HomeMy WebLinkAbout30239657 - PermitBldg:
Tract: 560
Address Range:
Historic: No
qProiect Address: 2125 S Rousselle St
Assesso/sParcel: 0'16-111-06 Lot: 7
Unil:
Block: 11
City of Santa Ana 20 civic center Plaza (M-'19), Santa Ana, cA g27oz Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30239657
Pin #: 98239
Owner:
Address
Phone:
Tenant Name
Contractor:
Address:
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
51602
5'1602
51602
51600
51602
Amount
14.22
22.25
12.70
22.O8
55.04
Botch+:44625 - 7/5/20tg I
0ff ice: ,:1YH Trons+: lg2Accti: Refi:
Rccti:02319319 - 7 /5/2(tl8 4
Tronsqct ion Totol t
tl inh Thoi
Generol Pl
01116002-
Plu.b i ns
0l116002-
U iEo
CCa:rrr*r
y'u I Jone Ki,
on [Jpdote Fee
51600000-
516U2000-
[*irfii5225
Minh Tham Vu & Jane Kim Do
6522 Halifax Orive
Huntington Beach, CA 92647
(714) 925-1926
Owner-Builder
01'116002
01116002
011 16002
01 1 16002
01'116002
Fee Type
Water Closet
Balhtub
Sink
General Plan Update
lssuance
aty
1.00
'1.00
2.00
't.00
1.00
Fee
$14.22
$22.25
$25.40
$22.08
$55.04
Do
At
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 10296943
Every pemit issued shall become involid unless the wo* on the site
authoized by such permit is commonced within 180 days after its
issuencc, ot if the wo* authoized on the site by such pemit is suspended
or abandoned for a peiod of 180 ddys aftet the time the wg* is
commenced.
lnspector MID#: 2018-'144468
R.3, U
VB
cPc 2016
07lo5t201a
Account#
01 1 16002 51600
01 1 '16002 51602
$22.O8
$116.91
Fee Total:
Paid to Date:
Balance Due:
Notes Legalize (12) window change outs. Owner-Builder
form on file.
$138.99
$0.00
$138.99
Chavez, Davev
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
Suite Range:
Zoning: Rl
Building Use:
Job Type:
Nalure of Work:
Single Family Dnelling
Alteration
N/V - Windows
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DEL{AXATION
I h.Eby lftum unds Fn lly ol p.ilry thlt I m cx.nfl 6om rhc Conlra.tots Licne Lrw for thc follo*hg tten (S&.m31 .5
Bu.incis dd Prcfe$ion Codc): Any Cny or Coumy vni.h Equica r F..nn to @nnru.r. dr$, inpoE. dcmlih or GF( lny
situcitr , |rior ro ir3 irs.m, .ls Equircs rlE eptli€&r lor such pcmir ro fiL. tigEd st .mnl rhll h.or slE b lierEd puNrn
16 thc pEvish i ol tlt Co tuld s Liensd L!{ (Ch.pl.r 9. Conmming with S.clion '7000 of Divisir. I of $c Busimls r'!d
P,of.$ions Cod.) o. lhal lE o. she is excnpt drEtom dd lh. tEsh for th. alh8ld crdpron. Any liohdon ofsc.rbn ?01L5 b, ol
+pli.a for 3 psmir subj.rh rh. aDplic&nl ro, civil pcultyofnot ma$a! livc hundEddolle (S5m).
-1.
* owNr ol th. preFny. or ny cqllorr.3 *ilh *!8cs s rhcn sh comp.nsarioi. will do tlE *ot sd rlE 3trElw is 6t
inredcd or ofrcrcd for sl. (Sc.7044, Ausinds a.d Pr.r6skrns Code Thc Coitr&toas Li*nc tIo &'cs mt !lpl, lo an owftr of
ItE FDIEdy sho boiu3 o, irllreB dEe'l. lnd wl[ dc sEt wlk him.lf or h.slfo. ihmueh hir or hr own .nplor{s.
ptolidcd rnor slch inqrovmnh e nol inl.nd.d or ofiord for sL. Ii lEkE rhc bulldins or iqmrmnl h sld w nin onc F{
of.onp[|rhn. rlE Ovncr Bui!.r *ill hlw rhc bodrn ofrNang rhlr ,E or sh. did mt hrih or irproE rhc poFry lor rh. ,rrlDs or
-1.
asoercroflhc Iopcnt. m cxclusirly conrr&iiog with licen*d coitr(lon lo sn$tod ttE pror(l (Se 7044. Blsims
!.d nbft*im Codc: I hc Conxlcrol s Licensc tiv docs noi .rtly to !n ownr of rropcny vh. b.il& or iftpovcs thcr.on.
