HomeMy WebLinkAbout30139462 - 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
Project Address: 5214 W Wisteria Pl
Assessor'sParcel: 108-586-04 Lot: 14
Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: R1
E
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Rovics Construction lnc
1716 S Newhope Street, J
Fountain Valley, CA 92708
17141 444-254s
0'1 1 16002
0'1 1 '16002
01 1 16002
01116002
01 1 16002
51602
51602
51602
51600
51602
Amount
12.23
11 .52
'10.26
21.25
52.98
Fee
$12.23
$1 1.52
$10.26
$21.25
$52.98
Fo6 Type
Sink
Dishwasher
Garbage Disp
General Plan Update
lssuance
Qty
1.00
1.00
1.00
1.00
1.00
Phone
Eobch+:43982 - "i,/2!/2t"i1
IH
pc;itr,
onsocl
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Owelling
Alteration
Kitchen Remodel
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016 Notes:
\t\ Hernanoez, xatry
Date
Date
Date 05t2112018
Account#
Misc. Receipt:
lvlisc. Receipl:
Misc Receipt:
Total
10196504
Evary permit issued shall become invalid unless the wo* on the site
authoized by such permit is comnenced within 1 80 days aftet its
issuance, ot il the wotl< authoi?ed on the site by such pemit is suspended
or abandoned for a pedod ol 1 80 days after the time the wok is
commenced.
$21.25
$86.99
$108.24
$0.00
$108.24
lnspector MID#: 2018-143475
01116002 51600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Due:
Permit #: 30{ 39462
Pin #: 5E244
Btdg:
Ttacl: 4262
Sandra Kirkham
5214 W Wisteria Pl
Santa Ana, CA 92704
(949) 240-8745
State Lic #: 800996
Lic Type: B
Bus. Lic #: 8020
Workers' Compensation lnsurance:Carrier: Liberty Mutual Fire lns
Policy #: XWS1858025321
Expires: 0710112018
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(r1116002- 51600000-
Plurb ins
01116002- 516tl2tttl0-
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PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT I I
b 1)((Jcs?
Water Pipino
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Rough Plumbinq
Final Gas Test
Meter Release ;*t&-rt ,-A r(i "r/FINAL
Notes, Remarks, Etc.urI
OIVNER BUTLDER DELCAAATION
I hcEby ootm urds Fnsll, of n riury O!l! I m.rc,illl liln ih. C. r&loB Lt€e tre to. ft. tollowing Eesn (5*.70115
Busincss snd Pofersio. Codc)i Any City m Crunty vti.h rquiti ! lcmn to mrnrl dts, inPror, d.mlhh or EIrt my
stocluc. r,rior ro ils irsu!ftc. aho Eqlircs rhc applicd for such p.rml ro fiL a signcd slalmfl rh,l rE o. 3lE is lianscd r,usuMl
ro rh. povisions ot hc Conlmtols Liccnsd Lw (Chaptcr 9, CommercirS wilt S.clion 7000 of Division I of thc Busin.$.nd
Prolcssionr C.d.) o. th:l lE d ,h. is cxctr!,| $.enoh and lhe bcric lot lh. trllcg.d 6x.nplion, Any viouaon of Selbn ?01 | .5 by ctr,
applicul for ! pcdir slbirrs rlE sppli.&l ro r civil p.n.lly of ml mrc lhln tiw hun t&d .rollltrs (Sim).
L nr owncr .l rhc lollr ry. or my cmll(D cc\ a irh *:lsc\ r\ rhcn v,L $ntpctr\arnnr. r'iu do rhc work dl rtr $u1urc is fr,r
inrc L\l oroncrcd,n. ub (s!r 719{, Bu\ituss n d I'rofc\si(rs (odcr'l lt (nnrr&kr's l,rc \. Ltrw doc( nortrnplv r,' atr o{icror
rlr nn,rn), wh, hilds or inUr)v.r rhc(str. lDd wh() dou\ \uch s1)* hnnscll.r hcrcltor rhtolgh his ot hcr own rnrpk)ycN.
