HomeMy WebLinkAbout30140011 - PermitCity of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27a? i Plumbing
Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714),647-5853
Permit #: 3Ol4OOl I
Pin #: 22140
ProjectAddress:521 S Lyon St Unit: CO Bldg:
Tract 5457
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 935-330-56 Lot: 1 Block: NA
Owner:
Address:
Shibata lnvestment lnc
1'l 35 N Eleclric Ct
Long Beach, CA 90813
Amount
22.25
22.08
55.04
Qty
1.00
1.00
'1.00
Fee
$22.25
$22.08
$s5.04
Contractor
Address:
Phone
Botch+:{6tr97 - I /2'r/2019 IOt HGARCIA0ffice: CTYH TPons+: 16 2 0t' ?Acdt+: Refi! 301.+0011
Rcpt+!0?390734 - ?/21/2ALB 1t:r:26 Arl
Tnonsoct ion Totol t337.7{State Lac #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
Sh iboter Investrent Inc
General PIqn Updote Fee
01116002- 51600000-
Plunb ine
01116002- 51602000-
ICL Check 03{39
322.08
t77 .29
r337.7{
Building Use:
Job Type:
Nature of Work:
Condominium
Alteration
Bath Remodel
Occupancy:
Constr Type:
Code:
n.z.ll
VB
cPc 2016
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
,pI Hernandez, Kathy
Date:
Date:
Dale:09t2st2018
Account#
l\,lisc. Receipt:
lvlisc. Receipt:
NIisc. Receipt:
Total
10197789 $22.08
$77 .29
$99.37
$0.00
$99.37
Every permit issued shall bacome invalid unless the wo* on the site
authorized by such permit is commenced within 1 80 days after ils
issuance, or if the wo* authodzed gn the site by such pormit is suspended
or abandoned lot a period of180 days after the time the wotu is
commenced
lnspector MID#: 2018-146329
01 1 16002 5'1600
01 1 16002 51602
Fee Total
Paid to Datel
Balance Due:
Fee Type
01116002 5160? Bathtub
01116002 5160C General Plan Update
01116002 51602 lssuancePhone:
Tenant Name:
Owner-Builder
Planning Conditions;
Notes:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNDlI IITIILDER DEI,(ARATX)N
I hcrchy /m,r uDdcr NMlry (n pcrjury lhll ! 0nr crcnrpr ron rhc C{,nr&r)^- t-i(tr* Liw ln. rhc lnli,trirrs _irw,o (sc.70.11 5
Rx\inc!\ rnn &ot$t'n Codc): Ant Ciry or Counry qhich toqrn.x r tf,n rb (ur{rucl. rllcr- nnnn!(. dc'nollsh or toN'rir rny
{tudurc. pri, k, ir\ i$urtr... rl\o rcquirc\ rhc {, .dni lar \u.h |*ann n' iilca li!trcd nrrcttnt rh h.or $c i! Iicctscd Nnurnr
h rhc pn,vi\n)ns of rhc C.ftktr s t.,.c.*d t]s (Chrucr q. C. nncmrA *irh Sccrion TuXl oi Dni\n,n :t of rh. Ru\ifc\\ rtrd
Pnic$inr\Gllc)orrhd hcor\hc tcxcnDr rlrcr.lionrand rhc bl\i\ tr rt rllcg.d crcrrri,rr Atr_viohriotolSclii,nT()-ll5hyant
rpllicrnrfitr r p.nir \rSJcd\rhc rytli.inrtur.i!ilp.nrlryofnor'frtrcrhrtrtlvchundrcddolla^(St(Jo)
-1,
as owmr of rlE F!,Eny. or my cmphrrs Dirh wlgca &r iEn $k mnp.nsdioo. wiu do lt* eort sd th. slrBt@ ii ml
inrcddl or oficod tor eh (se 7(x4, BNims. md Prof$don. Codc Tnc Conhclols LtcN kw do* tul lpPly ro M osffi of
rtc nml].ny who ttrittc or ifircrr rtt@n, .nd *ho .L4s sh e* hirelr or hcrslf or lhrcush his or hc. own.tployfts,
llovidcrl thd su.h in{,mwnh e mt i'r.rH orotu forslc.lt nokw.llE boildi,S or if,ptowmnl isstwthinoft }Er
oa@rllhtb'l dr O*m, Built, si! h,v. th. hnhn of p6vin8 1hd lr or slE dil mt t{itd or i'rtm lnc Fqfiy fM dE Plrpos of
-1.
