HomeMy WebLinkAbout30139447 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 3lJ139447
Pin #: 91137
Project Address:1121 N Cab illo Park Dr
Assessor'sParcel: 400-172-57 Lot: 57
Unit:
Block: NA
Btdg:
Tract: 9207
Address Range:
Historic: No
q
Owner:
Address:
Conlractor
Address:
Liquid Plumbing
979 K Avenida Pico #344
San Clemente, CA 92673
(949) 637-7117
FeeType Amount
01116002 5'1602 Wtr Htr (Res up to 50 gr 2'l.42
01116002 51600 General Plan Update 2'1.25
01 116002 5'1602 lssuance 52.98
Qty
1.00
1 .00
1.00
Fee
$2',1.42
$21.25
$52.98Phone
Tenant Name:
Eotch+:4382? - 5,/1
off ic€: (:TYH Tra
Accti:
Rcpti:rr226i3!4 -
Tronsoct ion TototPhone
State Lic #: 322064
Lic Type: C-36, C-55
Bus Lic #: 315757
Workers' Compensalion lnsurance:
Carrier: Travele/s Property Casualty Company of America
Policy #: U83A947573
Expires: 09/01/2018
t. iqu id Plur b ins
Gener(ll Pl,on UpdntE fE
t'tl I 16002- 5161r110(xl-
Plu b ine
t1I 1 I6r"102- 5I 6tu0r.:r-
V isa
CC+: *xxr}}lr****992u i9,.
a[I h: ! r-rgq9a7
Planning Conditions:
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Water Heater
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016
\U$ nernanoez, ratly
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
05t16/2018
Account#
$95.6s
$0.00
$9s.65
Every permit issued shall become invalid unless the wotu on the site
euthoizad by such permit is commenced within 1 80 days aftar its
issuance, or if the wo* authotized on lhe site by such permit is suspended
or abdndoned lor a period of 1 80 days afrer the lime the wo* is
commenced.
lnspector
01116002 51600
01116002 51602
$21.25
$74.40
Fee Total:
Paid to Oate:
Balance Due:
Suite Range:
Zoning: R4
Chi Lam
1121 N Cabrillo Park Dr
Santa Ana, CA 92701
(510) 610-3389
Building Use:
Job Type:
Nature of Work:
Notes: c/o-interiorlocation
MID#: 2018-'143401
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DI]I,CARATIoN
I hcrchy rlftm und.r |fntrlrt olocrjrry thd I cxcflnr fntrn thc Coftrkl1- Licctr{ Las lo, lh. thllorin8 rerqrn (Scc.1lll.5
Busi.cs rNl Pnlcssion Codc): Atry Cirr or Gnllny w[i.[ r.quirct r lEirnil lo cotr{rud. alrcr. nnprovc. denFli\h or rprt rny
srrucr!,c- flior ro irs hsuancc. nho rcquircs
'fic
lPt'licanr in such ncnnir ro lilc!sisDcd {arcmnr rhr hcor sh. is li.ohril Nr\uaii
ro rhc ptuvisidN ofrlr Conkr.t, \ Li.cn{d Irq (Chnpr.r 9. Co'nmkinS wirI Scdion ]UX) oi Divi\ion I ol lh. Businc$ atrd
Ptrni\\i(nr\Codc)o!thrrh. orshc iscrcn lhcrclionrnd rln h.\is tu
'hc
rllc8cd crrmplio. Anyvi('hlionolsccrionTo.tl Shrany
!ptlicJ ntr rF rnir suhjlr( rhc rppli.nrr n, r.ivilpcnalryolnoi nr{.rhan fiv. hrndrcd doll&\(3500)
-l.
i\ owNrolrhc|nornr,(tr yenrploycc\ silh $iBcsr('hun sohconrDcnsdi{nr, willdo lh. work uBl rlrc ntoc'uri\ nur
i rfr l or .iii.cd lor {lu I SE 704J. Busincs ud l}oaessionr (lic ]'hc Gnr'actr\ Liccn* tj* do.\ nor iprly ro an owmr or
rhcrn,lEny wh. builds or inlatr$ rh.rsn. rRl who d*s sa.h woit himsclior hcr\cllor rhrou8h hn or h.r own cmphyc.s,
pi{,tiJcn rh i nrh im0rovcnnr\ rc ftn in.ftlcd o. ollird rbr c& lt', homrr, rtE huitling or ir{)nnrnrnr G v,H wirhih .tu }td
oronrfLri)n. rh( owncr Builds silllurvc lnc hmlcn ofrmwE Ihr hc or shc dil n.r ttriU ar inprcrc ihc rFrlny lor rh. Nrlx,e or
-1.
