HomeMy WebLinkAbout30141840 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714\ 647-5800 lnspection Requests: (714),667-2738 lnspector Sectionr (714) 647-5853
Permit #: 30141840
Pin #: 539{9J
Project Address: 3001 S Pacific Ave Unit:
Block: NA
Bldg:
Tract: 6036
Address Range:
Historic: No
Suite Range.
Zoning: R'lAssessor'sParcel: 412-012-10
Owner:
Address
Contractor:
Address:
Tenant Name:
Loren Carrol-Perry
3001 S Pacific
Santa Ana, CA 927046722
(661) 202-0068
Rightime Home Services
3030 Myers Street
Riverside, CA 92503
(7'14) 9984300
Fee Type Amount
01116002 51602 Water Service (Each 10 46.25
01116002 5160C General PIan Update 22.95
01116002 51602 lssuance 57.20
O'1116O025777C Microfilm Records 3.91
Qty
'l.00
't.00
1.00
1.00
Fee
$46.25
$22.9s
$57.20
$3.91
Phone
8ot
0ff
li.p
:54076 - t/27 /Zn2(1 I0r CCUELLAft! CTYH lpsnef! 28 1 of 1
chi
ire
t+:Refi: 3014194r-l
02883498 - t /27 /202tt 2"27 ?t1
$130.t1
Stale Lic #r 765074
Lic Type: C-36, C-10, C-20
Bus. Lic #: 351300
Workers' Compensation lnsurance:Carrier; Liberty lnsurance
Policy #: WA763D50863'|018
Expires: 10lO1l2O2O
Trons(tct ion Totol
R ight i6e Hofie services
Generql Plan Updote Fee
[1116002- 5160000(r-
Plurb ins
01116002- 5160200(r-
n icrol i lr| & oocu ents
01116002- 57770ir0(r-
noster cord
c{:+ ! **r**r**r r**4149
- 122.15
s 103. 45
t3. ,r
$130.31
AuUhi 3 091493Building 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
Water Service
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2019
Date
Date
Date
lvlisc. Receiptl
l,4isc. Receipt:
lvlisc. Receipt:
Total
Hernandez, Kathy
Every pemit issued shall become invalid unless the wo* gn the site
aulhoized by such pormit is cornfienced within360 days aftor its
issuance, o. if the wo* aulhoized on the site by such permil is suspended
or abandoned lor a period of360 days aftet the time the work is
commonced
0112712020
Account#
$22.95
$103.45
$3.91
$130.31
$0.00
$130.31
lnspector MID#: 2020-157361
011'16002 51600
01116002 51602
01116002 57770
Fee Tolal
Paid to Date;
Balance Due
Lot: 35
Phone:
Notes:
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Buildinq Sewer
Area./Storm Drain
lnterceplor/ Clarif ier
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service Lt,t-zo ** lo,
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbinq 7- -11-t
Final Gas Test \-j
Meter Release
FINAL 7-. ti-?o ,
Notes, Remarks, Etc
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porilcd rh,t iuch irp.oEmds e mt in'.d.d d ofi.En fm sl.- lL hv.q. tlE hiltins or ir+rotftd n $E wnhin orc )dr
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!s osrcr of thc ,,mt'cny. am cxclosivcly c6.rrx.rins lirh lkcnsd .ont cror !o onsrruct IlE rmF.t (56. 7044. Busircs
{nd Pn,fNia Cqler Ih. Conracrols Lic.n.. Low do.s mr rpply lo m.wncr ol rmpcrlr eho buildr or idptov.s rh...o..
trfld who onrB.rs lbr Fuct rmj.{rs *irh sCotrtEro(n [cssd r!l\@r roth.Conhcior's Licns. tr*].
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DECI.ASAIION
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tatff dc. ftr rhe p..fomBc of th. lort lor *hich ltt pcrnil b ks!.n.
AhoE and will mainhin worlc. compcnslri.n inruraec. a\ cqrifti hy sdtion 3rm of rhc Labor Codc. for thc rE l'o,mncc of
work for whi.h rhn 0cmn i. ir*d My work.B onpcnsori.n i.surucc carf,r arrd policy trunhcr m:Lrbeq-?b',r5 bEbi tolD to-/-tu^
_l.rnifyOar in rhc Frforrunct ofrhc *!* ror which rhir lc rnit is nsucd,I sh0ll nol cmploy on, llc*on inrny @n@!
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sod{sr'conFnsslionlmvirn,trsofScdionlTmofrhcLihorCodc,lrhall.fonhwirh6mplyenhthoetovhions..
WARNING: a{ilurc lo s.urc workc( conrFosstnrn mvcrosc is utrltrwful, $d shall sxhjsr an cdploFr ro oimiMl lrMhbs ond
ctuil n cs up lo onc hundred lhoustrd dollaF (sltro.odJl. in addition h rh.
Smlnrn 10?6 ofrhc t$or Ci'dc. i.rcnst rnd rormy\ les.
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issucrl (S.c..lrrgr, Civ. C )
sork for vhich rhis F,nil is
AITLICANI.IUCIABAIIQN
I hc..t t rrm unilcr p.nnh y ol pcrjury onc of
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a.llo* in8 d.tlmrion\
D.mnii.o P.roirs Arh(or Norifi.di FcdcBl R.gullrmns (Tnba0, Prn6)
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rrc I a*\ rcldi'r! ro huiklinS rcprcpnrltivc, oartk Cny $d Colnry ro em6 u|i)n fi.
Appli0nl or Ag.nl sigmlu 1 - d7-/2
I
PLUMBING-INSPECTOR RECORD
TOP OUT
Back Flow Device