HomeMy WebLinkAbout30139381 - PermitCity 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 #: 30{393E{
Pin #: 55258
Project Address:14215 Ar aoaho Dr
Assessor'sParcel: 109-663.15 Lot: 102
U nil:
Block: NA
Btdg:
Tract: 3855
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address;
Contractor
Address:
Jose Ledesma
1421 S Arapaho Dr
Santa Ana, CA 927042412
Super Builders
7467 Crawford Pl
Chino Hills, CA 91709
(951) 2s9-0079
Foe Type
01116002 51602 Hose Bibb
0'1116002 5'1600 General Plan Update
01'116002 51602 lssuance
Amount
14.89
21.25
52.98
Fee
$ 14. B9
$21.25
$52.98
Qty
1 .00
1.00
1.00Phone
Tenant Name:
Phone
State Lic #: 334090
Lic Type: B
Bus. Lic #: 348030
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9158752
Expires: 01/01/2019
Botch+:13561 - 3/L/?t\tg
off ice: CTYH Trflnsi; ll
Accti 3 Frrr'a:
Rcptt:02254624 _ r/i /:r.r1g
Tronsoct ion Totol
I0r t_RoSALES4ol 4
3rl139391
1tr:34 An
$?st.5?
Supen Bu i lder E
Ger'erdl Plon Updot e f
0ll 16002- 5l60r10trtr-
Plurb ing
0l 1 161102- 51602110r'r-
ICL Check r'1573C2
i?1.21
I
r67..q;1
trr*. *l
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Hose Bib
R.3, U
VB
cPc 2016 Notes: Contractor must and will be doing (2) unrelated
trades
Planning Conditions:
Planning Approval By
Plan Checked By;
Permit lssued By:
Subject to Field:
Buildins Permit #: 101 9631 1
Every pemit issued shall become invalid unless the wo* on the site
authodzed by such pemit is commenced within 1 80 days aftet its
issuance, or if the wo* authoizad on lhe site by such pernit is suspended
or dbandoned lot a peiod of 1 80 days after the time the wo* is
commenced.
$ nernanoez, xatv
Dale:
Dale:
Dale:05/01/2018
Account#
l\.4isc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$89.12
$0.00
$89.12
lnspector MID#: 2018-143089
01 116002 51600
01 1 16002 s1602
Occupancy:
Constr Type:
Code:
$21.25
$67.87
Fee Total:
Paid to Date:
Balance Duei
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS o1.l NllL Strtl,DllR I)tiLcaRl\ fl()N
I hcrcbt xlh lnJcr p.nnlrr-,ir pfljry rhl I c\cmDI nonrlrConr !tri Li.ctsr LrLr lnr Ih. b]l(t\ins rcasot (SLr.7oll.s
n) th. tu\isioi\ ol rhc Co tr.rr'! Li.c \.d LrN (Chrpr.r ,. (oDncring rvirh Sccrlon 7(xX).f Divi\ion :l ofihc Busnr$ rnd
rfdi.rrr,nr|fnnilsrhj&rrrhcrnrliratrrbr(ivil,,.rihy.lnor"rrclh r l'n. hundrcd (lolhs($5m)
l.NosNrofrh.ProNnt,ortrry.n'Pl.y.$wirhwxscs$lhcirn,lcconrpcfsrrbn.*illdolh.Borka lhcndclurci\nor
icndL.d or oflLrcd f.r $lc isc.7{X4. Busnrs lnd ttofcst)n!Cdc IhcCo rrcntr\ l,i(cn$ I:rs docs nor trPIly l. $.*ncr of
rhc n'.ocnt *ho huil& or inw,rs ih.ron.3nd s,F d.cs {rch soi* hN$lf or lDr*lfor rhrotrlh his or hcr own crplo)rc\,
F)vnl.d ihJr such i'nlrxrDEnh ar! frn inrc ndcd or .flardl tur!'lc ll, howc\$,!tu huiklin8 or nryn)rcnrnr h sld sirhiior. ycrtr
ot conDlclior. thc Owmr Suilds willh.vc lhchurdctr.lpnni+rhnr hcorshcd tror huil,l or imtmr c rh. I,mFiy r(r rhc t,ur 1r\. of
-1.
asowmrolltc pmpcrly- , m c xclus ivcly .onl racl irg wilh li.ctrs.d .onlfuloa l. mnsr cl rL pmirl (S.c.7o4!, ausircs
md Bsfs.iro C.d.: Thc Conrr&roac Liccnsc Llw docs rer ltrly ro an owner ofprepcny qho truilds or im[ovcs rhoeon.
and wt'o cotrL€cts lor $ch pmjcch wnh r Co.ri.ro(s) liIn$d plBumr b rhc Co.rrlofs Lkcnsc tiw).
