HomeMy WebLinkAbout30140009 - 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: (714) 647-5853
Permit #: 30{4OOO9
Pin #: 97492
Proiect Address: 3710 S Bear St Unit:
Block: NA
Bldg:
Tract: 11859
Suite Range:
Zoning: R4
E
Assessor'sParcel 412433-04 Lot: l-8, A, B, C
Owner:
Address:
Fee Type
01116002 51602 Gas Line repair/replace
01'116@2 5160C General Plan Update
0'1116002 51602 lssuance
Amount
44.51
22.08
55.04
Qty
1.00
1.00
1.00
Fee
$44.51
$22.08
$s5.04
Tenant Name:
Contractor
Address:
Professional Plumbing
17150 Newhope St rr401
Fountain Valley, CA 92708
(7r4) 964-3519
off ice: CTYH
Accti:
Rcpt+:02390697
t ion TBtol
State Lic #: 5'175'14
Lic Type: C-36
Bus. Lic #: 353119
Workers' Compensalion lnsurance:Carrier: Mld-Century lnsurance Company
Policy #: A09474838
Expires: 101131201A
s-.' ional Flunb i
ol Plsn Updqte
!i0?- 516Cr0000-
Building Use:
Job Type:
Nature of Work:
Condominium
Miscellaneous
Gas Piping
Occupancy:
Constr Type:
Code:
U, R.2
VB
cPc 2016 Notes: Repairs to damaged gas lines.
Planning Conditions: Like for like replacements including outdoor areas
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Pezeshkpour, Ali Date:
Date:
Date:
09t25t2014 lvlisc. Receipl:
Misc. Receipl:
Misc. Receipt:
Total
Zuniga, Allissa ogt2512018
Account#
Every pemil issued shall become invalid unless lhe worr( orl lhe slle
authorized by such perfiit is commenced within 180 ddys aftar its
issuance, or if the worl< aulhoized on the site by such pefinil is suspended
ot abandoned for a period of180 days after the time the work is
commenced.
$22.08
$99.55
$121 .63
$0.00
$121.63
lnspector MID#: 2018-'146343
01116002 51600
01116002 5'1602
Fee Total
Paid to Date:
Balance Oue:
AddressRange: 3600-3770
Historic: No
John Farizell
345'l Via Montebello
Carlsbad, CA 92009
Phone:
IOI LROSALI3of :
Jirl l4D0rl9
9:56 Ai
t243.?6
?/2F/ztiL
Tron s+ I
Ee
Phone:
PLUMBING.INSPECTOR RECOBD
APPROVALS DATE COMMENTS OWNTJR I]UII-DER DELCA RA'I]ON
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it!liLiDr lnr 0 pcrnrir su$lcch rhc rpplicrnr t, acivilprnJlrrornor Dtrtrc!hM fivc hutulrcd dol!a6($5(x))
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i s'd.d or ofi.rcd lor rL (Se.7044, Bositus and Phf..sions Codc Th. Conrerol3 Lic.trs Li* &Es ml qtply ro a osM ol
inc rmFny wlst ili,s or iqmB lhdEa a,n vho &B Mh mrk himElaor lEr*lfor ltmuSh his or lEr own.nployc.s,
,mvid.d rhlt tuct imtF\tft s@mri cixLd oroflircd ror {h. ll lxME.lhc hrilding n inu@Emm is $ld within om ,@
ofor{,Lrhn. rne Owmr Buildd *ill hoE rlE hmkn 6f tmving lhd hc o. sh. dil mt boild or iftForc drc |)mPd, fo. 0E PUrFe of
l. $.wn$ olrh. pspcny, mciclusilclycoor,acrins sirh liccn*d.onr&'ou lo conslrucl llE rxojEl (SB 7044, ausmcss
sod t1of6si, Cod.: Th. Contrlor's Lic.nsc tjw dors mr alrly to o*ne. orpnrFnt wno buildsor nnprclci rh.reod.
end $to mnrEcls fo, suchphj..t wnh 0 C.orBcbno lkcMd pursutr! lo thc Conrrr.krk Lkcn* tjw).
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adcrchpl undcr Sdrion- a. & P.C. for dt rclson
l)f,le O*n.r
IOBtrIIIS:.CIIMTEIIAIION
DECI.AIAIION
I lErcby !flkn onder lcdhy or pdjury om of th. following dehrolions:
I hah and witl min.in aC.nifEalc ofconE lo SdtlNuE tor workcR onp.nsdion. !s I'oli&d for bySerion 3700oflhc
Llbor Cod.. fq rhc Frfolliec of thc wlt for *hth tlt Pcmn i1 itsu.d
I h.vc ond s ill moinlain wortcr' conpcn$rn,n iosuran.c, ds oqrnld by sccrion l?m ol $c Lrbor Gd.. rb. rhc !.dormre ol
th. Port n whichlhis pc )conrFnrarion i.surffic clEic! dd policy number ec:
I r>[lz1\o
-l
c.nily rhlt in rhc pcrfor@ec of $. worr ror *hichrhisp.rmn is Lssucd.l shall nd cnPtoya.yFrsn ir 0ny tutut
$ .sro lEcorB subj.rl lo lh. wor[6 ompens&tion h*s oacrlilonia a.d a8rcc rh ifI should h€{om \ubjNt ro trr
wolkd( .o'rFnsalion ,mvl,ions of S.dion 1700 ot th. lrho. Codc, I sh,ll. lonh*ith ohlly *nh tho* povhaon*.
WARNIN(:: Eilurc b v.urd so&cr( c.rp.nrdrirr .o is !nla{t!I. lnd $all subj.rl u cmrh}lr lo dimi.rl pcollx and
*:#xqfT#*1
mpcn$rion. damgcs ar pbrid.d for rh.
I hcrbt uffirm undo lcnlhy 6l pcrjxry rh.r I .m lic.$d undcr fChoprg I (coMrnci.S wirh Scdiotr 7OO0) ofDivi\i.n:r
of rhc Busimss &d Pof$sio6 Codr, a.d my lkcoc h in tull lor.. and cfl(l
D.E:-a
I hcrchy rlhm undcr pcnllryol|trjurr lhll lhcrc is r o,sln'crio
hsucd (Scc l0i)7. Civ C I
for lhc pcdormtc orrhc work lor snich lhh pcnni h
ArILITANfDEI! &U&li
I lta+,y ullinn rdcr pcirlr, urt)crjury oN ollM hlhwir8 dccllrdions:
Dcnnlition Per.rih Asbcsror Norific k,n F.derdl R.Suhrio (Titlc 40. Pln6r
-Rcquied
tr(cr ot Norifi .rrbi
-I
.cniry thd rh. r.dcral Eguklions E8ardins asbcslos rcmvll @ @r tp0lk.blc ro lhis Pmj.tl.
l.cnifyrhd I h,v. r.ll(l rhi\
o inrico\ rid Srrt tiwsaldi
in,{,mrbo is conxl. I r8re ro comtly sith !U City and Coutrly
r6.vc nrfli(nr.l I'krlxn, tur
Applic.nt or &ent SIE@lu
\
r!&nia rcprcsctrhtivcs ol
;"4b5j$.
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq ,.
Gas Pipinq WIW 1-27q\{D.l/Jn)
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release ,A
FINAL VsL{x)
Notes, Remarks, Etc.
ID/SIG.
Pool Heater/Gas Line
1-21-l
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