HomeMy WebLinkAbout30139874 - PermitAssessor'sParcel: 932-321-25 Lot: 1,2,3
Unit; A
Block: NA
Btdg:
Tract: 7494
AddressRange: 2900-3020
Historic: No
Suite Range:
Zoning: Rl
E
city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 Inspection Requests: (714), 667-2738 lnspector Section: (714) 647-5853
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Leticia & Juan Minchaca
3000 S. Sycamore Street Unit A
Santa Ana, CA 92701
(714) 510-5604
Henderson & Sons Construr
12938 Burbank Blvd.
Encino, CA 913'15
(888) 806-0540
Fee Type
Water Closel
Bathlub
Sink
General Plan Update
lssuance
Botch+:455i7 - 8/21/2018 I0r NGAFCIA0ffice: CTYH TrRnFt: 4 3 of 5Accti: Ref+: 301J?974
Rcpti:0?3607,t6 - 8/23/2gLB 8.12 An
Tronsoct ion Totol $727.58
01116002
01116002
01 1 '16002
011 16002
01116002
51602
51602
51602
51600
51602
Amount
14.22
22.25
12.70
22.O8
55.04
Fee
$14.22
$22.25
$12.70
$22.08
$55.04
Qty
1.00
1.00
1.00
1.00
1 .00
Phone
Slate Lic #: 1034553
Lic Type: B
Bus. Lic #: 370363
Workers' Compensation lnsurance:Carrier: Slate Compensation lnsurance Fund
Policy #: 9223900
Expires: 12l30l2ma
Henderson & Sons Construct i0n
eenerol PIsn Updote Fee
01116002- 51600000-
Plurb ins
01116002- 91602000-
ICL Check 002691
t22.0s
11ts4.21
t727,58
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Alteration
Bathroom Remodel
R-l
VB
cPc 2016
Occupancy:
Constr Type
Code:
Date:
Date:
Date:o8t2312014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
<2?
Every permit issued shall become invalid unless the work on the site
authonzed by such permit is commenced within 180 days aftet its
issuance, ot if the work authoized on the site by such pemit is suspended
ot abandoned for a period of 1 80 days aftet the time the wotk is
commenccd.
lnspector MID#: 2018-145598
0't 1 '16002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
$22.08
$ 104.21
Permit #: 3O139874
Pin #: 35372
Project Address: 3000 S Sycamore St
Notes: BathroomRemodel.
10197467 $126.29
$0.00
$126.29
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OTI,IiER BUILDER DELCARAITON
I heE6y 8'ftrn undcr pcnllry of n dury rhar I @ crcopr tDm rhc conr.eroR Lbcns t s for fte folowi.g EMi (sa.?031.5
ausiEis ad PofcBsion Codc): Any Cny or Counry anth Equift . Fmh ro snslru.r. alrr, inprcrc. dcmlth or Ep& uy
docha. pthr Io nr isswc. .ho requic! rlE lpplicet for reh IRnn lo fih e si8i.d srar.trnr rhlt h. or shc is lien*d p!r$!,
to lhe povisios of thc Conlreto s Li..nsd L3w (Ch!F.r 9. ComminS wnn S.ction ?000 of Divisiof, 3 of th€ Busimss lnd
Pefe$io$ Codc) or rhll tE o ihe Lr ercau rh.rciom ltd rlE bdis for lhe !ll.g.n ercmption. ADy viobtionofS6rbn 7031.5 bt an!
lpplha for . pcmit subjal3 llE {ppli.dl lo . civil pc@lty of not mE thd frve hundrrl dollr! ($500),
l. ss osrr ol rhc polrny. .r ny cmplors eirh wascs as rtuir sh onp.nsario,. will do llr w{,rt art dE nrarft i( mt
inlcnd oro,f.Ed for sk (S{.7O14, Busircs md PrcLssi'ns Codcr ThcConrdor's Lkcns t w dms no! q,/y lo m ownr ol
lh. pqEny who boildr or inlhEs lhcMn. ard who dms sEh wort himsclf or h.rslf or thmu8h his or h.r own cEploy.cs.
providcn thll such impmEnEnh m nor inrcnd.n d oficad for slc. la tF{rn tlE lnildins tr itr mwmnt is sU *ithh otu y@
ofonpldiotr il* O*mr anikkr will lur rlr htr&n o, pnvirs rhd h. or shc dil hl tuild or nr{,or rhc ,,oFny for r,r I'uqn* of
-1.
as o*rcr of lhc t otcny, trm .xclusiwly contracring wirh liccn*d confuroN lo snsrud rE rrcirl (Ss. 7(J44, Busms(n Prnl6sii Codc: The Coor6rols Liccnrc Law des nor a[,lyio mowns ofpmr.rry who builds or imprcvcs rlErcoi.and eho onrrucB for $ch pmiEls vhh. cr @ro(s) liccised l,!6uur ro E Contilcro s Liens. kw).
