HomeMy WebLinkAbout30139977 - PermitProiect Address: 2718W Pendleton Ave
Assessor'sParcel: 4OA-225-O4 Lot: 159
Unit:
Block: NA
Bldg:
Tract 2260
Address Range:
Historic: No
Suite Range:
Zoning: R1
ol
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Gruz Shen
2718 W Pendleton Ave
Santa Ana, cA 927044922
Signature Design Center
329 N State College
Anaheim, CA 92806
(714) 533-9595
01 1 16002
01 1 16002
01 1 16002
01 1'16002
01116002
51602
5'1602
5160C
51602
Fee Type Amount Qty
Sink '12.70 1.00
Garbage Disp 10.66 1.00
Water Piping (Each '100 44.51 1.00
General Plan Update 22.08 1,00
lssuance 55.04 1.00
Esf,:h*r45959 - 9/17/2O!9 ID: Jil.
Uff t.er ;T.':l Trongi: 47 :
i\c,:t+ I Refir 3r-rl.l'ji
Frcptirnr3S5B?8 - 9/L?/2418 lf13i
Tronso,:l ion Totol *E$ l. ?t
Sisnsture Design Center
Fee
$12.70
$10.66
$44.51
$22.08
$55.04
State Lic #: 924506
Lic Type: B
Bus. Lic #: 348538
Workers' Compensation lnsurance:Carrier: Falls Lake Fire & Casulty Co
Policy #: FLA00749200
Expires: 1111212018
G6nerol. Fl.on Updote Fe€
0111600:- 51600000-
Plurb ins
olt160(13- 51602000-
ICL Check 020930
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Single Family Dwelling
Miscellaneous
Kitchen Remodel
R-3, U
VB
cPc 2016 Notes: auth on file
\()k
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
BuirdingPermit#: 10197715
Evory pemit issued shdll become invalid unless the wor* o, the site
authoized by such pennit is commenced within 1 80 days after its
issuance, or il tha wotk authoized on the site by such permit is suspended
or abandoned tor a peiod of 180 days altet the lime the work is
commenced.
lnspector It/lD#: 2018-146145
o9t17 t2014
Account#
0'1 1 16002 5'1600
01116002 5'1602
$22.O8
$122.91
Fee Total
Paid to Date:
Balance Due
$ 144.99
$0.00
$144.99
Permit #: 30{39977
Pin #: 71179
Phone:
I.l
Plan Checked By:
Permit lssued By:
Subject to Field:
Occupancy:
Constr Typel
Code:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underlloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
v-'lt)1Water Piping I iL/
Gas Piping t ut'"
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
lvlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
r-l ,^
FINAL I\-1-
Notes, Remarks , Etc.v
OWNER DUILDER DELCAR ON
I lEeby llfum undf p.Mlry ol pedury rh.t I m cxcq)l iion ftc Conu&rc Lk.n* t w for lhc fotlowing @$n (S(.70J l J
EusiNs lid P.oLsi.i Codc): Aly Ciry o, Coufly shth rcquirc$ r p.mir ro conlrdcl. allc( iqlrow. .h@!iih or rcpin any
smctuE. prior lo ns ir$.re. .l$ cauiB th. E plk&r for sh Fmir io lih. riSrd shle@nl lhll IE or sh. b li..rsd puBudt
lo llE provbions of rtE Conlmclols Lic.nsd ttw (Cnaflf 9, Commenci.g snh S.crion TOOO of Division 3 of rh. Busincss lnJ
Pmtcask ns Co&) or rhlr hc d slE n .x.mfl rhcEfron and thc trsir for rn dkgd .rcn{,rion. Any viohrioi of S*rion 701 L5 by 8ny
applicur lor r Fmi sbhck lhe al'plica.t to a civil t r@lty of mr tur lhli fi(c hu<lr.d dolld! ($5OO),
-L
6 ownf of thE p,!!cny. u ny tntloy6 wnh *!EB rs llEt $lc onrpcnslion, will do lhc qort a,d llt stffiw is ml
i cidcd or olTcdd for slc (Sc.7Ol4, Buriftrs and Phacssions Codc Tfic Contreror'r Lic.n$ Lrw doc. ml lrply lo m ovffi ol
$. pDp.ny who tuilds o. iqrcws fi.@n. rrd vho dcd ssh m him*lf or h.celf o, rhougt hG o,lF, ow..nploFs,
proitlcd lhrl mh inprcEmnts m ml inLlrd.d orotM for$b.li hoftq, iE trildrS or irtD@wmnl ii sld within om )Er
oaonq,Lti,( llE owmr Buirtc win tqE dE hrl.n ofptuviq thd lE or dE did ml build or nr{,mw dE PtDFrry lor ln l)lrlr$of
-1.
