HomeMy WebLinkAbout30141772 - PermitPermit #: 30141772
Pin #: 2391\
ProjectAddress: 3710 S Bear St Un:L
Block: NA
Bldg:
Tract 11859
AddressRange: 3600-3770
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 112433-04 Lot: 1-8, A, B, C
South Coast Springs HOA
23046 Ave Oe La Carlota Ste 350
Laguna Hills, CA 92653
(949) 5814988
Fee Type Amount
01116002 5'160: Gas Line repair/replace 46.25
011 16002 5160C General Plan Update 22.95
01116002 51602 lssuance 57 .2O
01'116002 5777t Microfilm Records 3 91
Qty
1.00
1.00
1.00
1.00
Fee
$46.25
$22.95
$57.20
$3.91
Phone
Tenant Name:
Partners Plumbing lnc
22365 El Toro Rd %290
Lake Forest, CA 92530
(949) 583-9744Phone
State Lic #: 1057706
Lic Type: C-36
Bus. Lic #: 374727
Workers' Compensation lnsurance:Carrier: ACCREDITED SURETY AND CASUALTY COMPANY INC
Policy #: 1ATCA160024170
Expiresr 'l0lO4l2O2O
rtners PIurrb ins lnc
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Alteration Constr TyPe
Gas Repair Code:
R-1
VB
cPc 2015 Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Date:
Date:
Date:01to3t2020
Account#
Every permit issuod shall become invalid unless lhe wolr( orl the site
authoized by such pemil is commenced within360 days aftat its
issuance, or il the wotk authonzed on the site by such pefinit is suspended
or abandoned tor a peiod of 360 days aftet lhe timo the work is
commenced.
$130.31
$0.00
s130.31
lnspector MID#: 2020-156886
01116002 s1600
01116002 51602
o'1116002 57770
Fee Total
Paid to Date:
Balance Due:
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853
Owner:
Address:
Contractor:
Address:
Bnt.ch+:53707 - !/3/2tl2ll
0lf ice: CIYH TrRns*3 114Acctf: Reli:
Rcpt+:tt2g57?44 - 1/J/?r:r?(r
Tronsact ian Totttl
qK(
of
6eneral PIcn [Jpdnte Fee
rr1 I1600?- 5l60tr0(rtr-
Pl unb ilg
trl 1 16tI:l?- i1 6fi 2t[:fl:r-
ll icrof i lr & Docurents
trJ 1 16r:r(U- 577700(rtr-
I(:L Cherk 1i45
I/isc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
$22.95
$103.45
$3.91
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS (twNt:R BrJlr_rtR DEt,('At{A fl ON
I hcrcnt afiirtr, utrds |rn lrl {,1p.rjory ihrr l !'n.x.nDr lirmlh.(innrrrr|,i..tr\cl-r*,nrrh!Inlhsingrovn,ls.c7l):ll5
imcrurr, pri(tr o ir\ t\!mcc.xhorcqunc\rh{plicanrl.rnrcipcrtrrirrolihrrigtrca$ircnEnr r[d hco! shc n liccn\cd pur{trr.r
n, rhc nmri\ionr .l lhc C ntraclois Li.cnlrd l-nw (Chtrlr$ 9, Co ncNnr! sirh Sccrnn 7(XX) of Dirri( l ofrlf llunnc(rid
r|)|rli.r[turrlrcrn suhjc.rr rhc rmli..nr r. r.ivilrnxktolnor xtr.rhrnfirhtr rddollr\(S5( )
l.nros$ofrhclln,plnr,.rnrycn,pkDlc\*irhsrscsrsrh.nanc.onrt^-n\di(r,.Nilln.rnt\olk rillt {Erurc i\ tror
inlckl.i o.ll.rcd li, elc ( Ss 7(lu. Duiic{s ! d f\ofusi N Codc: Tlr Gnnrrcktr'\ Liccnsc bs d(f,snor rlpl!ki inosicrol
rhc|mlr y sholx,iu\ori'ryn)vc\rhc(rn!.rn,lshod,rrnrhsorkhnn*llorh.rsc)iorthoulhhi(orhcrosncnfloycc\.
nmvi'lcd rhar \u.h npn!$r \ 0rcnn idc'rl(loronircJ ntr sak ll hosrr'. rlrhuildi',gor irnpnn rnr ir oll(irhinon. y!i,
ol'conl0trt,n.rtf, Owtrcr Builds $illh!\c rh.burdc ofr()!in!rharhcor\h.didtrn6uillori'q,rovcrhcpmFntlirrrh.purlxN.or
-1.arowtutoftt,,mrEiy.amcxclusivcly.onlEclinewiltli.cnsdonrh.lNlo$nstructllElb.iel136.?044.8usifts0nd EDf.sibn Codcr Thc C.nr0crors Liceis. Lrs d6cs ior aplly r.r !no$ncr ofpmp.rty who builds or nurov€s rhcrcotr.aid eho conlnds for such rmic.ls wirh! ConlEcbn.) licnkd l,umln o rh. Conhdois Li.c.sc trs).
