HomeMy WebLinkAbout30139445 - PermitCity of Santa Ana
Permit Counter: (7141 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA g27OZ Plumbing
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Permit #: 3O139445
Pin #: l9OO2
Unit:
Block: NA
Bldg:
Tract: 4025
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Lot: 56
Angel Susie
810 S Arapaho Or
Santa Ana, CA 927041416
(7141 797 -7150
Fee Typo
01116002 51602 Sink
01116002 51600 General Plan Update
01116002 5'1602 lssuance
Amount
12.23
21.25
52.98
Fee
$24.46
$21.25
$52.98Phone
Tenanl Name:
Contractor:
Address:
Owner-Builder
Bqtch;:4382{ - 5/16/2$13 I0: JGUDIT{
0lfices CIYH lr6nsi: 5! 2 al'Accti: R€fi: 30139445
F':pti:0?265299 - t/1612$18 2:Ir5 Fll
Trqosoct ion Totdl 1997.t'J7
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
\rrgel Sus ie
frenerol PLqn Updote Fee
rrl I 161102- 516(r00rltr-
P I Urnb ins
r'r r 1160ri2- 516112000-
V iso
(:C+ i *r*xx***r*:*3658 Auth+:8.J:l I I
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
Fire Damage Repair
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016 Notes: Fire damage repair.
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez. Dave'a>--
Date:
Date:
Dale:05/16/20 t 8
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
10196462 $98.69
$0.00
$98.69
Every permit issued shall becono invalid unless the work on the site
aulhorized by such permit is commenced wilhin 180 days afret ils
issuance, ot if the wotu authorized on the site by such pemit is suspended
or abandoned for a peiod ot 180 days aflet the time the wo* is
commenced.
lnspector MID#: 20'18-143396
0'1 116002 51600
01116002 51602
$21 .25
$77.44
Project Address: 810 S Araoaho Dr
Assessor'sParcel: 109-75245
Owner:
Address:
Qty
2.00
1 .00
1 .00
Phone:
Fee Total:
Paid to Date:
Balance Oue:
PLUMBING-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test o 1/r9, 5.bt I tL.J,]41
Rouqh Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Linei Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing tls 5 bea ,Lnr{\
Final Gas Test
Meter Release
FINAL zLtl)q frvb/t-,n)
Notes, Remarks , Etc.
()1lNI.lR IIUILDI.IR DEL( ARATI()N
I hcruhy rlrnm umlcr DctLnly ol pclry l l ur crcrnr ln,n rhc Gnhcda Li.ctsc l-iw rir lhc li'lhsirS rcNnr rsc(?trll.s
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inrcndcd or .,tcrd lor elc (56.7044. Brsim$ ,nd Ptofcsshn. Codc Thc Co d.rols Li.tn* Law des nor rtply ro M o{mr .f
thc l,ollny vho hoilds.r impmrcx ltEmn. .rn who dGs skh *ork himccll or h.Mlf or rhmu8h his or h.r oen cmplor..s,
provtcdih su.h inpbrcft8 @ mr hrcndcd oroftEn for slc. lt lF*B. rh. buildins.t ihpmEm ireU wini.oe }td
of coq,bion. tE Owr Buib.r *ill lEw l,E hld6 of Imving du lE m shc dt ml hiE or itrpmE thc ttuFny for llE p{rFs of
l. f,i owicr of rhc DrorEny, !m cxcllsivcly contretin! with li.cnsd contrados ro coNrru.t rtr Dmi{r (Src. ?O14. Bu:inc$
lnd hoissi.n Codc Ttu Con'ru.lol s Liccns. Loe dms mr ,Dpl, ro !n o*n.r or tmFny sho builds o, improvs thcrmn,
,nd qho ontmclsfor such toirk wirh a ConrEhnsJ ltcncd I'uGunr rorlEContEcrm e Litns L!*).
