HomeMy WebLinkAbout30140351 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 30{40351
Pin #: 557EO
Assessor'sParcet 003-132-10 Lot: POR 9
Unit:
Block: NA
Bldg: Address Range:
Tract: DERICOT Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Phone:
Tenant Name:
Pablo A Ruiz
522 E Santa Clara Ave
Santa Ana, CA 927062959
(714) 585-7020
Owner-Builder
01116002
01116002
01116002
01 1 16002
0t 'l 16002
01116002
01 1 16002
51602
51602
51602
51602
5'1602
51600
5 touz
Qty
1 .00
1 .00
1 .00
100
1.00
1.00
1.00
Fee
$14.22
$22.25
$12.70
$44.51
$22.25
$22.08
$5s.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
L/29/24$'onsi:7Reli:-tt/29/2$'!..
tfe
0l-i-
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Building Permii #
Single Family Dwelling
Addition
Addn
Amsden, Julie
't 0197867
Occupancy:
Constr Type
Codei
R.3, U
VB
cPc 2016
Noles: New addition to existing SFD with 1 bathroom, 1
bedroom and 90 sq ft. addition to existing porch
Dale:
Date:
Dale:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
111291201A
Account#
$'r93.0s
$0.00
$193.05
Every pemit issued shall become invalid unless the wo* on the sita
authorized by such permit is commenced within 1 80 days afrer its
issuance, ot if the wo* authorized on the site by such pemit is suspended
or abandoned for a pedod of 1 80 days afrer the time the wo* is
commenced.
lnspector MID#: 2018-145490
01 't 16002 51600
01 1 16002 51602
Fee Total:
Paid lo Datel
Balance Due:
Project Address: 522 E Santa Clara Ave
Fee Type Amount
Water Closet 14.22
Shower 22.25
Sink 12.70
Sewer Alter/Repair 44.51
Wtr Htr (Res up lo 50 g. 22.25
General Plan Update 22.08
lssuance 55.04
Contractor:
Address:
)r-l
$22.08
$170.97
PLUMBING.INSPECTOR RECORD
APPROVALS DATE rD/srG.COMMENTS OIVN I]R BT]II.DI:R DEI-CARATloN
I herchy aflirm undcr nen,lry ol Btury rhat I .m.x.mnr lmn rhc Conlracrors l,tcn.e Iaw li, rh. i{nh$in8 reasn (S(.'i0Jl.5
aBinrsc ilt Porssion Code): ,^ny Cny or C.unly whch r.qun.s t nLrdm lo snnrucr, .lter, imDrovq &frnch or RIrr iny
rrruciun.pnorro r f$rft., ako r.qums rh. .rplr.nr aor such pcm t. fil.^silncd n.remcnr rh,r h.o. rh. h lic.nsql nurnrmt,
ro ih. rmyision\ olth€ Conlrt.ror's Li..n3d L.w {chrnr* 9. C.nm.ncins wilh Sstion 7000 ol Divit,n I ofrlf, Busincss ind
rmf.s$.ns Code) orrh.r h. or sh.6 exrmtt rh.r.frch and rh. b,cis lo. the 0llc-{c<l excmrnon. Any vdnon oasdi.n 70ll 5 hy rny
applicanr li,r ar.mir slljecrs rh. oprli.rnr {. n ciril pc hyolDor mrc lh.n five hhdBt doll.n (5500)
f 4. * "**,.,,* ^r.").
$ m) e,nrlL',K( $ l'kucsarrh.tr$ccon,Fnsrion.s'ill.brh.sl,niand16.nMWsDn
rnr.dcn "r.,lieRn [r s].(sn 70,14, Buqn.r(nn,lP6i.ision,(od. lhecontacldisl,'..nsL,*dodsfrrla,rplylos!o*ncror
rhc pmFny who ltrildq.r qrnB rlE@q ri tr'h.tBe.h rbft hiDsclf.r h.isclfo' rhmrgh hr o, hcr own.mDloy.es.
Irro!'d€d rhrr such iftpnnrftn* arc dn imended or o0iFl hr sL lr, h)scrd, E hoiklrry ot inDmrHEnl is $ld qrhin .n. ,ed
ol'conDl.1ion, tne O*mr Burld( wllh,re rh. bdrd.n olrnJvrnS rld hcordEdid mt huild., i,q'nrE rhe pNptny fo! lh€,!u4s*ol
-t,
,r.{n.r of rh. l'()p.dy, ,m.xctuiv.ly contEctins vnh licssd snl@io6 r. odruc' ltqmjet (56 7M4. BLi'n.s
and PmE$im (hd.: I h. Conklcbl3 Lic.nsc L6w do6 mr arply lo .n ownd oflmFrly eho hu'l,kur "nnncs rh.re?n.
