HomeMy WebLinkAbout30139470 - 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
Permit #: 3Ot39470
Pin #: 65947$
ProjectAddress: 1802 N Spurgeon St
Assessor'sParcel: 003-141-10 Lot: 4
Unit:
Block: NA
Bldg: Address Range:
Tract OFFICIAL MAP #1 Historic: No
Suite Range:
Zoning: R3
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Long T. Nguyen
1802 N. Spurgeon
Santa Ana, CA 92706
(714) 6s3-8066
Owner-Builder
01 I '16002
01116002
01 I 16002
011't6002
011'16002
01116002
01'116002
01'116002
01 1 16002
5'1602
51602
51602
51602
51602
51602
5'1602
51600
51602
Fee Type Amount
Water Closet 13.69
Shower/Bathtub 21.42
Sink 12.23
Dishwasher 11.52
Sewer Alter/Repair 42.85
Gas Line aller/extend/a( 63.'12
Hose Bibb 14.89
Qty
2.00
2.OO
2.OO
'1.00
1 .00
1.00
1 .00
'1.00
Fee
$27.38
$42.84
$24.46
$11.52
$42.85
$63.12
$14.89
$21.25
$52.98Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
General Plan Update 2\.25
lssuance 52.98
xn UpdRte F
516110000-
51602000-
I*T*IIT7299
Building Use:
Job Type:
Nature ol Work
Occupancy:
Constr Type
Code:
U
VB
cPc 2016
\tk Hernandez, Kalhy
Planning Conditions
Buildins Permit #: 1 0195666
Evety pennit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 1 80 days after its
issuance, or if the wo* aulhoized on the site by such permil is suspended
ot abdndoned lor a peiod of 180 days after the time the wo is
commenced.
o't2212018
Account#
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$301.29
$0.00
$301 .29
lnspector MID#: 2018-141353
01116002 51600
01 1 16002 51602
s21.25
$280.04
Fee Total:
Paid to Date:
Balance Due:
.00
I ona l. Ngugen
benerol
r_rt 1l6tl02
[ lu,nb ins
rr 11160U2
Planning Approval By:
Plan Checked By:
Permit lssued By;
Subject to Field:
Single Famlly Dwelling
Addition
Addltlon
Notes:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILDER D!]LCARA']ION
I hfi.by alir rndf l.n,hy of F.lury dar I dn crcnDr rn h rr* Conhdos Liccnsc L,w for lnc n bsins rca$n (S$?0:1,5
Ausincss anl P,oi.stu Codc) A.y Cily o! Coutrry which rcqun$ . FamI h .on(dcr. lltcr, inpn*!. dcnblrrh or rcprk ,ny
sn,cr!.c. priff lo irs issusne. alv' rcqon r rhc a0pliclnr nn su.h pcmir lo fik d \iBmd d,rcmnr rhd h. or shc i li.cncd puBu0trl
lo rhc pmvhions of'tE Conlmclols t-iccnsd tjw lctnplcr 9. Coarnrcncin8 uilh Scclion 7(xl) oI Di!i\n,n I orrhc 8u\inc$ and
Polc$ion\Codc)o!rh.rlEorshci\cicmprrhcrcamma,rhcn\haorrheolLscdcrcnnrhn nyvnrhrionofs.r'i,n?03l5hyrny
aptli.,d rofu Fmir subj('s rh dppli.a.l ro n .ivil pcnrlrr of nor nkrc rhln livc hundrcd dollars (SsrD)
-1,
!\ osncr.l lhc polrrit. or m, cmrl.r!.\ wnh wssc! !\ rhct vrc $mNn{ n,n. *ill Jo rh. wo.k rhcslMurcismr
i cdcd or olta(d ror $h (SN 7(}1,{. ausi*$ atrd Pr.lcssions codc: Thc Contr&ror's Liccnsc liy docs nol amly ro aowncrof
rhc pmrcnt sno builds or nnpmvcs rn{dn. ml who de\ s!.h so* himsclfor hcAclfor rhtuu8h hn .r hxr own.n[k']ccs.
