HomeMy WebLinkAbout30139926 - PermitProiect Address: 2222 S Maddock St Unit:
Block: NA
Btdg:
Tract 2041
Address Range:
Historic: No
Suite Range:
Zoning: R'l
q
Assessor'sParcel: 408{14.06 Lot: 45
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647 -5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 39926
Pin #: 19154
Owner:
Address
Contractor:
Addressl
James Solis
2222 S Maddock St
Santa Ana, CA 927045032
Homex Plumbing & Rooter
8393 Mango Way
Buena Park, CA 90620
(714) 49s-6891
Fee Type
01 1 16002 5'1602 SewerAlter/Repair
01 116002 5160C General Plan Update
01 116002 5'1602 lssuance
Amount
44.51
22.O8
55.04
Fee
$44.51
$22.08
$55.04
Tenant Name:
State Lic #: 1040076
Lic Type: C-36
Bus. Lic #: 370225
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Bstch+:45730 - 9/1/2lt!8 I0l0ff ice3 CIYH Tronsl: 21ficct+: REf{: Jr_iRcptar[237777,1 - 9/4/zgt9 ltl
Tronsoct ion Totol tt:l
Honex Pluob ins f, Rooter
Generol Plon Updote Fee
01116002- 51600000-
Plurb ins
01116002- 51602000-
V iEo
(C+: *x****i*r*r*49?i
_ t2?. us
_ 119,55
$ 121 .63
Auth::19331S
(:CUE
1o tLAfit1
6
:{3 A[
t .63
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Sewer Repair
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2016 Notes
$k
Date:
Dale:
Dale:
NIisc Receiptl
lMisc. Receipt
lvlisc. Receiptl
Total
Hernandez, Kathy
Every permit issued shall become invalid unless the wod< on the site
authotized by such pefinit is cgmmenced within 1 80 days after its
issuance, ot il tho wo* authorized on the site by such pennit is suspended
ot abandoned lor a peiod of180 days elter tho lime the wod< is
commenced.
lnspector MID#: 2018-145863
09/04/2018
Account#
01 1 16002 51600
01 1 16002 51602
$22.08
$99.s5
Fee Total
Paid to Date:
Balance Due:
$'r21.63
$0.00
$r21.63
Phone:
Phone:
Qty
1.00
1.00
1.00
Planning Conditions:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OTVNDR Bt]II,DER DEI,CARATION
I icrchyrin uidcr p. xlry of pcrjtrry rhnr I Mr.xc rpr lio'n rhc C.ntrfon l-trtr\c ljw tur rhc lollowing rcrv'n (Sr70.11.5
Brsincs rkl Pr)fcsrion (dci Any (-iry or County shich rc.luirc\ r ncnnir k' con{rucr, allcr, i'rpi{rrc, dcmolhh or totxri M,
rrru.xrc. prin ro its t rncc. aho rcquircs rhc lPllicinr lor such r.mir t, filcd\igncd {ar.ftnr rhm h:or{E il liccnscd luru t
b rhc ,tuvi\nrN uI rh. C trra.rols Li.cnscd Li$ (Choprcr 9, ConnncncinS silh Sccrnrn 700lr ol l)ivi\idn .l of rh. Busincs ttrd
Prci.$tuns Codc ) or rh h.orshc ncx.mpl lhcrcrionrrnd lhc hasis tir lhc rlhscdcxcnfrio Atryviohrn,norScclionT(r.ll.5hyoy
apllicanrtrrFnnir\uhrlchrhcllrlicrdt,r.irilr.nalryofnor !tr rhrn fivc hundrcd doll.r (t5OO)
-1.
!s osncrol thcrmllcny. olnycmnloyccs $nhsrs.s rs rhct solconllEn\rrion- silldoItsrrkDnd Ihc idtuE i! our
inr.idcrl or oiltrcd lor elc tSN 70.!1, Bu\in \r rd Pi.Lrsions CGlr: rhr Cbnrrtr'\ Li.cn{ Lrw dms nor Bpdy k' r orn$ of
rlr pn'r{y *lr huil.h or iq,ro\c\ rh.unr, aid qho do.s n,.h work hi'nsclfor hcrslfor rhreu8h hi\ or hcr own.mpl.y.cs.
