HomeMy WebLinkAbout30141770 - PermitPermit #: 3014177lJ
Pin #:
city 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 aso\"i
Project Address: 11 26 S Pacific Ave
Assessor'sParcel: 109.411-O7 Lot: 62
Unit: 3
Block: NA
Bldg:
Tract 3070
Address Range:
Historic: No
Suite Range: Apts 3.4
Zoning: R3
Owner:
Address
Tenant Name:
Margaret A Sporcich
501N Goldern Circle #208
Santa Ana, CA 92705
(714) s41-3138
California Rooter & Plumbin
1905 E Deere Ave
Santa Ana, CA 92705
1949t 222-2202
Fee Type Amount
Water Piping (Each 100 46.25
Min Fee Adj 26.'10
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1 .00
1 .00
1 .00
1 .00
1 .00
Fee
$46.25
$26.10
$22.95
$57.20
$3.91
State Lic #: 703820
Lic Type: C-36
Bus. Lic #: 338141
Workers' Compensation lnsurance:Carrier: Oak River lnsurance Company
Policy #: CAWC030943
Expires: O1l3Ol202O
rricilirii!71 I - |/3/')t7211
i i ice; iiYH Trurrsi: 41
,:ci; i Ref+ :
,--pti; tr?U;'i7tt94 - i;3/2lt2t1
!.(rngqct i0n TotoI
IO: CCUELLARlof1
30141770
1:21 Pll
t156.41
ri iiorni(l Fottte| A Plufibi,re I
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TyPe:
Water Piping Code:
eneroi Plan Updote FEe
i i.i6[n7- il60ti[ti(i-
iulb ing
i i i60rri- il6tr2tiiit-
icrof iin & oocu ents
i i i60ti- 3777tit6r-
9129.55
13.?1
*156.41
Auth+ I B(t303S
Building Use:
Job Type;
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: \*
Subject to Field:
Building Permil #:
R-l
VB
cPc 201 9
Date
Date
Date
l\4isc. Receipt:
lvlisc. Receipt.
lvlisc. Receipt:
Total
Hernandez, Kathy
Every pemit issued shall become invalid unless the wor* o/, tl,e sile
authorized by such permit is comfienced , ilhin 360 days aftar its
issuance, ot if lhe wotu authoized on the site by such permit is suspended
or abandoned tot a peiod of360 days aftar the time the wo* is
commenced
011o3t2020
Account#
$22.95
$129.s5
$1s6.41
$0.00
$1s6.41
lnspector MID#: 2020-156875
01 1 16002 51600
01 1 '16002 51602
01116002 57770
Fee Total
Paid to Date:
Balance Due:
Contraclor:
Address;
Phone:
01 1 16002 51602
01 1 16002 5160i
01 1 16002 5160C
01 1 16002 5160i
01116002 5777C
Phonel
Notes water ph.l$*!ft"C4q.tryF+jEfulf
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.OWNER BUILDER DELCARATION
I hceb, arrm !.d.r p.dhy of !.rjory thlr I am .r.mnr fFn ttrc Co"tr.cIoF Lians. tlw for Ih. followin8 ssn (Sc.?011.5
Busin.s! {.d Profcsion Co&): Any Car, nr Cd.ry *hii:h Equircs & |rmn lo ensttocr. !h6. iilhw. &mlhh or rpai lny
shcltrc. Irior lo its issu4c. abo rcqliEe thc lrpli.m lor ruch pcmit lo ik 3 si8x.d $!lcm rh.r lE or lhc h licoed pursrn
lo rhe ,mvhionr of rhc Conneroar Liensd Lis (Chafl€r 9. ConmminS qirh Serion 7000 of Division 3 of rne BlsiEss dd
Pmf.ssioos Codc) d lhll fi. M shc is cr.n{,' lh@f.om u<l rh. b&ri! f.r r,E rllcg.{ .rcnplhn. An, viol6rionols-lio.70ll.5 byoy
tppli.afl fo,ap€m subi<lr rhc lpPli.a lo ! civil Frally of nol mE rh.n fiv. hundEd dolles {t100).
-1.
