HomeMy WebLinkAbout30139740 - PermitCity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714l.667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 39740
Pin #: 77OOG
Proiect Address: 2708 W Westminster Ave unlt; 120
Blockr NA
Address Range:
Historic: No
Suite Range:
Zoning: Cl
ry
Assessor'sParcel 198-071-34 Lot: NA
Owner:
Address
Phone:
Tenanl Name:
Contractor:
Address:
Hien Quang Phan
43495 Los Caballeros Way
Temecula, CA 92592
(7141723Jt686
Best Hope Pharmacy
United Plumbing
10311 Jennrich
Garden Grove, CA 92843
(714) 333-6r88
Fo€ Type
01116002 51602 Sink
01116002 5160i Min Fee Adj
01116002 5160C General Plan Update
01116002 5'1602 lssuance
Amount
12.70
60.68
22.O8
55.04
Fee
$'12.70
$60.68
$22.08
$55.04
Qty
1.00
1.00
1.00
1.00
Phone
GenePol Plon thdote Fee
01r16002- 51600000-
Plurb i ne
01u6002- 51602000-
Ctt5h
Chonse
17?.oa
,124.12
t310.00
( t0.50)
Sotcht:{5077 - 7/.30/2fi19 I0: CCIJELLAR
0ffica: CTYH Tronsi! {2 t ot 2Acct+: Refi: 30139740
Rr:ptt:02344510 - 7/30/2fi18 11320 Al{
Tronsoct lon Totol t309.50
tlr, lted PI urb i ne
$150.50
$0.00
$150.50
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Miscellaneous
Sink
B
VB
cPc 2016
Occupancy:
Constr Type:
Code:Notes:
$Hurnano"r, xatt'v 07130t2018
Account#
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
$22.08
$128.42Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 180 days after its
issuance, ot if lhe wo* authoized on the site by such pemil is suspended
or abandoned fot a pedod of 1 80 da$ after the tirne the wotu is
commenced.
lnspector MID#: 2018-144843
01116002 51600
011't6002 5'1602
Fee Total
Paid to Date:
Balance Due:
Bldg:
Tract NA
State Lic #: 968067
Lic Type: C-36
Bus. Lic #: 345255
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Date:
Date:
Date:
PLUMBING-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNDR BU!LDEN DDLCARA'IIoN
I hcrchy rfinD undfi p.nrlrt or pcrjury th,r I n.rcn,rr from thl C\,ntachn Liccisc ttrw ror rhr rdll('siig rcastr (SN.rol l.5
BusnE\\ tr Pdlssi0n C.dc) Atry Ciry or Cotrnry which r.qunc\ n l.nnn n, ..n(ru.r. alrr. inDmvc. denmli\h r r.nnn d'y
sru.rur.. [Mro nr i$uui.r, rho rqoi'c\rhc rppli.rtrr fitr u.h p.nnir r{' filc tr \i!'rd srlrcnrir rh h..r sh. h li.cn\cd puhtrrtrt
k, rhr pn,vnnrnr olrhc Conkrclfi \ l,ic.n\cd L1w (Ch.rrcr 9. Cotrrnrcmil8 *irh Scclioo'7OoO oI Division .l or'hc Bu\inc\\ rnd
Polc$i{trr{Codc)orrhrrhLorrh.ir.r. rfl rhcrcGo r Md rhc hsir in rhc rlh8 cr.nprn,n Anyvi,,l t orsLrrio,rT0ll.5hyrtry
rppli.rrl li)r ! Dcmn nrhjccls lhc rDplicnni lo n.iyrlpcMliyorNt nnmrhrn livo huMrcddollus (S5m).
-1.
!s o*Rr of lhc pr.Fny. or ny cnoloy..s wirh wrgcr a rtrt $k .onp.nslion, wil(ll fi. wolt rnd r.1tr18is mr
inlcd.n or oficrcn for elc 1Se.7044. Blsimss md Prof.srions Grl.: TIE Conlrelor's Liccn* Llw &,cs ml appty lo d owr of
lh. pmrEny who build$ tr inpmvs th.6n, lxt wlh dB sch wll hircclf o. hcMllor $suah his or hs own cmployfts.
