HomeMy WebLinkAbout30143688 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 3O143688
Pin #: 90391
tF7
Proiect Address: 2246 S Kilson Dra
Assessor's Parcel: 016-1 02-23 Lot: POR 23 & POR 2.
Unit:
Block: L
Bldg:
Tract 668
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address.
Phone:
Tenant Name:
Contractor:
Address:
Phone:
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
(7141 647 -s641
J&Glndustrieslnc
18627 Brookhurst St #302
Fountain Valley, CA 92708
(714I e03-2002
01 1 16002 s1602
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type
Cap Sewer
Fee Exempt
General Plan Update
I ssuance
Microfilm Records
Amount
107 65
-194.79
23.79
59.30
4.05
Qty
1.00
1.00
100
1.00
1.00
Fee
$107.65
$-194.79
$23.79
$59.30
$4.05
State Lic #: 571859
Lic Type: ASBS, A, HAZ, C-21
Bus. Lic #: 160248
Workers' Compensation I nsurance:Carrier: State lnsurance Fund
Policy #: 0802842
Expires: 10/01 12022
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Demolition & Clear Lot
Demo & Clear Lot
Occupancy:
Constr Type:
Code:
Date.
Date.
Date:
R-3, U
VB
cPc 2019 Notes: Plumbing for SFD and detached garage demo- Cap
sewer. ***NO FEE-CITY PROJECT/LETTER ON FILE*"*
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By. Zuniga, Allissa
Subject to Field:
Buirdins Permit #: 101108092
09t2912021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
N/A - No
N/A - No
Balance
Balance
Fee Total
Paid to Date:
Balance Due:
$0 00
$0 00
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-169074
v
PLUMBING.INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNEN BULDER DELCARATION
I hcrcby affrm undcr Fnalty of pcrjury lhat I m crempt from the CoilrrcloE Lkrn$ kw for thc follouing rcNn (56.7031.5
Businms ard Profcssion Codc): Any City or Conty which rcquircs r pcmil to @Gtruct, dtr. imprcw. dcmlish or E?air uy
structw, Ixbr to its issure, slso rcquim thc spplicmt for 3uch pcmit to filc I rigrcd strtcmnt thal lE or shr b liccnsd pIMr
to rh€ prcvisions of lhc Conrscrq's Licensed Law (Chapcr 9, Comrcing with S6aion 7000 of Divkion 3 of thc Busirc$ ed
ProfcsskrnsCodc)orthalheorsheiseremptthercfiomsndthcbasisforthcsllcgcdercmpaion. AnyviolationofscclionT03l.5by.oy
spplicsnl for s pcmil subjets thc spplicut to a civil peulty of nol mrc thrn fivc hundrcd dollus ($5fl)).
_1. a.s owncr of the propcrty, or my employoes with wagcs as thcir soh compcnsation, will do thc work and the structurc b not
intcndcd or offcrcd for salc (Sec.7(X4, Busirrcss and Professions Code: The Contractor's Licensc [^aw does not apply to an owner of
thc propcrty who builds or iryrroves thcneon, and who does srch work himsclf or hcrself or through his or hcr own employees,
providcd that such improvcnrcnts ane not interded or offered for sale. lf. howcver. the building or inprownrnt is sold within one )rcar
of comphtion, thc Owrrcr Buildcr will have the burdcn of proving that he or shc did not buiH or inprorrc the property for the purpose of
sah).
-1.
as owncr of the pro;rcrty. am exclusivcly contracting with licenscd contractors lo construct thc proict (Scc. 7W. Business
and Profcssion Code: Thc Contraclor's License Law docs not apply to an owncr of property who builds or improvcs thereon.
and who contracts for such projccts with a Contractor(s) licenscd pursuant to thc Contractor's Liccnse taw).
_l arn cxcnrpt undcr B. & P.C. for this reason.
Date: Owner:
WORKERS' COM PF'NSATION
DECLARATION
I hcreby affrm under penalty of perjury one of the following declarations:
-l
havc and will maintain a Ccrtificate of Conscnt to Self-lnsure for workcrs' compcnsation. as provided for by Section 3700 of the
I-abor Codc, for thc pcrformance of the work for which the pcrmit is issued.