provdcd rh.r {r.h iDnnrcnEnt @ mr inrendcd or oftrn li,r slc lt lx,*6s, rhc buiunrS or nrV$ur nstlnnhin,ncrd
of.onlpkrt,n, rhc Osn r Buildcr willhtrw th. hdcnorlnrvtr8 Our lf, or snc dil mt buildo! inlpmw lhc Impdy n, df, l!rF$ of
L N owmr olrhc prcFdy. am .xclusivcly conlracti.8 wilh liccns.n conlractoB lo .onsrtucl lhc ltrojc.l {Se.. 7044. Busilcs
atrd PDLsion Codc: Tfic Conrturols Li.cnsc L,s do6 nor apDlyro dosrcr 6rr,6r,cny who buiids or inprovcF lhcrcon,
md wl'o con"ac( for such ,micds pith . ConrBcto(s) licns.n puisunr ro tlE Conrdrols LieM l,lw),
-I
rm cxe mtt u.da Seiio.- a. & P C for lhis Essn
Dot.
woR(r'R(' C0MPENSATION
DECLIAAIION
I h.rcb, aitum undr FMlly ot prjury orc of llE louoain8 d(Lhlions:
lhr\cn lqillnui ninrCcrrin.rrcoiConrnrt('S.ltltrsurctur*orke^'$nlncnnii,,i.r\ ptuvnldd Lr hyScclion llrlDofrhc
tihtr G)d.. fd rhc llcrronMkc.llhc work for qhi.h th. ltnnir is isrucd
_l hlk !trd *ill mior0i. Bo,kc6 .o.!rr3,rio. in$Bmq &s rquircd by Scriotr l7g) of llE l-.hor Codc. for llE pcrfo@ncc ot
rhc w6rk for *hkh rhh pcrnir is ksu.n. My workdC .o'nFNslion insu.Me cmid en polty numbd ee:
P.li.yNu $..-ltrttcs
-l
ccnify lfid in lte pcrformancc olrh. work for *nich lhis p.mir is ksucd.I shall not.q)loy any Pcson in any m!.ncr
s a{ b lrftm snn kt h rh. mdrcn' .or{Ensarion laws of Crliromin. 0nd rgrc lhal if I stnuld hcroft slbrc| ro rh.
mr*.r{ cory)cngrion povhions of Sdion 37m of fic lihtr C!de. I shall. aonhwilh smply wilt lhoE F)viiioos..
to surc worken ompcns0tiotr coEroSc h un sfinll \ubjccr sn .mtlo,tr ro diniM! pcnallies lnd
hundrcd rhousrnd dolla lslfi).tx)(r, in lddnion cosr of conqcN ion. drm8.s {3 provid.d ao, lhc
Codc. inrcrc$ lnd dltormy'
I hcruby{ilnn tridcr pctrJlry orFrury rld Ltrr und$ Fovi\ion of Chapler 9 (commminS wnh Sccrioo 7000) Dl Division l
of ltc Busimss lnd PDfcsions Conc, and ny liccn$ h in tull {orcc ltid cr.cr.
I tcml,y nfiin undcr pcnalry of p.,jur, rhir rh6c h a
isru.d (Se.3097, Civ. C.).
n bnding lgency tor$c pslornue oflhc wo for Bhich lnis Fmil ii
AffulANLDEclrLBAlIO!
I lrr+,y,ftrn undcr rnrlry oll,crjury orc ol rhc nnh$in8 dcclrlliors:
Dcnnlirdr Pcnnirl^\h.{o\ Norincdmn Iicdcrnl Rceu[rDn\ (tirlc 1O. Ian6)
Rcqunrd L1(cr of Norfi .dioi
-l
ccnililhor lhc fcdcml rcBuhrn,ns rgddins astrslos rcnnlal!rc nor aprlicnblc t,lhis pmid
-lccnity
Ihll I hlrc r.ad ihi\ lplrlicrrion rtul dar.rhnr ahl,E i.rffro'hn is colNl I agre ro snrtywitt lllCnyand Counry
ordiilnccs lnd Srorc h*s rchtins ro buiHing and hrrcby urhdri2c rrtrc\cm ircsolrhisCityrtrd Counryk'c rcr trtirrhc
abovc mnliomd pm!.ny lor
,\ppli.ahl 0r AAenl Si*nnl
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/06p t-5-k v.t4l[)
Back Flow Devi5e
'
Rough Plumbing
Final Gas Test
Meler Release A
FINAL a
f "9- tk ft.,\4tD)
Notes, Remarks, Etc.sv
L€ndcis N!mc:
-
ktn 13 Addas
Pem[@Em(p.tnr:_
^,., tfqftg
Waste & Vent