HomeMy WebLinkAbout30143459 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{43459
Pin #: 2EG,47
['^Project Address: 1002 E Buffalo Ave
Assessor's Parcel: 003-21 2-16 Lot: 56
Unit:
Block: NA
Bldg:
Tract: 1529
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address:
Elio Osorio
1OO2 E BUFFALO AVE
Santa Ana, CA 927063042
(7141 667-6101
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Sewer Alter/Repair
General Plan Update
lssuance
Microfilm Records
Amount
47.95
23.79
59.30
4.05
Qty
1 .00
100
1.00
1.00
Fee
$47.95
$23.79
$se 30
$4 05
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type.
Nature of Work:
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Sewer Repair
Chavez, Dave<2{''08/1 9t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019 Notes. Sewer repair. Owner-authorization on file.
Fee Total:
Paid to Date:
Balance Due:
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 fhe sife 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
$23.79
$107.25
$4 05
$13s.09
$0.00
$135.09
lnspector MID#: 2021-1 68293
PLUMBING.! NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DEI,CARATION
I hftby aftm und6 poalty of pqjury thst I m qcmpt from thc Contrrcloc' Licw Law for thc following Iwn (Sc.7031.5
Buinas and Prcft*sion Codc): Any City or Courty which rcquiro a pannit to corutrucl, alts. improvc. &tmlish or rcpah uy
strucle prior to ils ilsumce" d$ rcquiB thc eplimt for such Fnrit to filc s signcd statml thd hc or $c is licoEcd pmuant
to thc provisioru of thc Contrscttr's Licmscd taw (Chaptq 9. Commacing with Sction 7000 of Division 3 of thc Busine ud
PrcfeionrCodc)orthsthcorsh€isqmptthrcfromddthcbaisforthcallqgcdamption. AnyviolationofsetbtrT03l.5byay
spplicmtforsp6mitsubj€tsthc applicuttoacivilpcrultyofnotmorctfunfivchundrcddollm($500).
_1. as owner of the propcrty. or my cmplolccs with wages as their sole compcnsation. will do the wort and thc structure is not
intcndod or off€red for sale (Sec.7044, Business and Professions Code: The Contractor's Liccnse l-aw does not apply to an owner of
the property who tuilds or improves tlreron" and who does zuch wort himself or hersclf or through his or her own cmployees.
provided that such impovcnrents arc not intendcd orofferod for sale. If. however. ttrc tuilding or improvemcnt is sold wilhin one ),!ar
of compktion the Orvner Build€r will have the hrrdcn of proving thd he or she did not build or inrprove the p,roperty for the purposc of
sale).
_1. 8s owner of the propcrty, am exclusively contracting with licenscd contractors to construcl thc project (Sec. 7044. Business
ard Pnoftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improve thereon,
and who conmds for such projects with a Contracto(s) licanscd punuant to the Contractor's Licensc law).
_l am under B. & W. for this r@son.
l/-7.r-, I nta-o,nn..lD(.
of the following'declarations :I hereby affrrm under penalty of perjury one
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as providcd for by Section -3700 of thc
Labor Codc. for the performance of the rvork for which the permit is issucd.
_l have and will maintain workers' compensation insurance. as required by Section 3700 of the labor Code. for the perfrrrmance of
the work for which this permit is issued My workers' compensation insurance carrier and policy number arc:
Policy
_l ccrtify that in the performance of the work for which this permit is issued. I shall not cmploy any person in any manncr
so as to become subject to the workers' compcnsation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with thosc provisions..
WARNING: Failure to secure workers' compemation coverage is unlawful. and shall subject an onployer to oiminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the
fecs.
t
I hereby affirm under pcnalty of perjury that I am licensod of Chapto 9 (commcncing with Scrtion 7000) of Diuision 3
of the Business and Professions Code. and my liccnsc is in full force and effect.
Licensc Class: License Number:
W
I hmby affm uda pqulty of pcrjury thd th@ is r coDstruclion loding agacy for thc pqfomcc of thc wrk for which thb pqmit b
issucd (Sc. 3@7, Civ. C.).