_l havc and will maintain as by Section 3700 of thc [-abor Code, for the ;rcrformance of
lhc work for which carricr and policy number arc:
e!l
lD-l -21
_l certify that in thc pcrformarrce of thc work for which this permit is issucd, I shall not cmploy any pcrson in any rnnner
so as to bcconrc subjcct to the workcrs'comgrcnsation laws of California. and agrce that if I should bcconrc subfct to the
workers' compensation provisions of Section 3700 of the labor Code, I shall, forthwith comply with those provisions..
WARNING: Failurc to sccure workers' compensation covcrage is unlawful. and shall subjcct an employcr to criminal pcnalties and
civil fincs to onc hundred thousand dollars ($100,0001, in addition to thc cost of com[rcnsation. damagcs as provided for the
Scction ol'thc Codc, intcrcst "^:Y 4 FL-
ItEiN5roTttninacrt.n
DECL^RATION
I hcreby affirm undcr penalty of perjury that I am licenscd under provision of Chaptcr 9 (commcncing with Scction 7m0) of Division 3
of thc Business and Profcssions Code, and my licensc is in full force and cffect.
c] | 6r(Liccnsc L
q.
W
I hcrcby Efffm under Fnally of perjury thd llm is a @nstruction lcnding agcrcy for lhc perforc of thc work for which this permn b
isscd (56. 3097, Civ. C.).
lrndcr's Nanrc:
kndcr's Addrcss:
APPLICANT DECI ARATION
I hcrcby affrnn undcr penalty of pcrjury one of the following declarations:
Dcnrclition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Rcqu ircd lrtter of Notification
_l c$tify that the fcdcral regulations rcgarding asbcstos rcmoval arc not applicablc to this proict.
_l certify that I havc read this application and state that thc abovc information is corrccl. I agrcc to comply with all City and County
ordinances and Statc laws relating to building construction, and hereby authorizc rcprcscntativcs of this City und
above mcntioncd property for inspection
"rI
Applicunt or Agent
rF
'(\
q,,
cntcr upon tlrc
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
l\Iain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heaterlcas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler /t .t/),.
Sanitary SewerlCao tv tg ?t l)tw2 7
Back FIow Device
Rouqh Plumbinq
Final Gas Test
Meter Release I .-r L I rl^
FINAL 7 b 2 '4kfl,tr
Notes, Remarks, Etc.t
-=
Policy Nurb"r, - O .Expires: _
Numbcr:t!
Dale:_
Pernrilee name ( prinl ):_u
I
Untitled Map Legend
? 21s E warner AveWrite a description for your map.
t
L
-.a-a,(
.lD.'
I'
ry
-a
t
lEl
, -.!
iIt'
.\
'l-
tiX
rf-
t
I?\n
$
6
g
@
[ffi
l5i
aL.
r\/
-\ rrg
rtat
I.:I
)ql.
E
iil
O
-------
1
Gt^
-- -. -a- -__Jf.1_-..
;l
.l
.l
wI a
I
I
t :1.
ri'
}I
t
S;rcr
T
22.1 6
EI!"
{- d!N;.r.- bt I ..-'iJrJ
)--
+,r I
Im
!
o!
7--\-
-tgr-
ata iJt
a,
Iq-
t<rI
i\
a\tw {t ITI
EI
D,\
TTI [-1-l
r\
L
I
t,l8 -f,
a.
L_l
?
{
._'.Fryil
,Er*
I
llEL_.. ?,iil.,
I
l-_\._-!j
--
)t
-l "F.at
a -- -.1L :.. .---i{#;
--\rltDJ
,-tfil l,
ffi ,y
T :il I
'; I -t.e
-E o
,l r A
NlI!
ITL+I 100 ftI
-a
atr
.{1\I
.J
?d
\q
C(--
3
-(
\(^)
J
Cr-'
U/r'(s/
Jca<J
It
'tL
c
N
*s
't
sJ-h
&
U.
7
C
I
7
C
TA'
\n
_5t-'
Az
TE
E
E3IE2
=5! " DB'n
tl.l ) tt-t
r-l O
'l
At
E,
tFoEIt-
2
2
3
J
E
clIg,
Glg
:
]UFt
C,
v
3
T
rq
rF2 c-.
