HomeMy WebLinkAbout30141500 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 3O{4{5OO
Pin #: 79549 \
\\
Project Address: 906 E Santa Clara Ave
Assessor's Parcel: 003-211-12 Lot:12
Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Aiza Galado
906 E. Santa Clara Ave.
Santa Ana, CA 92706
(323) 251-6469
OC Builders Group, lnc.
600 W. Santa Ana Blvd. #1 1t
Santa Ana, CA 92701
(7141417-7771
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 1 6002
01't16002
01 I I 6002
Fee
$29.56
$23.12
$23.12
$52.80
$12.44
$11.08
$22.95
$57.20
$3.91
51 602
51602
51602
51602
51602
51602
sl 600
51602
57770
Fee Type Amount Qtf'
Water Closet 14 78 2.00
Shower 23.12 1 00
Shower/Bathtub 23.12 'l .00
Sink 13.20 4.00
Dishwasher 12.44 1.00
Garbage Disp 11.08 1.00
General Plan Update 22.95 I.00
lssuance 57.20 1.00
Microfilm Records 3 91 1.00
State Lic #: 1052090
Lic Type: B
Bus. Lic #: 37Y32
Workers' Compensation I nsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9256608
Expires: 0612812020
Rcpt*:02799138 - ttr/31/2fi19 4:09 Fn
Tronsocb ion Totol t606.24
0(: BuilderE Gnoupr Inc.
6enerol Plon Updote Fee
01116002- 51600000-
Plunb i ns
01 116002- 316112000-llicrofilr & Oocuaents
01116002- 577700t:r0-
V iso
52?,9
$21t9
$606.:Building Use:
Job Type:
iNature of Work
Single Family Dwelling OccuPancY:
Alteration Constr Type
Bathrooms/Kitchen Remo6gCode:
Dale:
Date:
Date:
R.3, U
VB
cPc 2016 Notes: z aatrr<iimi Trld ii-iEfr fi ib bJ iemooired.' Etectricat
fixtures changed out.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field: 7
Buirdins Permit #: 101102105
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 360 days after its
lssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a peiod of 360 days after the time the work is
commenced.
10t31t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 i16oo2 51602
01116002 57770
$22.95
$209.32
$3.91
Fee Totali ;
Paid to Date:
Balance Due:
$236.1 8
$0.00
$236.18
lnspector MID#: 2019-155610
Bldg:
Tract: 1529
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNER t]tr[.])Lll l)Ii|.( AR,\'rl(rN
I hocb,v allirm under peralry ofpqjury thil I tun exeilrpt frorn lhe (onlraclors' l-icensc l.nN for lhe follo\ring reastrn (Sec.70,ll.5
[]usin6s md Profssion Code): An] City or (hunl]'\rhich rcllrir6 a peilil lo conslnrcl. allr. inlpro\e. dfmolish or rcpair anl.
strlrcture.piortoits issuance.alsorequirslhenpplicantforsuchpernrillolileasignedslalsnenl lhalheorsheisliccnsedlnn-suanl
to lhe frovisions ofthc Conrracnrr's l-icensed l-at\'((h.fler 9. (ontmcncing shh Srtion 7000 ofDivision I ofthe [lusiness and
Professi(rnsCodc)orlhatheorsheise\empttheefromandthel)itsisforlheallegeclexcrnption. AnyviolalioilofS(tion703l.5l)yany
applicaill for a pennil subiets lhc applicant to a cir il penaltl ofnot rnole lhan five h{ndred dollars ($500)
t. as oNncr o fthe proFd]. or my ernpto] s \ ilh Na!$ as lheir solc cunposal ion. \'ill do the \\ ork and lhe slntdurc is not
inmded orolTcrerlforsalelsa.T0{,l.BusillssandProfrssions(irdc: lhe(irnlractn"sLicmse[-aNdosnolapplytomo\\ncrof
pro\idcdthatstch impro\.oncntsarenotifllf,dedorollqedlbr*le. lllhosqo.thetuilclingorimp$oncnlissrld\\'ilhinone)6r
ofconrpldio[ thc (\ ucr Buikls \\'ill hare the [udo ofproving thal he or she did not build or inpro\ c the pltlEly for lhe Pu{rsc of
sle).
