HomeMy WebLinkAbout30139441 - Permitcity of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853
Permit #: 3O139441
Pin #: 60939
Project Address: 4210 W First St
Assessor'sParcel: 188-021-29 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
AddressRange: 4200,1.260
Historic: No
Suite Range: Carport #14
Zoning: SD32
q
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Essex Property Trust
17461 Derian Ave., #t 10
lrvine, CA 92614
(949) 943-0026
Parkside Court Apts
lronwood Plumbing lnc.
l0'l S Kraemer Blvd., #100
Placentia, CA 92870
(714) 900-s88s
FeeType Amount
01116002 51602 Wtr Htr (Comm up to 50 21.42
01116002 51602 Hot Wtr Tank 29.33
01116002 51600 General Plan Update 21.25
01116002 51602 lssuance 52.98
Qty
2.00
1 .00
'1 .00
1 .00
Fee
$42.84
$21.25
$52.98
Phone
State Lic #: 851742
Lic Type: C-36, C4
Bus. Lic #: 314022
Workers' Compensation lnsurance:Carrier: lnsur Co Of The We3t
Policy #: WSD502847203
Expires: 0l/01/2019
Building Use:
Job Type:
Nature of Work
Planning Conditions: To Be Fully Screened.
Planning Approval By: Mar, Escarlet
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi'Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Water Heaters COde:
Date:
Date:
Date:Teri
Every permit issued shall become invalid unless the wo* on the site
authgtized by such permit is commenced within 180 days after its
issuance, ot if the wo* authoized on lhe sita by such permit is suspended
ot abandoned for a pedod of 1 80 days aftet the time the work is
commenced.
05/16/2018
Account#
Notes: Remove & replace. Hot Water Tank = Storage Tank
over 100 gallons. Handout given. Ok to issue per KK.
0s/16/2018 N.4isc. Receipt:
l\,4isc. Receipt:
l\,4isc. Receipt:
Total
$21.25
$ 125.'r 5
lnspector MID#: 2018-143392
01116002 51600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Due:
R-2
VB
cPc 2016
$146.40
$0.00
$146.40
PLUMBING.INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BU!LDER DELCAN"ATION
I h.rchy atfiu tnncr pcnahy of pcrjor, ih l!mcicmll ti.m lhc Conrracx,F l,iccnsc l,w Lr rhc rbllo$iitrcnv,n (sd.70.115
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nru.turc. Drn L' ns isruu.c,0ho rcqunc!ttu alpli.dt Lr \u.hp.rnnrro lllu r signcd dcntrtrr rhd l.d or shc n liccn\cf pursunnr J
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ttoicsi(,nsCodc).r rhnl hcorshc is cxcm!r thcr.froh u,l rlE hl\ir ror th. LBcJcrcmplion. AnyvidrlionofScclioi70.]1.5hyany
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as owNr of lhc pD,Eny. o, ny .mphyrcs wnh wlgcs $ rhct elc .on{En$rion, wiI .kl ttE wtrt 3rd tlE irarw h ml
intcnd.d or offcEd aor salc (Se.?044. Busimss &d ftol:sions C.d.: lh. Contmlol s Liccnsc trv &$ nol lpply lo an owkr of
lhl prcloly sh6 hiklr or i,pmtusrhc6n. rt whd &rs ch tult hinsctfo, hcrelforrtuo4h hk or hs own cmtloy..s.
Fovid.d th'r sn h inporGnk d mr inrerd€d orofidd for eL, lf. houer. rlr hining or ir\Ermh| h $ld *iihin oic Fr
of.o,qilcrion. rlE Oemr Aui&, *ill hrw rL bnrd.. .f polins tnd h or slr dil mr tD d or in!ftr irrc tftFiy ror rhc Fnpos or
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ond Rotxsim Codc: Th. Conh.rorrr Lk.nsc tiu docs nor q,Ily r. an owno nfpropcnysh.6uild3 or impmv.s th.rcon.
and who o mck for su.h Imjcdr rith o Conlmro($) lisnsd puBunr r. rhc Conrr.crols Lic.ns. k*).
I m.rcmD' undcr Sd'ion , B. & P.C.lorlhr @son.
D.l.: O*Ml
WORXFTLS' COMPE-NSATION
DECI .ATAT-ION
I hcrcby lffirn undcr p.mlty of p.rjuy orc ollhc fouowing dslnfrraoBl
-l
naw {d will minlah!Ccrrifsrcof Conenr ro Scl m!rc fm worlca ohpcnsrion. !s prevt.d aor by S6rio. l?00 of lr
Ith.r C.de. fq th. Dc.fo@ of lh. wo,l fq qhich Oc p.mn ii i$Ed.
_l h8w aDd will mainlaifl workcs conu.nelion insurrmc. a Equircn by Sel bn l7tr0 of lhc L3bor C.de, for r |rrfolrj18e oa
thc sork for *fii.h lhis lcmn i3 is!€d. My turkss Nmpetrslhn in$Bn.c ericr ond Policy nudbcr ec:
-l
enifrrh in rhc ,x.fortutuc ol r hc work ii, whi(h rhis pcrmir is hs*d.l shcllno! 6plo, any pc^on in an, mMmr
s srotxonr bjcd ro rhc workd ompensrtion l,{s o, Crlif.mid. .ftj rgmthd irl sbuld tx.oft suhjccl lorlE
workcs mmp.nsarion pmvti.ns oiS.crion lT00oflhc trhor C-odc l shall. ionhwnh comrly wnh
'hos
pmvhions.
WARNINGT hilui. k, s.urc workc( coDpcnsdr shnll subj.lt M cnq,nr)e. lo 6i,niml lEmhts od
.ivil fin.s ut ro om hundred rhausnd doll$cou of conp.netion. .Lm8cs !s pfrvacd tu llE
Sdri. 1016 nrrh.ll}rtr and. i .r.{.
2a(
I ncrubynlfinunds Fmlryolrrjur,lh l an liccnki undcr tmvni{,n of Cnolncr 9 (o,nnrcrcins wirh Scdbn 7000) ol Divisin l
ol lhc Busincss Md Prerc$ions Codc. on my [ccn$ is h full ldN ord cfi('.
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llllilB!cuallu^UlMlif,fEl
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ir\urd lS( :1(D7. Cir C )
A.ttutANLl2[cL trauoN
I lrNtiy rllinn xnJf ttrnrlry ollujury.D. orrhc n,lk,anrS dL{lnrrtn,nr
Dcntrilirn,n lcmirs A\trnor Noriri.rrio Fcdcrrl Rcrulurtxr\ r'lirlc,10- I'>an6)
(cquncd hrr.,oI Norill.rrttrl
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I J @drhhapdhiion$d c rh,r lhc oh)w inrormrion is.oret. I r8r to mtrll'ry wnh !I Ciry and Counry
consrucrio( dln hcrcby aurhrizc rqtrc{nlalnls of thir Cily and County k' cnls upon th.
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif rer
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
l\4ain Drain/Pool Pipinq
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
Meler Release
FINAL I 7 0/z{/ls E\\g b
Notes, Remarks , Etc.
to/stG.
axa.- Loq,^,., as-/tr.tqe,