HomeMy WebLinkAbout30239807 - Permitcity of Santa Ana 20 Civic Center Plaza (N4-19), Santa Ana, CA127O2 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
er
Assessor'sParcel: 013-142-20 Lot: 8
Unit:
Block: NA
Bldg:
Tract: 458
AddressRange: 1130-1132
Historic: No
Suite Range:
Zoning: R2
Owner:
Address
Contractor:
Address:
Phuong Phan
1I30 S BROADWAY
Santa Ana, CA 927O712OG
(714) 200-9132
Owner-Builder
Feo Typo
01'!16002 51602 Cap FDdures
0't116002 51600 General Plan Update
01116002 51602 lssuance
Phuong Phon
**** DUPLICATE i+**.*
Amount
6.95
22.08
55.04
F6e
$6.9s
$22.O8
$s5.04
Botch9:{5252 - 8/7/2919 It':
off i ce! CTYH Transi: ?Accti: Ref+: 3(r:
Rcot+:02349693 - 8/7/?019 g:36
Tronsoct ion Totol lgtg
3of
3?807
Atl
.70
Qt)
'1 .00
1 .00
1 .00
LR0aIALE:
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
6enerol Plon Updote Fee
01116002- 51600000-
Pl urb ine
01u6002- 51602000-
Viso
CC+: **r*r*******709?
_ s??.0s
_ $61,99
$89S.7r1
Authi | 1177770
Building Use:
Job Type:
Nalure of Work
Single Family Dwelling
Alteration
N/V
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Davepz-,
Subject to Field:
BuirdinsPermir#: 10297244
;**** DUPL I C:A-f E **,*.r+
Demo unpermitted garage conversion kitchen,
bathroom, partition walls and return garage to original
use, Remove drywall from ceiling. Remove washer
and dryer from garage, relocate laundry facilties into
the main residence.
$84.07
$0.00
$84.07
Occupancy:
Conslr Type
Code:
R-3, U
VB
cPc 2016
Notes.
Date
Date
Date
Misc. Receipt:
lVisc. Receipt:
l\4isc. Receipt:
Total
o8to7 t201a
Account#
Every pemit issued shall become invalid unless lhe work on lhe site
authoized by such permit is commenced within 180 days aftet ils
issuance, or ilthe wo* authotized on the site by such permit is suspended
or abandoned fot a petiod of 180 days after the time the wo* is
commenced
lnspector MID#: 20'18-145'154
01 1 16002 51600
01116002 51602
$22.08
$61.99
Fee Total:
Paid to Date:
Balance Due:
Permit #: 30239807
Pin #: 9E3E4
Project Address: '1130 S Broadway
Phone:
Tenant Name:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNTN BUILDER DT.)-CAI'ATION
I hcrchy atfinn undcr pcnrlr! oi rcrjl'ry rhar In crcnfl im lhcConrrucktr\l-icctr\.l.!Nlbrrh.loll'wintEr{,'lsN70.115
Burin.* n' Prurc\snn C.dc): AnyCnyor Counry qhich rcqlncr rl(nri b.o nfld, ulr.r. nnrn,vc. d.nnhh or rclnn rtry
s,mrurc. priorro irs issnMcc. dl$ lcqun.snr aprli.rnr fd \u.h,f,i,nir rr nh. si8md s.rcrmnt rhd hcor shc i\ liccnrcn puNuutrr
t, ihc pn,v(ions 6f lnc Contrr.ttr \ Li.cnscd tnw (Ch3lrs 9, C.mnrncing snh Sc.rion 7flr) of Dilki.n ] .f rltr Busin.rs 0nd
t\onssionsCodc) orrhtrrhcorshc iscrcnrfr thlrcfionrnd rhc bdris hr rhcnllc8cdcxcm i.n. AnyviolrliorriSccrirT0.!l5t\y0ny
rpplirrnr fin a pennil s!hjccr\rhc rppliclnl ro!civilr.ntrllyo, nol morclh.n nr. hundrcd{!ollDr\ (55(X))
&., n*u", nt rl'" p,oll.rrl. or trrycn[lo)r.\ wilh sdEc\ rs rhctr *rc.onl|]ctrsrxotr. wrlldo lhc trork rtrd lhc slMrurc i{ rn
inrcndcd or olTcrcd for {lc (S( 7Or-{. ,tusi.c!( rnd Profc$ions Cdc: l hc Conlacrn \ l,iccn$ li* d.c\ nor lpply kr ai ownr ot
rhc Dbpcny who boilds or imptuvcs rh($n. Md qlh d(d \uch mlk hnn{lfor hcncllor rhnnrth hi\.r hcr o{n cflr,,loycu\.
pft,vidcd rhrr such iatp(Mm.rs!r. ninrcdddorofl'cddlnr{tu.lllx,{c!cr.rhchuildirSorirpn,crnrnr($ld$irhin,{r,l
.lcoq,htion. ltE Owncr lluildcr *ill han dc hunlcn olFovins rhlt hc or shc did n,l lxikl or imlmvc rhc pnrlcny itr rht purF,rur
-1.
as owmr of lhc l,Er.ny. M crclBiEly .onlm.li.8 wirh li.cn$d conlrfttor lo sNrdcl llE poid (Scc. 7044, 8u\iruss
ond hDftrsih Codc: The Conlrcror\ Lic€n* Lrw d@s ml lpply to an owncr of |rop.n, sho builds or inpows rh.r@..
md who conracr. ftr such pmirB wirh r Conrrdo(s) li.etrsd luNmi ro th. Codrdols Licc(E L.w).
io!- B, &.-,
I hcr.by atfirft lndcq*nahy of r.lury om ol lhc followine dcclmlhns
-l
have !d will minllin a clfliaEatc of Con$ bS.l Nurc for woi(cF .otr{Enslrio., $ !rcvid.d ror hy SFtion]7m or rlE
L.er Codc. ftr rhc Frfommc oi lhc woft for wnth tlE IEmi k nsd
_l hlr an<l will mimlh worken .orgcBarkrn itr{nmq I EquiEd by S<rhn l7O0 of Uc La6or Codc. for llE Ffornm of
lhe *dk f6, wnich rhis l,.dir is isucd My wo*6 e,p.nsdion insuM. 6k ard Fli.y nunber @:
PolkyNu6b.iJipiB:
-l
ftnify $d in rhi p.rfor@ne of lh. *ort fo. ehich rhir ,.rnir is ir.ucn. I rtull rcl crploy My p.Mn in lnt mMncr
s .i b b.{om subi.tl b lnc eoltc6'comFnsrion hws of C,lifomin. .nd ,gft lh.l if I shoold t eom slb.iftl ro rhc
worlGs conlmerion prcvisbfls of S(t6n 3?O0 oa rhc labor Codc. I slull. fonh*nn omply snh rho$ fovirion..
WARNING F,ilurc lo su. workN'mDwnsdio. .ovr6t. is unln$ful. dtrd shlll subicl an cnplorg lo giminrl rEiahi{ 4d
civn nncs up ro om nudEd thousarld dolla (slm.mo). in addnion lo lhc cosl of n. drroB$ !s lr.vklcd tor rhc
SN'bn 1076 ollh. ttrbot inrcmd and xrorrv r f..{
Oole:--1 /\*
I,IICI/SAIION
I hcEbyafirn utucr pcnaltyoipcrjury lhal I om liRnsl ufldcr pmvishnol Chrplcr I (a,nnmncins *nh Sdion 7(u,l orDivilion l
ol rhc Busincs ald PhfcsionsCodc. ud mylictr* n in full f.rcc.M cller
Liemc Cb$:-LieNc Nunbcr:
l)arr
coNsrBiJc[otitlilulNc-&aDli(r
I h.tohy nrfirnrincr rnalryortcrjrrr rhxr ihcr. n r cod{tocii,n Lndi',! rlcD.y fin
'hc
lcrrontukc olrhc work htr which this r^-rarir ir
issucd (Scc l(I)?. Civ. C.).
ArIUCANLDIICITIX UI,
I hcrc$y alilrn under pcnally ot p€rj!r, onc otrhc tulk,oins decla,alion\
Dcmohiotr Pcrmiri^shc{os Notificariotr frcdcral RcSulnriotrs (Tirlc40. P O
Rcquircd Lcncr ol Norificdion
I ccnilirhd ihc fcdcrnlrcluhlion\ rc8 dirr $tt(os r..rivrl rrc n r r!nlicrhlc h rhisrr.r.ur
/4,."r',,, 'nr , n,'".or,nnapp icxrn,nr nrt rhd rhc rhvc inr{nf ri{r r\.orc.r I r!r.c hcon,rlysihnllL fy (ntrrry
o'dinxnccs xnd srJre Ir$ r.ldinS b6tr'ldi'r! con{tucii,)n. x hcr.hy rcpmcfidivca ofrhk Ciry md Cou.lylo cnkr upon llE
lbore mnrioncd pmpcny for inspcclion
pDli$nl or Agenl Signntu la-
I
,
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Boof Drain
Tub/Shower Test
Bough 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
FINAL ill2t/|KTT'>nqe*v,?3/
Notes, Remarks, Etc.I U I
Water Service