HomeMy WebLinkAbout30239601 - PermitProject Address: 1121 S Golden West Ave
Assessor'sParcel; 109-091-05 Lot: POR 2
Unit:
Block: B
Bldg:
Tract: 604
Address Range:
Historic: No
Suite Range:
Zoning: R2
E
Owner:
Address
Contractor:
Address:
Andrew Dao
1121 S Golden West Ave
Santa Ana, CA 927043203
(7141716-620',1
Owner-Builder
Amount
6.69
21.25
52.98
Fee
$20.07
$21.25
$52.98
Qty
3.00
1.00
1 .00Phone
Tenant Name
80tchi:{{397 - 6t20/2018 I0: CCt Er-t-AR
Office: CIYH fPonsi: 91 3 of 3Accti: Refir 3023?601
Rcptifu29959{ - 612012018 2115 ?n
Tronsoct ion Totol 1770.92
Andrey Doo
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
6e]tePal Ploll lbdote Fee
01t16002- 51600000-
Pl urb ins
0u16002- 51602000-
ICL Check ??19
i21.25
t73.05
,770.?2
Date
Date
Oate 06t20t2018
Account#
01 1 16002 51600
011'16002 5'1602
Fee Total:
Paid to Date:
Balance Due:
Notes: Cap unpermitted plumbing fixtures back to point of
origin. Letter of auth on tile.
$94.30
$0.00
$94.30
Planning Approval Byl
Plan Checked By:
Permit lssued B
Subject to Field:
Amsden, Julie
Buildins Permit #: 10296788
Every permit issued shall become invdlid unloss lhe wolk on the site
authotized by such pemit is commenced within 1 80 days aftet its
i$uance, ot it the wo* authoized on the site by such pemit is suspended
ot abandoned fot a period of 1 80 days altet lhe time the work is
commen8d.
lnspector MID#: 2018-144117
lvlisc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
$21.25
$73.05
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30239601
Pin #: 99659
Foo Type
01116002 51602 Cap Fixtures
01116002 51600 General Plan Update
01116002 51602 lssuance
NOTICE OF ViOIATEOIJ
Building Use: Single Family Dwelling Occupancy: U
Job Type; Alteration Constr TYPe: v B
Nature of Work: Remove Garage Alterations Code: CPC 2016
Planning Conditions: Garage to be used for its intended use of parking & storage.
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
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t8 7-C-qc-^.*
ltoaKtr&::.ColtrllNldllllli
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I hcrcby0Snmundcr penllryoipcriury.nc.lrh. rolhsir8dNlarulions:
IhavcindwillmainrainaCcditu,rcorconscntbScl,:l'NurcrirsorkcN.o rr.nslrio1.u\ pmvidcd lnr hr sNrn,n 37()O ol rhc
tilrr Cdd.. fr rhc pcranrmncc oflhc sork lor uhi.h thc r.m i\ ksucd.
-l hlh &nd qiu Minlain *ort6s' con!.nsslion insuhec, as rcquitcd by Serion 37m of lh. Lqb.r Cod.. for lhc F folnle ot
thc work for ohich this pcm is is$.d. My *mt6 odp.nsdion inrut$. @Er .,n Int , nunb.r @i
coNiBuqul')N!BuNli-atiIlct
I hcEh, oftirm undcr [E.olry ot p.rury rhd lhcrc n a onslru€riotr lc{dine i8cnc, ror lhc PcrforBec oa th. wotk for ehich lhir lxrmn is
hsucd (Scc.309?, Civ. C.)
