HomeMy WebLinkAbout30141970 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19) Santa Ana, CAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Permit #: 3O14197O
Pin #: 5O32N
Project Address: 322 E Twenty-Second St
Assessor'sParcel: OO3-122-O7 Lotr I
Unit:
Block: NA
Etdg:
.|..acl: 1472
Address Range:
Historic: No
Suite Range:
Zoning: R'l
Contractor
Address:
Tenant Name:
RAFAEL G RUBALCAVA
322 E Twenty-Second St
Santa Ana, CA 92706
(7141 428-9257
Rescue Rooter
740 N Hariton St
Orange, CA 92868
(7141771-7481
01116002 51602
01116002 51600
01'1 16002 51602
01 1 16002 57770
Fee Type
Sewer Alter/Repair
General Plan Update
lssuance
Microfilm Records
Amount
46.25
22.95
57.20
3.91
Qty
1 .00
1 .00
'1.00
1.00
Fee
$46.25
$22.95
$57.20
$3.91
State Lic #: 765155
Lic Type: C-36, A, C-42
8us. Lic #: 319175
workers' Compensation lnsurance:Carrier: Liborty lns Corp
Policy #: WA763D508631019
Expires: 1010112020
Botchi:545{{ ' 2/23/2A2O I0i o}orqle515
office: CIYH lr(lns+! 119 1 of 1Acct+: Refi: 301,1I ?70
Rcpti:0290236S - 2/25/2tt20 ttzl Fll
Transact ion Totol tt30'31
Rescue Rooter
$130.31
$0.00
$130.31
Genernl Plon Update Fee
011161102- 516t10000-
Ilicrof i Id & Docunents
01116002- 577700r[]-
t'lu,nb ire
01116002- 516D20rlD-
ICL (:heclr 81tr1(12799
S6wer cleanout
$2?.95
t3.91
i 1tr3, 4 5
$ 1Sr'r . 31
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Sewer repair
Occupancy:
Constr Type
Code;
Dale:
Date:
Date:sden, Julie
Every pemit issued shall become invalid unless the worr( o, the site
authoized by such penit is commenced within 360 days after its
issuance, or if the wo* authorizod on the site by such peftnit is suspendod
or abandoned lot a petiod of360 days after the time the wo* is
commenccd
02t25t2020
Account#
$103.45
$3.91
lnspector MID#: 2020-158025
01 116002 51600
01 1 16002 51602
01116002 57770
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address;
Phone:
Phone:
R-3
VB
cPc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS ()llNllR liull,DllR l)F.l-caRATl(ll\
I hdrh, r,firm unJ.i lttulr),,n,{,ttrrv rhrr I rn, r\rtrl, no j rhc C.nrrJ.rn l.jc.t{ l-rs tr rlN i.ll"tirr8 r.rvn rs..7(,115
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lp0li.rnr tur d Nnnir {njcd\ rh. afIli.rnt h r.iv'L,r rlr) ol ftrl nn, hrn llet hui(lttdd.llrs lS5lr{,
l. r\ o\ icr of thc ltrolEny. or n,t cmnlort s wirh srlN is rh( ir slc $nrn! \dirnr. *ill do !h. s.rl rtu lhc ( hnn.r
i ckLil or ofiircd l'or sslc (slr'7()s. Btrsilc$ md Pnntsi,nN (inl.: Th. ( otrt..ktr\ l,iccn* t!$ doc\ n.ramlv to an o*ncrof
rh. l]n)pcny *ho huikkor ir\a,ncsrtxr$n. ad sho (l,B\1khktrk [nnsrlfoth.kll orrhn,u8hhi{ orlErosncnfk,yccs.
