HomeMy WebLinkAbout30139594 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: O14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: C/14) 647-5853
Permit #: 30{39594
Pin #: 77o8'5
Project Address: 2038 S Main St Unit;
Block: I
AddressRange: 2034-2038
Hisloric: No
Suite Range:
Zoningr CSM
q
Assesso/sParcel: 015-074-17 Lot: 5, 5, 7
Owner;
Address
Veronica M Jimenez
53 Seton Road
lrvine, CA 92612
(949) 981-6290
Feo Type
Water Closet
Sink
Min Fee Adj
General Plan Update
lssuance
Amount
'13.69
12.23
32.49
21.25
52.98
Qty
1.00
2.00
1.00
1.00
1.00
Fee
$13.69
$24.46
$32.49
$21.2s
$52.98
Phone
Conlractor
Address:
Owner-Builder
Phone
6/ t9 /?.tJlg
Irons+: 6
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Refi:
t9 /?rtt
0Lql
Irenef o-t I
!11116002
Fluob ing
rr l1 l60r:r?
rn llDdote Fee
51600000-
B
VB
cPc 2015
C3 i *i**i
r602000-
rrrr;*8504
Building Use:
Job Type:
Nature of Work:
Commercial
Miscellaneous
Plumbing fixtures
Planning Conditions
Planning Approval By Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Amsden. Julie 06/'t 9/2018
Account#
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced wilhin 1 80 days aftet its
issuance, ot it the wotu authoized on the site by such pemit is suspended
or abandoned fot d peiod ot 1 80 days aftet the time lhe wo* is
commenced.
$144.87
$0.00
$144.87
lnspector MID#: 2018-144'152
$21.25
s'123.62
Fee Total:
Paid to Dale:
Balance Due:
Btdg:
Tract: 5'17
0'1 't 16002 51602
01116002 51602
01116002 51602
01'l '16002 51600
01116002 51602Tenant Name:
ftccf,i i
ticet+:0
Tronsoc
Bot,:hi:4431
0ff rce: {Ii
Notes; Change out existing
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:0d
01116002 5'1600
01 I 16002 51602
PLUMBING.INSPECTOR RECORD
COMMENTSAPPROVALSDATE
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor X
Buildino Sewer
Area./Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Rouqh Water Heater
POOL/SPA
\P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Back Flow Device
Rough Plumbing
Final Gas Test
Meler Release
Notes Remarks Etc.
FINAL
\
OWNDR BUII,DER DEI-CARATIoN
I hcrcby rffifln utrdcr prnnlty (f FrJury lnd I .rcmpr rnn rhc Co.rrro6 Liccns Liw lor rhc nnl,qiig rca{,n (Scc.1r:11.5
tusircs\ r.d ltofc$ion Cqlcr An, ciry or C.utriy whirh rcqxnc\ !,riNil to c.isltucr. (116, i'nDtuvc. dc mlnhorrcnrtuy
dtu rurc. priff io ir\ i$uan.c.,ko rcqur.s thc !f/t.nl ror such Frnil h tilc d riln.d sarcn*or thit lEot sh. n liccnd Pu^adr
tu rhe Fovisions ol thc Conh.ttr s l-ic.nsd lrw lchryrcr L Co'nmcncing wnh Sccrioo ?(x)O or Division I ofrhc Burinc$ and
Pn)r.$i{,n\Cod.)orlhnrh.orshciscx.nDllhcrclionrandrhc&si\anrlltrllcg.dcr.nflion.Anyviolntionol'Sccrii,n70.ll5hyrny
Jtlnhcrdr.rJFrnrir.uh,.rFrhcar,tli(,nrL,J.,vilpcnJl,yi,rnurmcrhannrFutrJrcdJnllor\r9:rO'
,l-:1. otrffrrrh.ri,Fny. r ryc 'rl lccsl h w!sc! a\ rhct srlc co'npc .nriotr. will d(, rh. work and llt sl41m is nor
L cn&\t or .licrcJ lor c,h ( S-.' ?(},4. Brsn$s nnd I'rofcsi,,n\ G cr l lt (hntrac(tr c l-icen\c tls d,.s nor !Ppl, to .n owrcr ol
rh.Fn,Nny *ho buildr or inprercs rhcNn. rD.l who dcrsch +ort iinscltor h.r$lf.r rhn,u3h hn or hcr osn cmlk,yccs.
prorilcd rhai such nnl)rolcn.m{m frn idcMcd or offcNd tur slc ll. hosc$r. rhc i ilding or in{'tuknEnr is sold wiihin onc ,!
ofcrnlrLron, rlE owncr 0uil+r *ill hrtt rh. bodcn orr.line rh.t h or shc dil nor hliki or iqmlc rhe ln,Fty f.r $c I'u{Esot
-1.
