HomeMy WebLinkAbout30139429 - PermitPermit #: 3O139429
Pin #: 9539E
Project Address: 1001 W Stevens Ave
Assessor'sParcel: 930.41643
unit: 414
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: R4
q
Conlractor
Address;
Adam Gadbois
1001 W. Stevens Ave. Bldg. 30
Erifr*f'fa, cA 92707
(7141290-7257
American Home Remodling
4375 Prado Rd #108
Corona, CA 92880
(95r) s20-0654
Fee Type
011 16002 5'1602 Shower
01116002 51600 General Plan Update
01116002 51602 lssuance
Qty
1.00
1.00
1.00Phone
Tenant Name:
Phone
State Lic #: 807029
Lic Type: B
Bus. Lic #: 5340
Workers' Compensation lnsurance:Carrier: Falls Lake Fire and Casualty Company
Policy #: FLA00797700
Expires: 01/01/20'19
Eotchi:4372{ - 3/!1 /?(!rg
0ff ice: (TYH Trnnsi! 73AEcti! Pef+
Rcpt+r02263673 - . /14 /2i-t
Tronsoct ion Tots I
Ailer ican Ho,ne RemcCl i
Chavez, Dave
Date:
Date:
Date:
R-l
VB
cPc 20't6
6enerol Plqn Up dqt e
irl 1 16r:tu:'- :1 liriti,".r -
Plufirb ine
ir1 1161:Il?- i1111:'trt,'i -
ICL Checl r:r7: -i
Notes: Bathroomremodel.
tJl
t74 .44
tA?9 r'11Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
,
ost14t2018
Account#
Misc. Receapt:
Misc. Receapt:
Misc. Receipt:
Total
L.
Every permit issued shall become invalid unlessthe wo* on the sito
authoized by such permit is commenced within 1 80 days aftet its
issuanco, or il the wotk authoized on the site by such permit is suspended
or abandoned br a petiod of 180 days after the time lhe wo* is
commenced.
10196420 $95.65
$0.00
$9s.6s
lnspector MID#: 2018-143335
01116002 51600
01 1 16002 51602
$21.25
$74.40
Fee Tolal:
Paid to Date:
Balance Due:
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
Lot: 1
Bldg: 30
Tract: 10158
Owner:
Address:
Amount
21.42
52.98
Fee
$21 .42
$21.25
$52.98
1'E
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
Bathroom Remodel code:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILI'ER DIiLCARATION
I hcrcby rfilnn uidcr pcmlry of prrjury rhnr I ur crcrDr li(,r rhc C.'ntr.krs t-iccn$ tiu fitr thc rolbwinS rca$n (Scc ?0ll 5
llu\ir.ss {nd ProLssio. Cdc): An, Cily or Counly whrh rL!trtrc( n Frnir to ..nslrud. llrcr inrnvc. d.nrlth or rcp3n my
ntucrurc. pio! t, il\ isulncc. lko rcquires rhc lPlli.rnr t.rsuch E-nnir ro lilcr \i!trcd nrkmdr rhni htor sh. h li.cnscd pusuMr
k' lhc r)vtnnN oi rl[ (i)nnrcktr s Li.cn*d Lr* (chiflcr L com.rncinB silh Scclion 70ix) oa Divisn'n .] ol rlt Bu{n8\ lnd
I'r.f.$i,nNCodc)orrh,rhcorshciscxcmnrrhcrclioflotrdrheblNisl(,rrhulliqcdcxcm|)ln'n.Any!iobrn,n.fsc.rir?0.rl5hyrny
rpnlicanrt)r!pcrnril\ubjLcr!rh.arrlicaiihacivill)cnllyofnorBrcihrtrfivrhu rcddolla^(S500)
-1.
a owrcr of llE pmFny. or my.nglo)trs with w.A6 s rn t sh onpensrlion. wiu .lo dr wort snd ft strEr@ i! ml
inrsdcn or or.r.d for nk (s6.7044. ausiBs drn PEf.sioN codc: Th. CDnlrr.'ld s Litn* Liw dors mr auty ro s oM6 of
lhc l,bp.ny wtb tuil& or irp,or! tl@,! &i sho dc uh r&tt hin*lf or lE.*lf o, lheugh hi3 or hs ow. eoploycca.