l]rcvi,lcd rharrtrch i'npmvcNtrr\rrmr inrc Mc,l or .iarcd lo.nrlc ll how.rcr. rhc huildinE or nntnvcntN issold *irhi"uf )trr
oiconlnlllior. rnc Owncr llrildq $ill hnvc rhc burdcn ,tuvin!rhdIE r\lt id noi hild .r i'rnrovu dr lmrcny tor rtu PurF)* ol
-t,
&s osftr of rhi tftpeny. m cxcl8ivcly.onlreti.s wnh liccnsd conralor !o 6ntul llf Fojttl (Se.. 7ol:l. ABitus
ad PDtrxsio. Codc: Th. Corrrlcroi. Liccn* lls d@s Nr srply lo an own.r of rrcFdy *ho buildr or itpmws lh.rcn.
ard sno 6.tr&K fo! 3u.h FotEk wnh . Conlrulo(s) liccnsd IlRu ro $c Cootrloft Liansc ljw).
-l
ahcicmfl und€r S&rn!
wonKrfs' coMPrr\saTl(lN
DICI,ATAfIO!
t hcrcby lmrh lodcr pcnll, ot frjlr, om of lhc followi.s dcclmdons:
Lrtq (irl..lo (hc t--rli'nrBnr ol ihc \ork f(trrh(hrhc llrnrir ir i\\urJ
-l har {nd will mainrdn wor*6' mmpcosslion intuorcc. .s rcquit d by Sdl ion 37m ot $. Ldbr Cod., lo. lh. Frfolmft of
ttr sdt for shich fiir Fmn is ho.d. Ml ,ork n odp.trelion inmE cuir ed polty .onrtEr el
[ni.y Nun$cr-llxf irc\:
-l
c.nily rhlt in rhc pcrfornEm olrhc wo.t tor whih rhi p.rn n isslcd I strlltul cnploydyFm. in.nt tunrcr
e a\ ro tem rublrr ro rhc mrkm smr.nslion ld*s of Cllitomi!. ..d tsre rhd il I slbuk bcom subiEr ro rh.
*o d, dnp.nelion povkions of Sc.lhn l7m of llE Lator C.dc. I dEll. lonhwirh omdy eilh rnoc Pmvhions .
WI|RNNC: Ftrihrc to scurc worters smp.nrdion .ohDec is unh*tu|. and shnll sobicr r. cf,plorr to ciminnlFtuhi.s and
civil fltr.s uI to onc hundd rholsund d.llqs (Sl(x),o(x)), in 0ddnion ro lhc cosl of.onncr\.rio.. drmBcs ts lrovidcd for rhe
Sc.riotr:1076 ollhc Llhor (irlc. i crcnrndanotu
I hdrcby ellirnDndo |).flrlry of p.Uury thlt I anr li 9(conn*acins *irh Serhn ?fixr) ofDilkion l
ol lhc llusincslnd Pn'fc\\n,n* Co'lc. drd nylicc
I h.(by u,Irm uodcr Fmlly of Frrury
issurd (S<. 309?. Cav, C. ).
rhc rErfffroncc orrhc qork ror *hi(h thh Fanrir h
API'I ICANT NF'CI ANdTION
I hodry dltinn und.r ,cbalt, of r.rjury onc of lhc following dslmlion.l
D.mhion Pc,mns Arbc\rds Nodfi.dion Fcdcral Rqul,lhns (Tillc40, P!n6)
Rrqumd lrtr$ of Norit0rpo
-l
enity rhar I havc Ead lnh trpplication and slalc lhol lhc rholc infomtrn,n h coE..l. I aere lo odply wifi lll Cil! lnd Counlv
Drdinun cr md Srot tiws rl0rin8lo builditrS coflsltucljo.. !d h.rcby rlEriz qrcsent.tives olthh Cilyand Counlyn,
lhow mnrioftd FoFny hr i!r-K,**
?I ?Appllcont or A8lni SaBErrm
Pcmllc Mtu (prlDt):-(.-
Waste & Vent
Back Flow Device
kdat Ad(fs!:
-
-l
ccnify Ihal rh. fcdcml rcBll{io.r rcgrding &sb.n s EnEvol !rc ml atpltable ro ihb tmtd.
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