HomeMy WebLinkAbout30139911 - 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: (7'14) 647-5853
Permit #: 3Ol399ll
Pin #: 49945
Proiect Address: 5322 W Henderson Pl
Assessor'sParcel: 108-393-09 Lotr 33
Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: R1
Ej
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Beatrice Nguyen
5322 W Henderson
Santa Ana, CA 927041937
17141791-5473
H L Home
11071 Dune St
Norwalk, CA 90650
(562) 412-1818
01 1 16002
01116002
01116002
01116002
01 1 '16002
01 1 16002
51602
51602
51602
51602
51600
51602
Fee Typ6 Amount
Sink 12.70
Sewer Alter/Repair 44.5'l
Gas Outlet, each Add'l 7.06
Gas Line alteriextend/a( 65.57
General Plan Update 22.08
lssuance 55.04
Qty
1.00
'1.00
'1.00
1.00
1.00
1.00
Fee
$12.70
$44.51
$7.06
$6s.57
$22.08
$55.04
State Lic #: 812009
Lic Type: B
Bus. Lic #: 354204
Workers' Compensation lnsurance:Carrier; Exempt
Policy #:
Expires:
- at29/2018
Trons?:26
Ref+!t3 - g/??/?ttl|
Tot6l
Le
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
BBQ & Sink
Pezeshkpour, Ali
Brodowski. Teri
Every permit issued shall become invalid unless lhe wo* on the site
authoized by such parmil is cammenced within 180 days after its
issuance, or if the wo* authoized on the site by such permit is suspended
or ebandoned lot a pedod of180 days after the tine the wotu is
commoncgc!.
o8129t2014
Account#
1 - !r.ii iitrilirl
New ouldoor bbq & sink under permitted open patio
(ref: BP #17436, isEued in 196€).
$206.96
$0.00
$206.96
R-3, U
VB
cPc 2016
Date:
Dale:
Date:
08t29t2018 [Iisc. Receipt:
l\4isc. Receipt:
lVisc. Receipt:
Total
MID#: 2018-145746
01 1 15002 51500
01 1 16002 5'1602
Fee Total:
Paid lo Date:
Balance Oue:
Bldg:
Tract: 2033
Phone;
Botch+: +561
off ice: (TY
Rcpt9 ! ff?36i
Troneoct ior
Huns
H L HofrE
i!+l
Notes:
Occupancy:
Constr Type:
Code:
$22.08
$'184.88
lnspeclor
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
UNDEB GROUND
Waste & Vent 7 -Z?4Q.L{e 2a
Water-under floor 9-z;z'ft-,R-a2
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnlerceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pi prng
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
Pirap/Drain Line
Main Drain/Pool Pipino
Fill Linei Back Flow
Pool Heater/Gas Line
Miscellaneous ---.,1,ffi2Gas Service 9-28-tb ?/
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test I Pl>l a-l 'rtfurrfr.t)vu
^a,,,-*1FINAL,ol>l t8 T 'vu)
Notes, Remarks, Etc U1-a
oWNER NUII-DI]R DF]LCARATION
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afli tr,Df.\si.n Codc: Thc ConlErols Liccnsc ljw dms nol arply to !n ovns or proFny vho builds or imp,.vcs rhcd,n,
and who co r.cls ror such llruicrs wirh r Conra.tois) lic..scd pusuflr to lhc Conlmctols Liccns L3w).
I ue r.nd und* Sction . B. & P.c. for this EMn
.AI)8trEIS:.EQMIBIAIION
DECI,AIAIION
I h.rcty lmrmund.r pcnally oi lEriury orc of$c iollowin8dcc!tr.iio.s:
Ihr\tuxt$illminltrinrCcnifi.rrcofCon\.nrhS.lalnsurcinsork^.omp.nunnr.r\troviddturbySc.riotrlT(xlofrhc
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'hc Frforffic ol
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PolicyNuEt( E!!IB
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erlify lnal in lnc lcrform.na of lhc wori for qhi.h lhh pcflnit G iNlcd. I sholl not employany lcmn in lny MB
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'o
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.ivil fincs up lo on. hundcil lhousrnd nolh^l0O.00O). in diion !o lhc cosr n,.ompcniirion, dlmgei N I'rovil.d ror Uc
rhc I x{xtrCo(|. i'ncr.{ rn(l l,L----t
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I hrrrhyrltunru'alcrn! rlryol prrjurt I am li.cnci dcr pmvi\io! of Chtrprd 9l c.nrf,.cing with S*rbn TUD) ol Divisior l
ot rnc Busircs md Prolisions Codc. ind myliccnE is in lull forcc ond crhcr
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h\ucd (Scc 109?. Civ C.).
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AIILICAI{LDECIABA.IION
I hotbyailmlodrFnohy ol pc,jlry onc orrhc f.Uowing dNldalions:
Dcmlilion Pcrnils-Ast sos Notification Fcdcral Rc8uhtions (Tirlc 40. Psn6)
-Rcquncd
L.llcr olNonfr.tiofl
rcslrdin! asl,csros gnovol urc nor appliclhlc r{, rhh rmFcr.
n dd st,rc rhd fic .tnr info.@rion h .odet. I lem to sq,!y wnh ltl Cily and County
in8 .onslMliotr ond h.nby arhoriz Efesc olivrs of fik City ond Colnty lo cnlcr o!'.n lhe
]\pplirMl orA[mtSiIntrl coMito
Meter Release
knd.lr Addre$ L