HomeMy WebLinkAbout30141934 - Permit (2)City 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 #: 3O{ 4{ 934
Pin #: 6f 23$
Project Address: 2517 N Cotter St
Assessor'sParcel: 399-142-01 Lot: 116
Unit:
Block: NA
Bldg:
Tracl:2419
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
William Gerard
2517 Cotter St
Santa Ana, CA 927061200
(714197',t-2463
Safe Step Walk-in Tub Coml
'15262 Pipeline Lane
Huntington Beach, CA 9264
(714) 373-8545
01116002 51602
01 1 16002 51600
01116002 51602
01116002 57770
Fee Type Amount
WhirlpoolTub/FootSpa 23.12
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Fee
$23.',t2
$22.95
$57.20
$3.91
State Lic #: 983603
Lic Type: B
Bus. Lic #: 365881
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9O0Z4t7
Expires: 0110112021
Building Use: Single Family Dwelling
Job Type: Alteration
Nature of Work: Walk-ln Shower
1 1031 33
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019 Notes:Plumbing for walk-in tub/shower,
rr*rr*rr**rx I fll1t
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
,ssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a period ot360 days afier the time the work is
commenced.
02t13t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 1 6002 5't 600
01 I 1 6002 51 602
01116002 57770
95
32
$22
$80
Fee Total:
Paid to Date:
Balance Due:
$1 07.1 I
$0.00
$107.18$3.9
lnspector MID#: 2O2O-157764
Planning Conditions: No change in floor plan.
Planning Approval By:
PLUMB!NG.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OIVNER BUILI)I:R DEI,CARATION
IherehyllllrDundcrrcilrltyofp(riurylhatIuncrcillptlromthcContractors l-iccnscljwli)rlhclblk)Ningrca\onlscc.70]l.5
Burincss and [,rofcssirrn Crxlc): Aily ('ity or C()unty which rcquircs a fErnlil k) conslrucl. {llcr. inUrovc. dcntolish or rcpair rrty
structurc.pri()rtoil\ issuilncc.llsorc<luhcsthcapplicintli)rsuchlrrnrilblilca\i8ncdslrlcilrctrl lhillhcorshcisliccnscd pursuant
k) lhc provist)ns of thc Coiltrick)r'\ l-ict'nscd I-a\' (Chnflcr 9. Conrrcncing t'ilh Scclioi 7(XX) ol I)ili\ion .l ol lhc Ru\inlsc and
l'rol'cssionsCt)dc)orlhdthcorrhciscxcnrptthcrcfronrandthcbrsisforthcallcgcrlcrcntplir'[ AnyYiohli([(,fScctrrn703l.5hyany
rpplicxnltorrpcrmilsubjcclsthc applicanlk)ilcivilfcnxllyofnotnx)rcthilill'i!chun,lrc(l(l(,llnr\l\5{)tl). '
\rlc).
ilnd $'ho coltrrct\ li,r srrch projccts wilh r (i)rilrncknls) liccilscd pur\nrnl kr lhc Conlrxcloi\ l-iccn\c l.a$').
l!trtcxcn|Dtundcrscclit,n-.B.&P.C,lb'lhisIcason.
Owner:
}}I)BSEELCAIIIENSA.IIQN
DECLARATION
I hcrcby affirm undct pcrjury onc ofthc following declaralions:
_l have rurd r('crtillcalcol'(i)nscilll(tScll:1il\urclirrul)rkcrs'conrl)cn\illi(nr.rs pr['itlcrllorhySccli()tr.17(x)rtllhc
l-rlxrr lhe pcrformmc of lhc work for which thc pcrnrit is issucd.
and will mainlsin workers' comlrcnsation insurancc, as rcquired by Scclion 3700 oflhe kbor Cbde. for lhc pcrformncc of
work for which this pcrmil is issucd. My workcrs' conrpcnsation insurancc caricr 8nd fxrlicy numtEr trc:
<L,A<,E*^a
Puli"y Nrrrb"r, lrrpir"*,rlr/zr
I ccrlily thit ii lhc pcrli)rilrncc ol lhc $r)rk li{ which lhi\ l)crnril is issucd. I shall nol cntlrk)y iny pcrson in iny nhn[cr
so as to ht'conrc suhjcct lo thc wotkcrs'c()nrpcnsrlion lnws ofCalifornix. and ngrcc lhat il l sh()ukl ltcr)nt \uhjccl k, lhc
WARNING: Frilurc to ecurc workcrs'conrFnsation covcragc is unlawful. and shall suhjNt an cmploycr lo oimin0l frcnnllics and
civil fincs up lo one hundrcd thousund dollurs m.000). in dddilion to thc cost of compcnsation. domgcs as providcd for lhe
Section 3076 ofthc latx)r Code. intercst l'ccs.
r)are: l,Sfr-
I)t,.( 1.,\lt.\ l lo\
of thc Rusiicss ard l'rolc\siols Codc. an(l ilry liccnsc is ir full li)rcc and cflicl.
4 o
I hcrcby allirnt unrlcr pcnxlly of pcrjtrry lhnl thcrc
issucd (Scc. 3097. Civ. C-.).
Lcndcr's Nantc:
hnding agcncy for thc pcrtirrnrancc oflhc work lbr which this pcrmit is
[:ndcr's Addrcss:
APPLICAN'I DICI,ARATION
I lf,rby allinil undcr pcnulty ol pc4ury oilc oI lhc lolk)wilg dcclnrnlions:
Dcnblition ['crilrit\-A\hc\t(,\ N(ilificrti(]n licdcrul Rcgulaliotrs (Tillc.l0. Pan(])
_Rcquircd [-cltcr of Noliliculion
-l
cerlify lhal the fcdcral rcgulations rcgarding asbcslos rcmval are f,ot applicable lo lhis PmjNt.
I rcad this applicetion arxl strte thal lhe {tove informlion is cor(1. I agxe lo omply with lll Cily and Counly
ordinanccs ttws rchling lo buiHing consfuclion. afld hcreby aulhorize rcprcsntolivcs oflhis Cilysnd Counly lo cnts ulDn tlE
atxrvc
Applicant AEenl _ Dale:I
J'cmrilee nailte
,br irspcction
t
2 s).o
UNDER GROUND
Waste & Vent P/;oi,zo O/on
Water-Under floor f-" I
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh 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 Sewer/Cap
Back Flow Device
Rouqh Plumbinq Z./t e/ro /Zr zU
Final Gas Test /
Meter Release
FINAL 3l g,/2a EZrs il€,.''*Q 14
Notes, Remarks, Etc.