HomeMy WebLinkAbout30139799 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139799
Pin #: 14291
Proiect Address: 413 W Seventeenth St
Assessor'sParcel: 002-102"31 Lot: 'l I
unit: 105
Block; C
Btdg:
Tract 256
Address Range: 413.415
Historic: No
Suite Range:
Zoning: C'l
q
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Amount
12.70
60.68
22.O8
55.04
Lundar Yuh
10361 Magnolla AYe #B
Anaheim, CA 92804
(714) 396.4789
Owner-Builder
Fse Typo
01116002 5160i Sink
01116002 5160, Min Fee Adj
01116002 5160C General Plan Update
01'l'16002 51602 lssuance
Qty
1.00
1.00
1.00
1.00
Fee
$12.70
$60.68
$22.08
$55.04
8(t ch i
0lf ire
Irgnsq
8/2/2t-tLS
Tran s+ 3
Slate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
beners-l
tu l160rl:
Plunb i ng
r-rl l160ti
ICL ihec
ir:rlUt-ltt
Building Use:
Job Type:
Nalure of Work
Commercial
Alteration
Sink
B
VB
cPc 2016
Occupancy:
Constr Type:
Code:Notes: auth on file
Planning conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Evary permit issued shell become invalid unless the work on the site
authoized by such pormit is comnenced within 1 80 days afler its
issuance, or il the work authotized on the site by such permit is suspended
or abandoned bt a poiod of180 days afrer the time the wotu is
commenced.
\x
Date
Date
DateHernandez, Kathy
John Pham
041o212018
Account#
lvlisc. Receipt:
lvlisc. Receipt:
N4isc. Receipt:
Total
$150.50
$0.00
$1s0.s0
lnspector MID#: 2017-134324
$22.08
$128.42
Fee Total
Paid to Dale:
Balance Due:
Phone:
I undor
otol
Updste Fer
600000-
01'116002 51600
01 I 16002 51602
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUIT,DER DI'LCARATION
I hcrhy rfltr uDdcr pctrilry ol Frjrry rhd L.r .r.nrI lntrn rhc Conkrtni t-i..nrc Llr lor rhc lnllowirr r;e (scc.7o.i 5
ausincs !tu ltons\n,n CGlc) Aiy Ciy or Counry rhth rcquirc\ a P.mir k, .onsrflcr. 0llcr. inrporc. d.molhh .r rcNn ,ny
srrucrurc. pr lo irs r\urn.c. rh. rcqut$ rhc |lPlliconl tustch ricnlir b filcn\i8ned (alcnrnr rhd h.orshc n kcnscd lurt r
h rhc rrovnionr of Ihc Conrrcttr s l-i..nrd tjs (Chrtlci 9, C.nnncNing wirh SccriM 7{X)0 oi Division.l ofrhc Busincss rtrd
fDlc$nrn\CDrlc)orrlBthc.rshciscxcmprlhcrcfroraDdrhchssnntrr[c.lLAcdcxctnlrion.Anyvn,hn)nofScli]o?0:ll5byary
xttli.id ror o p.mIt subjcclsrhc a!fli.inr r. ncivillcnulryorn.r rmrcrhan fivc hxndrcddoll s(S500)
-1.
as owNr ol rhc fmp,n!. (tr my cmplort.s with w,sc\ ,s rh.n v,h .on[.Nrrion. sitl J. rh. w.rk lnd ltE (M!@ n nor
lntrB ororhrcd r'or salc (S( 7o1.r. Brsftss d tuofc$ions Codc: Thc Clnn[.kv' s L i.cnsc taq docs nor arnl,t,uo$trsof
rh. !$pcny pho blilds o. nrlt)rxcr lhcRr ad wb JtB $.h w(trk hinsclfor hc6cltor rhrclgh his oi h.r ou cnrpll,ycc{,
pr.v L{ rh.r su.h improvc'En(,.,x idcndcd or ollcrl hr eh ll lDserr rhchiHiis or inf,mvctrrnr is $kl *irhin 't rtrr
of.otrDLrhn. rhc Osncr lluildcr willhrh rh. hordcn ofrn'vinE rl[i hc or \hc dil nor hild or i'rProv. lnc pmlcny ti,r rhc p0rlx,*of
-1.
nsouncr olrhc nmpcny. rmcr.hsirclycofttrdins wilh li.cnscl coit,.nns h consrrucl lhc PrnFr Iscc.7(}1]l. su.imrs
and Pirf*1b.Codc: Tic Gn rscrr's Li.cns.l-dw docs nor lfplrro io.unc' ol Pnl.dy qhn buildsot inDrovcsrh.ron.
ond sho c.nrdcrsror {rh F,jccls wirh a Conlocro(\) liccnscd rursuttrr brhcCoDrrturoi$ Li.. \. Lxw).
