HomeMy WebLinkAbout30142115 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Plumbing Permit #:30142115
Pin #: 89392;J
Proiect Address.2114 N Mantle St Unit:
Block: NA
Bldg:
Tract 3902
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Heather Muckenthaler
2114 N Mantle
Santa Ana, CA 91356
18181342-2927
Ultimate Builders lnc Repipr
19326 Ventura Blvd. #201
Tarzana, CA 91356
(866)7374731
01116002 5't602
01 1 16002 5160C
01't't6002 51602
01116002 5777C
Fee Type Amount
Repipe Res (Each 100' 46.25
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Fee
$46.25
$22.95
$s7.20
$3.91
State Lic #: 927892
Lic Type: C-36, B
Bus. Lic #: 338197
Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company
Policy #: CST5013781
Expires: Ogl15l2O2O
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
Plumbing
web_user 05t28t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Plumbing
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
N/A - No Balance
N/A - No Balance
$130.31
$130.31
$0.00
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or it the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-159137
Assessor's Parcel: 396-011-12 Lot: 4
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oIVNER RT]II,I)T:R DEI,('ARA'T'I0N
npplicilillli)rrfcillrilsuhjuclslhc ilpplicnnlloacivilpcnilllyrrlnolilr)rulhilnlivchuxlrcd(k)llxrs(S5(I)).
_1. n\ (^rncr {il thc pi()lr-n\'. (tr trrv cnlpl()}rc\ $,ilh u'r{cs r\ lhcir solc coilll)cr\nti()i. Bill do th( sork rnd thc slnEtnrc i{ fn
thcp()Itrly Nhohlriklsorirnpro\c\thcrc\ilr.iln(llvhodocssuchworkhirrscll-orhcrscllorthrrrughhisorhcrowncnlpklycc\.
qrht.
__1. il\ os'ncr ()l'lhc l)ropcrl)'. anr cxclusivcly conlrrcliDtl s ilh liccn\cd aonlrrck)r\ to coilslrlrct tlt pKicct (Scc. 7(N.1. Ru\inc\s
xnd who c{rnlrrcl\ li)r such pr(),rcls \rilh r (i)rilricto(s) liccn\c(l pursurril to lhc Corlrnct()r'\ l-iccnsc [-xw).
_l am excmrrt utrder Selion-. B. & P.C. for this rcason.
Dole:- Owner:---
WORXF'RS' COMPENSATTON
DT'CLARATION
I hcrcby aflirm undcr tEnahy ofpsjury one ofthc following dtrlrrations:
-l
hrvc aftl will iluintain a Ccrlificutc of Conscnl to SclLlnsurc li)r workcrs'cornpcnsrtk)il. as providcd li)r hy Section .1700 of thc
Latxrr Codc. for thc pcrfornlancc oflhc work for which thc Jrcrillit is issucd.
-l
halc and uill nuintain workcrs' conrJtnsalk[ insurancc. ar rcquircd hy Scction -17(X) oflhc tjbor Codc. for thc pcrfornuncc ol'
lhc work for which this pcrnrit is issucd. My workcrs' compcn\ation insuruncc caricr nftl F)licy numhcr arc:
Policy
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cenify lhrt in thc lrerfornuncc of the work for which this pcrmit is issucd. I shall not cmploy any pcrson in any monncr
$ as lo hccom subjccl to thc workcrs' compcnsnlion laws of California. snd agrce lhal if I should becom subjcct to thc
workcrs'comlEnsatiof,pmvisk)nsofSstion-17fi)oflhebk)rCode. lshsll.fof,hwilhcomplywilhlhospmvisions..
So.li()0 .1076 r)l the l.rhtr (ixlc. inlcrcsl rn(l xtkrncv \ li'c\
I)sle:
LICENSI II CON'I'RACTOR
DI.'CLARA'I'I0N
ol lhc Busincs( rild Profcssirrrs Crxlc. and nv liccnsc is in lirll litrcc rnd cllccl
l,iccnsc Nunrhcr:
C0NSTRTJC'I'ION LENDINC ACENCY
isructl {Scc. l{)97. ('iv. C.).
Lcndcr's Nanrc:
lxndcr's Addrcss:
APPLTCANT DECLARA'I'ION
I hc['hy ammr undcr pcnillty ol pcrJury onc of thc followiflg dcclonr ions:
Dcnx)lition Pcrmil\-Asbcstos Nolillciltion Fcdcrrl Rcgulalions ('l-itlc 40, Pxn6)
-Rcquircd
lrttcr of Notilicalil)n
-l
cerlify lhat thc fedcrBl rcgulations regarding asbcshs rcfr)vsl arc not applicthlc lo this pmFct.
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ccflify lhal I hnvc rcnd lhis upplication rnd slalc lhat lhc rlx)vc infornrlion i\ corccl. I ilgrcc to comply with oll City and ('ounty
ordinanccs and Stulc l-nws rclilting lo huilding c(,nslruclion. and hcrchy ruthorirc rcprcscnlalives ofthis City and County h cntcr uFx)n lhc
otx,!c nrntioncd propcny for inspcclion purF)\cs.
Appllconl or Agcnt Signeture:
It'rnrilrr namr lt,rinl)
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipino
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq 6 -t-72 ll*27
Fina! Gas Test
Meter Release
F!NAL 6+za &c-ts Nfifr z7
Notes, Remarks, Etc
('irrricr:
Applicsntl