HomeMy WebLinkAbout30139996 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139996
Pin #: 5o547
Proiect Address: 3750 S Bear St Unit:
Block: NA
Bldg:
Tract 11859
AddressRange: 3600-3770
Historic: No
Suite Range:
Zoning: R4
E
Assessor'sParcel: 412433-04 Lot: l-8, A, B, C
Owner:
Address
John Farizell
3451 Via Montebello
Carlsbad, CA 92009
(714) 606-6875
FeeType Amount
01'l'16002 51602 Gas Line repair/replace 44.51
01116002 5160C General Plan Update 22.08
0'1116002 5'1602 lssuance 55.04
Fse
$44.51
$22.08
$55.04Phone
Tenant Name:
Contractor:
Address:ch9: (60?9
i,:e: CTYHPhone0ft
Acc
Bcp
- 9/?A/:
Trsn si
State Lic #: 517514
Lic Type: C.36
Bus. Lic #: 353119
Workers' Compensation lnsurance:Carrier: Mld-Century lnsurance Company
Policy #: A09474838
Expires: 1011312018
on Tot ol
f€ss
er ol
Plunb ins
tlpdote Fee
n1l
PIU
rr1 I
16002- 5160fi000
ab ins
16002- 516020(t(lter Cord
lci r *rxrlrn*r*r*79
Building Use: Condominium
Job Type: Miscellaneous
Nature of Work: Gas Piping
Occupancy:
Constr Type:
Code:
U, R-2
VB
cPc 2016 Notes
Planning Conditions: Exterior Piplng Allowed
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Escamilla, Manny Date
Date
Date
09t20t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
\*,Hernandez, Kathy 09/20/2018
Account#
Every perrnit issuod shall become invalid unless the wo* on the site
authoizad by such petmit is commenced within 180 days aflet its
issuance, or if the wo* authotized on lhe si/€ by such pemit is suspended
ot abadoned tor a peiod ol 1 80 days aftar tll6 time the wod< is
common@d.
$121.63
$0.00
$121.63
01 1 16002 51600
01 1 16002 51602
$22.08
$99.5s
Fee Total
Paid to Date:
Balance Oue:
Professional Plumbing
17150 Newhope St Jr401
Fountain Valley, CA 92708
(714) 964-3519
Qty
'1.00
1.00
1.00
IDi LROSAI I
:?g An
1.63+
PI
lnspector MID#: 2018-146245
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATloN
I ncrchy lurn un{lcr pcnllryin F.jD.y rh,r I rm crcmpr ft'n rh. C(dr ttrf l-i.cnsc Ltrw lhr rhc f.llosirs rclvr (Scc.?r}ll5
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stncturc. prior tu ns hsurtrcc- rko rcauncs thc lt/icrnl lhrsuch pcrnrir l(' filc r \isncd nakmnr rhd h.or shc s liccntd Punuint
k, rh. nn,vkion\ of rhc Contacttr\ Li.cn*d lrw (Chdfl$ 9, ConnncftinS wirh S.clion ?O(x) o, Diriri,,n I ofrh. Bu\nt.s! 0nd
Pmi.ssionr Codc) or tl! hcorshci\.x.trrpllh.lcnoDrndlhcbssi!iqlhcrllcscd.rcUnnr.Anyvi'nnhtrorsccrion70ll56ylny
+r,li., ,nr r Fnnir iubjcchrh. Uplicrnt h a.ivilpcn,lrlorn.r mdrcihrn livc hundrcndoll.rs (S5{x))
-1.