prvidcd rhsl uh impnxc'Eoh @ tror iorcalsl.r oaltrcd lor solc li houckr. rhc buihirg or i'lprotcar is i,ld *irhin.iu tt,tr
oi <nnpkli'n. thc Owmr Bultlq sill hle
'lE
budcn of pmvirs lMr hc or \hc da d t,ild or ir{)nrt lh. ptr,p.i, r(, rrr PuiF{ or
-l.nsowncrolrh.trepcrrr,amexclusilclyconrrlcrins*irhliccnsdconr.lcbrrocon(tucrrheprjr.r(Se
7014. Bu\ircs
rnl Eot\\irn Codc: Tnc Coitdctr'{ Li..nsc lis do6 nor rprly k, M oqnd .a p,op.ny *ho build\ or inFruvcs rhcrcon,
and who 6.l.ek lor 3En Pllj.lls ,ilh ! Conlra.r.(3) licD*d
-l
!mdcmpl undcr Scc
s/pa-fi{
I hcrcby liln'n undcr pcnrllyolFrjrryorc o,lhc rollowinB dLrld.ark,trr:
-lhNcmlqillrnli.na(tnificrlcofConscnrhScll.lnsurelirqorkcrscorDcnsdion.xsF,vidcdrb,byScrionl7U)ofrhcL.titr Codc. ln,lhc pdnnrurEc orrhc work lor whichlhctrnnn h hucd.
I hr!. rtrd *ill nEinllin *orkcra conlr.\{ idn i.{urrncc, r\ rqunl{ by Ssr nr 17{x) of rhc Uhor Codc. lor rhc Fiomncc of
rhc sork lrtr shkhrhi*Frmir ir t\ncn. My uork$J .otrD.nstrrion insurmcc.rnicr nn poticynumbc.m:
-l
ccniryrh,r in thc pcrformmc of rtc wort fm whict rtis pcrmir is hsd I shall et cmploy any F^oo i. a.y 60nmr
r, N ro bcNnr rubjfl 16 rhc M,l(6 onp.N.rion l2ws otcrlirom& .nd l8re lhol ia l should b.rom subi€l lo lhc
wortcB cooncnM(iontovnions olSccdon 3roo olth. Lotor Cod.,I shlll. fonhwith€otrUly wilh lhoF [,mvisin*..
WARNINC: Failurc ro suE workc$ @npcnqrion coErasc Ls un
hc co$ or.6,-*i*t
.nll)loFr ro aiminal ,Emllis and
ion. dnnuges !s proviicd aor lhccilil lincs !p to one hundrcd thousnd dollm ($100,000). in addnidn
sccrt,n 10?6 of rh. ljtxr Code. inrcrc{ sd arttrer\ lccs.
I hcr.by af,nm und.r Fn,h, ol p.rjury rhnr I n liccn*d u.dd In liraon ol sn'rcrcins with Sccrion 7([x]) orDivtion l
of the Busituss and Pofcasions Codc. !d my lhcns h in full toN ad cftc.l
l-iatr$ Chss
-Liccnsc
Nlhber:
Dit.: Cortalor:
(aNEIBIJSIII}N.LENDINC.&CEX.CI
I h.Eby lffnn und.i lxndhy ol !.rury lial lhcE h a onsldcrbD bndinS qcncy for lhc pcrlbrm@ or rhc work lor whi.h thh Fmir ir
kxocd lss. 1097. Civ. C.)
A.STLIIbNLD&SLABAIION
I tErch, !flinn undcr p.n!h y of pcrjury orc ofrhc bllowing dc.lrdnrN
Dcmlirion Pcrmih-Asbesros Norinolion FcdcEl Rc8lllrion\ rTnt.r0. PM6)
-Requtcd
lxllcr of Noriarclrhn
I ccnilyrhtrr rh. IcJcrrl rcguhrn,ns rgarJinB
-l
ccnify lh0l I h,vc rcad lhk applicalion ard s lomrion Lr co@r. I .8re lo .otrrtly with aU Cily 3nd Colily
ordinotrccs.nd Slurc t wsEhrinS robuild lulho ar.lrc*nl ivci oflhn Cirymd Colnryto c.tcr utnnrlE
{horc mnli.Ed ImFny for
.{Dlicrnl or.\!ul Sir h,r.:""", {/pa-/tg
UNDEB GHOUND ,21^o,\
Waste & Vent Y7
Water-Under f loor I ffi-
Gas-Underfloor
Buildinq Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Venl
Water Piping
Gas Pipino
Boof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq lB 6lrr r t?>)
Final Gas Test U\
Meter Release ,4.
FINAL l-rl-7,0 $.[/'it)
Notes Remarks Etc.
COMMENTS
Fill Line/Back Flow
/t"",.' 6ft?lts
t ndcis AddB:
-
L,...--
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