-l
!hcrchpr und$ Ser 0 &Pc
thl€:-_ (r*ner
lulLlx,llll)N
! hcrcby lffirnr hdcr pcndlry or Drjury om ofthc lolbwins dNlararn'ns
I hnlc dwillnrn uir!CcnL[cicotCon\ctrrn)Sclf.ln$ncilrr!otkcr'mn|,.nsrnnr,,\ P(,vidcd lbr bySc.riotr l7(noirhc
bhtrC, .. fdrhc NrLnnrN.ollhc (ork nnshirh rh. P.nnir ls isuci
-l havc .nd will roinbin sorkc^ conp.nsslhn insurorc. as eqlidd b, Scction 3100 of lh. tibor Cod.. ior ltE Pcrfomte of
the port for whicn ltis rcroil i3 irscd. My,orkc* compcnslion irslnme cdrit !M Flicy nunbcr ee:
-l..diry
thar in rh. Frformrccorlhc sork lor *hhh rhir p$mil is ksucd.l sh.ll nor .nplo, .try Fen in an, mdnd
s N ro h.om suhiEl ro rhc mrke('comp.nsalion laws of Colifomia. lnd {gm thot ii I should b6om subrEi ro i,r
rc sl @ryrn$lb. peli.ionsofscliotr !?mof0E L.hor C{dc. I .r[ll. lonhwnn onlPly enhlh.c pDvtiont.
WARNING: Flilurc lo sure *o*c( conD.nuiion orcmSc is unhef!|, and shlll subjGt an ml,lortr ro dininal Fnohics tnd
lo om hu rcd rh.uend dolltrs (!l0o,mo), itr .ddilion rd rhc co ol.on'Pcnsatbn. d.rogcs as !revidcd for th.
Seiio. 1076 ofrhc htor Codc. intqc$ rnd .llormy s
I hcEby ifm ondcr p.ndry ot DsFry $d I m licnEd lid€r lovisioi ofctuPls 9 (mmrci.g snh SNlbn 7000) of Dilhion 3
of $c ausiNs and Prcf.ssi..r Cb&. srxl ny lkcM is b 6lll foE d c,IEt.
Dorer Con(
CITNSIAI]EIIQNIENDIIC.EG.UNII
I hcrchydinundc. p.nrlry.iprjuryIhal rhcrc hocon(rucli,,n lt ingnlc.yforrhcNtlotntttuc.lrhcworkfornhichrhi\Filniris
issucd ( s$. 3tn7, ( iv. c ).
AIPLICANLD[clnIlAIllrN
I lr r$y amm uMcr p.n,lry oi !'crjur, onc orrrt r.lk,aine d..ld,rnnN:
Dctunirn,n Pdnir\ Asbcnos Notifr ion fcdcrul Rc! brn)n\ (Tirlc40, P.n6)
-Requied
trndr or Norifi mlion
I cdilylhd lhc Ldcrrl rc-luhlnrns rgdding ssbcslos rcmlal orc nor lppli.dl,L io this Pmirr
l.cnify rhlt I hlvc read rhi\ st tli.,rio..nd srntc lhal Ihc otovc infitr@r'on ircoret. I ryxe to comply{irh rll Cityand Counl,
oxlin0nccs and srarc liws dl,ring ro buildinS co r.rd ncrch, rlridzc rFc*nlalivcs oa lhis Cny and Couniy ro cnld utDn rhc
rlDh nrnriorcn FmFny for
P.mlte!l.m (pd )r--1h'FP lt
*,, Ce,f 02/20t?
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underf loor
Buildinq Sewer
Area,i Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Piping
Rool 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
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release I
FINAL K/,Y//,{
Notes Remarks Etc.
Water Service
Ddc.--
I ctrJ '. Nri'..
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