HomeMy WebLinkAbout30139729 - Permit (2)Cify of Santa Ana 20 Civic Center PIaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 2397 N Flower St Unit:
Block: NA
Bldg:
Tract: 754
Address Range:
Historic: No
Suite Range:
Zoningr R1AssessofsParcel: 002-073-10 Lot: 53
Owner:
Address
KATHY COOPER
2397 N FLOWER ST
Santa Ana, CA 927061527
(714) 394-2039
Fee Type
01116002 51602 Repipe Res (Each 100'
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
44.51
22.08
55.04
Qty
1.00
1.00
1.00
Fee
$44.51
$22.08
$55.04Phone
Tenant Name:
Contractor
Addressl
Ameriserve Repiping Co lnc
I6837 PARTHENIA ST
North Hills, CA 91343
18181 787 -9777Phone
State Lic #: 855252
Lic Type: C-36, B, C-34
Bus. Lic #: 325001
Workers' Compensation lnsurance:Carrier: Midwest Employers Casualty Company
Policy #: BNUWC0141695
Expires: Ogl14l2O1A
7 /19 /2lnt8
trons+:40
R€li:- 7/t9/20t8
n9q':t iorr fotsl
p ip in9 C0 In(
lenetg,l
rr11 160(l
Flu6b in
r11116fir:l
ICL Ch€
Updote Fee
;rr(iutttr-
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteratlon
Repipe
R-3
VB
cPc 2016
t6020trtr-
nrl324:i
Notes
Planning Conditions
Planning Approval By Date:
Dale:
Date;
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
d Teri 0711912018
Account#
$22.08
$99.55
$121 .63
$0.00
$121 .63
lnspector MtD#: 2018-144778
01 1 16002 51600
01 1 '16002 51602
Fee Total:
Paid to Date:
Balance Due:
Permit #: 3O139729
Pin #: 67592
E
Occupancy:
Constr Type:
Code:
Every pemit issued shall become invalid unlessthe wotu on the sile
autttoized by such pemit is commenced within 1 80 days aftet its
issuance, ot il the work authoized on the site by such permil is suspended
ot abandoned fot a pedod ot180 days aftet the time the wo* is
commencod.
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
WaterUnder floor
Gas-Underfloor
Buildin g Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq AlHfiK >}\<(
Gas Pi ptng
Tub/Shower Test
Roqgh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sani tary Sewer/Cap
Back Flow Device
Rou gh Plumbing
Final Gas Tesl
Meter Release
FINAL bh-il|6 I ;t\,<x
Notes , Remarks, Etc.I
OWNI'R Bt]ILD!R DOLCARA'I'ION
I h.ahy rftr undcr lcnilr, ,,f pcrjury rhd I if crcn/ lm,n rhc Conh.kns Lkcnr bs for rhr folnlaiig Er\on (S.r.7tr.ll t
Burnr\\ rld ltnLsrn,n Odc) Atry Ciry or Coutrry whrh rcquncl a lf,rmit lo .otrslruc|, 01r.r, nnprovc. dcnnnish r r.t'rn ,ny
(ru.rurc. prirrro irs is\ui cr. al$ r.quhs rh.,p ;crnr t, such lErnir h rilc tr signclt ndrcmnr rhrr hcor \h. is li.cn{{l pursurtrr
ro lhc pr.vhion\ ol rl.. Conlruclr, \ l,iccnrd hw (Chaprcr I, ConrnrminE sirh Scctiotr ?ux) of Divilion I oI lhc Busincss rnd
Pn,rc\\bn\ Codr)orlhrl hcorrh. nci.nrpl rhcrcfron dlhcbtrsi\forrncrllcScdcxcnDltlr.Atryvidationofscdi.n'70.ll5htnn,
dtpli.,nr nn I l.rnir \ubjc.r\rhc arplic,d b aci!ilp.niltyofnor nucrhan rirc h!nnrcd dollar! (55(x))
l. d\ osrcrorlhc prop.nt,or mlcnDl{'yce{ qithsrecrr\ rMt ('lc .otr'pcn\uon, sillJo rlr{(rk rod
'hc
nfr1ur n nor
inknl.i f onrrcd fu ek t Str ?Orl. Businrs rnd l,roli$ions C(rl. -l h. C.nr r.ktr \ l-icci{ l rs doc\ nor { yror uqnrrol
rhcnml](ry tr h) lrurlds or impNvc\ rh.N ,trid*hodoc!suchsorkhim\cliorhc^cllorrltr.ulhhis.rh$o$rc Db!cc\.
