HomeMy WebLinkAbout30141361 - Permit (2)Project Address: 2246 N Lyon St
Assessor'sParcel. 396-052-14 Lot
Unit:
Block: A
Bldg: Address Range:
Tracl A.B. CHAPMAN Historic: No
Suile Range:
Zoning
Permit #: 3O141 361
Pin #:es46{(
Owner:
Address
Contractor:
Addressl
01116002
01 '1 16002
01116002
01116002
01116002
01'116002
51602
51602
51602
s1602
5160C
51602
Fee
$68.14
$23.12
$75.50
$46.25
$22.95
$57.20
Tenant Name:
Felicia Germany
2246 N Lyon St
Santa Ana, CA 92705
FooType Amount
Gas Line alter/extend/a( 68.14
Pool Trap 23.12
Pool Heater 75.50
Pool Piping 46.25
General Plan Updale 22.95
lssuance 57.20
Qty
'1.00
1.00
1.00
1.00
1.00
'1.00
Phone
State Lic #r 1013333
Lic Type: C-53
Bus. Lic #: 370686
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9155131
Expires: O3l17l2O2O
Botchi:52194 - ?/21/2i19 ID! fIPINED,offic€: CTYH Tnonsi: 19 3 of :Ac€ti: Refi! 3[141361
Rcpt+:0?755339 - ?/Zl/2919 2.34 Pn
Tronso(t ion Totdl 11r 362. 1?
t'ool Loe ic
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By;
Permit lssued By:
Subiect to Field:
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool/Spa
Generfll Plon LJpdote Fee
01116002- 51600tt00-
Pl unb ine
01116tr0?- 5160?U00-
iCL Check (1118906
Occupancy:
Constr Type:
Code:
N/A
N/A
cPc 2016
127$.
S1 r 362.
Date:
Date:
Hernandez, Kathy Date: 0912512019
Account#
01 1 16002 51600
01 'l 16002 51602
$22.95
9270.2',1
Fee Total
Paid to Date:
Balance Due:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt;
Total
Buildins Permit #: 101 101 562
Every permit issued ahall become invalid unless the work on the sile
authoizod by such pemit is commenced within 360 days after ts
issuance, ot il the wo* aulhorized on the site by such pemit is suspended
ot obandoned fot a period o1360 days aftet the time the wod< is
commonced.
lnspector
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests; (714].667-2738 lnspector Section: (714) 647-5853
Phone
Pool Logic
1255 N Ruggles
La Verne, CA 91750
(909) 450-7804
Notes:
$293.16
$0.00
$293.16
MID#: 2019-154575
PLUMBING-INSPECTOR RECORD
ID/SI COMMENTSAPPROVALSDATE
UNDER GROUND
LWaste & Vent
Water-Under floor
Gas-Underfloor
Buildin Sewer
Area/Storm Drain
lnterce tor/ Clarifier
TOP OUT
Waste & Vent
Water Pi i
Roof Drain
Tub/Shower Test
Rou h Water Heater
POOL/SPA
c'-P{ra Drain Line
Main Drain/Pool Pi tn I
Fill Line/Back Flow
Pool Heater/Gas Line
0 lo-
Miscellaneous
Gas Service
Water Service
Lawn S rinkler
Sanita Sewer/Ca
Back Flow Device
ro]bj l-22-7.D
Rou h Plumbin
Final Gas Test
Meter Release
FINAL
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{rucrurc, pnorro ir3 isnr.ncc. sLo rcquirB rht appli.nm for sr.hlEmirio nka sisncdnardd rh.l heorrlr 6licms'{ ldlianl
b nrc r,rorisions ol rhc (-onrractt. l.i.ensJ La\ (Chapler g. (-(nnmcn ii,g \rirl Sdiofl 7000 o' Dnisio' l ofth' Btrsinss md
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appli.a r f.r n lEmil subjdr. rhc oPplicatlloaoriltk.allyotnor'norcrh firchu dr.d dollsB {5500)
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lhcpopcnt tr n. larilds or inlrov6 rhsmn. and \60 d(6.uLh $ od ninN.lf or lrrel t or lhd'sh his ot hq orh tmPloyc'
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'lloRxElls' colllPENSAT!oN
DECIdAAIIA!
I hecby aflirfl rnd6 tdahyotFjury of,.oflhe folhr$ i.g deldnliois:
-th6v.edwiltnrinraintCcnific!|.otCons€
lo s.lf-|tr{rc lo.(ili6 omlosalion. ,s Pro\ idcd for bv Sdtion 1700 'lrh'
trbo. Code ior lh. pdfomsce oflh. wo,t for ehich lh. pdmi i! isuc<|.
th.v.a(lvillm.i oio {0116 comFNlion ins!B..c s t.quittd b}_ Sdtior l?00 ol rh. t b.. Cod.. for th' p<fomMc' of
rh. wo,k for which rhls pmil i! isu.d. My sorl6 comFNlio. iGrranc. cari* and policv ntmbd el
I ccnify lhar i. rhc pslomanc. oflfi. vork tor vhich Inis !.mil is i3str.d l shsll nol oplo, lnv P6$. i. a'v oan'd
*r. *."..sUciro rt'" * o*d' compos3l ion |tsolcalilomi[ d.srerhal ifI sfiould b.(od. sul'.i4llo li'
sod(d'.onp4iiionpo"isiosofsclion]TOOoflh.L.tnrCod..lshatl.lonhwntcodplt*irhlhosProvi3ioN
WARNING: Faiturc lo Br. m!kd' coopo$liofl covdsc i3 ul.wtul. and shall snbjdl s onploF to Gimintl Fnhi6 ud
.Ml line up ro on. hondrcd finlMd dolls (5100.000). io addilio.lo of conp.Ntion. dmag6 6 prcid.d fo. the
sdion 1076 ol lh€ l ibor Con . inlcr6l dd atomEy s
q'7 s't 1
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of rh. ausinB dnd Pi.Gsnrns (i'dc. ed ml li.cns. is in finl Lr.. a c|(t
I '!.nsc{ ],tr\ I r.trsr Nr rl{r
t hscby amrn untld p.nalty o I pdjury lhal lh* is a codru.li,r. kndine a*dcv aor ltc psfomtn(. of lhc so*
issrd lS(.1097. Civ. ( )
l.ndd'! N.,n.:
-
Af PI ICANT DECLATLATI()N
I h6.by athn uidd pcnslly of pniuty o.. otlh. lollovinr d6la'l tuns:
Dmolirion PsmiteAststor Nolifi calion Feddal Resulalions (Til. 40. Pd6)
Requi.d L.xd of Notifi.alion
I .dify rhar rh. f.dml r.sulaliof,s Egddirs 6bGrG ronoul arc nol spplicabl. lo tha PDjc.t
I l\
abolc norio..n preD€dy lor 7-7rt?
Notes, Remarks, Etc.
q-7r- /?
Arllic.nl or At6l Slgn.lur.:
n"*n.n"..,,rn,,, 14 fi4 ,lt,a
TN$.Q
Gas Pipino
A,
1),lW
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7-,''olwi
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