HomeMy WebLinkAbout30139583 - PermitCity of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Sectioni (714) 647-5853
gr1 Plumbing Permit #: 3O139543
Pin #: A47A2
Assessor'sParcel: 008-231-09 Lot: 19
Unit:
Block: C
Bldg:
Tract 510
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
Barbara Pena
1237 W Chestnut Avenue
Santa Ana, CA 92707
17't4l t45-8210
Owner-Builder
Fe6 Type
01116002 51602 Water Service (Each '10
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
42.85
21.25
52.98
Fee
$42.85
$21.25
$52.98
Qty
1 .00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Eotchi:{4348 - 6/18/2018 ID: CCUELLAR
Office3 CIYH Trons+: 37 I of I
Ac,:ti I Ref+r 3rll39$83
Rcpti:0?297134 - 6/l&/?g18 ?.11 hll
Trqnsoct ion Tobol t1l7 ' 08
Bftrboro Penn
GEnerdl Plsn Updote Fee
01116002- 51680000-
FIu.rb ine
01116(102- 5l6r]2000-
Cdsh
Ch(rne€
$21 .25
t95.83
ll?{t.r:l(l
lt2.?2,
Building Use:
Job Type:
Nature of Work:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Plumbing
Chavez. Dave
2/-.
Occupancy:
Constr Type
Code:
R.3, U
VB
cPc 2016
Notes: Plumbing relaled to correction notice
Owner-authorization form on file.
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
06/18/2018
Account#
Every permit issued shall become invalid unless the worl< on the site
authorized by such pemit is commenced within 180 days afrer ils
issuance, ot if the wo* authotized on the site by such permil is suspended
ot abandoned for a pedod of 180 days after the time the work is
commenced.
lnspector MID#: 2018-143900
01 '1 16002 51600
01 1 16002 51602
$21 .25
$95.8s
Fee Total:
Paid to Date:
Balance Due:
Project Address: 1237 W Chestnut Ave
Planning Conditions:
$117.08
$0.00
$1't 7.08
PLUMBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNIiR DTJILDEII DELCARATION
I hcrcby drlirN utrdcr pctrrlry ol pc.jury lhal I lnr cxcnDr frotrr rhc ConrBck,s Liccn( ljw lirr rhc f(llowin8 rc,$n (Scc 7011.5
tsusincs r Pmfc$bn Codc): Aoy Ciry or (i,diry qhich rcqunc! i tsnnir io ..nqruc'. rhcr. im!rcrc. dcmolhh or rcI}ln m!
{o.rur. pri,trn, \ hsunn.c. rlso rcquncs rhc ip|lici nr$cn ncnnn h n[ r siSmd srd.'tu rhor lr or shc h li.ctr$d Nrunnt
t' rhr pmvnion\ ol rhc Co trcttr s l-ir. {d Lrs (Chatr.r 9. ConnncknrS wirh Sc.liotr 70(l) ol l)ilisn,d.r ofrhr ausincss.|d
I'rurrr\i.n\Cudc)urrhdlror\ltriscx.nurhcicli{nnnr]rh.lrsirinrrncallcEclexcDprion AnyvblarioiDrsLttir?0ll.5byan,
rppli.lnr tu r lrnnir {brccl s lh. rlplicrnl lo !uivilpcnrlrroinor mErhrn rilc hundr.d dollff\ (Ssur.
-1.
I owner of rhc |,rc|lcny. o, ny .ntlor!.s *ilh *rgcs s tlrcn $b ompcNltbn, will do llE {6t old llr dtElc is Dl
inr.fldcd or ofrcftd lor {tc (S(.r044, Busimss lnd A,ofcsions Codq tlE Crnr6.roai Licc,s t w .rocs nol anply ro e owftr 6r
rhc FqEry vlb hrildi or iqr.m tlEm( !d who dcs Mh wd( hnelf or hc&lr6t fimr8h hk ot hcr own cn!,loyccs.
prcvidcd rhar slch illpl*ftirs e rcl iirdr,.d dofrer.n f., sL. If. howoE tlE hrildinS d inTotft is $ld wiltin orc,.{
ol conphtion. th. Owmr Build.r will hrr Il* budm of prblin8 tlEr tr or slE dij mr tDild d irDrew 0r popciy for dE purlo$ of
-1.&io*turorrhcImFnr.dciclusiGly.oflr&ri.gwirhliftnsdco.rdo6'.sns1ncrlhcrroj.{l(Sd,7044,aBifti{tr'd Pir'ftssir Cod.: Th. Co.krckr'r L.wdcsmr.pplyro!noqncrofprclcnyrhohtrild*orimprowsthcrNtr.
and Rho .otrlmcG for such h o 6nrm(lo(s) li.rn{d poaldir ro rh. Conlflclols Ltcnsc tiw).
B. & P.C. lor ihk rcason.
]loBlixitstrQNrur ll()N
uElI L8[!]u!
I hcrcby aliirm undcr pcnlllyofpc{oryoncorrhc fink,winsd.cl dn,ns
I hrvc rlwillnNnk 0acditi.lrcoicoi{irft,Scllln\urclarsorkc^.onD.nsrlio..asltn,idcdIqb!Sc.tion.l7ulofrhc
L'trr O)dc. ror rh. p.rfonmrcc oirhe work rbr which rhc p.nnil i! i!\ucd
-l hrt and sill 'uinl.in *orkc$ .onncBarkln iBlmne, !s Equind by Seclion 3?00 ol lhc khor Code. tot rlE Frfo4r1@. of
rlE mrk tor phich rhar Dcmn B BsEd. My worte^ .onvxnsarior iNumc fftr dd poli.y runher el
I ccnifythd inrhcp.rrornmccoflhc work for which lhis rErmn is nslcd.l ahall.or.tll)loy any r.son inonyMncr
s s ro bccom sobi{r ro llr {0*6 comr.n\ ion h*r.l Caliromi0, dd oEB tfitrl if! should hccom $birr iorh.
eortcs ompenerion pmlirbnsofSerion:1700orrh. Lihr Codc.I sttrll.lonhwilhcomply wilh rlFe povni.n!..
WAXNING: Ftrilurc lo sw workc6' cotr{Ensurion otnsc is urlrwtut. o.d shell subjcl 0n cmplo}s lo oiminal F.{lr.s dnd
civil finci ur ro onc thdrcd rhouend dollsi (5100,0(n), in rddirion t. rh. cosl of.on{ENali6n. d.tuecr !r pbvidcd for lh.
L
I hcrcby ullirn onncr pcnalry ot p.rjur,
'h,'
I a.r uDdcr pmvisbnoiCh!!rcr9lco'nnEking wilh sccri T(]0O)of Divisn,n l
!:olGIalcu0N.L[NDllG-&aENcI
I h.tuby atnnn und.r Fnalryoflx ju,yrhll th.rc n r con(dcttn lendinEagcncr loi lh.Inrdmm. ofllrc work nrrhi.h lhn Pcnni n
issurd (Scc..1017.Ci! C.).
d.tflttaNfDEclrl8lluaN
I ltctry allinn und& r..alry orr.rjuiy oft ol thc r'olkrqing d.rhftriflrs
Dc'enlion Pcnnit\'AshcskN Norirlcoliotr !_Licni R.suhrnnF (f irl. 40, PanO
Rcqun d L.xcrol'Notific inr
iiy lhai rh. rcd.r.l ESuhrions m8srdin8 isbcslos Bmvol sc nor applictrblc b rhir tmj.cl
ify rh0t I hovc rcad lhis 0fl,li.dion &rl srarc rh.r rhc ,t$vc informli.n n corcd t aer b @n
'ly
wirh all Ciry !d Counly
!frr srtrrc l,ws Eldins ro blild ocrion, od hcr.by amhotuc rc!rcscnlativcs ofrhh Cn, und Counrytu cnid upon ltE
&rv. mnrio d !tul.n, for instEclion
Appliut o. Aaent Si8null*
C)€*
UNDER GROUND
Water-Under lloor
Gas-Underfloor
Buildinq Sewer
Area/Slorm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Rouoh Waler Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Waler Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL ffiw#,:frm / G/,Ll//7 /l/t,6€7/t(4
Notes, Remarks, Etc 7 I
ID/SIG.
Waste & Vent
TOP OUT
Tub/Shower Test
Gas Service
Policy NunrlN
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