HomeMy WebLinkAbout30109645 - PermitCity of Santa Ana
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Plumbing Permit #: 3O{09645
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738
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Project Address: 1320 N Louise St Suite:
Block: NA
Bldg:
Tract: 863
Address Range: NA
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 005-022-06 Lot: 5
Owner:
Address:
William I Johnson
1320 N Louise St
Santa Ana, CA 92706
(7141 836-0854
Fee Type
Wtr Htr (Gas) Res
lssuance
Amount
6.75
21 .50
Qty
1.00
1.00
Fee
$6.75
$21.50
Phone:
Tenant Name:
Contractor:
Address:
Coast Rooter PIbg Heating I
2737 S Groddy Way #D
Santa Ana, GA 00000
Phone:
State Lic #: 529127
Lic Type: C-36
Bus. Lic #: 0133310
Workers' Compensation lnsurance:Carrier: Mid-Gentury lns Exchange
Policy #: N01088809
Expires: 0110112002
Building Use:
Type of Work:
Nature of Work:
Single Family Dwelling - De Constr Type:
Alteration Occupancy:
Dir C/O Code:
VN
R3
cPc 1998 Notes
Direct change out. Handout given
Planning Gonditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
rfl
.)-Morates,Janet
Date:
Date:
Date:0212612001
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #:
This permit shall expire by limitation and become null and void if the work authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained fo do so.
Fee Total:
Paid to Date:
Balance Due:
$28.25
$0.00
$28.25
Account #: 01 1-01-5912 lnspector
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PLU M BI NG{ NSPECTOR RECORD
APPROVALS DATE ID/SIG.GOMMENTS Owna-Buil&r Dclraim
I hmby afiim undr pcrslty of Fjury thd I m ilmpt fm thc Cdtst@' Licalc ke for thc follwing rufi (G.7031.5 Burin*
md Prefoio Codc): Any City a Centy rhich rcquiu r Fmit to ffrtrud, ah6, imprcvc. dcrnolish c rcpeir uy structurc, pritr to its
iswcq also rcqgiH thc ryplimt fc such Ftnit to ,ilc 8 dFGd trdqmt thlt hc a rhc is li6r.d lusmr to fic Fovirios of rhc
Cotrrro's Limcd Lrw (Chapa6 9. Cmtlwing with Setid 70oo of Divirio 3 of thc Buins md Prcfeim Codc) a tha hc c
shc is cxmB thdfrom ud thc brsir fc thc rllcgcd aoprim .Any violerim of Scrim 7031.5 by uy applimt fa r pcmh subjcB thc
applicut to r civil pcnolty of no tre thu fivc hu&cd dolln ($50O).
_1, s ma of ttc propcny, c my oployo wirh wqo u thcir mlc mFnstio, will do 6c wort md thc ltrutw it nor iniadcd
c offcrcd fc salc ( Sc.7O44, Buine ud Ptofsim Codc: Thc Cmmdc't Liw lry du not 4dy to u ma of thc prqcrty
who buil& c impova thcm, md who dc ruch wst hirelf q hmlf c thrugh hir r hr m mploya, Fovidcd thrl such
imprcvmts re not inmdcd q offcrt{ fu :alc. If. hwwa, thc building o imprcmot ir rcld within mc yca of Mplctim, thc
Oms-Buildo will havc thc burdcn of proying thu hc c shc nrt build q imprcrc fq thc prposc of slc).
_1, u wna of thc propcrty, m cxcluivcly cmtrrting with limsrd mrelG lo ffiltuct thc prcjEt ( 56. 7044, BuinBr ud
Prcfasio Codc: Thc Cmtrcts'r Li6s [iv dc no ryply Io u oma of prcgcty who builds a imFovc th6m . ud who
cmtrets for such prcj@E eith a Cmtrrcto(s) limscd punmt to thc Cotretor's Licosc Lav )
_l am exempt under Section
Date:
& P C. for this reason
Owner:
W
I hftby afiim un&r pendty of Frjury dc of thc follilinS doclmtios:
_l havc ad will mintain a Csrifietc of Cmot ro SclfJn:m fa wo*s' cmpco$lim. r povidcd fr by Sccrio 3700 of thc
liba Codc, ftr thc pcrfme of thc wqk fq which thc Frnit ir isucd.
r'_l hsvc od will mrintain watm' cmpca$tim itrrrue. s rcquircd by Sctim 3700 of thc Labc Codc, fff thc Frfme of thc
work for which.this fqmit is issued My workcrs' compensation insurance ciurier and policy
carrier \) lrtl ('IlYlL['i[l :Jtr, -. 1{,.'i..,-
numhr are:
poricy *,-*, ht-, L-; [ [ ] 'i '*: ri ( - f,/
Expires
(This section need not bc completed if the permit is for One hun&ed dollars l$1001 or lcss)
I
in any manner so as to
thc workers'
\
WARNING. Failw to rcurc worto' mFrraim ovcmgc ir unlewfnl, ud rhall :u[cr o mployr to riminal pcf,altic ild civil
fina up to oc hudred thowd dolln (t100.000),in ldditio to thc cqt of mpcroarim, &mags r providcd fs thc Sctio 1076 of
thc Lsbor Codc, intmt ud anmcy's fc.
@
I hwby rffim unda pcnalty of pcrjury thrt I m licascd unds provilifi of Ctaptd 9 (comMcing with Sfttio 7000) of Division ! of
the Business and Code, and my liccnse is in full force and cffect.)tr
Liccnse
Date:
Liccnse Numbcr
a '3
W
I hmby elfim u&r padty of pajury that thc ir r mrtnrcrio lmdiry qorcy fc thc Ffm of rhc wak fa vtich thi! Frrit is
isurd (Se. !(x)7, Civ. C.).
lmd6'rNm:
Lender's Address:
APPLICANT'S DECLARATION
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40. Part 6)
_ Required Letter of Notification
_l certify that the federal regulations regarding asbcstos removal are not applicable to this project
-.-letrtifj-that I have read this application and state that the abovc information is correct I agree to with all City and County
ordinances and State Laws relating to building construction. and hereby authorize representatives of this and
above mcntioned propcrty for inspcction purposes
2 2u
2
Lt
\
,teelic{q(scnt
Grr Q--Qs
Date
lo enter upon the
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
ArealStorm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL
Notes, Remarks, Etc.a?
oLl -og-4N6
Pfu
in the performance of the work fr which this is issued, I shall not cmploy any
to the workelT '
Labor Code, I shall,comply with.those
Date._
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