HomeMy WebLinkAbout30141839 - PermitPermit #: 30{41839
Pin #: 9{507 ,t
Assessor'sParcel; 002-03742 Lot: 43
Unit:
Block: NA
Bldg:
T.act1471
Address Range:
Historic: No
Suite Range:
Zoning: R'l
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Gerald Smith
602 W Park Ln
Santa Ana, CA 927061635
(714l.721-2569
Mike cottle Plbg co lnc dba
10652 Trask Avenue
Garden Grove, CA 9284324(
(866) 3'144328
01 1 16002 5'1602
01 1 '16002 5160C
01 1 16002 5'1602
01116002 5777C
Amount
46.25
22.95
57.20
3.9'l
Qty
7.00
1.00
1.00
1.00
Fe6
$323.75
$22.9s
$57.20
$3.91
State Lic #: 718978
Lic Type: C"36, C"10, C-20
Bus. Lic #: 173395
Workers' Compensation lnsurance:Carrier Compwest lnsurance
Policy #: WCV550233401
Expires OSl09l2O2O
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 Dlvelling
Miscellaneous
Sewer Repair
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2019
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the work on tho sito
authorized by such pemit is commonced within 360 days after its
issuance, ot if the wotk authorized on the site by such pemil is suspended
or abandoned for a period a1360 days after the tifie the wo* is
commenced.
01t2712020
Account#
$407.81
$0.00
$407.81
lnspector MID#: 2O2O-15734O
01116002 51600
011'16002 51602
01116002 57770
$22.9s
$380.95
$3.91
Fee Total
Paid to Date:
Balance Due:
City of Santa Ana 20 Cjvic Center Plaza (M-19), Santa Ana, CAg27o2 Plumbing
Permit Counter: (714) 647-5800 lrispection Requests: ,(714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 602 W Park Ln
Fee Type
Sewer Alter/Repair
General Plan Update
lssuance
Microfilm Records
Phonel Bot0ff
Acc
ll( p
Tro
t/27/202t) I0lronsi! 39ftef+l 3- t/27 /2{J2t) 1
ng{lct ton locfll
e i;otl lP i,lbe (:(nc dbo {
Noles;complete redrain
1f,! rternanoez' xatnv
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.COMMENTS 0!INIR llUll-DllR DEL( ARA f ION
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-1,
as owmr of ric prci,cny, or Dy cmplorrcs sith M8.s $ rhcn 5! onp.nsrrion. *iI do rh. *ot &t rh slnnm is mr
inrcRlcd or oficrcd ror slc {Se.7Bl4. Businc$ Md Ptuac$iors Codcr Th. Cont d.ls Lie.$ tjw docs nol llpl, lo sn orrcr of
lhc rm!.ny who hikls or nr{'rc6llEDn, od who dNF sh w* iirue lf or heNlror rituush hk or hcr ow. employ..3.
t tuvidcd lh{ skh inprosBnB s mr inl.nd.d or oft Rd ror s!. lt n pcwi rhc ttiuing tr itriiotrir h sld wirhin m Far
ofcorphlbn, rlE Owmr BuiLlo will hlr llE hod.n orrmvi.g
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l,.sowmr orrhc ptuFny, amcxclusiwlycotrkrcrLrS *nh li.cnsd.onr,cros'o oNtud rnc rmrtr (Ss.7(114. Btrsid$
and Pnf6si,n Codc: Thc Conhcrols Liccnsc Lnw docs nor omlr ro an o*ncr of,rolcny eho b!il& or ifthvcs lheron.
lod sno .onrtuk aor sxch poFrs shh u Conkd.xi(9 li.cnad luHunr ro rhc Co.r0ciols Liccns. tiw).
I trnrcrdmtr uodcr S&rio
UOStrEIIU.I]ANITNIAI]ON
DEI;LAIAIION
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L,atxr Codc, n,rhc pc.fomuiccorrhd w6& n,*hi.hrhc pcrnir i\ t\ncd
I hntr rnd will minr0in N.rIe.L .omp.nqrion insunn.c. as rclnncd hy Ssrn,n l7(n of lh. I ibor Gdc. nn ltu pdfor.Ene oa
rhc *ork ntr trh'ch rhtr rnn( r\ s$cd My tr.rlcrr cntrll{n{rnn rn\urotrcc !nn'c, nnd Flic} ndmhe, m
-/lc*", COUP/,|/5- /a1>J[,/tso z9 or 5--?-zozo
_l.cr,ify rh4' in rhc ltrfor@m of'hc woil lo, rhich rhi. lcrnn h isscd. I shellmr.mploy rny lcmn in !r, roflrcr
s trslo b.$m suhjlcl ro lhc wr*dl smFnsslion la*iofcolifotni!. md rgE ltal ifl shorld tt@ft subicr 16llr /
Norlcd conf.nsolhn pmvkions of Selion 3?00 of lh. titbr Cod.. I sh8ll. lonh*ilh s ply qnh lln* Imvhio.s .
WARNING: Failun lo $curc wo.k rs' comp.nsaln,n cowhe. ir un
civil 6ncs u,' lo onc hu rcd thoumnd dolltrs (Sloo.lDo)
Ssliofl 3076 oflh. t tor Codc. inlcrcsl lnd lllormy\ tes.
IJICI.OSAfION
I hcEh, rfltD, u dcr pculry of p.rj[, rhd I d liccn$d ridcr pmvi\tr .l ChrrrLy 9 {.onnrkNirB wirh Ser hn ]U)0, ol Divtn,n I
of rhc Bn\in ss lnd Prolc$ii,ns Codc- dd tr'r liccnse i\ intulltuNodcrtc.r
7/5 7
'7^ )a> z-O cotrr*.1o. y'\
!:ONSII!J!:E}EI!NDII!G.EGE!!:T
I hcrcby orfirn uMcr Fnrlry of pcrju.y rnar rhsc is a consrruclion hndin-! oscmy for rhc rrfomufte ol rhc sork ao. ehkh fiii Frmn is
issu.d (Scc. .)097. civ. C.)
AIIIIIANLD&CLAAAIrcN
I )Erhy llfnn uidcr pcnnhy offijrjury oft of rhc nrIosoS dc.lmrion\l
DcnxninrnPqfri( Ashc{olNorifi.rtbn Fcdchl RcglhrionsrTirle40.Pin6)
R.quncd l.rr.r of N.rifi .ari)n
-l.crriiyrhar
rhc lcdcnl dslllrion\ resudins &\hc!r.s,cmrvll urc nor 0npltahl. h rhis poj(r
T,ccnilyth.t I h!\r rcad rhi atllk.lion ond inrbtmin'n isconcct. llgreroflnnnlr*irhlllCiry,ndCou.r,
odin0rccs and Slurc L.ws mhriry ro buildin8 r.lr'c{ntrlivcs ol rhirCirr rnd Counryb cnrd xF,n rtr
rhov. mnriomd pDFny for i,sFclion
Appuont or lgcnt slemrorr-{
UNDER GROUND
Waste & Vent /?1/s-n>, nlfZj 9r/
Water-Under lloor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
/,,t-oo ?r* ro,
Notes, Remarks, Etc
APPROVALS
FINAL
o^",tLl:aQZo
L.nrlcr\ Addrc$: