HomeMy WebLinkAbout30139430 - PermitqProject Address: 2409 N Soruce St
Assessor'sParcel: 001-064-04 Lol: 127
Unit:
Block: NA
Btdg:
Tracti 1608
Address Range:
Hisloric: No
Suite Range:
Zoning: Ri
I
City of Santa Ana 20 Civic Center Plaza ([/|-'19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714], 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39430
Pin #: 21614
Owner:
Address:
Contractor
Address:
01 '1 16002
011 16002
011 16002
01 1 16002
011 16002
51602
5'1602
s1602
51600
s',t602
Fee
$42.85
$63.12
$42.85
$21 .25
$s2.98
Phone
Tenant Name:
Christopher Grigg
2409 N Spruce St
Santa Ana, CA 927061844
(714) 599{614
Purdy Plumbing & Drain
425 W Commonwealth #B
Fullerton, CA 92832
(7141sO1-7174
FeeType Amount
Sewer Alter/Repair 42.85
Gas Line alter/extend/a( 63.12
Water Piping (Each 100 42.85
General Plan Update 21.25
lssuance 52.98
Qty
1.00
1.00
1.00
1.00
1.00
Phone 8ot(h+!457?4 - 1.t!4.t).:19 Ili, l-,:,0iAtolfice: {TYH Trerrr+. n:: !:fAr.-l+: FEi:: :rJ I :lc,ll'.,
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Pluilb ins
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(:(:i i {rtt+** {***'r" .laBuilding Use:
Job Type:
Nalure of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Gas/Sewer Repair
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016 Notes
{[t",n"noer, x"rny
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
05t1412018
Account#
01116002 51600
011't6002 5'r602
Fee Total:
Paid to Date;
Balance Due;
$21.2s
$201.80
$223.05
$0.00
s223.05
Every pemit issued shall becofie invalid unless the wo* on the site
authoized by such pemit is commenced within180 days after its
issuance, or if the work aulhorized on the site by such permit is suspended
ot abandoned tor a peiod ol 1 80 days attet the time the work is
commenced.
lnspector MID#: 2018-143336
Slate Lic #: 959976
Lic Type: C-36
Bus. Lic #: 369305
Workers' Compensalion lnsurance:Carrier: State Farm General lnsurance Company
Policy #: 92EKU4936
Expires: 06/13/2019
APPROVALS DATE ID/SIG.COMMET{TS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Piping
Gas Piping
Boof Drain
Bough Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing l'l/tt/ir 5\61
Final Gas Test
Meter Release
FINAL zltz//q <uv1rk '/n---
Notes, Remarks, Etc.
I
PLUMBING-INSPECTOR RECORD
OWNER BUILDER DELCARATiON
I hdby lfatrm undcr p..ally of !.iury lha' I m .rcry 6Dn lh. ConlEcloF Lioc Li* fo, llE fouoehg @bn (Se.'oll.t
Bosincss lnd Pmfcasion Cd.): Any Cny or Co!.ry {hth rioirs , lpmt ro onsft.( dr6, impmv.. d.mlisn or eFn any.
sEu.ur. r/ior to iri L$wc. il(o nquircs rlE ipplicer for $.h FmI rc fib a sigEd $atcmd lh,l hl m slE n [enscd pN&n
ro rh. pmvisions of th. Co Ecrols Lkensd Llw (Ctapr.r 9. ConmrinS wnh Sdrhn Il00 ot Division 3 of E Busims rnd
PDfcsrionr Codc) or rhlr lr or ihc i. crcnp $.rcton an<l lhc tEsh fo, rhe alLg.d .rcoptio.. Any vioblion ofse.lioi 7031 .5 by any
rtplic&l for. Fmil slbjeB lh. alpliclnr to. civil Fnlhyofml mrc lhln 6t hlndrcd doll&s (S5m).
a
-1.
&\ owr nf rhe tmltny, or my cnDlorG. sirh wagcs as lhcn eb conF$rrioo. wi! do 0E wck ud tlE dBt@ ii hl
i.rcid.d o. ofIcEi fd eh (Se.7Bl4. Busircss md Profc$ioE Cod.: Th. Cona.cbls Liatrs Li* dcs nol q,ply lo m owm, of
lh. pmFny wtb huikls o, inpmrB lh.En. .nd who d..s wh wrl hihscllor lrcelf or lhmuSn his or hd own cnlt)lo,tcr.
provided rhrl s!.h im0hrmnr. @ m inlcdlcd or or@ for sh, lt tDwcEr, rh. btrilding or irpmw@ is $U wirhin orc Fa
ot coottcrbc rhc ol,M AuM., wiu l8w t E htr Ln 6f lotins Ost lr or da dit mr bdld o. i,rp@w 0E Fopdry for dE porpo$ oa
-I.
