HomeMy WebLinkAbout30340300 - Permit (2)Assessor'sParcel: 396-131-27 Lot: POR 5
Unit:
Block: B
Bldg: Address Ranger 2403-2429
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
E
{
cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714],647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714),647-5853
Permit #: 3O34O3OO
Pin #: 69382
Owner:
Address
Conlractor
Address:
Phone:
Tenant Name: H M Golden Spa
Ocho Plumblng
13'152 Pleasant Street, #5
Garden Grove, CA 92843
(714) 860-0234
01 1 16002
011 16002
01 1 16002
01'116002
01 1 16002
01 1 16002
51602
51602
51602
51602
5160C
51602
Fee Type Amount
Sink 12.70
Clothes Washer 13.97
Wtr Htr (Comm up to 50 22.25
Min Fee Adj 24.46
General Plan Update 22.08
lssuance 55.04
Qty
1 .00
1.00
1 .00
1 .00
1 .00
1 .00
Fee
$12.70
$13.97
$22.25
$24.46
$22.08
$55.04
State Lic #: 10'18608
Lic Type: C-2O
Bus Lic #: 371165
Workers' Compensation lnsurance:
Carrier: Exempt
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 #:
Commercial
Alteration
Alter
B
VB
cPc 2016
Occupancy:
Constr Type
Code:
Amsden. Julie
Every pe.mit issued shall become invalid unless the wotk on the site
authoized by such pemit is commenced within 1 80 deys atter its
issuance, or if the work authonzed on the sile by such pemit is suspended
or abandoned fot a peiod of 1 80 days afiet the time the wo* is
commenced.
MID#: 2018-147790
11t19t2018
Account#
011 16002 51600
01'1 16002 51602
$22.08
$128.42
Fee Total
Paid to Date:
Balance Due:
Notesr Per Notice lo Correcl. Legalize washer, dryer & mop
sink. Legalize water heater changed out.
$150.50
$0.00
$150.50
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Project Address: 2421 N Tustin Ave
WENGS ENTERPRISES INC
2421 N Tustin Ave
Santa Ana, CA 927051662
Phone:
lnspector
. PLUHBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS oIVNI'R BUI LDER DI]LCAITAI'IoN
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trusrnes ind tmf.snn Cod.) An, ciry.r Counr! whth r.qun.s r pcrmt r. connrud, slrd, nn,)rorc. d.mlish or rcnar any
srrucrurc. nrK,!o irs Nsudcc.,l$ rcquires rhe 3npli.i lor such ll<nnil i. file a 3{hed ndomr rhar h€ or shc is licc.kl num.nr
h rhc F)vi,ions olrlr Conrh.rori Licctrscd t..w (Chrrrtr e. Connn.ncirs qirh sccrron 7000 .rDivlsi.n :l ofrh. Ilunnds rtrd
l'm fcsi,rni cod.) or rh Morrl'c n.xcDnt lh.rcfnnn and thchisn nxihralLS.d cr.mprio. A.yvioldionorserionT0:ll5hyany
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l. rsowncrolrhe Jrmpdy, m.rclurtcly conrmcrra qllr lEnrd c.nrracrosr..on(rud rh. pmicl (scc 7M4, ausms
idd Ptuli\sr). Codc lbd(onlraclois l.rcens.l.,w dms not itnlyki nno*n.roipon.ny*ho Suilds dr rhnnnes rhetsnr
rnd sho coolnclr nr ch nnlcck wnn r Gn mclo(, lcctrred puFu]nr urh.(onltaclors License La*)
I am.xcnrpl undq Sclo
wo l(on-s'coMPeNsarloN
DECITAEAIIA!
I lEEby !0i 6 u.dd p.nslty orpsjury o* of$. folk'sta del@tioB:
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h3re inl will mai.hin r cedilf,rlc ol(inscnr h Scll lnRlrr in sor l.E conrpensrion, ns lnfded Lr hy Sation lT00 o t rh.
LnbotCGjc. turh.psnrru .of tneso& ntr whichth€ nc.inir n Gsut.l
-l h.v. rnd will minlri. MrI$ coin .B6t ion aNoncc. .3 Equircd by Sdlion 1700 of thc L.b.r Cod., for $c orf.moc. of
rh. wo* for wnich thb D.mir is ii$!.d. My workdl @nD.datioo i@Emc trid lid Flicy Duftb.r d:
Pc'K\ \unbfl
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anify thd i. lh. Frf.rum. oalh. work for c,tich lliB t rnit iN as!u.d, I lMll ml .mploy .ny d$n m .ny nEft.
6 .! h t-oD. sbld b fi. e*d'owr.erio. la*. of Califomia .d orr lhd f I should b.coB sbJ..l to llt
wolkds'omp€rslionpmvisionBofSdli.nlT0Oolrh.labrCod.,l$all,forlhvilhcoq)lywnn$o*Pmvisiont
WARNIiIG: FoiluG ro cm mrt6' onp.rulrior 6!@s. ir uLwtuL t d !h!ll sbjdt d drytott to 6imi t pdelri! aid
civil ,incs up Io orc huidrcd ln ed dolldB (I|OO.(IOO). in.ddnion to lh. @3l of @t4mstao.. dsmgd .s prcvii.d for lh.
s.dion 1076 of rhc lahor cod., ints.sl hd inonay'! G.s
!lc!:!lli[-caM! craf,
DTCLATUI'ION
! hdehy.mrm und.. p.MlryoIp.rtrtry$!t I am lic.ns.d und.r pbvhion ofCh0ntd t)(comemrn! wilh S.dion 7000) ofDivhion l
of th. Buiirc$ and PoI:3soN Code, trd my licctrE is rn fuu lore dnd .lter.
Li..nr Numbd
C.ntr..r.r:_
caairBucuq!..tElDulc.acllcr
LEEb, .,ttrm ondd ,ctuty ofrc.Jury thd lh.rc t . odrnrcrion knditU !8tuy fot lh. psfolrlrsm oflhc e* &r stich thh lGma i
i5s.d (Sc. !097, Civ. C.).
AIILIIANLDICLA8AIIO!
I lftnr 0fiimu.d.r,€nrhy otp€rj!ry ok oafi.lollowin3 d.clnmtionsl
D.mlrion P&nik"Ash6tos Notilic.li.n f .d.nl R.tsrlrrnns (, nlc 40. Pan6t
Rcqun d L€(.r of Notifisti.n
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c.nit rh.r rhe fcd.nl E8llario^r ES.rdinS 6sb.s1G ,tmwl 5rc ml qt lic.bl. lo tha Foje.l
I ceniryrhirI harc rcad rhiramnc,tnrna lsritelhal lh. ihve inlomxrlrr Ncon.ct.I.3retocomplysrhdllcryand Counrv
ndi.ancesnndSkretswrrcl,riner.burldmrconcruclio.,ondnrehyaurtnriar+r.s.nr0rivesolthi3Cilymd(b,nrvb..(.ruponnE
nts!.rRnriorcd pmn.ny for itrspdion puFk.
{ppllr.ht or AErnr shnilun:
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipino
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
P{raplDrain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing lLlu,q 5LK
Final Gas Test
Meter Release
FINAL 0_ilxt g 4\K6
Notes, Remarks, Etc
ID/SIG.
POOUSPA
Water Service
I