HomeMy WebLinkAbout30139652 - Permitcity 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 #: 3O139652
Pin #: 97565
Unit:
Block: B
Suite Range:
Zoning: SPI
E
AssessolsParcel; 008-092-02 Lol: 12
Owner;
Address:
Alejandro D Jimenez and Mayra A Jime
1245 W Third Street
Santa Ana, cA 92703
(323) 809-0792
Feo Type Amount
01116002 51602 Wtr Htr (Res up to 50 gi 22.25
01116002 51600 General Plan Update 22.08
0'1116002 51602 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22.25
$22.08
$s5.04Phone:
Tenant Name:
Contractor
Address:
Owner-Builder t0; LR0SALI
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:ilr19rtlgq|]
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Addition
Addition
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016 Notes: Handout given
Plannlng Conditions:
Planning Approval By Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tolal
Plan Checked By
Permit lssued By Amsden. Julie 07t0512018
Account#Subject to Field:
Building Permil #:0196037 $99.37
$0.00
$99.37
Every permit issued shall become invalid unless the work on tho site
authoized by such parmit is commanced within 180 days after its
issuance, or il the wo* euthoized on the site by such petmit is suspended
or abandoned fot a peiod ot 1 80 days afret the tifie the work is
commenced.
MtD#. 2018-141079
01 'r 16002 51600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Oue:
Project Address: 1246 W Third St Bldg: Address Range:
Tract ROBINSON ADO Historic: No
hlt4462!re: CTYH
Phone:
3oftiat5,
drB D
01116002.
Plu,rb ins
01l16trg?.
'1or Updoteql tfrnnfrn-
$22.08
$77.29
lnspector
APPROVALS DATE ID/SIG.COMMENTS oWNER BUII,DER DEI,(J,{RATI(}N
I nc(by lafirm under n€nalry ol pcrjury rhd I !m cxcmpl forn rhc (-onrmcros l-iccns liw t r'hc lollowins rcav'n (S(.?l,ll5
Busincss n Pofcs.t,n C(xlc) Any Ciry or Colnr! shi.h r.qrir\ ! frnir t, ..n{tu.r. alro, impnrvc, d.nxnish or rpln ,ny
dnclurc. Drior h i\ i$u!trcc, uko rcquncs tlE {'tlicd for su.h |tnni ro filc! si8ncd snknrnr rhar hcor shc is licc.\ed fur{u!n'
l. rhc lrovnions ol rhc Conrncror's Liccnkd lrw (Chapfui 9, Conr.rrcing wirh S.crtun 7(XD of Division I ofrtl Busincs\ rnd
Pnrlersion\Codc)orlh.rhcor\hchcxcmfllhercforandrhcbNi\rorrhctrllcgcdcxcnuriotr.AnyviohrbnolSdk.T0lll5hylnt
applicur fur a Il.dil $bjcds rl.r applica roacivilF.0lryofnorrmrcrh rivc hundrcd dollors MOO)
l I*1.\ rtrmrnrrhcrn.Fn).u.rnycnlrl\,yrc\tr hr.'F..lsrhcr-J.$tr'|c\rtr.n,$rlld,'rtrudloJthunnrtuNrl'{
ilrclrf, nrrrlrrcdnrslctsa7044.Bu\inc$atrdPrnrcssions(.d.:lhcGnrrttr\t-ic.n{tlwdo.snor,!!lyr.dnowmrol
rhc pmpcny sho t^rilds.r iqnovs lhc@n. Md sho dms sEh mrt himsclior hcrrlf.r rhmugh hil orhcr.*ncnplott.s,
piovidcd rh ru.h infnrvcftNs m fr, inrcd.d ur off.ft1 fttr slc tl h,s.rr, rh. huildi.S or nilr.hmnr is sru *nhin oft )td
orcotupLrion. rtr o*ncr Briklcr willtuE rrE l,urd.n oi pmving rh{ ht or shc did tror build or impmlc $c tmFny lor L !'urlDsof
-1.