l. as owner oflhe popqly. nm crclusively c(rnlractirUl \\'ilh licensed conlracloN l() conslrucl lhe ptoject (Sec. 7()l{. Brrsirrss
and l,rofsion ('odet I he ( (]ntraclor's l-iccnse Las' docs nol appl]- lo ao oNnfi ofpropen\ \r'ho builds or improtes lhercon.
and \r'ho conlmcls for such proiftls $'ilh a Conhactor(s) liccnscd pursuanl h lhe (l)ntrachr's l.icense l.a$').
. I] & l'( . Iirr lhis rcason-I arn cxcnrpt untlcr Scctirrn
Otr ner:Dnle:
WORKERS' ('ONIPENSA ION
DECLARA'T'ION
I hoeby allinn undcr penalty ofpojury one oIthe follo$ ing declatations:
I have and rvill maintain a ('dtificate of ('onsol lo Sclf-lnsure for \I)rkm' compfisalion. o por ided for by Sslion 3700 of lhe
t-abor Code, for the pq fomance of the Nork lor s'hich the pmnit is issued.
Code. for the pgfonnancc of
ile:
I ccdify lhilt in lhc pcrl()tnlancc ofthc rrrrk lir rrhich this pcrnrit is issuccl. I shrll not
so as lo lrconrc subjccl lo lhc \okos'conlpensalion lass of( nlilbrtria. and ngiR'lh.l iIl
any person in ntAniler
bccome subj(t lo thc
No11qs'cotnpensationprovisionsofsation-3700oflhel,abor(-ode.Ishall.lorlh\\ilhcomply\iththoeprovisions..
WARNINGT Failure to wurc worlm'compruation covtragc is unlawful. and shall subjst m mploya lo oimiosl pcflalliG and
ci|il lincs up lo onc hunrlrcrl thousand tlollars ($l(X).(Xn)). in addilion lo lhc cosl of damages s provided for the
S(tion Codc. intsGt md artomey's fc.
-o
DE('LARAl'ION
undcr pror ision of('haptc 9 (cornrnmcing s ilh Sslion 7000) of Division l
in full force md effcct.
I h@by affm undq poalty of perjury that I m licqEcd
of thc Busins sd Profcsions Codc. md my licmc is
fz
LiceNc
Datc:_
_Liccree Number:
CONSTRUCTION LENDTNC AGENCY
Ih6c is a conslruction lending agqcy for thc psfommce of the sork for s'hich this p€rmit bI hcrcbr affir nr undcr Fnaltl o I pcrjurl' that
issucd (Scc. l0')7. ( iv. ('.).
l-cnder's Name:
APPLICANT DECLARATION
I hdaty atrm undq paalty ofpqjury onc ofthe following dcldationsi
Dcmolition Pmils-Asbetos Notification Fcdersl Regulstions (Tille 40. Ptrt6)
O(ruir".t I erre, (,f N,{ilicarir,il
fu ..rift,t,", tlrc litlerrl rcguhtions rcgaxling asbcslos rerrx)\al arc not aPPlicablc lo lhis proiccl.
comply wilh all City and County
above motioncd prcpcrty for iGpdtion purposd
infomation is
of
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT tI
Waste & Vent 'b1 v1 ,lrUntwY /)_
Water Piping ll l4 b^nL6'v
Gas Pipinq t A[$b\-
Roof Drain ll ^/()
Tub/Shower Test *t *Aoh .\an't{aa ftb
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release I I l a,
F!NAL L 'floo Y,qyawtw
Applicrnt or Ag6t Signatrre,F
Pernrite name (print): (
j
-t
Notes, Remarks, Etc.
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