Lender's Name:
Lender's Ad&ess:
APPLICANT DECLAfuITION
I herdry affrnn under penalty of perjury one of thc follorving declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Pafl6)
-Required
Letter o f Notification
_l certi$ that the federal regulations regarding asbestos rernoval are not applicable to this project.
with all City and County
and County to enter upon the
Applicrnt or Agent ,
Pernritee nnnre
b 4^
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor ,I ,1
Building Sewer f175['?,1 Dfr-W1 wtst- *o bitto\- c'lu
Area/Storm Drain I
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
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
Sanitary Sewerlcap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release I I ,4 \.
FINAL Z/*lzt rLD(17 )
Notes, Remarks, Etc.lf \r'Z
-f,
Carrier:
Expires:
a
Conlrnctor:
lprint): K 4-r.7
,
=
=_-=>=-:.2,
= = -4:---
t
of,f,
=(or
tr(\
\r
a.
f,a
LQ
(D
f,o\
F?
=5JO
r+r
=! 00
Scl
=
l\)o
C)
=:ooof
(D
1'
o)Nq)
no
UIo
=f,
(Dx
3rrefvB;8{l x
u,P r
3oBoDo
SE-t _^St:
It:
Vl
qJ
)
a
iJ
(n
a.o('ls
3o
=.t
3a\so
Bs
=a-
or
:]r
r'1'
rJ'--
)
U'
TD
:f
(D
I
o)
:f
u)
OI-r
fL)t-_
lcr
lc-:-ltt)
t
oo
UIo
A\h
(D
oto
g)
o\
o\B
tro
r\.f,xoo
Ibo
f,
F.l
Eof,
E
N
r\
cnC
-r1
R,-g
'oo-t
3
I'
1.+zc
3
C'o
l'!
(^to
\r\{
(r0
A.
-
a\
1l
-to1lo;r
ot
:fo::
oo
=,,.+
-l
oro
t-;o.
fo
(D
=a
(D
*
CWr(-r+
=. o,t+*ro:fogq -h!rr^l
o)r;o1
=.o,
-t(D
-oC
='(D
tn
(+
=o)
a
rD
o.,
fo-
r)q,
(r
o:f
3ofox.
o_
rD
(^)I
o,
OJ
3vr
(U
-lrD
5'v\
o,
rDo-
='
(D
:3.o-
(D
f
=.(U
iPni sE d 8xsrElgl}
1[[$ rri iil Ei$ E ; r idils,-+ i8t:t Fia i =id$i3-;a5a E= ;o,5 5 R=a
e 'atftg }1 f f * r iliarDrurc:ff,Srri qiE +3 ta+ s i f si IrTgFE ir $rl i Ifi6r,f!(, J z . -_ + 3 _. 5 rD 5 ; 0, C,,or @oi a; bs3 f ar+rfOi'o d H 9t = iu o * -v, =r .., r-)
+r; g5i n] s}r F +1:t o, -t =i, f, X -- E O_ X 5 VE-,+ il{* 3 p,,o Fr--'l11=3-
= ==H
oF= .; g) [ I f +3 = ]F;d,E ihi 6 HTA ifiHEr:ls o'3ti ra
gIE E;fi giIl *[a f, rD G =F = \r -t m- - vt(Dvtis""? =i : il€E i[€.:; o,; 5' '|u
= =
rrrD;L= a: ro ed vt2.",ro,- =e i 4E Hl-:; + ir r* = 13 AE
=st *o a ++ d=
rd O -- it -' or 3 d E?E5Jl. =qr : 9:. roa 66- o-- o 3 =' wx* ru n o, ru c 6 3 o, G'+=i *B f =d a3:*a IS r +3 ;{EI, r+ -t :l j ,^\ fir ll' !t) O--:= + a: o sq c+
=,,i ;3 r E: Ea
a Et -i o (D a ='-'
(x=(^ o o or ., a l. Lu#EE3 € € .€ o-i;: r + 6 =' o 38-rDoq rD (D
-+ct$o
11,s
oSo\,
llr
(D
o-
(-)o
=e+-t
OJ(')
o
-t
!-toEof
o
€
=o
-t
*B H$3i
A'a h
iEe
i$$
FlsOA.Eo
t'.=agi
$'r.oo-t;
NBE$$3o.A
='xqR
6'sl
$i$-{orna.fEOOE
=os\rtastsiaq(aSarr
\F}Y-t;
SAar
(a
-A'
o
F}-J
6'
oo
3
E.o
F}o
CL
{ro-t
3
AIfo.
F}IFJo
brocrIo
ot-t
CL
-loogq
o
g.
-og
o
o
=rh
-a
=ar-
-a
=o
E'oo
!3.oz
(a
\rQfa
Fl.s\o
$
oaFto
<>f
!
-lo\--.
(Do
a.1;
o.o.
-l(Da
9.
iifliiE3
$
giEtgg
'E HE il
!.6
o
t
c
et
1'1'
I
.J
(^,
o(po
No
J
o)
zo{orn{o
!vo!mv{
o
€z
rrtv
Uo
0)
-l!
ooo
=o€fo:'!
=o)Ep-
o'(\)
=f.of
o
0)ucg
f
=0)a
=(D
3o
o)
@
E
ooo
=
=E
o
o
3o
=@
U)Eoo
o'()-
o)
6E@o-
EqAo6E
=oila
g,Bo-[
EE8{@=-.-er_'dor_rfalo
AE
Pl$
ils
='loolaEl>-lc)ulx
n13
S. lo
=laro lo
=ltrol=
Elg
= lo-JI
--
l-
-l=
ts lq"cl=
8.til
l-.
='lorl=
Els
-r lI.
dlil3l=.olo@l=$ lrru, lo
=l=o'J
FFgo{3
=0)Ox?o@<CO
q?
Eo
o{r
E
*3 6i' ..* e
al
c+v)'.-rod6roo:.
=.'+@oof/l:ECo)-ro
E $o'6 o'g66=
a B,=^ T,IrsE
E(,Iq
='-== o-c_,
-.r.l)4. ilt =.3[;
$c3lr
EE3
S"el='
-t t+o q''gs
B=
-l \,,
c,=$-
-
LJ-);o-XrooG
6E'8d
.-i
9.d
=6-@' 1\
(D
dB.o')(DEcA
6'' u,'
Eg
oaFto'
=eO-o
Po)€aO-te3o={dfO_q-'=a'
oloil€rn lzO lrn
=14Olra
Fle
Dl=
ilEor lfs lrna. lo
=. l=rll
Elz5 lcuvt I<
$IE3 I'TIgB
I-B l-i
s12tlo6 lrr
l-to lzglgqE
EITilea.o
aR.qt
Sa.
q
o
=.a?
Fl-d\rto
\r
=*o-
s
A)F}'\rop
;R 3AR AR 3:rS*N
=': 3'1 E': EqFl'-
@ - (.) \z 4.h
=.-$= 3= g;
=E3J=a* Ea qa ilEEra
+q +q $q fifieHqHs ilfr is :=}Hq
= ig == Yg&:.EA g; .=.E dEr-EH,+3 *5 *E g,=FFi., .si q= FE3+Ed =q, qcn q5d-flg.E ,== iH 3:gr3c (oq a; 1u#:!e ,:j 3i 38flE5o- 6o Td ;E6EF.g 93 E; t.*u,=og [r i; D-=oqBi gg A* aE3Efi_ oa =e
=gilEI
o 6'q 9ta= -: - -u, lo 3rd E; ;8, qEd*af 3e Hs 3:. rE=3 3l EE iE;;-66 (oo frtr ?il5q3fo. =E =9 t=:t.6o: {1 Et
IE;:
gi
a =g l s:F$E
= 8.3 ,1 '.dr.Ddil 1i 3, +5ga;a d= = E: S.gt$d 'i = a E: UEH=d q$ H flfri_aiq *1 s 3$ras6- 9= = zsj6=qE 7[ e- o=o-or Ia + ZBt:.:gat g3 9 =-.ti-o-= a; + eE: ifl33q r d o E A = q.3 €[ fe-o-=+
q 6D\
E E-lsI q's"
O-a
--<
F-
=of;oo-q a$
19E6'$o=6'e 3
o=+t--aa o+.0) Aqa6
E sgor_90
-.{rr363:ro5=o- di'doo-O--r -tX<o!1 q1
ql todo..-. CIl
8€o<loo\./ -l'a
='oJ _o -ra-9o
-.+)-(od
__to).+(rfoq)-r=
EclA or_
-r_{=o(D=
t+J
E6(I)=:
-r'I-
-J aJO(D o-
B9o+oo)
=o9,6
BFdoo-=oo-
-a+-r=o
.-+o
tr_
E €T\
il qF\
aiPrOqPs
$ 1q
=
J-A
-t dts
o=99
3 r:q
9E=l) ,t-t"5BE
o:5jga
gr E -',t.8; &
5P8.
