HomeMy WebLinkAbout30118108 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: 1714) 667-2738
Plumbing Permit#: 3OllElOS
lnspector's Section: (714) 647-5853
Project Address: '1109 W Twentv-First St
Assesso/sParcel: 001-165-12 Lot; 15
Bldg:
f rad: 2977
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Phone:
Tenant Name:
Christino RobertE
'1109 W Twenty-fiBt
Santa Ana, CA 92706
17141 4794025
Owner:
Address
Contractor
Address:
Fee Type
Pool Trap
Pool Healer
Pool Piping
Backflow<2"
lssuance
Amount
8.'t5
40.50
'16.00
8.15
32.50
Fee
$8.15
$40.50
$16.00
$8.15
$32.50
Phone
Haven Construction lnc db
12300 E Washington Bl # R
Whitti6r, CA 90606
15621945-5222
State Lic *: 849953
Lic Type: C-53
Bu6. Lic #: 313057
Workers' Componsation lnsuranc6:Carrier: Clarandon Natlonal lnsuranco Co
Policy #: 08KR0000891
Expires: 03/0112000
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:\,4
Hernandez, Kathy
[p l<-,v r(
N'A
N/A
cPc 2001 Notes: lnstall swimming pool/handout given
o7t2at2005
Misc. Receipl
Misc. Receipt
Misc. Receipt
Building Permit #$105.30
$0.00
$105.30
Account#: 01 1-01-5912 lnspector
Fee Total:
Paid to Date:
Balance Due
/$Fh\g"i^"?
#EE+
Suite:
Block: NA FJ
Qty
1.00
1.00
1.00
1.00
1.00
Building Use:
Type of Work:
Nature of Work:
Slngle Family Dwelling - Dr Occupancy:
Altoratlon Constr Type:
Swimming Pool Code:
Date:
Date:
Date:
This pemit shall expire by limilation and become null and void if the wotu authoized by this pomit
is not commenced within 180 days frcm the date of this pemit, or if the wofu authorized by this
permit is suspended or abandoned at any tima afrer the wotu is commenced for a peiod of 180 days.
Beforo such wotk can be rocommoncod, a new pemit shall be first oblained to do so.
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OwD!. Build.. D..l0rlon
I hatt, tffm hda pa'dty of Fj'r, dr.r I 6 cr6F fdn $c Cntr d6' Ucd. rl* ra O. foll ina rar6 (8.?0,I5 B6it6t
.td Prc(aid Codc) A!, Ciry a C@ty whi.! Equi€ . Fhir ro 6tfi4 nlq, inFEv., doolLh a r.tdr &, .r!.t !, Fid !o initlu.a .lto r.q'liE lh. .rdi.ar fd .u.i Fhn b fi!. . rit!.d dlrqMr dE t. q rh. ir li@.d
'l6er
ro $c Fovi.idr of 6c
cdtreort ucdr.d tr, (O,rya 9. Cd,!!@ils *i6 S.oid ?@o of Dyirio ! of ri. Bui.d &d lrDfc.ri@ Cod.) a ti tc a
.hc i, drl$ $a!tm Dd lhc tGn la ll. dl.rcd sct$i6 Aq viohdd of s.(rid r0ll 5 !y ny.rpli6r la. Fldr itdr lh.
+plior ro . civil Fdr, of d ie lh& 6E [Eldtd .tolllr (t5OO)
_1, s oftqolln. F!Fq, rnyolplorE yi6,..a. thd. &l.dparedl' ll .lo dE rrr ed lt. lrurr! i! a<r i !'d.d
6 olTald fd.L ( Se,044. Bui'a ed lrcf8iE C.<L: Ti. C.G6.l U€* li &. d.ad, b ! ffi of lh. Fpdg
xho bcil4 a irqDE ltqE . ad rlo .loa e4i rdt hilr.df d tarCrc drqg li, a br @! aiplq.q, rovidC d!. nxlirFotEEl, c nd tuad.d a ofrald fa.la r,lE !E, rt! t{ildoa d inFltlEr ir -ld,niin G y{ oac.ridai6. d.
