HomeMy WebLinkAbout30120638 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit #: 3O12063S
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City of Santa Ana
Permit Counter: (7 14)647-5800
Project Address: 2206 S Oak St
Assesso/s Parcel: 016-101-03 Lot: POR 1
I nspection Requests: (7 1 4) 667 -2738 I nspector's Section: (7 14) 647-5853
Suite Range:
Zoning: Rl
o f '.
Suite:
Block: J
Bldg:
Tract: 668
Address Range:
Historic: No
Owner:
Address:
German R Velasco
2206 Oak St
Santa Ana, CA 927072925
(7141 432-8712
Fee Type
Water Closet
Shower/Bathtub
Sink
Wash'g Mach
Dishwasher
Garbage Disp
Extend Gas Line
Wtr Htr (Gas) Res/Com
Water Service
lssuance
Amount
8.55
8.55
8.55
8.55
8.55
8.55
24.75
8.55
16.85
34.00
Qty
2.00
2.00
3.00
1.00
1 .00
1.00
1.00
1.00
1.00
1.00
Fee
$1 7.1 0
$1 7.1 0
$25.65
$8.55
$8.55
$8.55
$24.75
$8.55
$16.85
$34.00
$169.65
$0.00
$16e.65
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:
Single Family Dwelling
Alteration
Replacing fixtures
u",oJi, viotet \oI
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
V-N
cPc 2001
10t02t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes: Direct change out.
Fee Total:
Paid to Date:
Balance Due:
Building Permit {r7
This permit shall expirc by limitation and become null and void if the work authoized by this pemit
is not commenced within 180 days from the date of this permit, or if the wotu authoized by this
permit is suspended or abandoned at any time after the work is commenced for a peiod of 180 days.
Beforc such wo* can be tecommenced, a new permit shall be first obtained fo do so.
Account #: 01 1 -01-5912 lnspector MID#: 2006-72455
.
PLUMBING.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Owm-Buil&r Decbuiu , 1
I hftby lffim undcrpcnalty of pcrjury thrt I mcrmF fm $c Coimtm'l,iccnsc Law for rhc following rcrff (s6.?031.5 Biains
ud hofsim Codc): Any Cily or CMty whicl rcquic a pamit ro csrirucr. dt6, improvc, dmlish q cpair ny irructw, Fitr ro iisismcq also rcquiro thc appliot fc ruch pcmit to lilc r rignd itctmt lhd hc tr 3hc i! limscd puEumt ro rhc provisiff! of thc
Cotrstor's Licmcd Lrw (Chrpa 9, Cmcini wi6 Scria 7(nO of Divirio 3 of thc Buine md Prcfsios Codc) c thar hc 6r
shc is cxmpt thmfm md thc bsir fq thc allc8cd danptio .Any violstiil of Sccris 703 I 5 by ay rpplimr ftr I fEmit subjftrs rhc
applicut to a civil paahy ofnot mm ihu fivc hundrcd dollu (S500).
-l.c
maofthcFopcrty,smy@ptoycqirhwag6sthcirsolccmpcntrtio,willdothcworlildrhclhclwiinotinr6&d
or offcd fc salc ( Ss.7044, Buin6 md Prcfarios Codq Thc Cmtrrtil't Limsc Law dG nor apply ro u mr of thc propcry
who builds or impovc thmo, ud who ds rrch wqt himsclf c hrelf cthrcugh his orhcrwn cmploycc, prcvidcdrhrrsuch
improvmcnts re oot intcndcd u offmd for rdc. If, howcva, thc building or improvcmot i3 sold within one ytr of ompldion, ihc
Owncr-Buildcr will havc thc burdcn ofproving that hc or she nor build u imprcvc for thc purpoc ofsalc).
-1,
6 owncr of thc propcny. m cxcluivcly contrrcting with liccNcd cdrrrctotr to construcr thc proj*t ( Scc. 7o44, Buins md
Prof6lion Codc: Thc Contnctff'! Lic@lc Law dG nd rpply to e wmr of prcpany who builds r imprcvB rhct@ , od who
contruts for such prcjcts with 8 Contmcto(!) limscd pmwt to thc Cmtretor's LiccNG Law.).
_l un exempt under Section & P.C. for this reason
WORKf, RS COMPENSATION DECLARATION
I hscby lffim undcr pcnalry of;rcrjury onc ofrhc following dslrarios
-lhavcodwill
maintainaCcnifietcofCmaltoSclfJrourcforwckm'mpcnsation,o prcvidcdforbyScrion!70oofthc
Labor Codc. for thc pcrfmance of thc work for which rhc pcmit is issucd.
_l havc ud will mainldn wffkcB' compcnsation iNumcq I requircd by S*tion 3700 of thc Labor Codc, for thc pcrfmmcc of the
wort for shich this pcmrit is issucd. My wulm' cmpensaion insumcc cuicr and policy numbcr arc:
Policy Number Expires:
(This section need not be completed if the pcrmit is for One hundred dollars {S100} or less)
-l
cenify that in the performance of the work fa which this pcrnrit ir icsuc( I rhall not employ any penon in any manner so as to
bccame subjcct to the worken ' compensation laws of Cdiforniq and agrcc that if I should become rubject to rhe worters'
compcnsation provisions of Section 3700 of the Labor Code. t shall. forthwith comply with those provisions.
WARNING: Frilurc to sdurc work6' cmparsdm covcrtgc ir unhvful, ud shall subjet u cmploycr to criminal pcrdris md crvil
finc up to mc hundrcd thoBild dolla (t100,000),in addirio o thc ur of cmrmsarion, dam886 a prcvidcd fff lhc Scction 3076 of
ihc Labor Codc, imcrt ild atrmcy's fG.
LICENSED CONTRACTORS DECLARATION
I hcrcby affim undr pcnalty ofpcrjury that I m licmscd undq provirim of Chapta 9 (commcncing with Setion 7000) of Division 3 of
thc Busincss and Profasions Codc, ad my liccnsc is in full fqcc md cffccr.
Licmsc Clus:_ Licosc Numbcr _
Date, Contraptor:
CONSTRUCTION LENDING AGENCY
I hcrcby alfim undcr pcnalty of pcrjury that thm is a construction lmding agmcy for thc pcrfmancc of thc wok fq which this pcmit is
islucd (56. 3097, Civ. C.).
Loder's Namc
Lender's Address.
APPLICANT'S DECLA RATION
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part 6)
_ Required Letter of Notification
_l certify that the federal regulations regarding asbcstos rcmovat are not applicable to this project.
_ I ccniry that I hsvc rcad this applicatim md sot. that thc abovc infmedon is coret I agrc to mply witt all City ud Conty
ordinecc ud Stilc Lrws rclating to building conrtructio, md hcby authoria rcprcsotativs of this City ud County to mr6 u[pn thc
abovc mmtioned proprny for inspcction purpocs.
Applicant or agent
Permittee name (print) :
-o6
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back Flow Device
Rough Plumbing ty -ffh//
Final Gas Test $--'z
Meter Release
tr , -A
FINAL \717\/{-t,'6"/
Notes, Remarks, Etc.
On" AOOlicmt R. l/o- )o <a@