HomeMy WebLinkAbout30139834 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Arla, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-?738 lnspector Section: (714) 647-5853
Permit #: 3O139E34
Pin #: 5a323
Proj ectAddress: 1510 S Park Dr
Assessor'sParcel: 0'13-213-03 Lot: 3
Unit:
Block: NA
Bldg:
Tract: 1498
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address
Phone:
Tenant Name:
Contractori
Address:
ARREOLA, TERRY & ADRIAN
,I5I O S PARK DR
Sanla Ana, CA 92707
(714) 319-1808
Not Speclfled
Fee Type
01 1'16002 51602 Sewer Alter/Repair
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
44.5'l
22.O8
55.04
Fee
$44.51
$22.08
$5s.04
Qty
1.00
1.00
1.00
Owner-Builder
Phone
Slate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expiresl
ARRE0LAT itRRY I ADt{IAN
6merol Plsn Llpdote Fee
0l1l6tr02- 516tr00(r(r-
Plurb ine
01116002- 51602tr00-
Iloster Cord
cc: | *rii{ **rrr*r 1213
Building Use:
Job Type:
Nalure of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Single Family Owelling
Alteration
Repair Sewer
Occupancy:
Constr Type
Code:
R-3
VB
cPc 2016 Notes:
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Permit lssued By:efl
Subject to Field:
Building Permit
Every pennit issued invalid unless the work on lhe site
authoized by such perfiit is conmenced within 1 80 days after its
issuance, or it the wod< authoized on tlle site by such pemit is suspended
ot abdndoned for a peiod of 1 80 days aftet the lme the wo* is
commenced.
08/09/20't8
Account#
$22.08
$99.55
lnspector MID#: 2018-145284
01116002 51600
01116002 51602
Fee Tolal:
Paid to Date:
Balance Due:
Botch+:{5J02 ' g/9/2OlS ID: oi
off ice: (:.tYH Trons+: ,ll
Acctl! Ref+i 3t113'
Rcpt+:02351189 - 8/9/2918 12.19
Ironsact ion Totol $121.,
Date:
$12'1.63
$0.00
$121.63
PLUMBING-INSPECTOR RECORD
COMMENTSDATEAPPBOVALS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildi Sewer
Area/Storm Drain
r/ Clarifierlnterce
TOP OUT
Waste & Vent
Water Pi n
Roof Drain
Tub/Shower Test
POOL/SPA
P-tr Drain Line
Main Drain/Pool Pi i
Fill Linei Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn S inkler
5 8anilSewe
Ba CE
Rou h Plumbin
Final Gas Test
Meter Release
s/bFINAL
Notes Remarks Etc.
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WORI(EIS' COMPENS,{T!ON
DECLIAAIION
rh. followin3 dccldlrbns
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litx, Codc. for thc l,crformtr..c ol th. wortr ,or whi.h rhc F.mn is i$!cd
Ihsvcandwill'n imdil workcls corDcnsrlion i.suroncc, !\ iequncd bv Scdt'n]7m.irhc Lrhor Oodc. for rhc pcrfornun'c ol
thc wort t$ *hichrhi$rcrmil ii nslcd. MyworkcrJ compcniari.n incu.r.cc c!tricr ,nd ,,olicv nunrbc! @:
PolicrNumher: ExI,iEr
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anify rh'l indc FrformBc ofth. w.rt fot rhth rhis Frfrit is isslcd. I .hrll ml cryhv lov p.Mn in onv ruftr
s $ b tE oB $bj.ci lo rlE wortsl odpenrdaon Lws ofcrlifodi& ..d !!te lhd ir I shotld hdoft rublrr io thc
wolt6 on{Ensrhn prcvisions of scdion l7(lo of lhc Lltor Code l slull. fonhwnh Nfiplv wilh lhos p&visiof,s..
WARNINC: Flilurc ro src wtrlcB' @mp.ns,lion ovcEEc h unhwtut. ond rhall subjet 4 o.lloFr lo simiMl lEMI'ts lnd
civil fincs !I, ro oic hundrcd lhou\u.d do IO0.0OO). nr addiriotr !o lhc cosr uf.omPcNstion, drmBcs os Providcd for fic
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I hcEb)r ird undcr r.n,llyoiFrjury rhd I0m und;r pvisionotCiopr( 9 (.ommh-'in8 wnh sdion 7000) of Divhion 3
of rhc Businc$uod PmfcasionsCodc. and nyli..ne n in tull iorcc rxl cfi.cl
CONSTRIICII(IN I FNDIN(: A(iF\CY
I hc&by ,Ifrrn uldcr pcnalry of l).dury rhd rfioc ! a snerudion tidi.g ag.my for lhc poft,'mNc of thc vork for whth lhis p'mir i'
isslcd (Scc :1097, Civ C.).
trn,l.r'i Adrlrc!
APIII ICAN'I DFCLARA'I'I( IN
I holhy linnudcr pctrrlry olpcrjuryotrc.ilhc lolnrwi'i8 dc.l,nrions:
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Rcquiredtx(crofNorifi( inr
il.r
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ID/SIG.
Gas Pipino
Rouqh Water Heater
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