I nmdctr,l, uiJ.r Sc.ri,B &PC lorlhis rca$n
-
O*ner:--
]4I}Bf,Ef,S:.IOMTENSAII!}!
DECLARAI'ION
I hc.cty lrrirn undcr lcnohy o! pcrJury orc ol lhc followin8 dml,rorions:
-l
hNc ud will nunrl.in r Ccn ific0rc of Conscnr ro S.lf ln\xn for wulkdr .ullxn\dtun, as fovidcd for by Sccrio. lTcl{l of rh.
hhtr (.odc. for rh. l.rfonr&roc of rhc sorl ror wh(h rhc letr ir i\ isxcd
-l
hdvc 0*i sill nlinrain workcis comtc.sarn,n imur!trcc. $ rcqunc{ by SNt ion l?00 of lhc Llbor Codc. f$ lh. pc nlmrc. oa
rh. so.k tur qhich rhn p.iitrir Nly s ompersliofl i.$mra catrtr and poli.y numhcr E
c-I ,lu 9-'Z.otc
-lccniaylh.i
in'hc pcrformkc of rlE worr ror whichrhh p.nn is issned,I shxu nor cmployanytcren inlny oturcrs as k lr.om sobjr\r i. rnc wortcB oftpctrerion la*s of GliLmia, atrd a8rcc rlmr ifI \hould bccom sulrlcr ro rlr
woltcn dnnp.n\ ion F)vist,ns .f Sccrtun .l7fi, ol the I iho, Codc. I ll. nrnhsilh coarnly *ilh lho\c pmvi\ions
IVIRNIN(;: Fnilnrc h {c6d *orkc^ conrE.\lrinn ovcrusc nh*nrl lnd shlll subjNl !n cmplorrr lo siminri [rmllts and
civil 6N! up to or. h!Blr.{ rho!{!nd dollm ($l(ilion lo lhc colr ot.onrncns.rion. danE8cs ss l]lolilcd for lhc
t)t,tt.t,,\R,\I t()N
I hcEby llIm lndcr p.Mlry of pcrjury lhll I am liensd uf,dcr Fovision of Chaplcr 9 (onmncing wilh S..lbn 70m) of Division l
of lhc Blsiftss d Pm{csions Codc. !,i oy li:cns h h tuU lore dt .trer.
c?*lo3-1-70
"". \3-Loz-o ;F.-
c0.Nflalcll()ril};ll)lNc,llixNct
is\ucd lscc..to97. (iv c )
AfI]LIIAXI.IIECITAXAIION
I hctdry anim u.dcr pctr.lryofpcrjur, onc.llh. foll.sing d.cld.riona:
Dcnrliliotr Pernrih'Asl*sos Norifi.olhn F.dcral R.gxbrions (Tnb 40. Pfi 6)
-Rcquircn
Lcltcr ol Ndirrcnri.n
! ccnitrrh rhc fclcrrlrcsuhli{'ns os rcmovrlarc not rt'Ili.ahlc lo
'hn I'f,rirl
t-l eiify rhd I lurc rod rht arpli.ar lhrr rhc alnvc inntrm ion iscotur.l u8e kr.omrlysithlll Ciryond Counry
.rdinrrtcs und Stllc,iws rcblin8 y lulhxizc rcprcsntnrivcs oflhis Cityrnd CoDnly lo cnlerupon rhc
3h,F rftnliomd ropcny ror iN
Applimnl or tenl SiEml
I . d,fU
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Waler Piping
Gas Pi ing
Roof Drain
Tub/Shower Test
Rough 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
Sanitary Sewer/Cap
Bqugh Plumbing
Final Gas Test
rl
)fr,(Yu LW
INotesRemarksEtc.II
Back Flow Device
Meter Belease
FINAL
S.cltun 1076 of lhc Lntbr c(dc. inrcrcs,
o.,", l-3-zozo
Lcn'i., . Ndn'c
-
Ln hr\ Ad.trc$ _
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ITBDO
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