-l
unrcrcmtr und.r S€rio
trQf,(ESltroMfENsArrox
DICIdEAIION
I l*r.by dffi.n undc. F.dry6flcrjlryonc6frhe lollowins dcchrari.ns:
I hawanruiu @inl.i! a Ceniacare ol Consnr ro S.lf'lnsur€ lor *o*sl coml.nsalion, os nmyidcdforbySNrionlT00oirhc
tjhor Codc. for rhc ll.rformncc o, lhc wolt tor which lhe Dcrnil is issucd.
_l n!v. ,rd wiu Miilli. wo*cE @npcn.alion i.s!6m€. e rluirEd by S€rion 3700 of rlr Lrld Cod.. for tlE !.rfo,r1ec of
llE mrk for which thi! p.mn & ii$ed. My s6k6 @npctrqlio. insllle @icr and plicy nunbd el.4alp Co.M Pe n sctl;on
ol3ctlit
-l.diay
rhd i. rhc p.rformrcc of ll* Mrk fo. *hich this rcml i. ir$ert.l3hall rer.npLy my lcBon inay @net$ .s lo lE om subj.rl to lhc rod(m enF"elion Lw* of Califomi!. .d s8m lhal if I stFUB b.com subjccl to tlE
wortcts' oh,,cnsllion tovnions of Setion 3?00 of thc t 60r Codc. I sh.ll fonnvilt omply wilh lhoF l,ovnions..
WARNINC: Flilurc to surc wortc6' compcnsolion .ormec n unhwful. md sh.ll suhjer 3n cmplortr to simiMl pcEhbs .nd
civi, fincs !p to oflc hlndrcd lholRnd dolls (Slm,uD), in.ddnion lo ihc.o{ olconpcrqlion. dom8 s as Imvidcd hr lhc
Scclion .1076 of thc Ldor Codc, inlcrc( .nd lllorrcy s fes
*,",- *lztlit
llEclllaar,ltN
I hcruby dirn uM.r lcnnltyofNrjury rhar I n lidnsil undcr F,vnion ol Chaptc! 9 (cootuno ing wirh Sccrbn 7000) df Dilisioh l
of rhc B!\imsr aid lroLssnns Codc. !d nry licen{ h in full fttrcc md cltLrl.
P)./ot455\
^'' .8 l7\li8
rcNt:tr!!1t0rL[Il)lNt;ilixxlr
i\uci lS.. llr97.(-rv C )
d.Plltc NfD[cL atruoN
I tmtry dtinn u ndc, !cn!lr, ol!.rju,y om afthc loln'$nr8 dc.lffiln'ns
Dcnoliriotr Pc.nrs Ashcstx Norill.arn r Fcdcrrl Rcgrhrnnr (l'nb .tlJ, Iran6)
-Rcquircd
l.rlcr or Ndifi .orion
l.rnrf_r)rr rhc ltd.fultuguldions rlrdiig n\h.nos rrnniul rr. nor rfplicxhfu !, rhn fnl.rt
oilirrtrcc\rid srrrc Ls\tolrrin3tr huildnr! c.n{n(nnr. lxl hcrcbyr lxtrirc rcprc\. rrl!c\()frhi\cir,mdcounryrornrfutainrhr
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Building Sewer
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq l4t IclB'l'ile>
Gas Piping I
Roof Drain
Tub/Shower Test 1 rltl 'ril ty
Rough Water Heater tt
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Healer/Gas Line
Miscellaneous
Lawn Sprinkler
Sanitary SeweriCap
-ai|
Bough Plumbing I $.n rr-rrJU
Final Gas Test t I ur
FINAL q >l |^-n*a&r">)urc-Notes, Remarks , Etc.I
-+
ab.vc nrnrinncd potcn, for jnsp(rion purlxacs. ,-.- -_-,---)
Appr.. orAsqrsis iurc:^ {-42:' o^,.,'l/2lli,
""-u**."rrn*r K DiAla She.lrot-i
Area,/Storm Drain
Gas Service
Water Service
Back Flow Device
Meter Release
;tw I,