Lda
o.
I
ur)
U
r-
[^j
J
4
I+*-€,
CC(,
I
I
tri
o-
F
8c{
=yDb
+rt
(r
LU
o_
I
zc
Eo
IU
Luoo()
UJzo
T\JoooJ
TL
Luis'. O(r(r6ezoooOO
ob
tU
cl:
IL
tr(r
LJ-l
C)
TUzoNooo
-JtJ-
atrl v)u!
=J
LLo(r
O
=
ct)
IU
TU
Lu
lJ-
j
tuo
J
trz
LUo6
IU(r
FI
E,F
U)6
Joo
:Eo
cr)
U'
LU
c
,
\
C
o
\A
-t
eil
J5
dt
C
\J\n\
rlF V"q)\fg
$au1 \-'
sc,=
JSI r-lN)nll-)
Legend
? 21s E warner Ave
Untitled Map
Write a description for your map.
t I
I
t
t ,'"r'-1 ' .-
.,
,: f,'
rc
r r, f j
, . ) .,r7
r ?.-.'* ".
_ _-
-*:.r> erl r"4<-J*ri*(.!lrr
100 ft
I
O
l-:,
t1 .
,sL aI
t_tt
.a
f,i E
it6
-Y.
CUo
tj.,
,I
tsr
-
.J-
)-j-h
X-r'L E
\rr t I
otlJ.-iL.
l
,t- 'r'
t rl-l-.JE
l- _-._
!EI:
I--]
IIT1',
|..-r,rIc I
]_
F-as
\
-
.'-t--'
.r,
fl {
--t.
ffiI
LIl.-
*
.-.
t t."
a--'a- -;
El
tir
J t.t
a .t .' a-.,
nrrU
a<
r
IT}
t
r-E
\
-l rt,iF1 ffil-(I.r
rthrt
r[
-T
A
N
L
Ir
]ilI[.i
Ir t---
rl
ll
il
ll
3r U)gEog*E
.-Q Fiets:'5€o(,g r.)(D'r !t
$6ilBq..r
o-t=-o-
e" rOHF-r
Cf)C)!!egE:E E.TE 3 H flq-A-*.-l{
.P6E
r)o:,t1o,
r.t*o
-l
H)-tro-
D'
Io-
ururqrr)NCrc)trcc{.,)fi'=o
(Do(D@=3.33.8 E6'6-tn--f---={r++r-EiurNF*=.o
g5€fi,H# #gY;ezr<n g E 3 3.z. a sd So,ii B+ I6*
o
=
t-r lU>-
_^
-ale4;'(i3EONaJo
rcro
=-lor
J
c+
EXTOU3_
=_ I gqtrruJ!r@9.+aN-dj.g€ 3g'ists€8F
oel E tsg 6' i.;35
h=o:,)
7?mcrl ro.tttr
r s a H H 2It 9.5'rE' E eSF' Z F
'Jl-=
F l-a1B
F'zo
trr(Durml\)s
i H = t o, j
v\tt?o
= ,G I
='b'ros?5 ,"E
o
o
I
J.aof
FFo
E.1o
(Dn
C
(oo
=n
-o
=o
rD
z.
3U(D
-/\Or=
Fi u.(D6
8
!T'EO
=r=56ooot
=ffi nrn6)
+
(,t./.)urT,g d t.0.(D,r.(D(D
tJ d? no;+FZ.
=o,t*.63\o
(^)o
=o,o
E
=ro
fo
99o,ao6
-l
o-o.-t(Daia
PPEPPETfr E r E E =f;.+.FB.E.E.EN
F e E E-5 H +
H5EFEgF
-F =:6' sI
=6 o-
Foc4
Jo
!
H5
tDo(,
I}\,o
C)N
()H
h)v
EFoox
U,{F
Fb
Vr1
Ut{
aeaStrLrF{.5+5\I\-/ \-/ rv,
oi9!9t9oooc,tJ (, U,ttl
N}.,]\,ooooooNNhJ
()oxN
rTl
C,n
{Fs
Ol${
aut
Ctrsts
ON
o.