frFs@rtr= o
=XAor5rq6-;ie
-
n
t-{I-qE*
o 6 -r
(DrD9-^o F.iri
F3g
sts a4orr
fie=H
Ed 0)
I s"?-
9"83
9.ru8I-=a(Fo.+\_.-_g8E
a =* -9,
6 EiqiFlqd:
P=iluro@-'t .+
=5 0)ilP6'd:30rdo-
-r. J d'
K8q
=(DJ
33N = osN
E TN 3l FI\
-o 9o -d6)tJO
*B; q
=@ilga .[31A
E 6 ) o o o)
=.= Lg -r(O =OO- niOtuO-(f;O:'+!=-
@ a u9?.<
=Is
=E
gq
t ? t"ttq
E+ q +5 e"
E P tfi
==€- g?losg e rri6-^ H*B€fi- a=sq= a;@-3t Pir
=E =
dts(DE 4,*fa3 = dBilq e -s
[= $$P
=r o- q)
-+'€ [I)
= =:; E fr3rDo== FEE
o1 I
= P6@' ,-9-**fr q;E-
96 +p{a-o dEa
== E 3gO==:o) _6 do<5 (r a'o?eq Esg
g e la-Fis Asg
=6-:;' *H;o$ -rtio_-€ 8+gJ .-+r J nt .+D =' q6 o'?$ o'=C)
I
e
o
a\\o-\oo)o
o
aL\t'r,
o+r,ga(u
iil
&eo=(rsoo-F\
s.B8pEb
\Fg=-
\o
$noo
b$
da.\oo
Es.N.i\.=sb
SO
.L ta
EE
$.[soo.{
€'E30\bt
tSosbes=
EBOE
E$\4.
i";EUPEi
uoC
=o
o
o)
Eoz
C
o-
\
\)
UCa
o)
f
oE.9a
a
oc
=o
Eoo-o
o-
c)ol-
=ooo
a=
rF
Eoo
Ec(I,
co
o
E
o
.E
or)lol-olol,l-c +t
+a
=ooo:
(F
=GCoal-oo-
EC
(U
o
o
-o(I,
ioot,
.9,
aaot-)o io,G
o
-C,.a-,
t-orF
t-oC
3o
.E oo-ot\O-so
.C,+..E
-lG
+.(o
-C.a-,
t-
=.F
oo-
rtso
=GCoo-
l-ooC
=ot-oEoo
Eoo)
Eo
N.E
o.C
f
o
o
-o
E
=z
oEo
.C,
o-
J\\
\
o
\
.1-...