0s owncr of
'hc
tmt ny. am.x.lusiwly coftetin8 wnh Lc..sd conkios ro snsrud rh. pmj.Er (S(. ?o4,1. Busncsi
rr, ftDftision Codc: I hc Conr.elols Liccnsc Law docs not oppl! lo an orncr of pol)crry *ho builds or in .ovci lhc.@tr
I
qho.onrtucrrf{rskhpml..rswirhrc.mrcl.'(\)licen\cdlr!r\u! brnco,nracroirl.kcnscliw)
rdd Serhn- B. & P.C. for thir e&,
DICI,AMIIOX
I bcrcbyafrirmtndcr Fnohyof !.riuryoncof lh. following d.cle.riotrs:
-l
havc old will minlrin tr CcnifHl. of Consnr lo S.lalnsuE to, wo,k6l @nIFosrion. a prcvilcd for by Selior 3?00 or llE
t$or Code, lor rlE Frforue of d. sqk for which rhc o.mn is issled.
_l hNe ond will msinhin wortcrs' compcnsatior insunft., s EquiEd by Selion 37m of dE Lrbor Codc. for llt l,crf(IroN ot
rlE wolk ftr whth thn pcmil ir is$.d. My workcu ohp.nsalion insurm cfid ad policy nunbcr m:
*ork lor shkh rhis pdnir ir is\ucd. I shlll nol cnploy .ny p.^o, in 8ny mnrcr
mFnslion laws of Calitomi,. .nd .gN lhnl il I snoub ta.om subFl to llE
ftr lTmorrhc Lrb.r CuJ., I shlll, lonhwrh co'nply wiLh lhoc prc!hions.
subjd to rhc wlkar .o
*ortcn' conlFn$liontovhionsof Sc.i
WARNING: Failurc to surc *o*cn' comtEnsoljon covcm8c h unlowtul. and slull subrrr cmplorlr to sininal FMllir ald
civil fines !r ro one hun.i,cd rhousnd dollus ($100.0fi), i. addnion to rn..osr of cotrqnsarioi. darEgcs $ Ircvidcd aor rhe
Sc.ri,)n :1076.rrLclrhtrC()d.,i' crc{rndartrN
I hcrhy {rrm undcr !,..rlty of Fiury lhal I m lieo$i udr povision 6f Chrpt6 9 (on@rcin8 sith sc.li,n ?q)0) of Diviion 3
of rhc Busincss and PotcsihB Cod. !d my liccnE is in nifl foN s,rd clT6r.
ss:-LicM Numts
AIILICANLDECLAI{IION
I h.n:t, afiim undcr !)cn0lty ol perjor, o.c ol rhc lblhwin8 declnmt io.sl
D€nnilion Pcrmns-AstEstos Nolificdion l-i{crol RcBuhrions lTllc 4). Pan6)
-Rcquncd
L.ll$ of Norificdi,n
,-l ccnilirh rhc Itdcalrcsrhrioos rcsrdir8aihcnosrctrr,vnl e nor rrpliclhlc h rhn prqccr
fu1*,,,",nr ,n.^...,.,,r |nnl-,Jr{, ail { !'hr,rturhn.rnr,mlnonrconc.r rrgrck,(nnpr!wnhdrr(iry..dthn y
t{,jilel!!. rrl srrrr tr\\ r.lr'Il3 r' hu l,l !run{rucrnn.rndhcrchtrurhttriucrcprcso.rnrivcs()r$isCnyrnilCoutrrybcr$u0rrlf
ak'v. rtunrioncd lr.pcny for in
Aprlionl or Aa$t Siget -d\Ser5
UNDEB GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptori Clarif ier
TOP OUT
Waste & Vent
Water Piping
L,as Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanita ry Sewer/Cap
Back Flow Device
Rou gh Plumbing
Final Gas Test
Meter Release
FINAL /-3/- 19,t Uel-l7g va)
Notes Remarks Etc.
I
PLUMBING.INSPECTOR RECORD
Po;cvNumhcr: FrDlrc\:
goN[IagcuaN.LlNulNc-alirNlr
I herchy nfimn crlcnrlryolpcrjurylndlhscisacotr(ruclionlcndinS{cncylilrrhclcrfonrmccol(hcsortlnr{hichihisJrrn,iri\
issud (SL{ l0i)7, C'iv C ).
trndca\ Nr rc
L.ndcr. AddE*
-