I owmr ol lhe lDlany. or ny cmployEs wnh wrScs &i rhcn $k odpcnsrhn, witl d., {r *o* &d rtE $nrrG ii rcr
inleixlcd or ofcrcd for sh (5(.?044. AuriN3s md ftef6ei'6 Codc: DE Conru.lo i Ltcnc ltw .to.s ml rpply lo r..vm ol
rhc tmpcdy whot ildr d inpmsr rhcen, id wtr ift6 tuh si( hinwlaor hc&!f or rhough hh or her ow.crployfts,
prorid.d rnd such imnm\tm r e ml hrcn bd oroficr.d for sls. ,t now6. drc tNildin* or iry,fttu issk*irhinotu,@
oa@trplclion. tlE Oqmr Buildq *ill hlE dE tuhn of Flvin8 rh.t lF or $. dn mt hrild or inFrk dE pbtdy for t r 0orlre of
-l.6owncrolrhc
php.ny. oncrcluiarclyconrlding *irh lien$d.oir&roB to construcr th. poifl (S(.7044. Bu\ircnr
aid Pmfision Codc: Thc Conlm.loas Liccnsc tiw dfts not aprly lo .n own r of proFny wh. builds o. iqlrov.s ths6n,
and wn coorers tor fl.h poicd. warh a C..r&ro(,lkci*d poNMr ro rhc Conr&roas Lixn* tro).
lrar.lcnrDi umlcr SL\ri( .ll & P( lnrrhi\ rca\n,
lhle O$ner go8trExs.tallrBsafxlts
DEd AN,{TION
I tcEby aiiirmud.r pcmllyof Fiuryorc of ln hlowingd(ldalionsl
I hrlc mdwill trni.rJi', !Ccnilicit.fConscnr ro S.lilrsurc lnr {orlc^' conrFnsmiotr. 0\ provi(lcd lor 6ySccrion:lT0lroilhc
lihtrC,xtc.lff lhcp..i.rn(nceollhcnnrlilhrshichrhcnrnnir Nis(ucd
_l haE lnd will mrinrair sork.^ ..nt 6\ n,nan$r,ice.!\ rc+ircdh,s$rnrnl? r of th! tih.r Codc. lor rhc Flfotuc o,
lhc wo l'or whicnr[nr.rnrn is tsncd. My*orkc^ srpcn\rrn inslran.c cnricr and p.lic, nu'nb( dc]
c*,*,O* D rrnZ ir.rgrIAJeE qafaUrr/
a^ttronq.1 3 vao'?D
-l
ccnify tlut itr rh. FrforNncc oflhc wort for whkh ihis !.rmjl k Lssu.d,I sh,ll nor chDk y rny p.Mn in any monmr
so * ro b.oft sbjdr ro rh. woltcr' onncns.rion la$s ot Califomio, and asN rtar if I stnlld bccoE suhjsr ro rlE
work*.onp.nsdion,'rovilionrofscclion1700olrhcLilrrCdc.Ishrll,fonhwirh@rl,lyenhrhocpbvhidos.,
WARNTNC: laiturc lo surc lorkdi conucnsariofl orcri8{
cnil iinr. un n' nrr hundr.t ltou.and dollqa rsl0o.Ot(J,, m
serion I)76 oa rhe ljhoi Clic inr.rcsr lnd ono,rcy s fNs.
bjd { cmploycr lo ci'ninallEtruhts d
k) rlr .o{ ,'l (.Npcn\r|.tr drn &\ r\ t,r.!idr(t br rlr .
t -a- 2a oorr-,
IISq,lIAIl9!
I tcrcl,y linr undcr p.nalr) of p.rjury rh l rm liNnKl uM& pr.virion ol Chinrcr 9 (.omnrmiflE qirh sc.ri.n 7(I)0) of Dirtiotr l
ol llt Busirc$ Md Prclt*idrsCodc. u nryli..nsc n in fullfqcc rtolcllirr
csb 10382a
o^r", ?-24-U co"r,*ro,
TONIiIBIICUQNIIXI)IN1iTI1iENII
i\\u.drS( r(I)7 Civ (')
AITJ,ICAIIDIILAX{UAN
I h.R.by lnif,n und.r Fn,ny olFrjuJy oM orrh.lbllosin8 d(lurio.r:
Dcnblllion P.nnir$ rhc{.s Norifi.artun Fcd.ial Rcgrhrions lTirlc.m- Pan6)
-Rcquircd
t llcrof Norin.ar on
lccnilirh3r rfu r.dcrnlrcAuhIi,'nr csnrlirarsh.n.\ rcixtrrlrrc ior,'t),ronlc r, rhn Dm]c.r
,ittrLUtrsnrl\r.rlr(\rclxr'rFr',hu'ld'nruNrudr,,, rlhcrchyrurhrn.rcpr.\cdrnc\('frhnCiryrtrdCounryhrir$uFn,rlf,
ilarc f,nri(rr{Fn,Nnyfor
Arpllcnnt or Asetrl Sisn.t 6t D"" l-3-zo
UNDER GROUND
Waste & Vent
WaterUnder floor
Gas-Underfloor
Buildinq Sewer
Area"/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Qas Piping
Roof Drain
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
t
Rough Plumbing //a/*t.tA tq)
Final Gas Test /
Meter Release / /,4
FINAL t /11/2.u f//4 *L/d?'
Notes Remarks Eb!
APPROVALS COMMENTS
2\arc-
L.ndq'r Addr.r: _
Tub/Shower Test