pn,rirlcd r har s(h imp(nrtu r\ irc tror irrrcxlcn or .li!(l hr {t ll. hotr c\ rr' lh. huikling or i'rynr cn.nr i\ $kl wirhin onc }eu
ol.o l|)ldi.n,rhc(Xvtrcr lluildcr willlt'!c rnc hrd.n.f lft,vr+ rlul hcor\hcdtl .rttrrildor iDpmvc thc ptr,Idy fd rlE PU{n{ol
l.r\owncroilhcprolr,nr.,rrclusivcly..nk&rirrSrvirhlic.nscdcodtcn$t,cnnirucrllrcnr,lccr(Scc?014.6u\inc$
afrl t'turi.\i.nA)dc: Thc Conrrncktr \ l,ic.nsc l-!s do.1tror rPflyro anos'tr.rofpii,ltntt*ho 6uil or nnpnrt! rhcrcotr.
rnd sho.onrEcrsfr\urhtrorcrssirh.Co.rricrnl\)lic.,rLdNrtornrfurh-Conrac&r\l.iccn{tja)
-l
rh crcm udc. Sedon-. B. & P,C, for rhi. eson
Lrro
lroRt<r ks' (:{ ll\rIrFNsArIoN
IECI.Af,AIIO!
I hcrct y arfid!6.lcr FnlhroltEjuryoflc oflhc fou{,win8 dt.lM iotrsl
-l
hrle ,nl will rointlir ! Ccnifrc{rc ot Coo{nr ro S.lf- Insurc lot *orkcc conP${rn,n. as Por idcd for bt S(rio. ll00 of rh.
L€bor Cod!- ror thc pdromncc oflhc work fu *hich lnc ps'nir n is{.d
A hnrc ond wilt nlan aitr worleB @op.osorion insu.0mc. !s rcqliEn by Sdl b. !7oO of lhc ljtor Cnd.. aot rh. Frfoffixc of
pcrffn is hrucd. My*orkcn c{'mFtrsornnr in\urrRu..nicr un nolicy .umbd dic
c lo-)-&
-l
eniry rh,r in rhc pnr.rmncc of thc o Lr Dhth rhh Frnit i ksucd. l shrll nn coploy any pcMn in lny aMM
s sto hc.onE subrccl h rh. *erts @n{rnsrion lNrof(llifotoi!. lnd u8ftc iher if I stnlld tEsm $bid
'o 'hcsrk s conlnctrsion pn,lnioBorsccrion l?0o oflhc Lntxr Codc.I \htrll,lodhsilh snrl,ly wnh rlhs Povisi(,.s
WARNING: Failuic ro $.uc work s 6'npc.s,rhn ..vcng. is unlowful- md $dll subisl m cmplortr lo oioiMl FMlricr lnd
cilil fin* ut, ro om hundEd lho8dd dolls ('l(x).uDr. in lddnioi lo lh. coir otconFnslion demscr {r pbvid.d f.r rL
S.crn,n:1076ol rhc tibor Cdc. irrcrcdand anorfty\ rss
2 -2s:2\
DEI! ndrlol
of rl[ Bu(i,rcs ond l]oltsi(nl(.odc. od myliccn{ i\ ir tullnncc rn{lrlf..r
e'.34 ,,..*.-*,, 'K t/t
,r,," 2'Z{'2t a."r*"t.r,:4
coNsTllucll(lN I rNDIN(; a(lENCY
i\sucJ rsr :1097. civ. c )
A-8&LEANLDECIdIIAUON
I rLr$y unnnr uodcr pctrilry ofpcrjxry onc ofrhc lDlk'*in8 ncchrarion\:
Dcnr,lirn P$nrir*Asbcnos Norilicrrioo FcdcEl Rc!uhrn,'! (Tnt 40. P!!16)
R.!uncd ktrcr ot NorifMiion
'r. lccnilithrr rh.lcdchlrcrul iutr rc8udins rstf,no\ rcm,vd . mr frlicnhl. t, rhi\ proi{r.
!l.cniiylhl( I hivercldrhi\rnt,l(nri({rll {rrr rlrrlh.itrirc n,nn rrruri(.onc.t lrS.cck'comllysirhrllcirvtftlCounlv
o",., 7' e 5i zer
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
lVIain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meler Release
FINAL 2,'k--EE{ lt >
Notes, Remarks, Etc
Waste & Vent
Miscellaneous
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