pheidcd lhal such impmwnfils E ml inr.'xlcd d otrerEn fo. slc. lr. IFEE lll hoildinS q ilp.awcnt i! sld wittin om ,@of.or{'lclhr th. Owrcr Auikr wil lIw tlE hidcn ofrmving $d rE or dE dil mr hoild or iqmrc rh. Fbpdy lor dE lu4re or
_1. &r owr ot rhe DoIcny. an e r.tusivcly conrering Mrh liccnd conrreror ro coNmtl rh prcic.t (Se. I)44. SEim$
srxl Rol*\hn Cod.: Thc Co.rBdofr Liccn.. Law d@s nor ap0lyro {. oercr olp.oFny who builds or improv.s lhcrcon.
dd vho @ntrocrs for s&h pmjEk qiri ! Conr,zcto(s) lic.n$d puisuanr ro rlE C4nrrcroas Liu* L3*).
-l
adcxcmpr !trds Sccrion- B. & P C. tulhn rcN,n,
D.l€: O*Der:
EOATEILCOMIENIAII!}!
PECIIIXAIQN
t hcEby .flirm und.r D.nalry ofpc.jury orc ol tnc r.losirs dcclrnionsi
_l hrvc rnl * ill roirrun, r CcniliurcoIC.n\ctrr r. Scltlr\uru li,r workcre coilxnlxrioi, r rtuvid.d tar by Sdltun ]7m ol thc
I rtrn Onlc. lor rttr lErr'ornBncc o f th! ror t ntr which lhc plnnir is ^!al.
_l harc inrl pill @i.l!a. wo*.6 c6mp.ns.rion inru.orce. &\ rcqlircd by Sdion 37mof rh. khor Cod..lor rhc rcrfoMc of
rh. wort fr which lhi! pcmal i! hsEd. My sortfa .on{aBdi.n iNu.uc caEilr .id polty numh.r e:
Bexchnra-t"t-c€7-q bo cl <Zt)
-l
ccniay lhd in rhc Frforrorc of lh. wor* for whi.h fiis Frrn is isscd, I shall ml cm?loy a.y pcrsi in aiy Mno
s N ro h.sm slbrcrr ro rh. woltn onpcnsrion has of Calitoniu, lnd a8M rhll il I shou! b6oB subj..t lo lh.
m,lcrc' onp.nsalion povirions 6f S.diotr l70O ot rh. LrlFr C.dc. I slEU, tonhwith omply eth rlhr I,bvirions..
WARNINC: ,joilurc lo surc qorkcs comFnsrrion .rvcEBc is md sh6ll slbjel an cmlLyer ro dmi.al Fnrlras and
civil fincs n! lo orc nundrcd rnouen nollar (Sl(D.qnr. i[rhc .osr df conpcns.ri6r, di@ges as providcd for thc
Sc.rnnr 1076 ofrhc uktr inrcrcn,nd .rdr'\ fL{!
Ihcrcbyllifinnu.rn.trllyolI'crju,th3tIaDliccna_d!trd.rprovGionotClut'lcr9l.ommncnrs*ilhSc.'ioi7uD)olDivisn,rl
ol rhc B!\inc$ J PnntsionsCodc. d'd orliccnsc t in,nll n,N tnrl cfr..r
?oz7
glutrB.uc[0t{rElDMc-alilN.cr.
I hcrcby rfllinuidrr ncndryorlrriury rh rhcrc isrd,riru.ridn hMnE,Ecnc) lor rh. I'.yfoirD'ncc ollhc $ort li, *hich rhn rcin ir
iisk.i (Scc lO97- Ci! C.)
