HomeMy WebLinkAbout30141779 - Permit (3)Project Address: 2102 N Mantle Ln
Assessor'sParcel: 396-011-15 Lot: 1
Bldg:
Tract: 3902
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City trf 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
Permit #: 3lJ141779
Pin #: 35{41{
Owner:
Address:
Contractor
Address:
Tenant Name:
Harry S Hirata
2102 N Mantle Ln
Santa Ana, CA 927057612
Orange County Services dbi
3801 Lenawee Avenue
Culver City, CA 90232
(310) 838-0408
01 1 16002 51602
01116002 51600
01 1 16002 51602
01116002 57770
Fee
$23.12
$22.9s
$57.20
$3.91
Fee Type Amount
Wtr Htr (Res up to 50 gi 23.12
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
't.00
1.00
1.00
1.00
EotcirirJST,lS - t/6/2gag I0l offiorslesl.S
tuf f ice; iTiii i|urrci: l2(l I of IAccti: Refi: Brll41779
ncpti;rl2&Si5ri8 - Li6/2028 12:14 Pn
l ronB(ci ioo Toto1 t107.18State Lic #: 765436
Lic Type: C-36, C-20
Bus. Lic #: 164117
Workers' Compensation lnsurance:
Carrier: Cypress lns Co
Policy #: M1WC022336
Expires: 0110112020
arronee iounig Serviees dbq llik
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2019
location
t22,?1
$str..J?
t3. 91
3107. 1S
Notes:
,, coero i Pion Updste Feerii iriiriri- iidr,iiiiii:i-
i: iumb ine
, .ii idrrn:_ iior,iiiliii_
ii icrof ii.fi i 0ocurents
, i iidnn2- i777i:ii:iiiai-
i,,.u ihecir (rJ44J9
lnterior water healer change out. Same
Building Use:
Job Type:
Nat re of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Water Heater Change out
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permit issued shall become invalid unless the wo* on the site
authoized by such peftnit is commenced wilhin 360 days after its
issuance, or if the wotk authoized on the site by such pemit is suspended
ot abandoned lot a period ol 360 days after the time lhe wg is
commenced.
lnspector MID#: 2020-156913
01t06t2020
Account#
01 1 16002 51600
01 1 16002 51602
01116002 57770
$22.9s
$80.32
$3.91
$107.18
$0.00
$107.18
Unit:
Block: NA
Phonel
Phone:
Fee Total:
Paid to Date:
Balance Oue:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BIJI I,D!]R DI]I-('ARATIl)N
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Btr\nic\\.ndPn'f.sii,nC,xlL):AiyCiryorCourr\hnhr.quir.\Dlxnnirk,.onnnkr. lrr. inforc, dc'n)lkh or hfl'n triy
(nrcttrc. pior lo ns n$imc. lGo rcquncs rlrc.pdicr tu suchlf,nnir lo lllc a sisncd ($cnr.r lhd hcor snc i\ liccn{.1 ,'urunr
r' rh. Frvisi(,rs ol rtf, Co.ta.tr's Li.c \cd bw rchllPrcr 9. Co nncncrs \r h Sc.rion 7fiX} uf Drvision :l ol rhc Businc$ rnd
PnrL{\i(,'\ codcror rhd lto,{h. ir c\cDrt'r rhcrcr'hnr0id rh.bJ\t n 't lllct.d cicnUi(tr ty(nn ionolSccriDTlr:ll5hyrny
!|]rlic!nllnrr|Eflnilsunjcdslh. !r!licrnllo rcivilDcnrlryoftror.r{crhrf in. hu rc(ldolhB ($5(xlr
l. n\ rstrcrol rhcrreF y..rnrr.nplorcs \enhaae.sar'hcir qnccn.IEnsdior. silltL lhc *oik ifrlric {trrur! n mr
i'n.n ql or ottrcd rhr sl. ( se.7oJ.l. Bu\irc$ lnd l)lolc$t,ns Codc 'l lE (bnrrttr \ l-iccn{ llw docx nor lPpl} t) rn owi.r ol
rhcpnrFay f,ln, hrild\ or inlPnrcs rhcN[ axl $ho d(f,( \kh soi him\clror h$*lfor rhnrulh hi! or hcr own cnllb]cc\.