!trd *ho snln.ts lor su.h ,,mjek wilh a Cont ncto(O lkcnsd pllsMt to thc ContEclols Lic.nrc L{w).
I rnclcmnr !trdcr S(r
,,,,.-7 Itll8
WORXERS' COMPENSATI(IN
DECI,AM]XQ!
I h.Eby smrmundcr p.nrlryofpE.juryor ofrhc followin8 delmliom:
-l
h!!e s,rl will miolain ! Ccnifr.r. or CoD€.t ro S.la-lnsue ftr h*ss onFnsrion. as pmvidcd ftlr by Ser6n l7il0 of thc
Lrlr tu, L,0E pqfo,llffi of dE wort fdahknrll. F:nn is hsEd.
_l havc ond eill nuinl qorkcrs .omr.na{rbn inslratuc- as rcqutcd by Sat ion lTlD of rhc l-abor Codc, for lhc I,crformncc of
rhc work for shich rhnt).rmn is is{cd. Myw.rks dnnprnsrtioi insurancc cMicr ! policy nun$.r arc:
_l c.nily tlEt inlhc Frformrcc oflhc wort for whkh rhir pcmn i\ b\!cd. I shlll nor crplo, anr I.Bon in any mnftr$ trs io bc.orc suhid ld lhc erkc6 d,npenetion laqs oioniiornia, dd .BE rhnt if I should h.mm subj.cl lo rh.
wo {dl .onFnurion pmviibns of Sedion l7(I) of rhc Lshr tu., I shlll, fonh*irh conply wirh thoe povtioN..
WARNINC hil$c lo r.urc w{trkcs comr.nrarbn ovchg. is unhwrul. nnd rh,ll sxhjftr M cdpl6rrr !o cininal p.tuhics a d
.ivil fincs !p k, om hundrc{ lhousnd dolltrs ($lfD.ooo), in addirion b rhc c.sr of.o6p.nsarior. damA.s as tovid.d fff rh.
Codc, inrc(n ard lrkrmy r L.s
D"",:l-8 '^ff:v-"J,.?!}.',v
LrrEriuiLtaxrn lcroS
DTllANtrIrcN
I h.r5y qflirm ui&r ltnally ol p.qory lhlr I .d lkln$d ondcr Fovirion of ChrF6 9 (olrlrrBing wilh S.db. 7m0) of Divisiotr l
o{ llE BusiEs &d PDfc$ioN Cod.. !t my ticcnc i. h tull foE rnd .ftcci
cQNSrBllCIlOliI[lDtNc.trA[NlI
I hcEby ,mnn rndcr F rlry or tdrjrry rh&r rhcrc n r onslrudnnr hJirs asctrcy ntr rhc pc{oirmRr of rhc rork ror whi.h rhG rLinln is
t\!cd (sc..l(})7. Civ. C.)
drfuc^tfDliclrBAlloN
I t$!.by 0flinn u0dcr pcnrhy.rrrrjury otu or th. nnlowins dcchftlbns:
octrx,lirnri ltnni^ A\h.{o\ NorificDtion ljcdcnlR*uhrnnrs (Tilc 40. PM6)
Rcquir.dIir.rof N.iifiMr l
_l ccnifyrh0r rhclcdcmlrcBuldions rcgrding Ntriosrcnn'vrl@ mr {rlicablc r, rhi\ tftrj&r
Ff*.nn, *, ,*r. *oO,nis aptlicalion and slarcrhar d.,hovc nrr.rndi.n ir.orccr. I a8N ro..mrly wirh.ll Cirydnd li,nnry
ordiner{ ad Starc ljqs Elaring ro buildinS .onsrdcrion. di h.bh, aulho.iz rcpre$nrolivcs of rhir Ciiy aid Counr, to
dbovc nantioncd polcny lor inspmlion DurFs€r.
,{Dplicanl or A*cnl Signsluft:.K MlNtsl f,trvt Vu
:11 t,
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pi ping
Gas Pi ptng
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
rqanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL e,1t- t0 0c{ulz fvD
Notes, Remarks Etc.
-t
o"*.)1