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Drl.: OMer
1V(rRI((ES. C(lMPElSAltON
IECI.AXAIIOB
I heehy alfirn onder Fnoh, of pcrjury om of lhc following deliralions
-lh.Bs,rlsilldinl.in.C.nifE.ofcoMrroS.lf-lNrforDrks@nEc$.rion,Iprovir.dfo.bys..lbn3700ofdEr$q Cod.. fo th. pqf()llrec of ln. *ort fd wtth tl* pdnjt ir Is{.d.
_l hrvctrnd willmintoin workcr' comr. nsor ion insuhmc. er rcquired bySccrion:l70Oof'hc t bor Codc. for rhc pcrformncc ot
lhe work for whi.hlhhFrmil is issd. Myworkns $np.nrdrion insur c..ricr and rolicy.umhr m:5>tT€ F ut q
0 L .20 D(- o( -2o( I
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€crriry rnd in lnc pcnormncc ol lhc {ork for whht lhis p.rmn h i$u.d. I slEll not cftPloy an, ,!c^on in lny Mtur
$ s ro tr{ft subirr ro tlE wo 6 .oFlEndioo hes of Cilifodic. rnd aec. rh,l it I st uld baoB subiar lo rlE
*ort6 coq)cnerion novhioB.t Sccrion 1700 of rhc Llhor Codc, I sl6ll foflhwnh conply wnh thos pmvLio.s.,
WARNINO: Faihrc to surc worlcd NmFns{ln[ covcflSr h unl,wtul, lnd shall subicr .n c'n lorrr to sinidl lttullics r.d
civil fincs !p to onc hundrcd lholsrnd dollaK ($100.000), in addnion lo lhc con of coqrcflstion. dlmscs ar provilcd for rtE
sccrion 10?6 ofrhc tihn Codq i crcn lnd dtomy\ t{s.
o*"..D <'( r(, t e,o /+ 0k..4 T0r'cr'J c7.-
I ICI,tNS!:t) f()N t lt,\(It)IlpEl;td83raN
! hlrbr,ford undcr !.n!hrofprrjrtr, lhar l rn liensd umlcr omrision olChlprs 9 (@rnEncin8 sirh Serion 7(xx))otOivNion ]
ol thc BusiNs .nd PmL$iors Codc, 0rd my liccnsc is ;n tull roftr drd cfccr.
.lt 7oq 12 r
o*,,, o +/t./ , ? conro"ro.r fr-tlt; tn I ull G+! s:z
I
IANIIAIJGII!]NIENDINIiJJiENCI
I hcEby ofinr u.d$ I.hlly oi pcijury lhlI r hae is ! on(odion Lidi.8 rScnry n)r thc rc oirN'Ec of llE *ork for *hn! rhn Fnil i!
hsu.d (sLr 1097.civ. c )
AITLTCANLDEII.ASAIION
I hdrby rnim undcr !..dlry or Frjury ok of rhc followi.g d(lelrn,nrl
Demhion Pcrnih'Astf,slos Norific ion Fcdcr0l Rc8llal ions Onb 40- Pan6J
-Rcquircd
Lcllcr oI Ndifi calion
_l clrli,rrh.r rhc tcdcrul rcsnhrt,na Esddin! lstf,(o\ remrvll lrc nor {nlicabk ro rhis pn+.r
':llccnrr,thJrI htrtr rcid rh,{ trfllrcnrnn md nokrh rhc .hiv. inrd,nurion i! const. I tlsre ro comfly pnh rll Cny and Counl}
ordinlnrcs $d Srorc tiws rchr ins ro hu ilding cotrsrrudn'n. I hcrchy uulluizc lcnrsntarives oi lhn Cir y ! Counlyrocnr.ruF,nrtr
Jb.\c mtrrnncd pmpcny lh nstaron puqro{r/.-),, /,
^Dpri.o
orAsor sk*ruE: * /"y'<.,,.n'O<1
tlU t^i^r.- t U/i.,<.t..'
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L.ndclr AddEq
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