AITLICANLDESITSAIIAN
I r.nby rtr6n !.df pcnihy.rpcijnryonc olrhc r.llowinS delahri.ns:
l).rdirion Pcrmih AstEsros Norincarion Rd.ral R.!ukionr(Tirlc 40. Pd6)
-R.quncd
lltrcr ol Noriardlion
I.cnilrrhxrrhc fiJcr lrguLinJn\ rgudir!,rh.iot r.ix,rnlrrc tr.rlmlieblc ro rhis prcjccr
l.sria!rhsrIhilcrcrdrhhrrtli.rrion.Jrls,rcrhdrturh)v.inlanDri, is.orrc.t.lrsrcclocomt'1,tilh!llCirydnitC.ury
.i(lintrkorand srlc tiws (hrin8 k,buildinS bo. &d hcrcby dudori& rcpr.snrllilcs of rhis Cny uld Coonr, ro .nr6 q$n $c
ilve mnrioncd proFny for ifl\t .adn
Aprlicsnl ,r Aa€nl SlaElum:
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device A
Rough Plumbing Tn4i x,v/.10
Final Gas Test
Meter Release .71-t{ltf tYzt)
Notes, Remarks, Etc.
-,
Water Service
FINAL
_,",,s1y4
CITY OF SANTA ANA
DEVELOPMENT FEES W RKSHEET .- PLUMBING PERMIT
NEW BUILDING E ALTERATIONS/ADDITIONS N
ProjectAddress: tOO I U) S1A)4NS dqtrf Contractor:At+tt-
TenantName: AOttltZ GAOBot 5 Address: e|'/f P4AOO d tO(
Building Owner ciy: /:O/LON1+ $.i CY+ zip: 4ZS@
Address 4rwc Contractor License No.: 7"e7 O Z ?
CityafNfr" h)/? St:6,.,1.72ip: 4ZZo 7 Contractor e-maill
Phone Phone ?61 sLo O6fl
Contact Person:
ContactPhone: 4a/ $Zc> O
Contact E.Mail Strongly Recommended PLEASE PRINT:
ITEM NO EACH TOTAL ITEM TOTAL
Fixtu res Miscellaneous
Water Closet or Bidet 13.69 Water Heater Res E Comm E 21.42
U rinal 10.47 Water Heater Tankless 63.12
Tub, Shower, orTu@!"t)21.42 I Water Heater over 50 gallons 87.87
Whirlpool Tub or Foot Spa 21.42 Water Service/Piping- each 100'42.85
Sink, Lavatory, Laundry or Utility 12.23 Re-pipe (residential)- each 100'
Clothes Washing l\ilachine 13.45 Primary/Secondary Roof Drain Set 42.85
Dishwasher 11.52 9,26
Garbage Disposal 10.26 Rain Piping (buried) - each 100'20,85
Floor Sink +Floor Drain =15.53
Drinking Fountain (one location)8.62 Water Softener - Residential 21.42
Cap Fixture (each)6.69 Water Softener - Commercial 42.85
Sewer Lawn Spnnkler Valve (each)9.78
62.18 Backflow less than 2"21.42
Each 100' Sewer (or any portion)21.42 42.8s
Additional Sewer Connection 21.42 Sewage Ejector bJ. IZ
Repair/Alter Sewer 42.85 Sump Pump 63.12
Cap Sewer 96.18 Hose Bib with Vacuum Breaker 14.89
GreaseMaste lnterceptor 36.15
Gas Dental Unit
New Gas System (flrst 4 outlets)42.85 Medical Gas Piping - each 100'48.85
Each Additional Gas 0utlet 6.80 Alteration to Drainly'ent 4t.6J
Extend or Alter Gas System 63.12 Appliance Not Listed 63.12
42.85 SUBTOTAL $
Cap Gas Outlet - each 8.15 P/C 650/0 OF SUBTOTAL $
Swimming Pools MlN. FEE - (Nonresidential)$ 70.64
Pool Trap 21.42 ISSUANCE & GeneratPlan surcharge $ 52.98+21.25=$74.23
Pool Heater 69.94 TOTAL $42.85
BLDG PMT #RECEIPT #DATE,5./r. tr
OCCUPANCY.BY,-'2( -
CONSI IYPE P/c# 30,3 2yZ7
N0.EACH
42.85
Deck/Area Drain
Storm Drains - each l00'
New Sewer - lirst 100'
Backflow 2" and above
31 .10
Repair Gas Piping
Pool Pioino
Office Use Only
P/C FEE PD,
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