!s owmr of rlE tmp61y. an crcluqirely .o.racring *irh licrn{d conrEtou lo connEd llt poirl (S( 7Ix4. Buiim$
ad hntusi6n Codcr Thc Conlsror's Lic.nsc Liw docs not splly lo owfler oflmPcnywho buildi.r inFrows lhcrcon.
and qho .onlm.k lor sucn pfl,j.rls wirh ! Contncro(o latBd plFu.r rd rh. Co .0dols LiccnE L{w).
I ncrcnrfl undcr Sccl
o^,., 4 /:-t /rQ o*,e.
I2C(:\-BNIJN
I hcrcby affirm undcr tcnoll, of pcriur, onc 6f tltc lollowin8 delndiions
-l
hlvcandvillrMinllin!Ccnificxr.olCon\cnrh Sclt l'rsurc lt $(trk.rJ conl,xns.lion. $ pmridcd rltr brS.crion 1700ofrhc
Ij6or codc. rorlh.Dcrfoarsmcoflhc *ork for*hich lhc pcrnrir n issucd
_l hlr rn {itl minliln wo*cB @npeN.rion insnN, er BNiEtI by Seli,n l?m of llE Libor Cod.. lo, tlE Frfo,rrllB of
rhc tui for wni.h rhh Fmn ir ii$ed. My {dt6' @rpc.!.rio. iNullc triq !d poliy tutrtbcr cl
-l
ccnify thot itr rhc lcrformamc ofrhe e.* t r wli.h lhiq pcrnir is issucd,l sh.ll nol employ.ny IEtun in rny @nmr
e &\ ro lE om rubjEr ro rh. wort.n smpensrri.n Lws orcdifomi!, and a8rce tirl if I sholld bec.rc subjml
'o
llr
w6rts{ onpcnsdri.n pmvi.io.s of Sdion 3r0o of lhc t tior Codc. I slul!. fodheirh snply sirb l}br PDvnhni.
WARNINC: Fiilu,c lo sw wfrxcr' L$np.nerion d,acrag. is unl.$tu|. and sholt subrcd an flUlort.lo dimin.l Fnlllx afla
nr o,c hundrcd rhousnd dollds ($Ioo,fix)}. in lddihn lo lhe cosr ofomll.oetion, .hruecs as pmlad for thc
SElion.1076 !l'lhc Lltnr Co<lr-
Dr,.: 9/rr ,/r
inro.i rnd ariorfty\ fNsI
lurL!&ular
I hcrcby iflm udc. pctr0liy of puury fiol I m liensd und( !rcvhion of Chapto 9 (@nmmhg sith Sdrion 7000) of Divi3ion 3
of rh. Busincs snd Prcac$ion. Cod.. ,.d my li.trs k in full loN rd .faal.
CO!$If,!,]EIITN.LENI'INIiIGE!CI
I h.rcby nfltr utrdcr IEn0h, ol lcrrlry rhlr thBc is u .ondru.tidn lc.ding ,8.Ny lor thc Pcrformcc ol lh. work for which this Fmir is
is$cd (Se, 3097, Civ. C.)
A[PllCTlIifOECLlB/ l]]gli
I ltehy dtmund.r pcnrlry ofFcrJUr) otrc.lrhc lnlk'wir8 dc.lmrirnrs:
D.nx'lirnnr Pcflnir*Aslr{os Norilic,rion lcdcrrl R.-!uhri{ins (firl. '10. r'r 6)
Rqtri,.d LcrrcroiN'ifrdi,nr
-l
e ify rh.r rhc fcd@l ESllsliors ESndirB .sbcslos rcmul m not lpt ltrblc ro fti! pojftt.
-l
enify rhd I IEE Md rhir spplkrrEn .!d ,l'r. rhrl (E .borc i.fomd bn i. coft<I. , are lo
ordiEmcs ud srrr. L.$ Eldlrs ro blildins NBE5.q. !n hcE!y'&lbri& EFEsnllris of I
lborc mnfiomi pmpcny lor irorccrion purDo&1 I / ,
Appro,G^!6rsrs',u.: * L rJ*- L*
coarnlv rvirh rllCirynnd C.udy
nis Ciry !d Couniy ro .or.r u[s. r
+-
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent /o // //t 6ll/a/71t /6L
Water Piping to LbA D4,1t ?+-/61-
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Houqh Plumbinq lo /r /.,c <ott-/ ft\-.,'
Meter Release
FINAL
Notes, Remarks, Elc
Pool Heater/Gas Line
Miscellaneous
Final Gas Test
D