HomeMy WebLinkAbout30142195 - PermitCity of Santa Ana 20 Givic Center Plaza (M-19), Santa Ana, CA92702 Plumbing
Permit Counter: (7'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O1421 95
Pin #: 7536{
tr' t/
Proiect Address: 2003 112 N Victoria Dr-a
Assessor's Parcel: 002-1 51-14 Lot: NA
Unit:
Block: NA
Bldg: Address Range:
Tract ORANGE GROVE Historic: Yes
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Carolyn Greenberg
2003 N. Victoria Drive
Santa Ana, CA 92706
(7141 751-3333
Strong As Steele Constructi
26232 Palmetto Pl
Mission Viejo, CA 92692
(7141449-0698
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 16002
01 1 1 6002
01116002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
51602
51 602
51 602
51 602
51 602
51 602
51602
51 602
51602
51602
51 60C
51602
5777C
Fee Type Amount
Water Closet 14.78
Shower 23.12
Sink 13.20
Clothes Washer 14.52
Garbage Disp 1 1.08
New Sewer (First 100') 67.13
Add'! Sewer Connection 23.12
Gas System 1-4 46.25
Tankless Water Heater 68.14
Water Service (Each 10 46.25
General Plan Update 22.9s
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
2.00
1.00
1.00
1 .00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$14.78
$23.12
$26.40
$14.52
$1 1 .08
$67.1 3
$23.12
$46.25
$68.1 4
$46.2s
$22.95
$57.20
$3.e1
A
I
State Lic #: 681 221
Lic Type: B
Bus. Lic #: 375743
Workers' Compensation Insurance:Carrier: State Fund
Pof icy #: 9091111
Expires: 0310612021
Botch+:55696
0ff i ce: CTYH
Acct*:
Rcp t# : (r298671r"r
Ol uL$.
Iran s
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buildins Permit #: 1 01102682
Accessory Dwelling Unit-C Occupancy:
Conversion Constr Type:
ADU Garage Conversion Code:
Date:
Date:
Date:
R-3
VB
cPc 2019 Notes:
Fee Totat
Paid to Date:
Balance Due:
rflnso':t ion Tstn
llII6ttlt2-
ICL Check
'(., tlli:{ :'',i. .it.l"i:: '.} ' l',, ,, : .
Plumbing for- Convert existing detached garage into a
new (1)stucliorADU,with(1') kitchen, (1) bathroom and
trellis patio cover. : : "
i -):'.
06t23t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$22.95
$397.99
$3.e1
$424.85
$0.00
$424.85
lnspector MID#: 201 9-155983
PLUM BING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ( )\\'N l,.lt lt tl I l.l )1,:ll l)l,ll.('A R,\'l'l( )N I
reasofi (Sc.c.7031.5I hcrcby affirm undcr grenalty of Jrrjury that I am cxcmpt fmm the Contractors' License [.aw for thc following
lJushtcss anil Profcssion Codc): Any City or Counly which rcquires il [smit k) conslrucl. allcr. improvc. dcmrlish or rcpair {ny
slruclurc. prior k) its isslancc. slso rcquirc$ thc applicatrl for such fErnril k, fih a signcd statcnrcnl lh{l hc or shc is liccnsd pursuanl
lo lhc provixk)ns of thc Conlrachr's Liccnscd tnw (Chuplo 9. (hmrncrcing silh SL{lio[ 7000 of Division 3 of thc Busircss and
Proltssions Codc) or lhat hc or shc is cxcmpl thcrcfronr rnd lhc hasis for lhc allcged cxctrlplion. Any viohtion ofSslion T0.jl 5 by atry
upplicilnt for { pcrmit suhjccts lhc {pplicsnl to e civil pctrllty of nol morc lhan livc hundrcd dollars ($5(X})
_1. ns owrcr of thc FroFrcny. or nly cntpk)),ss with stgcs $ thcir wlc oupcnsatior. will do lhc sork ud lhc slnElurc is fr)l
intcn(lcd or ollcrcd f(tr slc (56.7044. Busincss and Pnrfcssions Codc: 'l'hc Conlrackrr's Liccnsc law docs not apply to an owncr of
thcp(r[Erty whrhuildsorhnpnrwsthcm[nndwhod(rssuchworkhimsclforhcrsclforthmughhisorhc.owncmphyccs.
Irovidcd thlt such irnpnrwmnrs aru not itilc(kat or offcrcd lbr $k. lf. h)st!tr. lhc txtilding or impro\etrEnI is vrld within oilc )Eiu
;fconuletion. thc Owncr Buildcr will havc ttE hurdcn of pmring that hc or shc dil ff)l huiH or improvc thc pmFny li)r thc pu4xt$ of
sh).