0s owr of rhc l,olsry. !m .r.lrxivcly om6.rin8 with liccrsd .onti.cloF h on5lftl llE pri6r (S€. ?O14. BBims
ond hnfe\sbn Codci Thc Conlrelols Liccnse Law dod nol lpnly to a.6sncr of lJb,,.ny who builds or inlrcw. lhcr6n,
strd who onr6cl3 fo. iu.h poi*ls wirh a ConlBlo(s) licn$d pu6@t lo llE Conracroii Licns. b*).
lArr,6"*.r,,"a. s*,."-. B &P.c lqrhiiE0son
{,,'. \''"'c t9,lB &.\l.r."rcq-
UQBtrE85-CODIIENIAIION
DEq,AAAIION
I herch, aafirm unde, pcnllry of pdiury om o, lnc followinB deldalions:
l-rlxtr (idc. ntr rlt ldnnnrncc ol rhe $ork lnr r[(h rhr Il.nn( n a\u.d
-l
lulc Md *ill minhin workcis .omFnrarion insumm.. ,s Equncd by Scclidi :l7m ol rhd bbor Codc, for lhe ,'erformrcc of
rtc work for Bhich rhl\ Fmir L1 issrEd My wtrtcB @m!.nsdlion insur*c .dtr d!x! polky nunbcr m:
D.l'cvNumb.r:
-trFrc
./\-
[1."nityrr,,r,nrr,"p.,ro'mntrorrh.eo .Ior$hkhrhhFrmr t i.tud. I (hrllmr cmploy any Fmn itr otry mner
so s Io trronE subj.cr ro rhc *oltql cohpcnsrkin lasr ol Calitumi!, ed s8r.c lh if I sholu td'ft subict bltr
workcs omlensslion pDlisions olScctioo 1700 ol rhc IjtnrC.d..I sh,ll, fonhwirhodply Bnh rho* povisions..
WARNINC: Failurc lo *curc vorkcr' @ pcneri6n.ov..!ec ir unliNfril. ud sholl s!br.{l !n cnl9lo}tr ro diminll lcMltieJ and
civil fincs up ro om hundcd rhousnd dollds ($100.(m). i. addilio. lo lhc coir of onw.sarioa dtrmgcs &r P$lidcd for lhc
r
DECI.ANA.]IQN
I hcrh, !m n uMcr lcnally oa pcrjrry rhtrr I d lic.r.rl und.r ro!i\i.n ol Ch0Ptcr 9 (..m'mtuing uiih s.crion 7ux)) of Division 3
of rhc BusiBsrnd I'of.s rio ns Codc. rryl myliccn* i\ in tullfu$udcffcc!
-
ContEctor:
(J)NSIBIJI:IIONIENDING.AGIN(:I
lh.rrhyaffir undcr l*trdry. f r4ury rhd r hcrc h r con{rucrion kftling rrc .y for rhc FintuNc ol lhc tr ork fitr which rhir rrrnril h
nsucn lscc .109?. Civ C.)
AtfucltfDuclABA.ll!,tN
I tmhy lllim u ndcr Fnalry ortrduly o.c ofthc lblk,wnre dcchralion\
Deftrilifl l,c.nirsAsbc{os Norifi.arn,n Fddrr$l Rc8uhrnnrs (Tilc 40. Pln6)
-Rcquncd
l,cllcr.f Norifi.!ri,n
I ccnify rhar lhc fcdcrll rc-qllarior Esddins Nlr{os rcnov,l ur. nol olplicablc to lhis |)rotc.r.
F-lenifyrhd Iturc Eldrhtarplr,rmn ld {0rc rhd rhc rhovc inibrrorion is corr<l I agre b omply wnh all C ylnd C.u.ry
odh,Nc\ und Srsrc tj*r Ebrins ro buildrng con{do'on, trd h.i.$y,ulhoriz rcprcscnrarirci ofrhis Cir, mdCounlylo cfllct lron lhe
dhovc nE.rioncd pmpcny ror inspccr
f,\ppli nr or,\(rnr si(n ture
I PemilN nonr I prltr()x
tEilvmtt7.reft
ID/SIG.
t ndcir NJ rc
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LctrJcr'. \J,l'u$
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Rool Drain
Tub/Shower Test