Ott6.Build. rill t E 6. bI& o(Fflile lhr hG d d. i.r bcild d irryor fr dt. Fl F. o(EIG)
_1.. ffiorrh. F.F9, m qclqivdy @trEi.8'i$ li.6!il6E .ra todlrilcr O. FDr.cl ( Sc 'r0..,4o... rdPro(-id C.d. TL Cdtreolr U@ tr dc a.'( +dy !or ffiof F.F9 '[o hdt q niFqEttEb. !d do@Es tanEh Fi6! 'iri.Catrrdd(.) lkat d Fm&r 6 li. CeEGd'r Uca|. l-li )
_l n q6q, unda S-iid
lqEtrEt-co!48$no!_D!clJSang!
I hab, fim ur& Fdt, of Frruy tu ot tlc foll ins d..lErid:
_l hrE 6d ?illtuint ii. Csti6d. o(Cau6t !o S!lt-l,!c aa *6ta cdrFr.ti6, ! Fovid.d fr !, S.di@ lrm otdE
r.rb.. Codr, t6dt F rue of $. e6t fd *hic[ th. Fnljl a! ir.Ed
_l h.r! 6.1pill nuillti. *d&ir' cary.r.do larmc.. .
'!q{iDd
b, S.Gdd 3700 ofdl.l.rb.. Ood., la it Drfanoe of$rrdt la tnid l!! Fmi! n i.ll.d MyrdLt'l'cdn @ni6 irrq!&. ctri.. od,oti.y |runls r.r
Cri6
Pola., N6bdr_A,dE
Oni,,.crj6 i..d.or b. cdnrldld irthc pmn i! fdon. hud,lddollrr ltloo) qld)
_l crlify thr ii O. Ffrue of tl'. wdr t6 rhich thB p.mn irbte nbj6t ro $. w6ta ' c@Freo hE of crliffti{ Dd
comFndfi Foeiid of scdi6 1700 of rh. LrD.. cod., I !h.ll
rf,AXnlNC fdlw !o t4c raldr cdrF!.ri6 6ts!a. it . ad rhdl .!Uer & nployr to dinh.l Fdda .d ciql
fina w to * h6<Ld Uo&d &lli (1, oo,ooo),ir .d.!li6 o $G
lic lrbd C6<L, inl.ld lxl llqrEy'r f€
of ffiFBrid, d.n{a ! Fwid.d fa 0E Scr6 !016 of
LtcEnsrp corNTlracmrlrs Dlar-AItaTtoN
! ha.t, .tfh ur& Fulry or Fju.y dl{ I 6 li6..d Er& Fovidal of ch+ra t (@.i ,nh sedc. ?0oo) of Divi.i6 ! or
0r B6i.d od Prd..d@ Co(h !d By li.aE i. in hrl foE d Gfrcr
I hdt5, .fifrt ur& Frlty o, Fi[, Oa lk! it .
i.n .d (56. 3ogr, ()v C)
ladina {a., (a rl|. Ffdtll.E of 6. rdr fd rni.n lltt Frit ir
AttgcANfs.uctatAr9r!
DqFlido Pmio. !!.id Ndif.lio tc&tl R.rddo Gld. ,o. rll 6)
_ A.$!Ed Ltia o( N.ri6dio
_l cqri, ttu rh. r.danl Eadai@ r.talna sh6r6 tEDrd E .or ppliqblc ro rir Foj*r
I cnry $6i I hrv. E d tht
tdin6c.. D.l S!.t. L.u El.dn8
tov. md6.d F.pcny fd uruiE eF6d1iv6 of th'r
UNDER GROUNO
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping I
Gas Pipeing 'Mla< ({a).tArE€Dr CD?'I >T
Roof Drain I P.E cev(.I- BS6tE
Tub/Shower Test €t^-tAL&rol
Rough Water Heater
POOUSPA
P-trap/Drain Line llalas (
Main Drain/Pool Piping t tfizla< i
Fill Line/Back Flow z hal)-<-r A9
Pool Heater/Gas Line I <J-
Misc
Gas Service E (l,lngr'
Water Service -aafl0'rl
Lawn Sprinkler ur \lI Lu
Sanitary Sewer/Cap R43,29O, t F,a,'
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL
Notes, Remarks, Etc.
&\ 73ffir4
=
=
=