\
$
Ir\
\n
ah
S\a
s
oo
.N
o.C
f
o
aa
0)
roro
jj
Eo(r)
EoN
o-c
=
o
o
E
(Uz
aa
o)
Elcl
o
Co
(UooJ
C)o'oi
o-
Itso
Eo
o-
oaoo
o
oo'o-
l-
o-
Co
()
fl-
acoo
o
o.)o-ooa
Or-NO.EEo:=_Cf5q(Ur-
-9E,iq; \-,,
.CC oj.c
=o
E€EOo+'o- >\
Usa(UOc()clOACoa.o-t
>.. o)EE
.9. 3
E3(UOp5oozrEv tt_
=E Co-c.o;--c, o)
='ar+-ob
C r'-
=o-Hsxoo+'oG- \-/=Efoo(,)c(u
oE
boL(U00)uo- t:9Go-oPO,^.+.4eE6.("oo-6 I/, '6'
zAh-
-C. CD EcI-P= b.= orFrta-J.J
=.O c
-rFL-Pebrulo-
lJ-J
-I
UJoak
IUz
=o
Fu
Lu
o-o
E,
o.zo
Fo
oF
l-z
IIJ(9
]Lozo
tr
N
tr,oIFf
i
\
to
\
\p
0
t\
N
o
l-
7,a
\A
\
D
\-
\
oC
=o
o
G)
E$C
c.E
o-
o)
=o
Eoo-o
o-
o
o
=(U
C.9
U)
qHuf
o
(I,o
EIf,l
EI
flol
SI
EI
$\tal
EEIfl
lHII
tsl tl
iHEI
E$fl
sil El
tsg
-o i{ el
E€ 3
E= gI
.9_ t 3lE 9SI
E,afl
Ef HI
rrl'E€ bIEo=l
r i$lor o 'tl
.=EEI!, >(l'=(J(l,I
I FEIef s1
f; .g.Sl
:Eo;P Ig;.E; ?tII 111 !r, -o.>q)'c'L-o>EPx (Urcr ru o [yEESE:9
o.=E orF (JI tu r >o o)\r' a o i-o c)
.,8 A lE'p E
= >B H.A;
H Eg 3p e
X ={= L L c
E 9.H B8E
8 s€ l= EsE;6
=
6
EE# P9.36 P u, X --'6
E E;0 s_oEc-3o]o
H=EsH U
lE :;5 E==AqEE
o 3 s:-E=
= xo;9b
= V; .o'- -c. agr PE: E
Eg o o - q)
gEEeE;
;EEEts
*eESEEg; EE?=.,O=11;Oq)
6m = o'E I
EE E HIr
Eq H; gI
a$HEtE
g s;5352 ti bE q
EEi 6 B€!e=EE;o+'(tl-H;trEEbZ.9E=oE
es SEEg
;o
(U
El-orF
.E
o
-c
o
Eo
o
ao(r)
Co
-C,
C)
f-o
U;C
.9{.,o
oio
U;C
.o.=ioioo
co
rFo
o
.oioo
E
E
El-orts-
.9,
-c.+J
'to
l-ofa
,9,
o.C, C*, t-
E€
Oa
L- _C.
o#'
OOO'n
or 9lo .L,
.osa
:o
-o
op
-oo
E
a
o
(U
Co
()
f,t-{-,acoo
Eo8io-oeeo--oaFEot-AONrtsoq)s=Laboo-tr)
0g:=-b=trqeb
E=rEO
E?CT(U(l)
-z"Aoo)
EE-fa
L J-JGEo- qloE5E
rrr'=o6
.+; P(UE
-C. E+t-LooPaor=(U(U
-o
-o
ss
UE
IE
(U
c
=-9o
o
Co
o
=t-
aCoo
(U
o
.C,
E
G
(U
-C,
EC
(U
a
ooC
=EC
(U
o
E(I,
E
E
.=
o
E
.q
E.o-(I,
.=
E
oo-
o)
.C
=f
-o
osfm
Il-oC
=o
Co
o
+.coaCoo
EC(I,
rFo
ol-
(U
B
(U
E
G
o
--I := Aolo6
-l)(Usg -cE9€ar! oJoOu)tr oO\/.9!oCE T
e E8
+' u; di
EEH--Ec)
EF;O.+rE
,n r+- +.;aaEC(l)(l)ta-= mX2E..-.YO(Uo()-,;; E 8(U bE.!
HESb'E-$(Uzr
SEos ilEop *
sEFEEE;E
o):Eqc (I,+'-oE()6(UE9E5EiEE'|-fotE(>>tO'{= tI, OH g EE
EE; o
EEEE
E; E:,c.E =
ol
E gE BIf m'-l
EE A qI
E6E=I
a) nP
=lC.Y () r-turu9o
EZtsEE;Nf c :f-
-fofi)dP:*d{;:3t 1.9 .9 e.t\It{l > A <t)
\
-r9\eLl8