[ovnludrhrn'ch iDpmEnrtrhlrcBni clr]et or flt ]turst tlt lrNlrcr. rh.buillingor irpnvctrEnr t $ktwirhhonc )rd
ol.omplcri{'n. rhc Owncr Bulldq will irve thc tndcnoffoving rhtrthc or \hr dil nor huild or i prcvu rho potilly nrrhcnurrx,$of
-1.
a\ ower of tlE pq)cny. m .xclusiwly conkacring wirh liccns.d snracroE ro oNlnrl tE pmj<r (S!.. 7oa4. Busmc$
and E!ftsrbn Codc: Thc Corurclols Lic.Bc t w docs not apply ro aoosn€rdtphlcny who builds o. in[ovca lhdcon.and sho mnrers lor iu.h linitr3 wnh a Co rero(,ltensd pu*uMr to rh.C.nrturtr s LiccM t w).
I nncx.frtr !'rid S(l
lllaaESs:raMrENsAllox
PECI.AMIII}N
I hocby lffirn undcr pcmlly oi pn ury om ol lh. lollowin8 deLnridnrl
Ihakrndwillnmt riri(cnificrrcolC.nscDr!oScllltr\ur.itrsorkc^ rotr'pan\trridr. r\ nmiddnnbtScrrnn.ll(I)ofrhc
l,otq (.rlc. tir rhc p$fonn mcofrhc worh frshich th.prmir is i\\ucd
_l hoE and Qill hoinloin wortcs conFnsalion iBuran c. a requircd by Secrjon 1700 of rhe t bor Code. for thc tjcrformncc ol
lhc work for which lhjs pmil is is$cd. My wort6 ootc.$lion iBurftc @tr a.d lDlicy .unftr e:
t\
I ccnityrhar in lhc pcrao,mne ot rhe sor( forwhichlhk pcrmn ir issucd.l shallflol cn loy sny,E6o. inanyflurcr
s s lo bc$m rubj.ri ro thc qo*e* ompcB.it,n hss Df Cllifohia, 0.d .sN thar il I sholld trcotu slbjdt ro !,8
wort$s' comt*.dion Imvnions of S.dion 37{10 of rhl L,bor Code. I slEll. fonleith cDryly with rhoc pDvisions..
WARNINC: FliluE lo $curc wo*crs
civi! liflcs up lo on. hundrcd lhous.nd
S6rion 1076 of rtc Llhor Code. inlcrcsr
an crploy.r ro ai'nnrl p.mLrics rtr
.onrf.n\dioo. d$rgcs d\ prnvid.d for rhc
I heaby ril]rm unds pcMlly of p.rjury th0t I Fovkio. orchryrcr 9 (..mnci.E eilh S(rion 7000) of Divisioo l
ol llE Busi6s !d Prolcssion3 Codc. an hy [ccn* n in aull fttre lrn cffst.
,.'.",,.".,,,,*. e Jl r.ic.tr\cNun$1,:
q((zfi--
t,1", -r,t1.I b
I hcrc6y d6rn undcr p.Dahy of Frjury lhal I
isstrcd (s6. J097, civ. c)
i'r! r!.my fd rhc Frtumrn.c ('f rhc qork ltr whi.h rhi\ lf,inir i{
AIIU!;ANI.IECTASAIIAN
I tErhynfinnundcr pcnaliy of pcrjury otrc ofrhc lnllowirg dclrllio.s:
Dcmlition PcnniIs.Ash-sr.sNorificdn,nrrdcnl R.Axhr .s(Tirle40. Ptrd6)
-Rcquncd
L.iicr of Norifi caio.
rcsularions ESddinB asb.nos rcmu! lrc rct sprlicol,lc lo thh rrojc.l
Bbovc i.formrion n.omcr I acN ro contly wirh all Ciry and Counry
n, dd hcEby surbri& &F.*lnarilcs ofrN. Cny lnd Counry ro c d uliDrh.
PcmiieEne(\UufA/^,.
-t. ll .t 0
PLUMBING.INSPECTOR RECORD
I
Waste & Vent
Rool Drain
,". -7'l4.lt)