HomeMy WebLinkAbout30142053 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumb
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
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Permit #:30142053
Pin #: 47141
Assessor's Parcel: 003-221-37 Lot:117
Unit:
Block: NA
Bldg:
Tract 1529
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
DAN DEVOL
715 CATALINA AVE
Santa Ana, CA 92706
1714)-454-7s24
Service Champions
3150 E Birch Street
Brea, CA 92821
l7't41777-7777
01 1 16002 51602
01116002 5160C
01116002 51602
01116002 5777C
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
1.00
1.00
1.00
1.00
Fee
$23.12
$22.95
$57.20
$3.91
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: 196430
Workers' Compensation lnsurance:Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
Policy #: U82L764577
Expires: 11lO1l2O2O
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Plumbing
web_t,"(
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
04t09t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
Notes: Plumbing
N/A - No
N/A - No
Balance
Balance
$107.18
$1 07.1 8
s0.00
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-158559
Proiect Addressi 715 E Catalina Ave
Fee Totat
Paid to Date:
Balance Due:
PLUMBING.INSPECTOR RECORD
APPHOVALS DATE ID/SIG.COMMENTS ()WNl:R BtJtl,DllR I)1.:r,('A RAI ION
applicrntl'rrrrptrurit\!hjcrt\thc rpplicxillloilci!ilfctriltyo[ilolilx)rcthxnlilohtril(lrc(l(lollilr\(S5(x))
_1. il\ ()wncr ol thc pr)l{rly. or nly cnlpk:yccs with rvrgcs as tlrcir solc conrl)cisili(,n. lvill do lhc s(nk rkl lhc slrclurc i\ i(i
srl l
_1. as owncr ol thc Jtr()pcfly. rnl cxclusiycly conlrxcling s'ilh liccnccd coillrilclor\ k) construct lhc p()jccl (Scc. 704,1. Busirtcss
and Pnrti:sskrnCotlc:lhcConlrnctor'sLiccnscl-awdocsnotapplyk)anowncrol'propcrtytr'hohuiklsorimprovcslhcrcoo.
ilod who contrncts li)r such pft)jccls wilh n Corrlrrclor(s) liccnscd pursurill k) lhc Conlraclor's Licc[\c l-nw).
I urncxcilrDt undcr Scclioo-, B. & P.C. li)rlhis tcrs(nr.
l):rlr ()rrntr
]TI}BtrE8S:I;gMPTNSAIIQN
DECI.ABAIII}N
I hcrcby trffirm under pcnnlly ofFrjuryonc oflhc followinS deldalions:
_l hnlcdndlvill nHinlrirxCciillcatcofC(,n\cnlkrSclflnsurcfors(il'kcrs cotrrpcnsxlion.{s proli(lcdli)rhyScclion3T(X)ol lhc
[,xtx)r Codc. for thc pcrli)financc oflhc work li)r which lhe lrcrmit is issuc(l.
_lhavc0ndsillnuiilloiiworkcrs'cornpcnsrlioninsurancc.as rcquircdhyScclk,n.lT00ofthcl.uhor(ixlc.forthcpcrli)rnhnccof
lhc lvork li)r which this prrrit ir issuc{. N'ly sttrkcr\' coirJtnsdlion in\urilrcc crnicr nnd fnlicy numhcr rrci
Policy Numhcr Erpircs:
-
WARNING: Failurc to surc worke6' omFnsotion mveEgc is unlawful. 6nd shall subjcct an cmployer to siminal Fmltics rnd
civil fines up lo orc hundrcd thoustrd dollars ($100.000), in addition to the cosl of comlrnsation. damgcs as providcd for lhc
Satkrn 3076 of rhc Labor Codc, interest 8nd attomy's fes.
Applicantr
I ICENSED CON'IRAC'I'oR
DECLARA'I'I(IN
I hcrchy rlfirnl uldcr Irulty of pcrjury lhut I aN liccDscd undcr provision of Chcplcr 9 (conurrncing with Secti(D 7t100) ol Division J
of thc Busincss ud Prolcs(ions Codc. {nd nty liccnsc is in ttll lorcc artl cllt'ct.
Liense Class:-Liccnsc Number:
CoDtrnctor:
W
I hcrcby lffirm undcr lEn{lty ofpcrjury thal thm is a conslruction hnding sgcncy for the performncc oflhc work for which lhis lEmit is
issud (Ss. 1097. Civ. C.),
bndcr's Nare:
-
Lcndcr's Addrcss:
APPI,ICANT DI:CI,ARA1'I0N
I lrcrchl allirrn undcr pcnrll v ol pcr jury olc ol lhc li)lhr$ i0r (lcclnralions:
l)crn()lili()n I'c,ilrit\ Aslr\t(,\ Nolilicalion l:c(lrrill Rcrnhli{)il\ ( Iillc {l). I'irl(i)
Rcqrired l-dlcr ('l N(nilicflli(nr
_l ccrtily thal thc lcdcrrl rcgulillions rcgil(ling ashL\lo\ rcrnr:valarc nrrl rpl)licxhlc k) lhis lrojccl.
irh()vc rncntioncd l)rol)cIy li)r irl\pccli()n purlx)scs.
Applicinl or A8ent Siguture:l)atr:
I\'rilrilrr ilnilrr ( t)riill I
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cao
Back Flow Device
Rouqh Plumbinq Uq).2c)tlcZT
Final Gas Test
Meter Release
F!NAL V-zt-ut il LrJ rttt/4 /-2
Notes, Remarks, Etc.
l)Bte: