HomeMy WebLinkAbout30139301 - PermitBldg:
Tract: 4548
Address Range:
Historic: No
EProiect Address: 4007 W Wisteria Pl
Assessor'sParcel: 10A-601-22 Lot: 45
Unit:
Block: NA
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 3Ol393Ol
Pin #: 60635
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone
Carrier:
Policy #:
Expires;
Building Use:
Job Type:
Nature of Work:
Plan Checked By
Permit lssued By
Subject lo Field:
Building Permit #:
Every permit issued shall b
lnspector
JOEL MENDOZA
4OO7 W WISTERIA PL
Santa Ana, CA 927042143
(714) 830-8134
Owner-Builder
Sing le Family Dwelling
Addition
Addition
, Julie
Dale:
Date: 041161201A
Account#
Misc. Receipl:
Misc. Receipt:
Misc. Receipl:
Total
01 1 16002
01 1 16002
01'116002
01 1 16002
01 I 16002
01'116002
01'l'16002
011 't6002
01 1 16002
51602
51602
51602
51602
51602
51602
51602
51600
51602
Fee Type Amount Qty Fee
Water Closel 13.69 1.00 $13.69
Shower 21 .42 1.00 $21 .42
Sink 12.23 1.00 $12.23
Clothes Washer 13.45 1.00 $13.45
Sewer Alter/Repair 42.85 '1.00 $42.85
Gas Line alter/extend/a( 63.12 1.00 $63.12
Hose Bibb 14.89 1.00 $14.89
General Plan Update 2't .25 1.00 $21 .25
lssuance 52.98 '1.00 $52.98
Bob,:hiI4,jJUz - 4/L$/21-t!9 I0r i:(Ull iiij.ntficE: (:lYH Trons+r 161 :i (,i ,
A{ct+ i RPfi: .jr:r1,j?.jr,t
R(p t, + I r:r?2329i6 - 4/16/2.il19 4tltt Ptl
Tronsort ion loiol $1r ?.12, t-ti
.JOEL IIENDOZA
Generol Plon tpdote Fee $?1,
01116u02- 516$(1000-
Plu b ins $illlr.
r:t I I l61102- 5160200n-
V i stt $1 , ,rlll .Additiqtrt $)Ssd.?*[tlblathroqmrlll lH6(.
room & a family room. lncludes conversion of one
existing bedroom to medla room. GGUSD #4862.
$255.88
$0.00
$255.88
Slate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016
Planning Conditions: All malerials to match existing
Planning Approval By: Dale'
01 1 16002 51600
01 't 16002 51602
Fee Total:
Paid to Date;
Balance Due:
$234.63
aulhoized by such pemit is @mme|ced within 1 80 days afret its
issuance, ot il the work authotized ol the site by such pemit is suspended
or abandoned for a Deiod ot180 days after the time the wo* ts
commenccd.
lhe wo* on lhe site
2015-123940MrDf
Suite Range:
Zoning: Rl
Notes:
0195244
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUII-DER Di]LC,{RATION
I h.r.hy rrfi,m undcr !.nahy ,,4 perjury lhll I un cxcmpr lrom thc Conlnctor' Liccnsc ljw rbr lnc nnk,wing aa$o (Ss.?0:ll 5
Busincss nnd Piin*rhn Cdh) Any Cny or Cornry which Equtc\ r Fmir b .on{dcr, alrcr, impnM. d.mrirh or Ep3ifuny
srtudurc. nriorx' irs nsuancc. iho.cquncslhc lrplicnnr ntr su.h pcflnir lo lilc r sigrcd sarcNnl Ihol hcor shc is li.cnsd pusuanl !
ro rhc |m)ririotrs .l rh. Contacl.r's Licctrscd hw lChapr.r 9. G,n ar.nrg uirh Scclion 7(Xl0 ol Divitun.i ofrhc Busincss ond
Prolcs{nr.\Conc)orrh,rlIorshchcxcmurh.rcfiom.ndrh.tu\nrorrhc!ll.!L{cx.trrprion.Anyviohln,nofScc'ion703l5h}dny
rftlic.nr nn. |f,rn subjc.hrhc !!plicu' rotr.ivrlp.nalryor.or nknc rhm fiv. hutrdrcddolldn(S5{D)
J.lS. * "",* "t,;.1,"ytr r m! rnrl,,ru' (irh wJscs as rh.n sE coo,pri. n'n. sill (k, rlE sort and rtr nflruc is nur
itrrc d,{ollcrcJlitrq[lSA](}1-1.8u\imsandPrul!$io.tCdlc:IhcContacusLiccnscIjwdoc\nolalplytoanownerol
rhc piorr y w)s builds or i'np',)vc. rh.fr)r, dd wtu' ,lm\ \!ch k) hinNcllo.h-^clforrhooBhhisorh.rown.mnbrccs,
poridcd rhrr such i'nprotrmnh @ mr inrc ndcd or ollar.d lor s lc li howcrr. lh- hliklin8 or iryr ovcnEDr is sold wirhin onc }t.u
oicnq'Ltiul rhr Orncr Euitlo $ill hrvc lhc budcn orfrcvirS rhd hc or \hc dil mt toild or irivntrr rhc ImtMy for rhc FUrIn{ ol
-1,
!s owmr of lhc prcpsry. am crclusiEly conlracling wilh li..tred conr0cbu lo mrslrdcl llE FDicl (Se. ?044. BEinss
ard Eoftsrbn Codc: Thc Conr6roli l-kensc Lls des mr lpoly lo m ornq of pDFn, eho builds or inprovc. rhc.mn,
and who contEcls for such rmtrls wnh. Conhclo(r li@n*d !ur@ lo lh. C.ntucbls Licns L3w).
