HomeMy WebLinkAbout30142264 - PermitProiect Address: 5336 W Ballast Avea
Assessor's Parcel. 108-587 -07 Lot: 25
Unit:
Block: NA
Bldg:
Tract: 4559
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27OZ Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3014226,4
Pin #: 894{9
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Nam Tran
5335 W BALLAST AVE
Santa Ana, CA 927041870
(7141 417-7023
Landing Construction Groul
13882 Summerwood Pl.
Garden Grove, CA 92844
(714I. 337-e238
01 1 16002 51602
01 1 16002 s1602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type Amount
Water Closet 15.32
Shower 23.97
Sink 13.68
Add'f Sewer Connection 23.97
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
2.00
2.00
2.00
1.00
1.00
1.00
1.00
Fee
$30.64
$47.94
$27.36
$23.97
$23.7e
$59.30
$4.05
State Lic #: 963678
Lic Type: C-36, B
Bus. Lic #: 375908
Workers' Compensation I nsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9016669
Expires: 0710912021
Building Use:
Job Type:
Nature of Work:
lnspector
Single Family Dwelling
Addition
Addition/Remode!
Occupancy:
Constr Type:
Code:
R-3, U
VB
cPc 2019
Planning Conditions:
Buildins Permit #: 1 01 1 0 2935
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the slte by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
I
Planning Approval By: Date:
Ptan Checked By: ,.\ Date:
Permit lssued By: Verduzco, VioleN Date: O7l2Ot2O2O
Subject to Field: Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: plumbing for addition
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51602
01116002 57770
$23.79
$189.21
$4.0s
$2 t 7.0s
$0.00
$217.05
i
IUID#!2020-157337
PLUM BING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DT]R DEI,CARATION
I hcrchy allirnr undcr pcnahy of pcrjury that I anr cxcmpl liom thc Conlrlck)n' Licctrsc hw ftrr thc lbllowirUl rcason (Scc.7l)-11.5
Businc\s ond Prolcrsion C(xlc): Any City or C(runty which rcquircs a Jrcrnrit to conslrucl. {llcr. imp()vc. dcnblish or rcpilir any
slruclurc, prior k) ils issu{ncc. also rcquircs lhc applic{nl lbr s[ch Errit to lilc il signcd slalcrrcnl lhnl hc or shc is liccnscd pursuant
k) lhc provisions of thc C-'otrtrnctor's l-iccnscd law (Chnftcr 9. Conrnencirg *ith Scctbn 7(xx) of Division J of lhc Bushrcss and
l'mlcssi(rnsCodclorthathcorshciscxcmpllhcrcfromrndthch0sislbrthcillhgcdcxcmption. AnyviolalionofSslionT03l.5hyilny
npplic{nl lbr a pcrtrrit suhjsls lhc applicant to il civil pcnally of [ol morc lhan livc hundrcd dollus ($501)).
I
-{1. n* .wncr of th. prelf,ny. or my cmployccs s'ith wngcs as lhcir slc comFnsali(nr. willdo lhc sork oxl lhc stMturc is not
hrlcnclcd or offcrql lbr slc (Se.7044. Busircss ilnd Protcssions (-rxlc: 'l hc Conlractor's l.iccnsc l.ilw docs nol apnly k) nn owlcr of
thcpn)Fny whohuildsorimprovcslhcNn.afilsho(l(rssuchqorkhirnsclforhcrsclforthroughhisorhcrosncnnloyccs.
Irroridcdrhalsuch imprc\'ctrEnls&mliilcdcdorolltrqlforsh. ll.ho$crer.thchuiklingorimprorcrrcnlissklwithinorc)riu
ofconrplcliol lhc Owncr Buildcr will hrvc thc hurlcn ofproving that hc or shc dirl not buikl or iilprovc thc pRrff,yly for lhc purynsof
ule).
