HomeMy WebLinkAbout30139920 - Permit@ City of Santa Ana 20 civic center Plaza (M-19)' santa Ana, cAg27o2 Plumbing
Permit Counter: C/14) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 39920
Pin #: 28872
Project Address: 1115 S Shelton St
Assessor'sParcel: 013-06'l-05 Lot; 69
Unit:
Block: NA
Bldg:
Tract: 557
Address Range;
Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Graciela Lopez & Sergio Arargon
1115 S Shelton
Anaheim, CA 92802
(714) 398-6342
Orvner-Builder
011 t6002 51602
01116002 51602
01116002 51602
01 1 16002 51600
01116002 51602
Amount
14.22
22.25
12.70
22.O8
55.04
Fee
$14.22
$22.25
$ 12.70
$22.08
$55.04
Fe6 Type
Water Closet
Shower/Bathtub
Sink
General Plan Update
lssuance
Qty
1.00
1.00
1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
r111160(12
Plurb ins
01116602
{:osh
(:hsnse
otol tl
z & Sers io APors.
l"jpdote Fee
C'00('rl-
112000-
8/30,/2rilsIro,lsi! 40
ftef+:
hroc I e
6enero
R-3, U
VB
cPc 2015
en
197569
Date:
Date:
Date: 08/30/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Fire damage rspair to (1) bathroom. Remove/replace
(e) plumbing fixtures.
$126.29
$0.00
9126.29
Planning Approva
Plan Checked By;
Permit lssued By:
Subject to Field:
Buildang Permit #:
lBy
Every pe,mit issued shall bocome invalid unless the wo* on the site
authoized by such pemit is commenced t'tithin 1 80 days afte( its
issuance, or if the wo* authorized on the site by such permit is suspendod
ot abandoned fot a peiod 9f180 days aftet the time the worl< is
commencod.
01116002 51600 $22.08
$104.21
l
lnspector MID#: 2018-145780
01116002 51602
Fee Tolal:
Paid to Date:
Balance Due:
Bqtch+:.
Olf i ce:
Acct+:
Rcpt+:0:
Tconsoc
Building Use: Single Family Dwelling Occupancy:
Job Type: Alteratlon Constr TYPe:
Nalure of Work: Flre Damage Repalr Code:
Planning Conditions: lnterior work only. No change in floor plan.
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Buildinq Sewer
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P{rap/Drain Line
lvlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
/-Att^orcFINALtlalu m ,z)
Notes, Remarks, Etc.a
OWNER BUILDER DEI.CARAIION
I krchy amrm !.d6 F.ilry of lEijuty rhll I am q.np nom rld C.nrr.do Lic.n* l,w for rh. follo*ing rjbnt(S*.?Cll.5
ausin.ss ad Proa.sbn Con ): Any Ciry or C.lnry whi.h req rcs a lrcmir lo onntucr alrd. iruroec. iletirh o, rp{t sy
srtucruc. Fior to ns issare, !l$
'lquncs
lhc arpli.ul fo. su.n Fmi ro nh , stEA 3d.md rh,r h. or sh. ii lt nsn pursst
ro rh. prcvbions ol t}! Conrretoas Licnsd L.s lch,prr 9, Coomftin8 with Serio. ,0OO of Divliion I of ihc Burin.r. ajd
Prcfc$hns Code) or rhlt lE or shc n crctrpr rhcrcfomud thc basi! for rlE allclcd q.itDrioo. Any viobionofselion ?031.1by lny
aptlicrd tor ! pemit subjds rhc aplllicoi io !.ivil pcMhy of mr mE lhm livc hundrcd doller (1500).