p(rnfud rhnr \u.h i'nln\rfr rc tror itrr.'rlcd or olji'.d Lr $lc lt hos.v.r. rl* hrilliq .i iml,ornrnr is q)ll wirhi', om rrr
otronlpkrio.. rhc (rmr lltrildc. willhart rlr burdcn ofnntri,E lhd h. or \h. dd nor huild or nnprov. rhc polf,ny for rlr purlrs of
_1. &s .sr otrlE !q).ny. m cr.hsivcly co ndins *irh lien$d co.rrrcroF ro d,nntud rlE pFiu {S& 7044, Burims
ai Eottssbtr Codc: Thc Conkeloas Liccnsc tjs dm. nor apply ro o owncr ol tml'.dy who btrild! or iq,rovcx lhcron,and *ho dil|a.ts fot sh Dm,ccls airh , C. ncro(3) li.cn*n pusutrr to rtc Coirfttols Lie.c Llw).
-l
!f,cxctopr und.r Sccr
D.(.-_ _ _._- own.r:
wonKFRs, (-()nPrNsai(rN
DECI,INAII'N
I h.rhy rfllrm un.kr Fnallyol pejury onc ofrh. tolloling dc.ldrrion!:
L.rtxtr G)dc. for rhc l[rfonrmr. i! r rhc { ork for tr hi.h rtu ponrir n i\su.d
_l hnvc affl will nuinlair *orkc6 compensrion insu.!rcc. {s roluftn hy Sccr t,n l7m .f lhc I rbor Codc. lor rh. o.rroflrEk. ol
rhc work for whih rhis li.r.f is iiscd My *ork6s ompcn{lrion in rincc ca cr sJd polky nuhb.r dcl
VioEo o Z\
-l.cnifylhal
in'tu pcrformR. of rhc worl lor whi.h ihir pcrmt h irsucd.l shlll nol.mploy any Frsn itr onymonncr
s N ro t om robj.lr rb rh. solt.rs d,hp.n\lrion la*s oa Crlifomi!. ond o3B rh8r if I sholld h<<oft {!bj<r ro rlE
wortch @ftpcnrrrionpmixio.s orSecrion 1700olrhc lih.r Codc.I nElL foahwirh.odply *irl rho* povjsi.n!..
WARNIN(;] Fllnrc ro s.urc $orkrF .o r|*n\.riN .rr.rngd ir irx\rrul. rnd shrll suhj..r in c Dloycr t' aimiml Fnntics 0trd
crvil hrrc( uf n) om hun(ircd rhonsrM dollnN ($|0O.(Xnr. in ikkliri.r b rhc.on .l .. rtxtrsrtiotr, d rSc\ a( F,vidcd lbr rhc
Sc.hn:1076 olrhc Llt r C.dc. inrcrc{ rtrd rii.rry-s rcN
ET?-o ADptloni
utlltf,!(oNlra1-IaS
DICLAAAI]ON
ol lhc au(i,rc\snnd Prclclltlr( Conc. nry liccn\c is h turlhr.cr cllicr
r-i"-* cr"*, rL-3 (:?4'I?L
D,,e: .lt luolr ?
SONSIIIJCIII}NIEdIIINIi.&CENCT
I hcreby afli.m utrds lEnohy of F,jury ltal thcE t a coDsloclbn kndinS a8cncy for lhc ngfornrmc of thc sm* ,or which lhis Fnnir ir
hsucd (S€c. J09?, Civ. C.)
APPLICANT DTCI ARA1ION
I M,y rtrmr udcr Fnahy of !.riury om of rhc aollo*i.g delml ions:
D.mlilion P.rmneAsh.nN Noiifi.rr ion F.rl.ral Rcgubi irns {TnL 40. Pd6)
-Rcqutcd
bncrol No'irtnli)n
-l.cnilyrhir
rhe lidcrrl rcguhri,nx rcgrding a\6csr.\ rcnrvrlr. ml rppli.rnh r) ihi\ nrcic.r
ordrhh-c\ and Srdrc Ln$ s nl rin8n' buildnr! coinnrrnr rnd hcrcbyatrrhorncrc!rc\..rrriv.\ ol rhi\ CirynidCounryt, ctrtcr trf,nrh.
-*" ' l"/to
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
Waste & Vent
Water Piping
Gas Piping
Bool Drain
Rouqh Water Heater
P{raplDrain Line
Main Drain/Pool Fiping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing
Final Gas Test
Meter Release I
FINAL t //a /z.o -.J[1/24
Notes Remarks
x;:m.:,:{ r-.
TOP OUT
Tub/Shower Test
POOL/SPA
Back Flow Device