HomeMy WebLinkAbout30539745 - PermitProiect Address: 941 W Camile St
Assessor'sParcel: 00A-24243 Lot: 37
Unit:
Block: A
Bldg:
Tract: 253
Address Range:
Hisloric: No
Suite Range;
Zoning: R2
q
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
Permit #: 30539745
Pin #: 74614
Owner:
Address:
Phone
Tenant Name:
Jose & Martha Lopez
941 W Camile St
Santa Ana, CA 92703390'l
Fire Repair Specialists lnc d
3430 W. Maywood Avenue
Santa Ana, CA 92706
(714) 308-0594
Fee Type
01 I 16002 51602 Water Closet
01 116002 5160i Sink
01116002 5160c General Plan Update
01116002 5160i lssuance
Amount
't4.22
12.70
22.08
55.04
Fee
$28.44
$25.40
$22.08
$5s.04
Qty
2.OO
2.00
1.00
1.00
P hone
State Lic #: 939434
Lic Type: B
Bus. Lic #: 333250
Workers' Compensation lnsurance:Carrier: Everest National
Policl #: 76000184591E1
Expires: O1lO3l2O19
Eotchi:44991 - 7 /21/2018 I0: IIGAR(:office: CTYH Tron6i: 22 I ai'Arrt+: Ref+r 3r153971':i
Rcpt+:023311?5 - 7 /21/2918 11r29 Atl
Tronsoct ion Totol t91$.6r-l
FiPe Repsir Speciqlists Inc db
Single Family Dwelling
Miscellaneous
Water Damage Repair
Generol Plon UPdote Fee
01116002- i1600000-
Plu.b i os
01116002- s1602000-
Viso
CC?: Ir**i*r*rr25F6
R.3, U
VB
cPc 2016 Notes
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 105971 20
Every permit issued shall become invalid unle$ the work on the site
authoized by such permit is commenced within 180 days efrer its
issuanco, ot il the wo* authoized on the site by such pemit is suspended
or abandoned lor a peiod o1180 days afrer the time the wo* is
comfien@d.
lnspector MID#: 20't8-144865
$\ nemanoez, xattry
,915.61
Auth+:002714
$130.96
$0.00
$130.96
01 1 16002 51600
01'1 '16002 5'1602
$22.08
$108.88
Fee Total
Paid to Date:
Balance Due:
Contractor:
Address:
rtruftONs: 667_A7gg
Building Use;
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date;
$1
07t2412018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OlINT'R BUII-DT'R DIiI-CAR TIoN
I hcrchy umm undcr Dcndly oi!.rjury thd I urcicnrl riom rhc Conrr{lo^ Liccnsc Lj* rur rh. n,lb*in!.ci$n (Sc.70315
B!\incs\ afrl PDlcs\ion Codc) Any Cny or Counry *hich rcqun.\ r l)&nt t, .onslflcr. ,llcr. nnlr()vc, dcnsli\h '{ rcrun rny
nfl.rurc. pri,trh irs issuln .. also r{quncs rhc applk r ror su.h pci,ni ro nb a sisncd ( .nnt rhrr tu or shc is licci\cd pn(lxir
nr rhc prxhin\ ol rhc Gn B.k, s l,ienscd lis (chiirrcr 9. crnn Nn.ins w h sc.ri(,r 7ux) of Divishn I of rhc Busincs ud
Itofcr\i,nN Cr c)or rhrrhcorshc i\ crc U rhcrcfr. rdrhrhNisl,rrhcrllclcdcxcnrpri.n.AtryviolirionofScciionT0.llShray
rpnli.aDrfor r lcnnil {uhjsls rhc ipplicnnl ro i.ivilrcmlly., nor on,.rirn lilc hurlrcdJollL^ (5500)
-1.
ar owr ol $c rreFny. or my.mploycs wirh w.ec! a ltrir sk @nF8.lirn. wil do dE Ndk ard dE tur@t tul
i.rci(lcd or or.rcd for s! (Se.?Oa4. Busimss sd Prcfssionr Codq TlI. Coirrctoar Li * kw do.. mi .rDly lo s owBr of
rh. psp.ny aho hil.k or irr{,oB 't.6n, od who d6 s!:h s* himrelf or n rcror lhs$th nk or hc, owt cnplolcos.