AITUIANTDECI.ABAfION
I h$$y nflinn und$ pcnllty ol pcrjury otu 6rrh. rollowinB d(hBlionrl
Dcnelirii,n PcrnrarsAsb.sros Nolificrlion Fcdchl R.eultrions (Tnt lo. Pun6)
_RL!xir.d lrncr of Notifi orhn
l.cniiyrhd rlE lcdcrl csllori{,ns rcBrdint asb.sbs tcn$vdlrc nol lmli.trhlc
'o
rhis rojccr
:ial (n ily rhir I h,vc rcd r hi\ .!pli.dn'n nd slolc rhlr rhc xhrrc inlnrnNn,r $ cotrr.^r I !-!@ ro .omlly wirh lll cirv and counrv
. 'ln.d\ rnd Srrrr If,\ \ '.hr'ro hiklins onsrrucrioo. ad ncEby aurhoriz rcrc{nla|its otrhir Cily lrd Coutrlylo cnrf upon tlr
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UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area,/Storm Drarn
lnterceptor/ Clarif ier
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Pool Heater/Gas Line
Miscellaneous
Gas Service
Waler Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing
Final Gas Test
Meter Release I
FINAL 1 It $-\i/\1\.^*1A
Notes, Bemarks, Etc U I \-/
TOP OUT
Fill Line/Back Flow
Back Flow Device
OWNER BUILDEI{ DI]LCARATI('N
I hcrchy uilirr undc Enrhy.f rclury rh l anr cxcnrtr fnnr lhc Contacn,N'Liccnsc taw lor rhc ii,liowing rcastr lscc7{).115
Businc$ u,l Prcicsn,n C'{ c) Atry City or Cotrnr} wnich rcquire\ r Fnnil h mnnru.r. ills i,trPiovc d.nrlish or aPln rnv
{ru.rurc. tri(r n, ih i\surncc. nko rcqlncs lh. lpplicr ror \o.hIfmir k) filc r sisncd slarctunr rhd hcor shc n liccn\cd Ft\u,nr
lo rhc PNvisions ol lh. Cohtd.rolr Liccnscd L!$ (ChlPrcr 9. ConrnkkniS sirh sccriotr 7xr) oa Divi\ion I o, (hc Business and
fnlcsnhs C6dc) or rhd trurshc i\ crcnrpi rhcrcli. rMd thc brsh for lh. rllcgcd ci.mprn,n AnyviohrionolSccrionTl).ll15hy.try
rlpli.rnr turapcnnii suhjccr\ rh. urrli.Ld ro rcivil!.nrlryolnormrerhan fir. huMrcddollrr (3500)
K1t.,.-EY... $icrnrrhr0mnny.orm,un'nl',)cc\* h r JEc\ r\ rhrn v,t cotrrNnsnridr. *ill d(J lhc worl dd rhc $81urc n iol
inrc Lt or Ucrcd lor vlc (Sc 70{.1, tsu{iftls d PnrLrs.ns Codc: I hc Conrr.nr'r Liccnsc IjE dl)cs nol aPPlt u dndsrcr of
rhc pmncny wb build\ or nryrolcs lncNr and *ho d€s such {!rl hi'nrclfor hctsclfot rnmuBh hi\ or lM.$..nDloyc$.
,n*idcd rhrr \uch imfbvcnEnr m ml inrc.,lld or olircd fu \rlc ll hoscv.r. rlE lBiklins or inDtuwd isq'klwilhinoncttd
olconDLrior, rhc Owi* Buildd wrllh!!c rhc hurdc! olnovine rhrr hc o' sh. dil frn hoikl ur ililr(& rh. PR,rcnt {d rlE fr4rc ol
Ar o! rcr "i r h. nmn n !. J r o( lu\ r c D rvnr(rns Bilh liccn\cJ .onrmcros ro otrnocr rhe pmjccr (sc. ?01'1. Busirrc$
a'xl fiofd{bn Codc:'lhc Cotrlrrcrrr's Liccnsc t-s* do.\ norrltly r. rn owDcr.lrr.nlrrysho builds or nnJ)(Ms lhcrcon
and *ho conrrrh lbr \uch ptujc(h wirh . Cbntmclo( s) liccnsd lusur.r b rh. (n.r,.u s Lisn\c I is)
Policy Nun$rr:-ExPncs
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L-]t 4niry,r', ,',r'" p",rn,*ncc otrhc,nrt ntr whirhrhh p.rnrir is issucd,I shlll.or cmlkiya.rFson inonynroE
$ 0eto tr.om subiccl lo thc *o*c^ L\,npcnurion l.ss ofc.lifomia. lnd aEn. rhd ifI should h.tom srttiNl ro rtE
workcJl comr.nsnlion I'mvhiois {t Sccr ion l7m or rh. ld,r Codc I sh.ll. fonhwirh .onDly rnfi lhor pDlisionr
WARNINC: Itillr€ ro ccuE workcn (,npcNrtion covcflsc i5 uhwtul, .nd shall subicl an cmpldlt. ro riminll FMhics lod
civil fincs up ro onc hundrcd thous|nd dolllN ($100.fiD). in addnn$ to th. cosl ofcomircnsaln,n, daduScs rs rrovidcd tor lhc
sccrion :1076 ot rhc Litu Crd., Drcrcn lnd tr mr) \ !e';'; ;rj "^-,*7?.
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DICI,AMII!]N
I hdftby.mrmundcr r,cmll, ofterjury rhdr I dm li.tns{d und.t F}vhion otChpro 9(.ommmitrs vilh S.*rion 7mo) olDivkiotr l
of lhc Bu\inc$ dnd Phfc$ions Codc. lnd hyliccnt L in tuU rd(. a cfiecr.
lxtrJfl . Nrrtr
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