HomeMy WebLinkAbout30139998 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 39998
Pin #: 65273
Proiect Address: 3423 S Saddleback Crt
Assessor'sParcel: 412-531-69 Lot: 110
Unit:
Block: NA
BIdg:
Tract: 16311
Address Range:
Historic: No
Suite Range:
Zoning: StN
q
Tenant Name:
Owner:
Address:
Contractor:
Address:
Roger Oye
3423 S Saddleback Court
Santa Ana, CA 92704
Pool Max lnc
2973 Hatbot slvd *142
Costa Mesa, CA 92626
(949) 94s-7774
Fe6 Type Amount
Sink 12.70
Gas Line alter/exend/a( 65.57
General Plan Update 22.08
lssuance 55.04
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$12.70
$65.57
$22.08
$55.04
Phone
State Lic #r 945308
Lic Type: C-61, C-53
Bus. Lic #: 368846
Workers' Compensation lnsuranceCarrierl Exempt
Policy #:
Expires:
Botch+r46029 - 9/zn/2JLg
olf ice: CTYH Trons+: F(lAcctit fef+!
Rrptt:t12387749 - I /'!t,t/?tt1l
Tnonsoct ion Iotsl
r139998
61 Pt't
i-.; . 39
ID; LROSALTlofl
Building Use: Single Family Dw€lling
Job Type: Swimming Poolrspa
Nature of Work: BBQ
Occupancy;
Constr Type:
Code:
N/A
N/A
cPc 2016 Notes: Gas line and sink for BBQ
6Pnerol Plon Updnte Fee
01116002- 51600000-
Plu b ine
0111600?- 11602t)0fi-
t,iEo
CC+: **r***r*ilxr?4lJ.j
- $?2. t:t8
_ $133.31
t155. 39
Auth+:1r14t17
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work or the siae
authorized by such pemit is commenced within 180 days aftet its
issuance, ot if the wo* authoized on the site by such pemit is suspended
ot abandoned for a peiod ol 1 80 days after the time the wo* is
commenced.
Zuniga, Alli
10195961
aa"\
Date:
Date:
Date:09120t2018
AccounH
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$155.39
$0.00
$155.39
lnspector
011 16002 51600
01'1 16002 51602
$22.08
$133.31
Fee Total
Paid to Date:
Balance Due:
Phone:
01 116002 51602
01 116002 51602
01116002 5160C
01 1 16002 51602
Planning Conditions: Planning approYal not required.
MID#: 2018-142277
PLUMBING-INSPECTOR RECORD
DATE tD/stG.oTVNF]R AU!LDER DI]LCARA'I'ION
I hcrcnl,nlir unlcr t^-trJlry ()l Nrjury rhd I nN cxcnfr lhn rh. O)nrNror' l,iccn\. Irq ntrrhc tulbwtrr! rcrsnr (Scc?0.115
Ilr\i'r.\\ x'xl lrrola\\i($ Codo): Ary Clty .r Cntrrrr Rhich rc(tui.c\ r Fnnir t) r. {d.r. rlrcr, imuotr, d.nDli\h ,t rcl'xn Jty
!nr.rur.. Dri)rk, irs issu.o.c. rl\o rcqunr\ rhc rpnlicrnr lbr \urh pernir t, lil. r si! cd cnEtrl rhal h! or shc n li.cf{ PuNlrtrr
nr rhc no!i\i{n,\ of rhc C,nnrn.tr's Li(n\cd ltrs (Chrt'r( 9. Cornrcn.irg (ih Srcri{,h TiXX) ot Dnnn,n :1 oi rhc Rr\i',c$ trnd
rplllcrN li)rr pcnnir \trhj.crs ihc {rfli.ntrrk, r.ivrll]ctrilt!_.1mr nxrcrhln iv. huDdr.d d.llrs l!5{X))
-1,
as owrcr oa tlr pmFny, or ny cnplor6r wilh eaScs s lhe n sh co4.nsdion. sil do th. *orl &d 1lE dtrnm h mt
intcnd.n or offcrc{ tor slc (5€7044. BusiEar Dd P,trfcsiotu Cod.: Thc Conrr.ror's Lit.e LrB do.s mt q,ply h &n o*mr ol
rh.poFi, *ho huikt or inpro$ tlf,En. sn *h doos*he nins.lfor rEelfo.lhrcuBh hh d hs o$ cnPlottc!.
povidd thlt suh imprc'/ftIns e mr ht .!.t d .r ofrcr.d ior nb. lr. tbwE. t tiildins u h+rctm b $B *nhi. om F&
olmrphrior *E Owmr Build.r *i,l hrw tlI hrd.n olFoving $d h. o. shc dn ml hsild or irytut Oc I'orEly for llF p{rpo$ of
-1.