!sowturolrhc Fmp.ny. rmcichnivclyconrrmrinS *i$ liansn onrrutom to conntud rhc pmi$r (Sr.7044, Burhcs
ond PJtrfcrion Codc: Thc Conk{cror's Li.cnsc Lrw d.$ nor applylo 3n osn$ oaproFdy wlD builds o, nnprovca lh.rmn.
and who onlmcls for slch t'misls wirt ! Conhcro(s) liccns.d r,usurnr ro lhc Co rEcrols Lic.sc l2w )
_l an.xcmfl lndd Serion- B. & P.C.lorrhis rcen
Dule: (rqm.
UQAf,EBI.:COMfINIUI&!
DECLIaAII9X
I turcby lffrn !.dcr Dcnslly oa n&i!r, onc of lhc aollowiD* debhdo.s:
_l naw drl will mintlin 3 Cenific{e of Cooscnr ro Sclf.l.s!rc for work6 oflpcnsrion, os [ovidcd for by Sarion ]7(D ol rlE
Llhor Cod., ftr lh. rErformmc of lhe mrl for which lh. Fmil t issu.i.
-l
h,rc ond will m,inroin wor*cB corpcnsarion i.su.!ft., !r GNi&rl b, SEr io. l?00 or rhc Lihor Codc. for lhe pcrforurcc of
thc wort tor {hi.h lhis pcmn is issrd. My worlcl cooFneiion insnrm.c cactr ard Flhy rumb.r m
-l
anify fid in fic p.rlol1,M. of lhc wo* lor whi.h.his pcrnir k Bsucn. I sh{ll mr .,ploy any pcMn ir any mnmr
s $ 16 tx{om subF.r ro rh. $rt6 6r!*.sarion hes of Cllifoniq and asre rhar if I slslld ltom $b}rr lo tt
worl€* ompetrsi.n !ovi3i6B.f Scction 1700 of rhc L.bor Codc. I shlll, lonhshn @q)ly silh rhos povhiors..
WARNINGT F ilurc
'o
surc worlc* comp.osorion mvcmgc is unhwtul. nnd sh,ll suhjer an cmplorcr to aimiMl Irmhics ond
civil ,iner up lo nnc hudrcd rhousaod dollcs (S|0O,UD), in sddnion ro rhc .osr .l .oq)enrario!. dr@g.r rs provi,.d for fi.::;#dz:
I hcr.hyrllir ul(.ls rcoalrrofpcrjlry rhrr I!m lien<n undcr rmvhn,n ofChaptcr I (comnrh-'inr sirh Sltrior 7Cx)0) urtrili\n]n l
of rhc Busincssand lto,t$nnrsCodc. o .ry liccnsc is ir rullntr c rl cllLrr
IONSIBII(:I]I)iiI.ENDINGIIiI'ILCI
Ihc'uhyrf,lrniuJ..|xrlrtolpcrjrrrhdrhcrcisxcon{n'.tnn[ndingrgcn.tfitrrhopcrtrn,rn..ofrhrworkn)rshrlihhFnn,i\
i\sucdrsc. ll)97 ( iv a r
A.EUqAUI.DICLA8.&IION
I hcEby ufinn utrdcr licnalry oI,Erjury.re ofrhc ioll{,win8 dol$alio"s
DenDliti{nr PcflnitsAshrstos Norilicorion f,cdcml Rc8uhhns (Tirlc.10, Pun6)
_Rquired I.rrcr of Norifi cariD
lc.nifyrhar rhc f.d.r l rcgxlrriois mtdiding d\h.ior rdnx,vrl *. *n ap/kihh lo {hi\ piorc.l
I .cniry rhd I hov. rcad this a!,licltion ,!d {a'. $ar lnc uiiovc inlormarion ir .oroL I rgmc lo comply *irh .ll Cily and Counry
ordimRcs and Siar. LrM Ehri.g
'o
buildi.S .oo rucliotr ,rd h.Ehr ourhorizc ft ofrhh Cnyand Counry ro cnl$ ulnn rh.
,txxr ftnrioncd pmp.ny tu itr
ADplicnnt or AE€nl Signniur
'P-
$f}Es{u
COMMENTS
4Dt I q'
Water Service
Meter Release
-,, 7//?/e-