I mc\cmn' undcr Sdion .8.&P,C.torrhnM.oo.
lqatrE8E.coMPiNtArlaN
DECLARATTON
I hcreby .ffirm u 0dcr peMlly of!€rjury om oflhc following delaErions:
-l
hlvc dwillm.ifiritri(tnilicarcoicoflicnrroscl n\ub liy work.n .onDcNnrn,n. as pmrd.d for by scclion lTul ol rhc
Lrhor Codc. tbr rhc p.rfonumc olrhc work ld sfiich rhc lcr.it i\ issucd
_l havc and will moiniain wortcs' comlcns,lion insurdrcc. $ rcquircd by Setion 3700 of lh. tlbor Codc, for lfic pelornucc of
thc work for wnich lhis pcmil is issucd, My work B compcNrlion insum.e caicr rd policy numbcr m:
l.caiiy rtu ii rnc Fcrloroancc orrhc wdrk for rhich rhn pcrmir is issucd. I shall nor cry,loy inyDeNon in !n, maii(
so isr. h..Dnr subicd b lnc workdx onpcnernri h{$ dlcaliaohiu, rnd iBrc rha' ill slDuld beonc sxbjcd lo rhc
trorkcr(.ofpcnsmionptulisionsofsccrio.l?fl)olrhcLrhrGrlc.lshnll.tonhsirhconrplywirh
lurc to wue Norkca' coryrcnsario. covcraec is unlaNtul, md shal,0n cnrplo)er ro cnmin.l Ilcnrltics !nd
om hundEd lhousand dollm (Sl00.tD0l. in addnio. io thc cosl n. dam8cs !s providcd tor Ihe
l- .r Codc. intcr€sl .nd oltomy s
D[CldEdJraN
I hcrcby arfirnunddr pcndlry.fFrjurr rhd t an licci*d ln.lcr pmlnion ofChlprd 9 (co'norcncing wirh sucri.n 7000) ofDivirn,n l
nf llrc BusnEs lnd Proltssions Codc. ud myliccnse h in lull fncc o clltct.-r-
,,,**'*,ffi *r ^,**,tI hcrby dinmund.r pcnnlrt.rlf,rjurt lh,l rhcrc ie r.on{rucri{)n lcnding,g.n.y r.r rhc pcrihnun c oflhc work lor which rhh Frmt k
t.ucd {sE -1097.Civ. C )
ATILICINIDECI,ABI.IION
I hnby.flim undf Fndry ol p(j!r, on. otrhe lollowiis dcclaErions:
Dcmolirion P€rnits-Asbc(os Norificarion Fcdcrul ReSuhtn,ns (Tillc 40. Pn 6)
-Rcquircd
L.ller of Noliticnlion
-l
ccnily ltd rhc lcdcral .c3!lul ions rcsadin8 ashcslos rcnDval arc
-l
ccnify rh.t I hrh rcnd rhis oppli.arion dd srdc rhar in.mrion h corcd.l,ercro comply wirhallCilyand Counry
ordinnnc.s itrd Sratc liws ohlin8 ro buitnrg.onsrdcr sxrhorir rcprcscnrativcs of lhis Cny,nd
ahovc mnt.ne,i.r6*nv ftr insxcuon
App[cdl m Ag.nt Slgrllun: N ,"'"S\t
UNDER GROUND
Waste & Vent
WaterUnder floor
Gas-Underfloor
Buildin g Sewer
Area./Storm Drain
I nterceptor/ Clarifier
TOP OUT
Water Piping
Gas Pi ptng
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Itrlain Drain/Pool Pipino
Fill Line/Back Flow
Pool HeateriGas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Bough Plumbing
Final Gas Test
Meter Release
FINAL b/d//B \JCsT
Note s, Remarks, Etc.
Waste & Vent
Roof Drain
Miscellaneous
9q?
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