pmvid.d rhar s!.h in!ftrmnrs e mr hrcnd.d or ofieBl fd sL, U. hdsEi dE hihinS.r idprftdil is erj *iltin orc tsr
of.oft{,bliorl tE O,.cr BuilLr wil l8w ih. budcn oaprcving rltrl he or stc did mI btild or inpreE dE pDnoly ld dE pn{tc of
-1.
as owmr ol rhe ImFny, .m cxclusivcly contadins qirh licen*d .onlIrto6 ll, d,rsrod (lE Inoirr (Sd. 7044, Busn.$
.nd rt.fcsbn Codc: Thc Crnre'or's Liccnk trw doc. mi rtply ro m ownr ol0mpcny who builds or im,rrcEs rhc,eo..
ond who ollnck for su.i pmjrcts *ith s C.ntmto(s) liccn$d plnua lo rhe CoorDcroas Liccnse L!w}
I dncxcnu undcr Sccrio
]!OBf,E8S:T!}MPJNIAf,ION
DEC!.AAAIIQN
I hcrcby ailinn unds lcDahy of pcrjury onc of thc followinS dslaBtiois
Ihnvc rlsillmrirnonrCcnilicrlc.tc.ns nrSclflnsur.lbrsorlcG.on,nn\rrii,n-nsti('lidcdntrbrS..r(.1100olrhc
lr}rtr Cdlc. turih.FrnJrnu N ofrhc work lbrshi.h rh. prn ir nsu.\l
lharcmdwillnainllinworkcB.omp.f,soriooinslnnc..osrcquncdbyScclionlT00oflhcLihorCod.,forrn pc,aormftc ol
ItF sort for snth dris Fmil is issEd. My wo*6' .orp.nsdio. insuM cMid ard lolicy nnmher @:
-l
ccnilr rhat in lhc t'c ormne of thc *o fo. shth rhis Ilcrml is nrucd. l \hrll mr cmpLy rny pcMn in lny nanrcr
e 8{obNom birr ro th. mr*6 onp.osarion hws olcaliromil ad .8N ltul ifl should b.mm subjed lo r,r
w.rkss.onpcosalionpDvisi.6oiSetionlT00oflhcbho,Cod..lshell,aonhvilnomplyqilhrhsphvhions
WARNINC Frilurc ro s.[rd w.rkcs .o rfc sdn,r.1,vdragc
ciql finc\ ut k, nc hunJn'J IhrL.Jn'l,lullr,\ '(lrxr.rxrx. 'n
shrll suhjcd an dnplolcr to siminal Fmhics od
Sd! io. 1076 or thc L$or Codc, i.r.Esr a.d dbrcy'
DrLr- App[@rl
DICIJAAIIAN
I hcrcby ortrm u.dc. pcMltyollcrjury lnd l.m lietr*{ undcr pmvision ofChrpt, s (comtun.inE wilh SNrk'n Tuxl) olDivision l
of rh. Ausircss and Profcsrions Codc, and ny liccnr in tull rord axl .fl(r
Li..n* Cl.ss:-lien
i{!u.d rsc. 1097. cir. c.)
-l
.cnify rhrr rhc rcd*d rcErldionr rcn,lal d. nor Jltlic,blc lo thistmj(l.
!bo!c infornEli.n isconc.l.I asr. b.ompl, wilh lllCil
-l
ccnify lhlr I h.w rcod thh lptlicllion
ordintrrccr lnd Sllrc tiws reldins h bui rcF€r.raiivd of thk Cny and
lbow nE n'rcd pot ny6r
ApDlicrnr or A,t$r si*nnlu
n
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
P{rap/Drain Line
Main Draini Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing
Final Gas Test
Meter Release )lt
FINAL 4 //o//tT 2fft7.)
Notes, Remarks, Etc.
APPROVALS
TOP OUT
POOL/SPA
Back Flow Device
Dale .*"*".(
l.n,lr,'. NJrB
trdd's AddFs.
-
AIELIIANI"I,ICI.ABAII!]!
I horby anirm undc! rcnalty ol'rrjury.ne ofrnc follo*ins dcclurrrions:
Dcrmkion Pcmrnl^stEsro\ fiolilication I{neol RcBulll ions (Titk 40. Pan6)
-R.qutcd
t.ncr olNorifi cllbn
I