc r signcd slalcmnt that he or slrc is liccnrd pursuul
to thc pmvisions of thc Controclor's Liensed law (Ch!ptc. 9. Commrcing with Setion 7000 of Division 3 of the Busitttss and
Prcfcssions Codc) or that he or shc ir cxctrlpl thercfmm snd th€ hssis for thc rllcgcd excmption. Any violalion of S6thn 703 1.5 by any
rpDlicant for a pcmil ruhjccts lhc rpplicanl lo 8 civil pcnalty of nol mrc thu fivc hundrcd dollrs ($Sfi)).
_1. as owncr of the proF,erty. or nly employees wilh wagcs as their sole comFrcnsalion. will do the work and the strudure is not
intcndcd or offcred for salc (Scr.7O44. Busincss and hofcssions Codc: Thc Contraclor's License [:w does not apply to an owncr of
thc property who builds or improvcs thcrcon. and who docs such wo* himself or hcrself or through his or hcr own employees.
providcd that such improvcnrnts src not intended or offered for salc. lf. howcver. the building or improvetrEnt is sold within one ),car
of conqrhtkrn. lhc Owner Buildcr will have thc burdcn of proving that hc or she dkl rml build or impove the property for the purpose of
srth).
W, as owncr of the propcrty. am exclusivcly contracting with licensed contraclors to construct the project (Sec. TK,Busincss
and nofcssion Codc: Thc Contractor's License Law dcrcs nol apply lo en owner of property who builds or improves thcreon.
and who contracts for such projccts with a Contractorls) liccnsed pursusnt lo lhe Contractor's License taw).
-l
am cxcnrpl undcr B. & P.C. for
aDate:_2lrllzot-o O*n.rrts
I hcrchy alljrnr undcr ;rcnalty ol'1^-rjury onc o[ thc lirllowing tlcclarnliotts:
_lhavcandwill rrnirrtainaCcrtiticatcot'ConscrrttoScll'-lrrsurcfrlru'orkcrs'contpcnsalion.as providctllilrbyScctiotl3T(Dofthc
l.atxrr C<xlc. lorthc J^-rfrrnrurncc of thc rvork l'or which thc;^-ntrit is issuctl.
_t h:rvc altd rvitl rnairrtain rvorkcrs'cornlrcnsatiorr irrsurancc. as rcquircd by Scclion l7(X) of thc L^abor Codc. for ltrc pcrltrrmance tlfl
thc work tirr u'hich this pcrrnit is issucd. My workcrs' conrpcnsnlion insurancc carricr and Jnlicy nunrbcr iuc:
Policy Numbcr: ExPires:
lilrcenify that in thc pcrformancc of the work for which this prmit is issucd. I shall not employ any person in any manner
so as to bccomc subjcct to the workcrs' com;rnsation laws of California. and agrec lhat if I should becomc subject to the
workcrs' compensation provisions of Scction 37fi) of thc Labor Codc. I shall. forthwith comply with thosc provisions..
WARNING: Failure to sccurc workcrs' cornpcnsalion covcrugc is unlawful. and shall suhjcct an cnrploycr to criminal Jrcnaltics and
civil fincs up lo onc hundrctl lhousan<l
Scction J076 of lhc l-ahrr Codc. inlcrcst
dollars ($lm.(XX)). in atlclitiott to lhc cosl as providcd for the
und altorncy's fces.
,)a,,: ?)fl-lzpzo Applicant:
I hcrcby affirrrt undcr pcnulty ol'perjury lhat I artt liccnsc<l 9 (comrnencing with Section 70i,0) of Division 3
of thc Business und Prol'cssions Codc. and nty licensc is in tbll force aud effbct.I
License Class: Liccnse Numbcr:
Date: Contractor:-
('()NS'|'Rt r("t't()N l,t;NDING,\(; I,.NCl'
I herchy affirm undcr Fnalty of [rcrjury thsl thcre is I constructk r hnding rgcncy for lhc pcrformme of thc uork for which this pcrmit is
issued (Sec. 3097. Civ. C.).
Lcndcr's Atklrcss:
APPI ICANT IIF'CI ARA'TION
I hrchy alfirnt undcr pcnalty of pcrjury onc of thc frrllowing dcclarations:
Dclrxrlition Pcrnrits-Ashcstos Nolification Fcdcral Rcgulations ('I'itlc .10. Part6)
-Rcquircd
Lctlcr of Notification
,fJ:";:fedcralrcgulations rcgarding asbcslos rcmoval&re nol applicablc to this project.
rcad this application arrd slatc thal lhc atnve inl'orrrutiort is corrccl. I
ordinanccs and Statc [:ws rclating to building construction. and hercby lhc
atxrvc nrcnlioncd propcrty for insJrc'clion purF)scs.
Applicanl or Agenl
I'ernrilre nnnte *I
o,,",2h?. lzow
UNDER GROUND
Waste & Vent 11 -26*a L (t,attztt*Y, g+o
Water-Under floor
Gas-Underf loor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent \It ^2-r^17 2 t-^ f ^s ,r-voLo b
Water Pipinq ,/'Ja r)I - t_-t )t -eJ--. ?-<
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh 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 SewerlCao
Back Flow Device
Rouqh Plumbinq // -c/-(4 /t-c T -zr7
Final Gas Test
Meter Release l-t
FINAL
Notes, Remarks, Etc.
-+
Carricr:-
?harln