I
*)
snd *ho onlracr. lo, sch pmj.d. wnh a contdo(o lic.tr cd plNlool lo rh. Conk.clor's
a"
DICIJSAIIO!
I hlEby.mr6unddFodiyoapajuryonofth.L.U.vin8ddlomlio :
-lhf,r.aod*i11tu'm,in.c.nific.rcofCnnscdbS.ll-lnsurefo,\o,[c6'conrPe,s
io,.!s nmY ed lorhys.crn'.]7rx)olrh.
L.hor C.de. hrrhe ll.rfo@m. dfih. wo* lor which rlr pdmir is hs.d
I hsvc Md will nainhin *ork(r' .ooF....thn iNu.rm.. au r.qun d by Str io. 1700 .flh. L.bor Cod., Ior rh. pflomm. 6f
th. wort for *l ch rhis pmn t ii{..l My workdr omFnetion insffic @nif &d Flicy .umb.r se:
in rhc p€rtormafte of lh. work for which Uis !.mn ir ns.d. I shall ml !q)l6y nny l.m. in .ny lmEr
$bjd ro th. w.lin' @mpcnsrion bvs of cllilomia, lnd asc that il I should h.com sbr.t lo lh.
wo*.rl mmFnstionthvhionr ofsdon 1700ofih. tatsr Cod.,lshlll, fonhwilh @nrly wilh'h'* nmlisiotrr.
WARNINC: ,:oiluE ro sw wort 6' emp.tr 0tion ov@sc i$ lnldwtul, .ffI 3h{tl suhj..l an mPlortr ro fininol ,cmlli.s and
civ nn . np l. oB hundEd rhowd dolls ($100.000). 'n.ddlion io ltE cosl colllEnglion, d$Ea.s N previdcd for lhc
s(rion 1076ofrlE Lah.r codq im.rcst.nd dtorncy, ies/y' z't' 17
D}jCI.^SAIION
I h.rby.dnm und.r D.nahy o t pcrjurr rh'r l,6licenkd on{t! tm$io. of( lspl6 9(@nwnc'ns wirh scclio, ?000) olDilhion 3
.r rh. ausi4s and Pmlcsmns Codc, and oy ncms. is in lull loE! ml .lT.cr
Contnrtor:
CONSI'RI]C'fION I }'NDING AGENCY
I lReby auinn u.dcr p.Mlty oI Fdur, riar rhec " a con{rucro. kndmS !s.my for rhe !dli@nc. of rh. wort 6r $Eh rhN lEfrfl rs
ss.d (Sec 1097. Ci!. c.)
AELICAtrI.D&CI48AUq!
I h<dry.trm und.r p.Mhy ofpdjury onc of lh. lollowins del@lioNl
Dcmolirio. Pdhil3-.drhqtor Norificarion l:.d.El R.xulalioDr (f ill.,l0, Pd6)
I Rd n d ldr.r of t{d,adh.
, l,pr'f\rh
'
l'. leJerJl re|[lrr nnc rped,ry ".hcn$ en..{il,'rt arr rnl'.,rhlci,rhr|n,Rr
214
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'r.r
innl'$,n n rnd nrrc,lmrrhc rbv. mroiindion F cored l ss(i t, con0lywnh.ll(\ryaod counr,
onliMmes 0tu1 Std. tiws Ehtins ro building cotr{ crion, and aurh.nc .qtr.*nraliv.r of rhas cny ,rd Counly to .nl.r !Ilo. rh.
dbov.mcnrion d lmr.dy f.r itrrFlio.az4 //-27/Y,rppIcrtrr or,\qrnr Slgndorr:ZaLz
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor I
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent [.,hIr14 LMq()
Water Piping I
tl
Gas Piping rq d^44c )
Roof Drain \;z
Tub/Shower Test 1q iliqfi t)
Rouqh Water Heater I \J
POOUSPA
P{raplDrain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing t9 l')l/,/,1/1
Final Gas Test
Meter Release I I ,, rl
FINAL t43 lq t/\Ud/rl/e 15 d"
Notes, Remarks, Etc.
/.
6 '1
6
Gas Service