!turided rhlr such imteEmrns e mt inrmdcd o.oficr.n fo! sk,lf. howeEr. rlEt ilding or irire$m is $ld wilhin onc Fe
oioq,hthn. tlE Ownn Buitlc wil h.rc llE bndcn ofproving lh8l lr or slE dil mt build or inpr.N [f, pDtEly for thc P4ns of
-1.
trs owflcr of lhc lmpcny, 0m cxclu ri v.l, conn,crnrS wirh li.rn*d.onh'o6
'o
snsrud rrE lmj.d (Ss 7044, Buincs
uid Ailcsihn Codc: Thc Conrocrols Liccnsc Lrq docs nor oFl,ly ro atr owncr of lrop.ny *ho buildr or i rmtc! rh6con.
aod *ho .onrfl.k lor such pbitls wnh o C.nrncro(O lien{d pus@r ro rhc Conhcror's Ltcns. |'3w).
-l
{n cxc,npt undcr Ssrio.- B. & P.C lo, fiis nN,n.
vr)ts.[}:tsllra!.ut NsarM!DEg,rl&llll)!
I tcEby affirm u n p.Mxy ofFrjury om or E following ddl@rionr
I hrr ud Nill nu,inrm a CcniltJrc of Consnl ro Srll l nrurc tu sorkcrs conrcnsar ion- r{ povidcd frtr hy SNti,,i l?m o I rhc
Lohor Oxlc. nn rhc ncllonMncc ollhc work l'or qhich lhc lcnnit h hucd.
_l h3w u'd will minain wort$ coq'cm.lbn i uh(q {c r.jlicd h, Selion .1700 ol $. bhor Cod., for lhe pcrfollrwc ot
lhc wort for whicn lnis Fmil ir n$.d. My work6 omp.nsrion iftuEEc cMicr !,n p( [cy nlmbcr m:
-l
ccnili rhII in lhc pcrfonmrcc of ltc wort for whict lnir Frmil is hsucd,.! shall nol ctrploy lny pcson in an, @ftr
so * ro bcoft subjccr lo lhc wo.k6'compcndi.n lows otcllifornia. Nd .Crc rhrl jt I should b{rom subjer lo llf,
worknC cotrll..s"lion pmvisions ol Seiion 1700 of $c Llhor Codc I shdl. tonhwith ooply wnh tt[s pevisions..
WARNINO: Failurc lo sure pdkdl strvrcrslion.orcaSc is unbwiil. lnd shsll subrel d cmFlo}lr lo qimi.ll Fdti6 ajd
ciril lincs up lo om hutrded rtoustrd dollstr ($100.000). in addilion ro rlE cost ofoqrnslrion, da@s€s ai povilert for rhc
SNrion 1076 ol lhc L€tu Codc.
",,.,''t lz.,^1,,1
intcrcsl ond altomy s tccs.
I urct ti llltr
I hcrcby rnnmlndcr rcmltyof FrjL,y lh0l , !m liccnen undcr pmvisiotr ofChrtrc 9(commnciry silh Scclion 7u)o) orDi!i\n,n I
.a llt Bn\ilc$ rnd Profcsb.s Codc. and Dyli.ctrsc is in fulllarcc Mdcff..l.
I h.ruhyamr trdcr p.ulry o r p.rjury rhar rh.rc i\ ! con\rrud hn Lndiry o8cmy nn rh. pffontutud of rhc wurk ror whi.h r hn Fnnit is
issucd (Scc 3097. Civ C.r.
I ccdily rhd I h,vc rcad rhi\ rptli.ari,n .nd n,rc rh.r rh. nbvc inft,nuion h .omd I aere !o mq,l, wnh all Cil y 3nd County
ordin|n.cs rnd srric ttrss rLrirB ro buildirS axrt ria rc!rcscnrariv.s offik Cny md Counlylo cnls lron ltE
rhi,lc Nnri(nrtlJ)r,p.nyf,tri'npe.rio]
eppuor or eg.nr stgorue K =/%/-/
UNDER GROUND
Waste & Vent
Water-Under lloor
Building Sewer
Area./Slorm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rough Water Heater
P-trap/Drain Line
Main Drain/Pool Pi ping
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 Helease 6a)
FINAL ,1.7,t6 6A<,teY
Notes, Remarks , Etc.
APPROVALS
Polkv Ntrnh.r EtniE.:
oor, l
AIIUCANLPEIjIABATION
I M'y fnnumlcr pcnrllyofpcrjuryorc ollhc lolbwinE dccldoliotrs:
Ixnnnirnr Pcrnirs^sh.sos Norifi.arion frd$al Rcauluriohs (IirL J0. Pon6)
-Rcq!ncd
Lcucr olNorif{ation
I ccnify ihrl rh. fcdcdl cgnllrionr Ee!.dine {sh. os rcmlal alc nor dpl,licablc lo tnis pmF.r
4ftrt/d4f
Gas-Underlloor
POOL/SPA