HomeMy WebLinkAbout30140015 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspectaon Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 4OOl 5
Pin #: 79252
.,
Project Address: 429 S Bristol St
Assessor'sParcel: 010-111-35 Lot. NA
Unit: 1
Block: NA
Bldg:
Tract: NA
Address Range: 429431 .
Historic: No
Suite Range:429431
Zoning: Rl
Pr
Phone:
Tenant Name:
Contractor:
Address:
011 16002 51602
01116002 51602
01116002 51602
01 1 16002 5'1600
01116002 51602
Gonzalo Gonzalea
429 S. Bristol
Santa Ana, CA 92703
Fee Type Amount
Sink 12.70
Floor Sink '16.14
Wtr Htr (Comm up to 50 22.25
General Plan Updale 22.08
lssuance 55 04
Qty
3.00
1.00
2.OO
1.00
1.00
Fee
$38.10
$16.14
$44.50
$22.08
$55.04Nutricion Es Salud
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
&otrh+:46098 - 7/25/2i,8 ID: JG
0ffice: (IYH Trsns+: 47 iAcctir ftefi: 3[l4r:l
Rcpti:0?391(181 - 9/73/2918 zrlt(!
Transoct ion fotol ${89.2
Occupancy:
Constr Type
Code:
B
VB
cPc 2016
Notesl Auth + IAuth on file.
g
4
Building Use:
Job Type:
Nature of Work
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commerclal
Tonant lmprovement
TI
Datei
Date:
Date: 0912512018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa
Buildins Permit #: 101 961 02
Every permit issued shall become invalid unless the wo* on tho sito
authotized by such peamit is commenced within 1 80 days after its
issuance, or if the wo* authotized on the site by such pe.mit is susponded
ot abandoned lor a pedod of180 days attet the time the wo* is
01'116002 5't600 $175.86
$0.00
$175.86
$22.O8
$153.78
lnspector MID#: 2018-142625
011't6002 s1602
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDEH GROUND ,r)Waste & Vent Loltolg T,
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
I I /t)Waste & Vent 7Water Pipinq lv ttvl., I 'hY\
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P{raplDrain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Bouqh Plumbinq
Final Gas Test
Meter Release ,/,zl)tD-alu i\'tNu"t<FINAL
Notes, Remarks, Etc.urf1
OWNIiR BUILDI]R DI]L('ARATION
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Busnr(\ rd Pm{cssi Codc) ny Cny or Counry $hicn t qutc! I ,rrn,ii n) un(fl.r. ilrc,. imprNt. ilcnFlnh oi rcPan dtrv "
srucrurc, pritrro irs icsuoicc. !ls. rcqutes lnc lmli.nnr ld suchrilnil t,lilcr siBncd nllcmnr lhd rLor shc n li.cr{d pursmni
k, rhc pnvhnnN olrhc Conklrktr r Li.ctrscd Lnw (Chllll( 9. GnnEmi.E \ith Scdnn 7flx) oI L]ivhn'n I or rlf t'u'in's and
Pnni$ionsCodcrorthar lrorshr ilcxcnrfl lhcrctomand Ihc hNs rorlhcailcscdcid'nprio. Anyviololion.rSc.rionT0ll.5bvrnv
alpli.lnl r'or ! pennit \trhj re lhc nmlicanl lo s civil pcmlryur tror 'mrdhan,lvc hnndrcd dollars (S5(x))
L d osncr olrhc lrotcny. or nry cnDlorccs sirh srsc{ 6 rtci. $h.om,).nslrirn. silldo rtr vork aDd
'hc
iturur is nor
i .Rldl n'ollrcd ntr {rc {sN.roa4. Blinc\s ud [rrofcssn,nr Cdr: rtu Conbtn, s I iccn* ti* docs rFr lpdv ro o oIN' oi
rhc nR,trdy sho ttrilds.r irq,r.!c\ rh.Nr arl wlx, tles such *n* himscuor h.rsclfo. rhmulh his or hq owncfrPlotc's
lr)lidcd rhar uch i'npbvcnrnls a( rn inrort d orltEt tu srlc I I lt,wcRr. rrE huiktins or iril].\tmnl h stl airhi' I {'c )t.u
or.oopLiiJn. rh( Owncr Bui!$ will hirc fic hunLn ol'oovin! rhlr h .! shc dil mr hlil oi ifill)orc fic Irepciv for th. PurF]t of
-1.