-fl. as owncr ofthc pK)JEny. dm cxclusivcly cotrlracti[E wilh Ii(ctr$d conlrilctors lo ((,nstrud tlf, fojccl (SN. ?(X.1. Busincss
ad Ptrrlijssk[ Codc: Thc (-'ont]aclor's l,iccnsc Lrw docs nol apply kr u owncr ofpro|crty who huilds or inrprovcs lhcrcon.
^T,who conlracls for such projecls wilh a Contractor(s) licenscd pursuant to the Contraclor's Liccnse Law).
ulr(lcr B. & P.C. f<rr this reuson.
( )n ner:{*u4 NaUYEU
I hcrcby affirnr under Fnalty of perjury onc of thc
IVORKT'RS' C( INT PENSATION
DECLARATION
lirlkrwirrg dccllral ions:
l-atxrr Cl<xlc. for thc pcrfrlrrturncc of thc work lor which thc pcrnrit is issuctl.
#havc and will nrairrlain workcrs'.i7fi) of thc Luhor Code. for lhe pcrfonnarrcc of
work ftrr which this pcnnit is issucd.and policy number arc:
1 l*rlzt
that in thc pcrformancc of thc work lirr which this permit is issued. I shall not
[ -l ,
crnpkry irny pcrs()ll in any rnanncr
shoukl hccortrc suhjcct to thcso as to bcconrc sub.[.ct to thc workcrs' compcnsation laws of California. ancl agrce that if I
u'orkc'rs' comJrcnsation pnrvisions of Scction -17(X) of thc Lrtnr Culc. I shall. lirrthu'ith conrply with tho*- provisions..
WARNIN(i: Failurc to sccurc workcrs' c<llnpcrrsation c()\'crrgc is unlawlul. arrd shall subjecl an crnploycr lo crintinal Jrcnaltics and
civil tincs up to onc huntlrcd lhousantl dollars (SlU).(XX)). in adrlition lo lhc cost o[ conrJrcnsalion. danurgcs as provided for the
.Scction .1076 lltc Code. intercst and altorlrcy's lccs.
l)ale:Appllcant:_-+1o* Ua-ttVtnJ
LICF'NSED CONTRACTOR
DECLAITATION
I am licensed under povlsion of Chapter 9 (comnrcrrcing with Section 7m0) of Division 3
t my liccnse is in full force and effect.
I hcrcby at[irrn under pcnalty of pcrjury that
of thc Busincss and Pmfessions Codc. and
I.icensc Nunrbcr:4eL1 g
b conrracro,, +1o*
^IkttveNW
I hercby 8fftrm undcr Fmlty of perjury that tlw is a construction bndirg sgercy for the Jrc fomrce of thc wtrk for which this lmit i3
issucd (SN. 3(B7, Civ. C.).
knder's Name:
lrndcr's Addrcss:
APILIgANLDECI.AEAIION
I hcrcby atrmundcr Fnally of pcrjury orc of thc following dccltrations:
Demlilion Permitr-Asbcslos Notification Fcdcrsl Regulalions (Titlc 40. Pan6)
R@uircd [atrc] of NolifErlk n
\
-Vccrtify thal lhc fcdcrsl Egulations rcgarding ssbcstos rcru)vllorc mt opplicablc to this pmjst.
y I ccnity that I havc rcad lhir applicrtion dd stste that Ihc rtnrc infomtion is coret. I agre to omply uith all City ud Counly
ordinanes and Statc l:ws rclating to building conslruction. afll hcrcby ruthorirc reprcsnlatives ofthis City and Counly lo cnler ufnn lhe
atxlvc mentioned property for inspection purynses.
Appliurnl or i\genl
Itrrlrtitee nlnltr
UNDER GROUND -4.
Waste & Vent Th *\YU
Water-Under floor I (
Gas-Underf loor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test 0 1)b(.ft Y 7
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipins
Fill Line/Back Flow
Poo! Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release tl J )/,
FINAL L t0 L0 >fl-wt
lrNotes, Remarks, Etc.
(