_1. as owncr of thc Jnopcny. am cxclusirrly contrnclilg with liccnscd conlraclon k) construct llE Inltlt (56. 7(114. Busimss
iltrd LlolbssiflCodc:'IhcConrrackrr'sLiccnscLawrlocsnolapplykranowncrofpropc]lywhobuildsorimprovcslhereon.
anrl who (nilracls li)r such Ptojccls wilh a Contruclor(s) liccnsd pursuul h thc (i)nlrachr's Liccnsc [js).
-l
iln cxctrrpl undcr Scction-. B. & P (:. for lhis rcason.
I )irle._ Owner:-
}VORKER^S' CONI PT'NSAl'ION
DECLARA'TION
t hcrehy al'l'irrn undcr F'^nahy of pcrjury onc of the l'ollowing dccllralions:
_l hayclntl will nmintainaCcflificatcofConscnttoSclf-tnsurcfor\r'orkers'cornpcnsatiotl.as providcdforbyScclion-17fi)ofthc
l,ulxrr Cotlc. lirr thc pcrlt)rnlancc ol'thc work li)r which thc pcrnrit is issucd.
_t havcalttlwill maintain$'orkr.rs'cotnpcnsationinsurilncc.as rcquircdb)'Scctiott.lTU)ofthcLaborCodc.forlhcJrcrltrrnnncco[
thc wgrk frrr rvhich this pcrrnit is issucd. My workcrs' conrpensitlion insur:tncc carricr and policy nutnbcr arc:Sntr fir-a 6-bz (^
Policy D<A
_l ccrtity that in thc prlirrrrrancc of thc work for which this pcrrnit is issucd. I shall not ctnploy any pcrson in arrl'n'lanncr
so lstobccsrrrcsubjccilothcworkcrs'corngrcnsationhwsol'Calilirrnia.antlagrcclhaliflshoultlbccotttcsubjcctlolhc
\l,grkcrs' cor11rclsation llrovisions ol'.Scction .1700 of thc Latxrr (ixlc. I shall. ltrrthu'ith cornply u'ith thosc provisitttts'.
.J
WARNIN(i: Ijailurc to sccurc workcrs' conrpcnsution covcnlgc is urrtawl'ul. arttl shall suhjcct an cmploycr to crintintl J--rnltics antl
civil tines up to one hundred thousand dollars ($100.0001. in addition to the cost of compensation. damages as providcd for thc
attorney's fecs.
I hcreby affirm under penalty of pcrjury that I arn licenscd under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Profcssions Code. and my license is in full force and effect.
Liccnsc
oau: 6-23' ?;?:
CONS'TRUCTI(!N LENDING AGENCY
I hcrchy aflirm undcr trctrallyofpcrjury lhnl lhcrc is a constructi([ lcndirrg agcncy for thc Jrcrfornuncc oflhc work for which lhis ttrillil is
issucd (Scc. 109?. Civ. C.).
Lcnder's Addrcss:
A PPLICAN'I' DECLARA'IION
I lrcrcby allirnr undcr pcnalty of pcrjury ottc ttf the follorving dcclarations:
Dcrnolitiort Pcrnrits-Asbcstos Ntttillcatiolr Fc<lcral Rcgulalions ('l'itlc 40' ['rrt6)
-Rcquircd
Lctter of Notification
_l ccrtify that thc fcderal regulations rcgarding asbcstos removal are nol applicable to this project.
_l ccrtify that I have read this application and state that the atxrvc information with all City and County
and County to entcr u1nn thcordinances and State l^aws rclating to building
atxlvc nrcntioned propcrty for
Agrplicant or Agent
Pernritee name
ion. and
Ihlr.627'ZaZb
UNDER GROUND l/
Waste & Vent v2 'lil&DM,fu-hff
Water-Under floor I
Gas-Underf Ioor I a I
Buildinq Sewer UfuIh r*N
ArealStorm Drain I
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain 0 -a
Tub/Shower Test I
TfrL au,ul(Nt a
Bouqh WatBr.ileater .\I 4r\, 1r
alt Dffi,tlx )N/ lg h'lzr Dl*Yry
POOL/SPA ,l
P-trap/Drain Line
lVlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heaterlcas Line
Misce!!aneous I
Gas Service 'l bfl4kr'/
Water Service I I
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
I I rl /2
Rouqh Plumbinq 1lt,INUW iw
Final Gas Test 7 L\Dn/'Vg ?
Meter Release I I Il t
FINAL I t gA.t@A hK
T-f - lt -A rr I
o/ltxy y6,l+lq 1trru I (ttllQ e 1, lrTT r
-a"/l a I Lar A-+c{/),l, dfiY@
1)I.-t :DU - 01 L - DfJl+{4
,:ufl-7<,.-ZOZO Applicanr:
"rrrr, 7 License Numbcr: G
contracto(
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