N ovncr of th. prur.ny. {m crclusiv.ly conrm.rinE wirh li4nsn onlmcroF lo construcr rhc prcJcr (S*. 7044. Burimrs
ud hDli\snn Codc: Thc Co.rr&rol3 Lkcnic La* der not appty ro un 6*ncr 6l p6F.y who build. or impmvcs th.mn.
rnd who onrBrsror such pmic.rs sirntr co n ro(s) li.cnsd l)usu.nr rorh.C,nrrcrois Liens kv).
I d .x.nrpr und.r Seri.
lt!8f,8f,S:r0Mfe$ArXlN
PECL/iBAIP!
I hcrcby dfim !nd.r pcn.lry of pcriry .rc ol fi. tollowin8 d(lrnioos:
-l
navc &d will mi.trh ! C.nifMr. of Co.rcnr lo Sclf-lnsuE for eorl6 6ir.nerion, I filvidcd for by Serion 1700 6l fi.
&bor Cod., for thc p.rfolmm of $. qort fc *hich lhe p6nil i, nsucd.
_l har and will dsinrsin *ortc6 compc.sarion inslr!rcc. *r eqlircd by Selion 1700 of fi. Llbor C'odc. for lhc rdfolrr@c of
rhc smt tu *tich tl s lEmir is h{.n My w.rk6i @ftp.nstion ir\!ll@ .aoicr d poliy nomh.r ml
_l ceniti rhil in rhc p.rfo.mtrc of lhc wort fM whhh fik pdmil ir hsucd. I shall nol cnPloy any pc6on in any Met
e ss ro tEsm subicct ro thc *0116 cohpcflslrion laws ofcilifomia. md lBdc rhlr ia I should b..om subiFt lo llr
trol*sl comlEnsrion lmvisions of Scrlion ]700 of rte L3t r Codq I .lEll fonhwith 6oply wnh Oos povisiof,s..
WARNING: Failorc ro su6 worllns smDcn\0rhn $vcngc ir unhwtuL 0nd shall sutjccl an cmlloy€r ro siminal F&xix dd
civil lincs xp ro otu hundrcd rhou$nd doumq ($lm.ffx)). i. addirion ro thc con olcomtcnsllion. .lams.s as lroridcd for th.
\\4 +
I hcEby alitrd rdcr pcNlry of pcrnry fid I rn Ueied ufttd Fovision .f Cbaprf 9 (@@i.a wilh Sc.lbn 71100) of Division l
ol lh. Eu.imss and Pmfc$ions Codc, .rd my liccns h in 6ill foN ud e,Icl.
1 ,!l
I hrruby rflnn,uid.r IxMlr, ott)crjrry rhnr rhfc i\ r.o {d(ioi lr di'rg recNy lor lhc Nrlonuncc olrhc Bork nn thi(6 rhi\ Ifnnir i\
i\{ucd1Scc.ll)9?, Civ. ( )
AP]LICAXI-DECIdBA:IION
I Hry afm unds pcmlly of F+ry otu ol rhc followifls dGhralionsl
Dcmolilioo Pfmils-Ash.slos Norific.tiotr Fcdcrol R.rul.lions (Tillc40, Pan6)
-Rcqut
dt llcrof Notifrdnnr
I .cn ify rhdr rh. rcd.i,l 68nlriio.s mBtrding 0sh.sros rcnDvrl ff. nor amlicrblc to I his l)roJccl.
I ccrliay rh0r Ih cE0drhisnlpticationnrd(otclh dc abor informdion h codccr I lsic ro c!,npl, wirh all Cny atrd County
odin0Rcsa.d sl,l. tjws rhlitrS ro l,u ilditrg consldclion. !d hcrcby lnorizf, rcprcscnrarilcs olrht Ciry dd Cou
ati,r. n{nri{,rd pFpcdy atr
,\ppli$nt or ,\A.nl SiAnul,'-[?-r.- o-r.-Js\,o,,,,r ?.-z I
TOP OUT
Tub/Shower Test
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