as own$ ofrhc tepcny. !n cxcloiivcly conrerins wnh liccnsd contrdorhcon{rud rhc rojel (sec.7044. Burinc$
and hotusah codcr Th. Conrocror's Liccn$ L0w dcs bor dpplyro @osn.. ofpop. y who huilds or inlPrcr$ rhcs'n.
dnd *no onrtul. for such pEj<ls *nh a ContEclo(sl liccnsn rrBuut ro $c C,nreror's Ltcos Lrw).
_l rm .i.hpr und.r S6rk n- B. & P.C. aor this (&s.
]IOAtrEBS:COIIEEISA.IIONlxlcl AR TIoN
I h.Bht afllrm und.r p.nrlty of r.rjury onc ofrhc fdk,wing drtlnarn,ns:
Llh.r c(xl.,li,r rhc,rdunMi.c olrhc eork lir shrh rhc |*nn n n\ocd
_l hrr rnd sill nEintain qo*e6 corycnsarion insoEncc, .s rcquncn by Scrinn 37(x) of rh€ Lrbr Codc, Io, rhc pdformrcc ol
rlE erk for *htt rhis pcm is ntu{. My *o m' mn{E.s€rion inslda ceh, ad lblky nunb( @l
-l.caifylhol
in lhe pcrfotrMmr.I rhc sork ro. shth thi\ Frmit h is\!cd. I rhrll n, cmploy,ny n Mn in my mnmr
s as ro lt$m subjn! to
'hc
mlk.tr omr..s.rion lawsofcdlift,ni{ dd.8rc rhar if I stnlld tEsft suhjcct lo ttr
vorlcn comFr{rkn pmvnioni ofsNrion lTmorrhc tjh6r Codc.l sh,ll.lonhwnh srrPly with lts$ povhions..
WARNIN(;: frild'r t, \r.ur. s(trkc^ .o rpc \ riot corcrr8.bj*! an cmploFr lo simind lf,Mhili ond
civil 0nc\ !p ro one hhd,cd rho!\a.d dollB (5!00-0(x)).r.o6F.srio.. drmg.s as lmvidcd for lhc
I hcrchydfllrn und., l).n,hy.rl.rjxry rhd l0m lnrnryl uM.r pr.visn,n otChn0cr 9(.onn:rncing wilh Sction 70il)) ofDivi\ion l
of lhc hNims and Pmfcssions Codc. ai ny liccns is in tu|, lorcc !'n cil6r
3228e{
D"E {-/LrE coorrr"ror,\ / .0ZA z2 D_u,*m*,O 6F
COXSIBUEI]ONIIIIJINCII1iDN.(I
i\srn lS.. .1(x)7, Civ ( )
AIII.TANIDECIJAAIIIIN
I Mydild undo p.trahyof pcrj!ry onc dtrhc folloeing &clor.rions:
Ocmlilhn Pcrmils-A,t $os NolifEalion Fdcral Rcrubtionr (Titlc 40. Pd6)
-Rcquircd
lrlld oa Norifslbn
-l
ccnify lhar lhc fcd$al rcguhlions rcgordnrS .sbcsros rcnsval m rcl applicobL lo rhn pojecr
-l
ccniryrhur I h^c rcDd rhhdDplicurioo&d\krcrh6r rhe ir.oBr I dg,e k comply wirh rll Cityrnd Gunry
odinarccs and Stlre Li*s Ehlin8 to buildirg c.rarivcs offtk Cirymd Counly ro cnrcr upon tlE
ohove,rcnrioncd,mpcny aor insF.rion
Applidnl or Ag.ol SiSEllr.
,1 a
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/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 q 'U/( 5 Y",t tttttA
Notes, Remarks, Etc.
Secrirn lo?a' olrhc ljhlr C.xlc, inrcd( lhd ino.E-y\
*,.,3'-/ C'/*
,^.,5)/C -B
l'emilec n{m€(p.itrl)
POOL/SPA