E'o
C)o
-t)*o-l
3o
No
g I I8 o HE. ; B;
=ooa\r6-trr5oeH-tltl,do-Jt+
o;*-lc*Eao
FE3rg, Il*4,=.cr:;(r;
-ouz=€Oa*ofio
.- {r
=rl6'OzOot.J. r-athtoora
d,-go
O, -h4T5OE'trufr
ai rl-.-4!^ J'eo
(D+9qoru=(D q,B.O-t-Orrf. ,rf36','.1 rt
EJq,
D(D
a
o
€3
rD-t
rot,,oN)A'={={3re,Putd3
J1t.tr
q
Jgl
o94-94.-LE3[EEBEE9i9,aas tr*aE EHA$E-\Eu"atr99tg
d
FJn
oooEo
6$\L-l- t\,6:o
= r\,
gts
-h
Eto
tdo
=no
-o
E.oftt
L
.J-tro.t-{
Jo
C,o)
=UASrs
3Svr=or,Oh.
a$arr ra6d
qh3d'\
oH
=.o
UI
3
vtt+
F
-l
ID
Eo
o
CL
ll-t
o-no
!l
ooa
o
.+
o
0l.t*
=
N(1-oi
E,
-aot+-
-anJ+
r- .--N
*tL
^+Yyj
UJt
tO{il{+c)qo6
z.oa5no4of-
3(,
(D
Cn
Or
TD
t\J(o
o}
s5 Ee8 E35"q3
fie8o
d€dE
htgrl,2 -c)oa
FF1
o)oFTo-o
I
Ol
oo
lh(,
(D
{n
o(,
FrD
3o
A)
(o
N
00
}.)o
h)H
10
trI(D\l.r3
6t\I-0)FD
ot
g tr H 5 g
='oo=6 J ;8.E 3 1F8F EIa:r6Ao=:>.gE Eq= E
J oz.:H
Eg$ B H t fisriE I H gqsF ; ,.. sEHb 3 r
=::g 3 E EEF J
3 q
d* 3
$il
H=q3.
E'?
(^)
(Da=r)o,
F?o
=rnxE.
(U
d
(]
o]
(D
GE5t-€u,\{\Hts
ftrlclhJOFul x)l.a.'o o
aa
C>c)
?-
-o
=o3
(D
z
3g
rD
€o
if
'\l
or*.'(D
(
o
a(D
=o
=:cao
=g,
(D
(Eil
€0,Ito-l
9 R E €CUr-r*61;O5t;**?u(D6tt-{H
a-O'Jf,Ati
5-
;D'q$o)
o!6)
@l.OFx6r*lgH .d'i-C'o
N{-lCg
t\
=')lct
H)o
5E s€.<
tI)E!tsa{S.o=C'I CL
9Lo
9 k 59deoA5
tttn
otstr,
38
ts-Eo3
.l-o, l.
-VJ-xaH=r
or}o6thv
CL
t0!fHi.3d
.ll
oo
!o
o3t+
igys $ g a + € I H
$iEEpld*$Ege*3r fiil1E5 ;.
aE B'= :lri ee 3 g-=
i3isnrbtcl =-O - r+ t(-; E il++3A3
gd
=.q Fi;6 5 s.8 e Bt- !r
:3g 1
rBd- ='cLo,=-.qE i
3,d.r3 Q'r:
Hdq
q3[:
*o 5
-.rg)**q'**ogr9
s.E IsE.o
3.d ?
i+l[
='E6'tQ o
= =7AOrCLg 3=
g.g ;
In rdH8
E.E. i
i 3firr.r>
5'tr !
A:A 0 $ (,
EFi .. F F F F 6oElartstsP\lut
=oocDooG)5o
=*u*Es;q;3$6g$ Fiq?s H"i- r$Ui
e
=o-
R
ormvx
!gs a
-l=. ) ar.lIo 1X{EimrI;';€ Q;f 3'i,r.!lir'Oo ZUb? Dn7
3 6+68-Eiii ro <o 7
8no-
rE$aE o
li i$E ;
mgra=
rEetH t
\$- 7
U)o
(-t
(D
C'(Tt
;J
N)O
N)
k3';FHESh
H5FI
i$rf
H'U,
9A
Es\{
BN5
a
C
-qoo*
oTzilag
EE'E'
?:6o @Tr
-tv
iHB!'r g
J1-
H FAo=-pd il
BE 3
2E i,#rte6 d
J--s? 6'
;3F
=rtFI(Da3
:ioo3Jo,
oa*soAIr+Jtoo=r'+ 6'-+ .rrlo-
oo
o)
-l
f
o
9.
