HomeMy WebLinkAbout30140010 - Permit (2)I ooL tzooA
city of santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3Ol4OOrO
Pin #: 93OO7
Proiect Address: 3710 S Bear St
Assessor'sParcel: 412433-04 Lot: 1-8, A, B, C
Unit:
Block: NA
Bldg:
Tract I1859
AddressRange: 3600-3770
Histodc: No
Suite Range:
Zoning: R4
q
Owner:
Address:
Contractor
Address:
Condo
3710 S Bear St
Santa Ana, CA 92704
Professional Plumbing
17150 Newhope St rr401
Fountain Valley, CA 92708
(714) 964-3519
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
Fee Type Amount
Gas Line repair/replace 44.51
General Plan Update 22.08
lssuance 55.04
Qty
1 .00
100
1 .00
Tenant Name:
Phone
State Lic #: 517514
Lic Type: C-36
Bus Lic #r 353119
Workers' Compensation lnsurance:Carrier: Mld-Century lnsurance Company
Policy #: A09474838
Expires; 1Ol13l2O1A
Building Use:
Job Type:
Nature of Work
Planning Approval Btl
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Miscellaneous
Gas Piping-Pool Room
Occupancy:
Constr Type
Code:
U, R.2
VB
cPc 2016
Planning conditions: Like for like replacements including outdoor areas
Pezeshkpour, Ali
Zuniga, Allissa
Every permit issu9d sha become invalid unless the wok on the site
authoized by such pemit is commenced within 180 days after its
issuance, or if tho wotk authoized on the site by such pemit is suspended
or abandoned lgt a poiod of 1 80 days after the time the wotu is
commonced.
Date:
Datel
Date:
lvlisc. Receipt:
lvlisc. Receipt:
l\4isc. Receipt:
Total
$22.08
$99.s5
$121.63
$0.00
$121.63
lnspector MID#: 2018-146343
0'1116002 51600
01116002 51602
Fee Tolal
Paid lo Date:
Balance Due:
Phone:
Fee
$44. s 1
$22.08
$55.04
,:t +:
pt !:0?39069(
onsoct ion T(
PrBfess ionol Plunb ins
Generol Plon Updote F
/"
i 16000(10-
i16020t 0.
(o
09t2512018
Notes: Repairs to damaged gas lines.
o9t25t2018
Account#
PLUMBING.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNEI BUII,DEI DEt,C RAfl ON
I lr6by trm und6 poBlry of Frjury llut I m.r.npl tlE llE Contocton Liss Lr{ for the toUowing E&hn (Sa.mll.s
Blliics ad Prof.sior C.d.): Any Cily or County which rcquiEi . p6oir to @inrud, dl6. itrpolq d.tul&h ot Erlair uy
shErE. Irnr b irs hsim. elso rcaoiEs rh. rypli.or for tuh p4mil lo [L. siSn d sl.lffil lhdl lE or slE b lieDs.d puMl
ro rlE Drivhioni of dE Co.lBrol! Liersd t w (ClIlpId 9. Cotrmfting wirh s.cdon 7000 of Division I of lh. Buiirc$ &d
Prcfcsions Codc) or tlur lE d slE ir ctun$ rhcEion &d rhc bari. lor rhc illc8cd cxcm/ion. A.y liobli,n of scdb. 7031.5 by ony
spplicanr lor a p.nnir $bjds lh4 appli.dl ro ! clvil pco.ll, of not mE thu fiv. hudEd douas (S500),
-t.
8 oercr of dE ForEny, or ny.nlpbr$s wilh Mgls s llf,n sL onPcirdion, will do UE sorl lrd ll* slrErm is mt
i, cri.d or off.rcd for eL (56,7014. Btriiftls &d Elfc$ios Cod.: TIE C.nl.scloli Lie.s tlp &'cs nol !Ppl, ro u o*mr of
rhc poFny *ho hildi or in$res thsEtr ,!d who dc3 sn s* himlf or b.mlf or drcudr hk M h.r own !trployds.
pbvirl€d thd su.n inprDEEtu N mt inrdr.lcd tr ofi.r.d lor sb- lf. tnftq. tlE hiiUing or inFr*Gnl h $ld *i$h on. ,te
6ronpleIi),\ dE Owmr BuilLr sil hlE llE lxd.n oaPllvin8 dEr lE or sl. dA ml boild 6 i|proE !E pEpdly lor lh. PEFE of
-!..sowrcrofrh.