:-r-..> ? / ,,t /,,2 -/AZa-..adtrfin&-gtltrffiimtf/-
DEIIAAAIIO!
I tcEby artrm undd Fn.lly of Fjury om of ll'. lollowirS delaElhns
-lhrvc0nd
willnui ninrCcnilic,rcolcon*nroS.tl-Itr\urcr(trworkcn.onlprtrsolion.$ providcd for bySe-^li.n ]7(D olrhc
tibor Grlc, f.r rhr pcrfonM c of rhc wulk for whi.h rlr lfrnrir k issudd
_l hlvc lnd pill nrirtlin vorkcF .o'nDcnsolion insu,ancc- &s rcquircd t y S(l ion :1700 of tl"a Liho, Codc. ror lh. p$tomkc of
lhc *ork lor which ltus ,cmir is hscn. My *orlcr' onpcnsofi,n insulucc cnicr a.d policy numbc, sc:
Policy Ntmh.r:-Erpies
-:r4Y{rnn! rhrr
'n
rhc Erforrun.c ufrhc {ork tu whtrh rhn pcrmir i\ issuM, I \hrllnor c,npby rn! pcrn,n in dny aroncr
$ 0s lo h.clxrE subjcd b ihc workc6' con[ENrl idr l,ws ol Crlihnriu. trnd l3rcdhur il I should l{conE suhJ.cr h rhc
*oll{c^ (onrrtrsli('n pnvisn,ns ol'Sdiotr 3700ofrhc Lltxtr Cl)dc.lshnl, tunhwnh corrly wiri rlms pftrri\n,ns
WARNIN(i: Flilrrc r., sccur. wor*c6' ..dpcnslrtun cdlcns. is unlawlul. uid \hau subi.r r! .nr!o)rr b dimind !.flllics nnd
ro onc h!.drd rhousnd dolld lsl00.0m). in rddnion ro rh..o( of@ q,.nqrion. da,nScs as providcd fu thc
inrfts ed albfty s les
I hcrchi nnuM.r!.nihyo,r.rjuryrhilIsmliefls.Jundfr$vis$nolChlDrs9(connNncirgwirhS.crion70{x))oll)ivisnrn:1
of rho ausnt* od Pdfcc\iuns C.d...trd nry li.cn\c i\ ir n'rrn-d . r.rir'
Liccnsc Chss:-Liccnsc Numh€r:
D.l€: Conldctor:
IQISIAICIIOIIIEIDINCAADN.CI
I hcrcby 0firmund.r lEoih,olrciurylh lhcrc n ! consrru.rion hndin8 sscrcy fo, thc Pcrforrom ot rht eork for which rhir psmir i\
issucd (se. 3097, civ c.)
ARI.TCANLDECI,IBAIP!
I horhyrfi mxoddr pcnxlry of prrjurt orc orrh. loltowing de.hrarions:
Dcmolirion Pcrmirs'AslEsros Notificarion rrdcral Rq!btn,ns (Tirlc 40. Pun6)
-Rcqutcd
Lcrrcr nf NoliIElrion
_l ccnify lhar rhc fcdcral r.lllarionq rcg,rdiog ,sh.sos r.nbral d. .or atplicablc ro $is proj.cl.
fdl*t , ,rn , *," ."0 ,nis .ppli.orion ,rd sardhd rh. nhovc inromnon s cotrccr I aEre ro enl,r, sirb au cny lrd cbunr,
onlina.c.s.rd srrrc trws Elrring to buildiB consrdction. lrd h.Eby sutnorir Eprc*allti!.s ofrhis Ciry ard Cou y ro .nrd u
,ixrvc nr.tiomd floptny lor irspcdion puqns..
,\ppliM l or '\[$r Si[n luru
UNDER GROUND )
Waste & Vent {AlKl/N q4gL rlvw -rE .
Water-Under lloor /t1
Gas-Underfloor
Buildino Sewer
I nterceptor/ Clarilier
TOP OUT
Waste & Vent ulo,l,o.*. /.it/>
Water Pipinq D[*tlI n l!\wr""
Gas Piping
Roof Drain
l)il|tw-n l\,r1411(2 e)
Rouqh Water Heater Jl
POOL/SPA
P{rap/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 Plumbing VLtll('t'/r\wL'1,\./
Final Gas Test I
Meter Release
FINAL tl*ltq1q t4rw&?)/
u'1Notes, Remarks, Etc.ll
COMMENTS
Area/Storm Drain
Tub/Shower Test
B. & P.C. for lhis rcusn.
f------T------