J
6'E=;
3=qigou;
o ='o) oo-6 r:rc
=c>E=XDOH
I E
=6E.dX
- -
V)-)JF
\ a{1 F+ L-
-rH<O-.r$'Edap
= = o-;.'
iEgB.o *. o-
r-h O =:
L''
xde€(D f r -, o(D ='A U)o-J O O)
-?l
ts:EHItE 28.PEBlr,a$(D$ oo
\L'TO.J
H:qo l.c*)
0) @ -
8=tsO=r\)E if -r.
=o.+="i o
A=F \.J$$o
il s+
+r -Io==
=C)_?<.;JJ I- fi\
3*Nas3
8qG
{6.=
xU 2
==L(oilr{ ilP
=ofLJn1 ID"5 <.eco--. _r.l7=
fl.l ,+E-)=o
='-rS€
@*.aOo=a.aEoOD
me
=oe. o-
EPo7i
-
r
a-.*.$o.+ -(4
^O){
i-.
--ls+
\J t^U'o)=5JiB.
Bq5--ig o
oo
=o-5oX=
o"g2=tqE
a) r+bo)
5'd
a
oo-ro
5
CnXgtD
J.IJe€oz
?'qe'/. l--. (<
rn(Db- F3
E.
-,o
CDt
,-.l+
o)oJ
3o
=f,.U
-loooo
$_
E,r
E.B;
FEs
BI$
EirP r.,rE
EJ
E'l
9
IL 1
FriIEp
F
B*
ET
B
EE
E3
Bri
E-*
E3
.Z
l*BiIr
''$ril
D
\
5
a
I:
7l.-
TT7=A\r'F
zfrrtv
-7
=
-l
?
-lP.(o
-(o.
€.
=U)
-v
DT
F}
tD
ta
C(o
@,+
J
!
l\)O
iN)
i .-r
I
i
I
I
i
T
-t.
=a.Eq)
o
=m
e.
Joo
-t
ld^)FloT-J
E]
o)
o-
7
0)
3
='oN
aao
a.
0)
CD
rn
=q.
=oo
-l
a
l--
El-r
(D
(?
F}aa
Fi f-ox
FIt) H,-4^A)VEftIYc.(Dt
(DFF
=
F+)
=OrD-n
-1.F}
,U-
vt-.
(D("r+
F'at3\\o
vrr
J
D)--,)
(D-
ID
I
E.
A*
(D-tJ,-.-,-)re
,+)-o
I--
^ALJ
D9,,a\a
fr+.-(D(}
X ='o otsd q
=E...t _t .bi+=o=) E 8,*q
F'? TJ+=-o 3
='(o .oactCC.OA:*:
A
-$ = =<
3 E.HE
- -:oT;aoA(D.Y- (n
^
"aoai @FEaE
S=.OO\-r2-oro E -t'
H *1F
-r -l-rf=I srqFt+
E g &Tt+-t(D -(.= 8 d.a
= = oFF ,+ v,ilE il=FlF :l o- o-oo'o:A -{r.
SdB'3
O -I /-r. -tlrfrE3c)
= =r d.'0u. -r,l O)
ooarc =U)o"9dd'
U1-J. A. -tdH g 6'uE tD 6)o ='6;I? Pqa
z\ '-+t
-) ,a
-\J-)-
-=.L n\(ozco
do)==
'* -OXC(rrOo) u,s8
=a
o
-l
=ooo-
o)o-()-ao
=o)
='_iro-3
0)
r:r.o
-=
lol6
0)ao
oo
=c+q)
C)t-r
3o
g)
.-+
x(rl
O)s
-A
o
-l
N)NA
Ot
(n
5do
:l
o
=.o
CL
CL-tooo
Bli S H3
Il$TFd
fiHIHixlo$o
-\lf -l
IO)
ll>
E