Fo!,cny, dcxcl$ivcl,c.n(acrin! wnh lk.nsd.o.inclos lo.onsl ct rh. poitr (Scc,7044. Busms
a.d Pn,&$bn Codq Thc Cilnlr.clols Licrn$ L.w do.s nol alplyto anoD..r ofPoocny who builds or impmts rhcten.
lnd who snlncrs for so.h iftirti snh r ConhdodO licn$d pluunl lo lhc Co.rrslolr Licc.sc Lrw).
-l
ancrcmfl lndu Sccri.
-
OsE-
EAf,&rN:g0MfldsArl!)!
DICIIIEAIIQ!
I hcrcby amrh !.dcr pcnalry ot p.rjn., orc of thc rollowinB d(lr.lionr:
-l
havca.dwill mai.tain !CcdificrtorCons.nr k,sclf.lnsurc t)r volkss dnnpcnsdn,n, ar tmvidcd for $y Ssrion l7l)0 olrhc
bhor Cdc, lor rhc pnirnDtrce ollhc ,ork lor *hich rhc pc,nlir i\ i\\u.d
-l hrv€ and siu tuinllin *or*.* com,'.ns.lion insuraffic. N Equirn b, S*r i.n lftx) oa rhc L.hor Codc. for ft p€f(ru. or
t\,,tr d
IrlJ n insuratue.eicr ,,i Flicy nun$cr uc
bqCI
l .crrify rh0r in rhc pcraorrome or rh. *ork tor uhth rhi. Frn k hrEd. l rhlll ml c&ploy any pc^o. in mt .Mncr
s &s to t sm subi*t tu thc *Mk re' .onF.sation lrws of Cdifodil. and agN rhal if I grbuld 6..om subhcl to 0r
erkc6' @mpcB.r ion Imvhio.s of SKthtr 1?00 ol rh. Labor Codc. I slbll. rodhwnh comPly Nilh lllo$ t ovirionr .
WARNINCT Frillc ro sm sorkcr omFns,lion sEm8c i. unh*ful, ard rhall iubj.cr e c'q,loy.r to ainiral Fe[iI ud
.srio.. damgcs as Fovidcd tor lhc
I ficrcb, aflirm lodcr pcmlry .f FrJUry 'hal
I am liensn undcr povh Chtrprn 9l.omrcing wilh S(tion ?(xx)) orDivisbn -1
I lEEby.farmund.r F llyofFduryrh,r rlErc ir.oisrcrbi
irsu.d (Se. 1197, Civ. C.).
agrncy for rhc Frformn(c 6f rh. wor* lot which thh Fcrnil is
APPL!CANT NF(:LARATI(IN
I knny,Iirn unlur l,,nihyol pcrjury onc oarhc followin-s dccldarn,ns:
Dcnrnirion Pcrmih A\h.i.s Norific.rion ftdcrnl Rc8ulations (l'irlc.t0, PadO
_R.quncd tlrrm of Noriarcori0n
-l
c.nily rnd rhc lcdcra I rcCu lrr ions Egr.dirg osb.rlos romvdm nor arplkablc lo rhlr Ibj.cr.
-l
cenily rhar I h4. rc rhk ll)plic{l ion lrd st.rc rhd tnc ltnE infomrion ir .otrsl. I
ordi rNr\ D.d Srdd lrss rc
ok,!c mnrt,Bl prepcny ror
Appli.a orAsenl SiEmi
hrchyrurhornc.cpr.\c rr
dec t..omnl, *irh lllC y,iy' courd
:,flffiJr,"
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Burldinq Sewer
Area./Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Piping 1-28-tg h-t{'tl
Roof Drain
Tub/Shower Test
Rough Water Heater
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Devrce
Rough Plumbing
Final Gas Test
A
FINAL 7-zr1y *,{4:0)
Notes, Remarks, Etc
DATE
POOL/SPA
Water Service
Meter Release
of rhc Burimss 0d Profcsions Codc. and ny lk.osc k in tull ldN un .ficct.
4l I
L.ndcrrNrm:-
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