s owncr ofrhc,.6p.rry, lm.r.lositlyconoacling wnh ficcnEd connnroElo oln d r prciel (Sd 70at, BunN$
lnd hotu.hn Codc: Th. contdlort Liccns hw d*. nnl aDplv ro .n osn6 of lrcFav vho builds or imPrcvcs theNn,
,nd who onrdds for su.h prejea *nh d Co nclo(s) li.c.scd ,'uB@t lo lhc Contr.clc\ Lt.nse l.tv).
I nn.xcr.Dr undcr S.ti
"",.
q/
DECLAXAIXIN
I hcrcby ufirm und( r.uxy of rcrj!ry om 6f rh. tirllo*ine dchrations
Ihav.mdwillnuinhinaCcnilj.drcofCon{cnrioSclilnsurclorwotkc$ conncn$n,n.3s I'mvid.d tor bvSsrion 1700 or$c
tlhor Cdlc, lor thc r.rfom.d oftnc Rork fttr which rhc pcrmir ic issu.d.
-lhalcaoduilloainrainportcs
d'dpcnsarnrn insuro.cc. !s rcquircd by selion l?00 oflh! Ltbor Codc. for rhc F.fr,ruEc oI
rhc *ort id which ihk !.rnrit is isslcd Myuork s conrFf,slion insrEtcdnicr udpoltynuohcrdc
-l
.cnify lhal i. th. pcrformmc ofrh. work aor whicn this I'.rnir h issu.d. I snall iol cnplov.nv P.rsn in anr oanRr
$ !c ro b.sB slbjd lo lhc wo*6c conrFnsalion h*s ofcalifomi4 and oEtu $ar irl si$uld t com subjccr lo lnc
qortoa cory.ns.l ion prclisions ol Selion 3?00 of lhc tr,or Code. I ndL foflnwnh @rply wilh lho* ,hvi!io.s..
WARNINC: Frilur t, k...tric sorlcri .o rFnnrion is lnlrwrtrl. Md sholl sltirr on dPlortr lo dioinil FNhics lnd
addna.n !o lhc o\l of conp.6sarion. damSls as povid€d for lh..i l fincs !p t, oft hundEd lholend dol
SNrn,n 1076utGc lab.r Cod!- mrcrr{ anJ,.*'?/zs/g^
L']ILA!.!TAN
.f rl[ Buin.ssmd ltolir\i,)n\ Codc, rtrd trryli.cn* i\ in tull i,tr.c kl cltccr'
caN$f,ucu9.N.LElDlNcac[Ncr
I hcrbt {ffr undcr lEnuhy or p.iury rh,l lhcrc is a dndodnn EndinB !8efty for Ihc I'.rfortue. 6f rh. wrt for shich rhh Fmn k
i\\u.d lsc. 3017. Civ. C.)
hi.l, AddEs:
-
AIELICANI,.DECT,AX{ITON
I lrntryanimundcr n naxy of pcrjury one of rhc lollowing d.cl&{'ions
O.mhion PcmireAsbcir.s N.rirrcorion FcdcBl Rcsulrr iof {Tnl. 40. Pln6)
-RcquiR{
t lls of N.tilcarion
-l.cnify
rhrl I hrvc eld I
ordiMnccs u6d st c Lrss rc
rion .In srar. rh fic alhr i.formarion h .oBl, I {re lo omply wnh .ll Ciry a.d Couflly
ildin8 consrrucrion. lid hcreby aulk"iz rcpEsnralit\ of Lhis Cily tnd Counry ro cnt.r uID llE
ahovc mcilioncd tn,p.ny lor
*Saz'q-
-l
enily rhdr rh. rcdcrd rcSuLtions Egltdin8 {sbcslos Emval urd nor spllicsbh lo lhh lmixl
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