!s owmr ofrfic lmtcrry. @cicluriwlyc.nrricli.g wilh li.cnsd conlacloB lo consmd Oc tmirr {S... ?o4,1. Busms
nd Eol6sion Codcr Th. Cont.ctols Liccrsc La* des mt opply lo & o*oo oa poFny Rho hrilds ot inrDn*r o.r.otr
tr.d who conrEcc lor such proicrl wilntr Conraclo(O lic.ns.rl Nmanl lo tlE Conrmcroi, Ltco$ t!w).
I,T()RI(EIS' COMPENSATION
DECI,ABATON
I ncrcby !fllrm undf pcoa[, ol Frjry onc of lhc fouowins d(lorulions:
I haw dd will minlsi. a Crnificate of CoNnr to Sclflnsurc tm eork6 com!.nslion. as pmtid.n lor by Scrion 37m of thc
tiUr Cnlc, tor lh€ Fromftc of th€ *ort for wtkh lhc pshn h iisd
-l
havu r will mlirrain {rnk.rf..iqxtrvn rcquncd by Srcrion :1700 or rhc Labor Codc, for lhc pc,fotmftc ol
rhc qork for*hichrhn pemi i\ ns.{. My worln$ninsumnccetricra plicynumh.r m:
-l
ccnifr rhor in rhc pcrfor@tuc ofthc work lor vhich lhh Fnnil k isslcd. I ihrll dor cmploynny p.mn ia 8ny hanmt
$ N(' bc.om subjNt ro th. workcr coflrpcnqlion l.ws ofcalilonid. and agn. rh{ ifl should bccom suhjcd ro rrt
wo*dr omn nstion ,mvisions of Ssr ioo l7(D ot rhc Lltni Code. l $"11. fonhwhh ompl, *ith lhoe tovlcionr..
WARNINC Failor. b surc worLcs'comF-nsdion covcrog.6jcl an c'nplorcr k' cnmiul FMti.\ lnd
ci l finca ut io om hundrcd lhouBDd dolhr (Sl I of .onrpcnsalion, darose as tmvid.d for thc
Sccrion 10?6 ot rlE kbor Cod4 inrcren Md
^,.- 1Po/[8
^
I hdchy lffird udcr Fouhy ol ,,.rjury thd I rn liccn*d hdq lmvnioi of co,nnrncin-! wirh Scclion 7u0o).fDivision l
of lhe Blsiros s.d Pmf*sions Codc, rnd m, li.cnsc k in 6rll fore and cfier /r ,l5b
C '35 c'v n.6n;0 Crlfv
I lrrchy rlltnru.dcr Fmlryolp.rtury rhar rh$c i\ r.on(rudn,tr kndinB r8c..y lnr rhc PcrfonE rc ofrhc work for shich rhn Jl rnlir t
is\u.d lsc. lU)?. Cir C )
A3&II:ANI.T[EI.AEAI&!
I he.by rllim undcr !.nnlr, ol Frjuryor olrhc f.lheirg dcclnr.rions:
Dcnditiotr Pc nit+Ashcsr$ Norificlrioo F.d.rrl R+xlirion( (Tirlc 40. Put6)
-RcqutL\l
t.ncr.l Noriric!rim
-l
.crlify rhll rhc rcd.nl egolarions rcSudnrB astEslos rcmvlt !e nol spnli.rbL io thk Poj.cl
-l
ccnifyrhnr I hNc rcad rtir upplicarion 0rd sr v. inlomtion is corer.l.gre roomplywnh 0ll CilyandCounly
oftlinakcs and Slltc L.ws Ehrii8 El,e*ntarivcs oa rhis Ciry and Counl, lo c,lcr uNn fic
lbovc ftnrioBn pn,Fny fo.
,\t,plirxnl or ,\,r.nl Six. ltr
_a &Plto
UNDER GROUND
Waste & Vent
Water-Under Iloor
Buildinq Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Pipinq
Roof Drain
Tub/Shower Test
Bouoh Water Heater
POOL/SPA
P{rap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
I
FINAL a 4Wrg 7,it*v*- /w
Notes Remarks Etc.
APPROVALS COMMENTS
Gas-Underlloor
Meter Release
-l
omcxcmpt undcr S$rion-, B. & P C forlhh rcamn
tet€_ _ ()ener
krdcls Addisi:
-
Prmn.r mnc(prin0.