I. r\ oNNr of rhc nmFny. or nry c nrployN\ vilI qlscs !s rhcir slc conDrn\]rion. sill do rlt No* urd rh. {turu. i\ nor
irlcrnd or.ficrcd lor slc (S( 7(l1.r.llt\inc\\ od [!rdt\n,n\ Codc Th. (iJitkt(t s l-iccnsc lrq docs nollplly n' in osrcrol'
rlrptuFny *ho builds or inlt'mr$ rl!cB)n. dtrd qk) doc\ n'.h wlk hir\cllor hcn.ll or rhRn'gh his or h.r o*n cnrdoyccs.
nnrvnhn rtr luch iplovc'rnkdcnorictdcdorollcRlnr\rk.llhoqcltr.rlthuikliU r in]])ourrd i\ {,ld $irhi" utt }tr
ol.onrflcrinr, rl[ owncr Buikls q'illhavc rlx huilcn of l)(rviu rhd hc or {r did ftn t{ild or irpruvc lnc ptu,f,ny ,in lhL purlDc ol'
l, .s owrcr ofrh. ,mFny. m .xclusiwly .onrEcrins wirh licctrEd .onrm|o6 ro omrud UE pDlrl (Se. 7o4.r. Buiiftsr
lnd Eo(situ Codc: Ttc Conrdroi. Lic.i* Lae doc. ml ,|)Pl, ro an owncr of,roF.ny *lm builds or impoti lheton,
and sho co.r&t! for iuch Flj.rts wnh a ConrElro(s) li.ed ,usunl lo rhc Contracrois Liedc b*).
I ! crcmlr und.r S.c
]t!.8[r8t]!0Nrr!t rQl
I h&cby nnn
'
uDdcr r.ndhyorNau
DIII.ABAII!}N
I hrrc r0d (illtuiirrinaCcnili.arc.lCrrsc t) Sclr l $r f(trwnrk$ cdu'.r\rri,n,. r\ p(r idcd larbySc.totr 1701)ol rhc
Itrh, (ftIc. ntrrhc!.rtondncc orrh. trork f,tr*hi.h rhc pcrmir i\ iss!.d
_l h,vc and willoaint,i. wortcB onpcnsation insBrc., a rcqlind by SElion 3700 oflhc Lrbo. C.d., ror llE pcrforMrc of
lrE wrk for whih (hn pcmil is issu.d. My *trt6 onpcnslion ins!rorc cuir aid Flty nuF !.r a.:
-l
ccdifylhal in fic pc.formncc of thc wort for which lhis pcrmn is isslcd, I shall nol cnploy any l)cNn in tny ourcr
so s Io b..oG subjdr ro lh. w 6l orycnsrioa bwsofcdiaornia. and a8B Ih if I rhotrld bccom subjmt lo lh
Mrk6s mopcnsalion pNtisionsofSclion lr00 of thc t2hor C.d..I slEll. fonhqirh.odply wnh thos Povisions..
WARNINC fuilulc lo su,c trrtrkcn'comp.nut .overasc i\ unh*hil. .nd sh,ll suhirl rn cmplorr lo snninrl tcMlris dnd
civil finc\ uI lo om hundrc.l rhou\rnd dolld\ (m,Ooo). in lddirio! ro lh. cost ofcomFnsdion, d.mgcs !s pmvidcd lor thc
sc(ri(trr.ro1).lrhc Irlxf co .. nrdcnltrdrl
ca"€
I hcrby rlllrflu.dcr Nmhyofp.rjury r fmvision or Chut d 9 lconmnci.S wirh scdhtr 1 0) ol Divhion l
ol lhc Busincss rnd Pmrcssions Codc. mn my liccnsc h in tull forc ud cficcl.
Licqns. Cla$: Li.ens Nlhbdr
l)xrr ( !trnrnll!,.
C9NEIAUCUOAIENIIINCIGENT.I
I hcrcby aalt undcr Fnilry ol p.rjury rtu rh.r L\ a .o.{ddb. Lndin! r8cmy nx thc lcrlbrroN or rhc work ritr *hth lhis Firnh is
issucd (se.lo97.civ. c ).
AIILIIANI.DDILAXAIIQN
I trrcby nl]nm unds lt]n! hy of p.rjur, onc.rihc firlovins dc.lurnrn\
Dcnhft iotr Pcflnirsasbcslos Norific0liotr r,cdcml Rcsularions ff irlc 40. P!n6)
Rcquir.d IxI$ of Notilicdrion
Area/Storm Drain
trndcis Addm$:
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