HomeMy WebLinkAbout30140298 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714J.647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{40298
Pin #: 60562
Project Address: 1401 N West St Unit:
Block: NA
Bldg:
Tract 3387
Address Range:
Historic: No
Suate Range:
Zoning: Rl
W
Assessor'sParcel: 198-043-03 Lot: 32
Owner:
Address:
Gene Pilgrim
1401 N West St
Santa Ana, CA 927031343
(7141554-7592
Qty
1.00
1.00
'1.00
Feo
$22.25
$22.08
$55.04Phone
Tenant Name:
Contractor
Address:
Safe Step Walk-in Tub Coml
15262 Pipeline Lane
Huntington Beach, CA 9264
(714) 373-8545Phone
t/19/2018 ID:
'snsf! 102Ref+i 30- rt/tg /2$t8 LI t2rl
.in lub Cotpa
lpdots Fe€((r!(l-
?t:rtltt-
***1081t AuBuilding Use:
Job Type:
Naiure of Work:
Occupancy:
Constr Type
Code:Notesr Replace existing tub with a walk-in tub.
Planning Conditions
Planning Approval By Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked
Permit lssued , Julie 11t191201A
Account#Subject to Field:
Building Permit #$22.08
$77.29Every pemit issued shall become invalid unless the wod< on the sile
authotized by such pemit is comnenced within 1 80 days afler its
issuance, or if the woi< authoizad on the site by such permit is suspended
or abandonod tor a peiod of 1 80 days aftet the lime the wotu is
commanced.
lnspector MID#: 2018-147785
01116002 51600
0'1 1 16002 51602
Fee Totall
Paid to Date:
Balance Due:
FoeType Amount
0'1116002 51602 Whirlpool Tub/Foot Spa 22.25
01116002 51600 General Plan Update 22.Oa
01116002 51602 lssuance 55.04
State Lic #: 983603
Lic Type: B
Bus. Lic #: 365881
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9OO2477
Expires: 0110112019
,l
.,,
Single Family Owelling
Miscellaneous
Walk-in tub
R-3, U
VB
cPc 2016
$99.37
$0.00
$99.37
PLUMBING.INSPECTOR RECORD
DATE rD/srG.COMMENTS o\1NltR Elltt,DuR Dt:Lc,tR'rloN
I hscny nm n unn.r n nalry ofNiurv (hd I .m.x.DDr lmn rlE Conlra.lo6' L'c.nse l-rw aor rh€ ft'lL{ins r.rsn ls.c 70:rl5
lJusincss aB1 lrofes$on Code): Aoy C y or Counly whcn rcqur€s a p.m'r ro consrdcr. aho. mtft,lq d.hnhn or re|rtr any
(rucrue, piorlo ils Fsumce..horequrcsrhcapplicanrl(lrsuchp.rnnr16filcr$8n.dnarcm. {ldh.orsheislicrnsc\l nur{inr -'h rhc nmvsions of rh. Conrlcloas l-iccns.d Lnu (ch.fl.r e, (_oNn.ffrns s ilh S.cli,rn 70l)l) ot Dr$ M ll ol rh. Bunncr .{i!! r
I'rrassn'ns(ode)orlhilhcorsh.nexcnrprrherefinnan.llheh.nsturhc!ll.s.derelnrnn A yriohrnnolsernnT0:]l 5hyany
arnlicanr lori penD subjecrsrh< aptl'.anr b rcivrlpenolryoffrrr mor.rl$h liv. hundi.d dollrN (55(m)
-1,
.r ouB of ih. pbFrly, or my .n'plorE! wilt m8$ s th.n sk od{EMlioi\ eill & tl* m* .ttd tlE !1.d@ b Dt
iiidd.d or o,LEd tu sl. (56.7044, Bu.iBr dd lofe*ios Cod. 'I'hc Conlndoar Lie@ Law do.r nol .pply lo 6n owM of
rh. propdry who boil.h or iipioB [E6o !d wlD dc @n s ,im.c,l6r h.Blfor ihmu3,l hir d hs os.,ryloy..s,
pmvid.d lh{ @ch iopmv.Br,! E mr int d.d orolftEd tu aL. l[ l$utc. tlE blihing or iqlmltm it $ld wilhin orc ]t!r
ofonnhio,\ rlE O'*rd Brild *iU Itsrc l,E hr&n ofFovi.g thdt h. or .h. dad Dl hih or inpmE tF IlDFry t r tlt pltt t of
_1. Nowerotrh. rmpdn an.iclliivcly@lllr&rane * h liened conrmcroN ro otur th. psj€r (src.7(}14, BuriB
s.d Pmft*io. Cod.r l h. Coalrlcloic Lic.nr. Lrw do6 mr mlyto sowB otrmpcnyaho laildr or inrpmv$ th.on,
and sl$ dnrEcl3 for ,uch pEi..1. wnh a C6dscro(, lhdrd IxMd lo $. Co.lrocloi3 Lic.n* L.*).
