HomeMy WebLinkAbout30141765 - PermitAssessor'sParcel 015-125-04 Lot: 23
Unit:
Block: 5
Bldg:
Tract 517
Address Range:
Historic: No
Suite Range:
Zoning: Rl
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA'27O2 Plumbing
Permat Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 3lJ141765
Pin #: 5697.S\
Owner:
Address
Conlractor:
Address;
Phone
Tenant Name:
Marvin Rojas
2039 S Van Ness Ave
Santa Ana, CA 927072639
Financial consulting Help c
9651 Business Center Drive
Rancho Cucamonga, CA 91'
(909) 466-7180
Fes Type
01116002 51602 Hose Bibb
0'1116002 5160C General Plan Update
01 116002 51602 lssuance
01116002 5777C Microtilm Records
Amount
16.08
22.95
57.20
3.91
Fee
$16.08
$22.95
$57.20
$3.91
Qty
1.00
1.00
1.00
1.00
Phone
State Lic #: 1O3O177
Lic Type: B
Bus. Lic #: 3669'18
Workers' Compensation lnsuranceCarrier: Stato Fund
Policy #: 921i 816
Expires: 06103/2020
Bot,chi153672 - l/?/2A2O I0r CCULt.LAl
office! CTYH Tr(lns,i! 7l I of 4Acctli Refi: 3tU41765
Rcpti:02855837 - t/Zl7g7tt 11;21 All
Tronsocl ion Totol t$l4. D?
F inonc icl ConsulLine Help (:ent
Single Family Dwelling
Alteralion
Fixtures
Genercl Plqn updqte Fee
0111600?- 5160(r$0(r-
P I urb ing
n1 I 160112- 51 6fr200r:r-
n icrol i 1fi & Do,:u6ents
(r1 i 16tr(r2- I777trtrtr0-
V iso
C(:+ : ilr+**f rx*Ilxg239
auth on fllo
$73 .2S
r3.?1
$81{ . Cr?
Authi:0,t1718
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2016
Date:
Date:
Date:011o2t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
\,}Hernandez, Kathy
101102725
Every permit issued shall become invalid unless the work on the slte
authorized by such permit is comnenced within 360 days after its
issuance, ot it the wotk authoized on tha site by such pemil is suspended
or abandoned fot a period of360 days altet the tinlo the wotk is
commoncad.
lnspector MID#: 2020-156813
01 116002 s1600
01 116002 s1602
01116002 57770
Fee Total
Paid to Date:
Balance Due:
$22.95
$73.28
$3.91
$ 100.14
$0.00
$100.14
ProjectAddress: 2039 S Van Ness Ave
Notes:
PLUMBING.INSPECTOB RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEK BUILT}ER DI'I,('ARATION
I ltichy arjtflr !n,lc. Fn h) ,,r Frlury rhd I .fl crcmrr liom ihc n)nkr.rtrr LEn{c Las nn lnc f{rlo*trrA I
llu\inc$ r Protd(lion Cd,c) Atry Ciry or Counrt sl,ich r.qutcs r ltmn ti uon(tu.!. nlr.r. inrlnxc. dcnnnnh 'tr ruFn rny
nnrkc. n 'trt) ir\ Gsurncc. rlso rqonrsrhc trntltrntrr Lr such Frnir h lilc a siB.cd nircnEnr lhur tEor \ht is li.cn{d ,rununnl
ro rhc pn,vlbn\ of (h( Cotrt0(u s l,i(!trsrd I]q (ChrPrcr t). (innnEncing riih S(rion ?(Xx) ol Divisnrn .] ot rlr Btr\in.(\ ind
Pnrfc!\irns Corlc)or lhlr if,or\h. i{ cxcmf hcrclionr $d rhc hnri\ kn rhtallcgcd cxcmuidr Atyliinrri{r.ls..riot70ll 5 bv irv
trptlican( ii,rr nrii iriul,iccrs rhc 0n!1ic!trrto acirilpcnrlrrornor hturh$fivchunnrcd ollm($5(x))
L rs oNrcr ol rh. px,|rdy. or mt cmfloyccs s ilh *rr.\ k\ rtun vft .u rNn\r iur. { ill do lhc *1nk ml rrl {trrurc ilxn
inr.frldloroflorcnfrrs0hrsL\.r0,ll.flu\inc\{rdltola\{idsCdr'lh.(i,rlcntr'\I-kcn\cl.w(l.c\trorsfPlvt]0now.cr.i
rhcpmpc y \hohuild\ornnt)nrvcslh.mn.rdw|odocssrhu.'khitrrrcllo'hc^cllo ht)ughhi\orhcro(nc'nplt,vcct.
