HomeMy WebLinkAbout30140004 - PermitProject Address: 2620 W Segerstrom Ave
Assessor'sParcel: 933-071-59 Lot:2,611,2,4,5
Unit: A
Block: NA
Suite Range:
Zoning: R4
q
city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspectaon Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{4OOO4
Pin #: 8994{
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Lori Tillman
2620 W. SegeBlrom Ave, #A
Santa Ana, CA 92704
17141423J1062
Slaler General lnc
8502 East Chapman Ave., #:
Orange, CA 92869
(714) 653-5030
01 'l 16002 51602
01 1 't6002 51602
01 1 16002 5'1602
01't16002 51600
01 '1 16002 51602
Amount
14.22
22.25
12.70
22.08
55.04
Fee Type
Water Closet
Shower
Sink
General Plan Update
lssuance
Qry
1 .00
1 .00
1 .00
1 .00
1 .00
Fee
914.22
$22.25
$12.70
$22.08
$5s.04
Phone
State Lic #: 945654
Lic Type: B
Bus. Lic #: 353370
Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company
Policy #: CST5011908
Expires: 0l/01/2019
gotchir46067 - 9121/2018 I0: J(0ffice: CTYH TroDEi: 50 1Acct+! Reflr 3014r:
Rcpti:02390007 - 9/21/?018 r2.i3
Tronsoct ion Totol t336. g
Sloter Generol Inc
Building Use:
Job Type:
Nature of Work
Planning Condations: No change in floor plan.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field
Building Permit
Every parmit issued
authoized by such permit is commenced within 180 days dlter its
issuance, ot if the wod< authoized on tll€ site by such perfiil is suspended
ot abandoned for a peiod o1180 days aftet the time the work is
comnenced.
lnspector MID#: 2018-143185
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Remodel Bathroom Code:
Date:
Date:
Date:
U, R-2
VB
cPc 2016
01116002 51600
01116002 51602
$22.08
$104.21
Fee Total:
Paid to Date:
Balance Due:
6enerol Pl.on Updote Fee
01116002- 51600000-
t lurb ins
01116002- 51602000-
ICL Check 003629
Notes: Remove & replace fixtures in downstairs bathroom.
$'126.29
s0.00
$126.29
efl
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Bldg: Address Range: 2600-2830
Tract: 8235/8868 Historic: No
invalid unless the wo* on the sile
o9124t201A
Account#
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDEB GBOUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarilier
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
A
htt-lJUBough Plumbinq 7-27*l{
Final Gas Test
Meter Release
FINAL rol.w IV lll\tu'tfIt],"l6-v
Notes, Remarks, Etc.
OIINET IIUILI,ER DIiI,CARATION
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ad ftofssionCodc: Thc Co turois Liccn* trw de. nor rpply ro m owncr of!rcperlywho builds or inprov.s ih.rcon.
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DECLARATTON
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Lnhtr (-rnl.. lnr rhc |{rlirwr.. ol rh. \rork l(r $hich rtu pcrnir n ^\u.d
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WARNINC: Faihrc ro ccurc
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in addnion ro rhc.osl of conncrqlion, dles.s as ptovidcn for thc
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PDfcssbnsCodc. r ny li..n( i\ in tull lrtrr,nd.l'lc.r
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issucd (Scc.3Ur'7, Civ. C.).
rudion tndinS oBcmy aor rhe I,crfolr@cc ol rh. w6rk for which lhG IEmn ir
AIzuCANLIECIAEAIIQ!
I hci.+y aflim utrdc. ncnotry of p.rjury onc of lhc n,llos ine Jelnr.rions:
Dcmlilion Pcrmik'Asbcstos Norificlrt,n Fcd.rul RcE!larions (tnt.(). Ptrd6)
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acdcol Eed,lions rc8ardnrg osbcnos rcmval m mr .ldicabb ro thn porii.
rcud this {dic n'n ud $atc dEt lh. otovc inlbduiioo i. cor6l. I agK lo snply wirh lll Ciry dnd Counly
,rc liws rcldins ro buildins conxtrucrion. lDd hcrcbyaurhnnc rcrrc*nr,rircs ofthis C
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TOP OUT
Pool HeateriGas Line
Miscellaneous
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trnCc''\ Nnm.
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