_l at cr.mti ualc. Sar
la8f,E8l:CAll?jdsAllgB
lllcLaSaltoN
I h.r.by ,mm uido F.alry olpajury oE ofth. followin8 .hchEthro:
-
l h.!. fil srll m'nran . c€nr icar. of C'omcor ro sclf.l nsuft for workcG coopcnsalio., as pmvidcd ft, by ser io. l7m ofrhe
l.hor Code, turh. pcrtonutuc.lrhr $olk fttr which rhe Fnnn i\ i$ud!
<Z{h3'"ona*lttn'oi'ruln*o*c'conDensrrioninsu,anc..asrcqukcdbys..xonl70oorth.L.horcode.,irrrhepcrramrnc.ol
rhe sork for uhich thh nemir G F$ed N1y worlea ompcn$r ion insuri(€ cari.r nnd Fn'cy numbn rc
,*",,51^kfin4
40D}177
-l
ccnify rhat in th. p.rformic. of'ha work hr whi.h lhh t'.mir is isru.d,I rhall ml e,nploy any r,.Mn i. any hm*.
$ B ro h.otr $bj{E( to th. md{d'mm!.trbrio. lavs of Califomi.. atd nsE thd if I 3tbuk l*.om stlFi to llE
vort E omr.netion,,nrvisionofSfttion 1700ofllt Labor Codc,I drll, fonhwiih coorly with lh.r. lmviliotri
WAru,{lNC: l,ailurc to Kurc uork B' comp.nsdion covmrc is unhwtul. aod in ll su6.r.r m rmploy.. lo crimiMl p€mllis and
civil Iin.s up to.re hund!.d tholeod d.lld (5100.1xx)). n.ddni6n 16 rh. co{ ofomr.rsti.G drmse os povid.d fo, rh. r
Codc, inrcr.( md ilrornevt Ls.
^"",,""",, 'r4r4-'' r rcr\slpfirificrnl
lrlcLAaduoB
I hercbyafilnundr.lcnalryolp.ruiyrl.d I i l'Rnsd rndo loriri,,n ol Cl{pr.r 'r (cmnrmiry w hSari{,n7000).fDtr1nonI
ol lh. BusirE$.nd lhl.$i{,ncCod.. and mylrcense is rn llll litrcc r rfie.r
4zs412l
I o/,t c',,^,t, -h*
catsrBrLquoIll:lulc.d(il;Ic!
Ihereb!.iinnunde!Fnrhyolrcrjuryrtulrher.Fic.nsrrucrnnlend'nrr!.ncylnrrhcr.rtnnrn.Loarhcuorkior$hrhihtrnsnrilis
Nsucd(S.. 1097. Cn C )
AII!rcAIIIECIASAIIO!
I hdbyafrmunder r,.Mhyof D.riuryoft of th. folloeini decladiotrs
D.mh ion P..mtrs-AtlE ro. Nolificalion l.dml R.g!l,liom (I nb 40, PD.t6)
-R.quiEd
tltr.rof Mtihelion
-l
c.nify th rh. ,.d.nl aglbrbN E8ardi.8 .sh..t6s Eruvdl .rc nn applicabl.
'o
lnk pmj€l
I c.nrtyrh l h,E r.rd thh aoplic.tiondi.r.tthat th.0hov. infoflMlion isordl.I urlo ohtlywith allCtyltd Counry
.di.an.s and shrc Lrw6 rl,ling r. buildine conrodio^ rnd h@ty, h.riz. r.prcsdxativa orrhis Cily lnd Couory ro mrd up.n rh.
ahrle d.nriokd pmFny for insp.cl VWADDllcNnl or As.trl Shn.lur€
,UrrL,Lo l-a*r
r
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Rough Water Heater
POOUSPA
P{rap/Drain Line
Main 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
Meter Release
FINAL /Z-r/-/9 &z>
Notes, Remarks, Etc
APPROVALS
Tub/Shower Test
L,ndo'3 Addrfl{
-
I