nr)vdcd r hrt \uch in,rrokmnr\ aE mn inrcfltldl o! ol]'rcd itr srk ll hr*ctr. rhc hriBing or imPnr.n.trr is sld silhh onc Fxr
oI cun\rLri,nr, rh. osncr Buildcr $il harc nf, turd$ of F,rirg rlhr hc or rhc did mt h,ill or i,qrolc lhc PNtEly lbr ltu lLqr'{ of
l.r\o$krofihcpinpt y. rncxclurivcly.ontrcrin! sirh li.ctrs.d..ntx.kFt,condoc! rlr Pi{)jN (Scc 7lll]l Btr\i'r'\(
r PnnillhnCodc'lhcC.ih.rofsl-iccnscl.isdo.\norifplyn,annsnc..lF),--rrywhohoikl\orimrrovc(rhctcon
rid eho.otrro.htuslchprol.ck*irhaConkd.tdsrltctrs.itrrurdnirhcCinnNror'rLi.cn\chw)
I am .rcmpl undcr Sdion-, B. & P C aor rhis rc$on
$A8f,EX5:I]qUI!NSANQN
DDIIA86IUN
I h.rcby rlftrn u cr I'cialry of p.rju.y oft ol rh. followi,rB dslarorio s:
-l
hlvc {n witl uinrrin a ccnilcsr. of Cor*nl lo Self lns!rc lot wdkds ompcnsoli.n.ss pmvidcd fo.tvS(li6n l7m of lhc
tihor C.dc. for rhc I'crfotue 6fuhc work lor ahich rhc !.mit h hsucd.
ill h.r lid will hia.raii workeB .oop.malion inslEncc, ar tqun d by Sdiofl lrm ofrhc Lih.r Codc. for lt. pdLmftc ot
rhc vort lb, vnth thi.! p.rnjt is k{,n. My *ortc6' .onltneriod insuBmc @ricr lrd polEy numbcr rc:
t\L trg I'v?D
WARNINC: [.ihc 16 $m $!dcu @nFnsllion covmsc h lnlawtul, lnd shall sutijcd an cn{,loy.r ro siminol lEtulris.nd
lo o* hundnd lhouqnd dollsrs lSlO0,00O). in ldditi.n ro rh. cosl of.omFodion. dtm8.. as rrovided fot rhe
SNrion 3076 oa rh. Libor codc, intcrc( and axotuy r fccs.
o",.,\l'1,(LO
DECIABAIII]N
t hcrhy 0ffirnrndd rEnrllyofpcrjury rltar I dnr liccn{d undcr nnvi\t,n ot Chrfrd 9{.onnrcrcirg sirh S..ri,n 7fiD) olDivhion I
ol rhc Busnr\srid Pn,fcssior$ Codc. lod ty liccn$ i\ ir tull forcc .rld .ilccr.
\0go\fl
,,'",ll1l 'LO a*r-a*{t1
IQXiIBI]CITON.LENDIIA-ASEX!:I
I hcrcb, dmro !.d( n ullyof!.iuryth lh.E h,oIntu j6n hnding.8cky lor lhc p6fooBN otlhc work for whth rhk Fmn h
issuM (Scc.3097, Civ C.).
AITUIANLDICLAf,IIIAN
I H)y Jinn undcr p.nrllyof F.j!!y ooc of lhc tolk,vn'g dclelIi(n's
Dcmolirion Pcrmirs Ash.jos Norifi(.ln,n Fcdcrul Rcslllrtrn\ (li'I..r0, Pan6)
_R.q!ned b * dl Ndi,kation
-l
ccnif, rhrr ihr rcdcml rcBulario.s E8.rdin8 a\trsrN rcmrnlarc n.r arPlic krolhirlrojNr
-l.cnif,
thll I hnw rcad lht applicllionud rllrc rh.r rh. tbor. i.formtion n cotur I agr ro onpl, wilhallCilvand Con.lv
odirrnccs od Srde Lrw\ tolJrir8 lo huildin8 .!td h€Eby lurhort rc,,t$nralits ofrht Cny tnd Counly lo cnld !po.lh.
ahovc nf,fliorcd potcny tor i.\pc.rt,n ru
Appli..nl or AFenI siEn.lure:
I
""*U*-..,onor, M
Ll ,,,,,\1LlLc
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underlloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipino
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Linei 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
FINAL lzt 4A -fr'w
Notes, Remarks, Etc
DKMO
l.cnifylh.l inlhc pertortucc of $. wo* for whthlhis p€rmi i{ krrci,I sh.rl not cmPloyaoylcson in any nRnnct
r s\ ro hsm.ubj..l to lhc workm'sn.pcneri'n liws olcilifornia. and asE rhar it! shotrld tE om suhjcl to lh.
so*.6 smp.n$iio. pmvhbns of Scdion 3700 of llE b},r Cod., , shsll. ionhwnh comply w n tho* pDvistonr.
/.
Lcndcis Addrcs