!s o$aE of rtE I'opcliy. or ny.qrhrcs wirh e&g* es rhcn sk.onilEMi6n. wiu.b 0E smt ond llr slnr{E ir ml
inrdxld m off.Ed lor sle {Se.7044, Bu.ix$ dd Proleisios Codc fhe Cnntraclor's Licnsc l,q does mI .orly ro d owM of
lh. pmFny who builds c i"pmEs tlEmtr ad vlD &'cs sct wrt( himlf or hcelf 6, $Dugh ik d hcr own e mployss.
poviLd rhlr ,kh inprow@nis e er hrad€d orofrotd for sb. !r. bwB, tlE hiHir8 or iqiMmnl ir sh *ilhin onc
'Esofaq)lcrhr thcOwmr Blikld witl har llt tiE&n ofp,lving ttd tEo. slEdil ml hriu in{mw rtE prctEly atrtlE rrlllDsof
-1,
N oqrer of fic poptny. M cxctusilcl, .onrBcrilg wirh li..r*d commtos lo cooslrucl lh. Imjd (Se. 7Oa4, Bunrcss
ard ProfRsbn Codc: Thc Conrrctor's Licensc tiw d6 mr nnply lo aa own( of prop.ay who builds or ir|,roEs lhcrcon.
lnd *ho co'nr.rs fd iuch lfbirts wnh r ConlEcro(s) lkcn*d pEunr to rtu ConrEcrols Liccn* Lr*).
I so crc,npr und.r Ssrio.- B & P.C. ior lhk lcannr
IOBtrE85:.!I}!IEE!!AION
DECIAXAIJUT
I hftcby dtlirmundc. p.dJryorpcrjuryonc olrhc followine delnrarions
-l
h0vc akl willnuirrairr Ccrr iaric of Consnr t, Scll lnsu,e nr workcA .o.Ucns,rion,0s tovidcd lor hySNlionl?(x)oflhe
l]bor Odq lnr rh. ,,. onmrcc ol rhc *ork for whth rhc D.nnil i\ issucd
_l huvc a.d Bill minrdn soikcrs con]Pc$arinn insuronc., as rcquncd by Scclion 3?0() of lhc Libor C.dc, for lhc p.rfor.uc. oa
rh. hrk lor whi.h rht pcmir ii isn&n. My so*ds' .oEp.osatio. insurry cffiicr ed poli.y nlmb.r @:
l1) i.t Nun,hlr
-ljDir.!
-l
eniry $ar in lnc lErforme of thc wo for vhich lhis Pcrhil h i!$.il I .h"U mr cmploy ady pcm. in lny @ftr
s N ro hdom slbirr ro rlr sort6 onp.rslion lasr .i C.tifomi{ and .Sm lhd if I sholld heoft sub}d to rrE
*odcn .orrocBaioo proririons of Selioo 3700 ol ttu t k r Cod.. I snrll lonhv n oryly qilh lh.$ novhioor..
WARNING l-oilurc lo wurc wo.kcis' comFnsari.n cndorcr l. cimi',rl p. lrr\ rnd
idr. drnugcs !s F)vid.d f{tr rhccivil fincs uI lo onc hundrcn lhousand dollar ($
I hcrcby,fllrnurdcr p.trrityoalcrjurylhil I ! lien{n lndcr Dmvnion ofClt{'ro 9lmmnrncirs wirh Sdion ?(m0) ofDivision.l
oa rlE Busincss ,nd Prorc$i(ins codc. md my liccnsc is tu lull nre ul .tlNr
I hcEty ofarn ud6 p.tulry of pcrju.y $rl rlE! is ! @.srEtio.
is.Nd (Se. 309?. Cir. C.).
d8crcy for llt pc omN of lhc ert lot shich lnis Frnil is
ASPIICAILDEII.AAAIION
I h.rcby nninn udcr pcnall, o, Frjur, o.c ol rhc r.ll{,sins delmrionc:
ocrmhion Pcrmits.Ashc os Norific.riofl Fcdcal Rqllalion\ ('Iirlc40, Pd6)
-Rcquircd
lilnof Notificuli'n
_l .cnify $ar UE t dcrd Eguhtioos E8&ding Ebcslos m@Hl m nol o0plicablc lo lhis pFixl.
I .cniay lh{l I havc Etrd lhh apdtal
odiMccs and srdr. kws Elaring ro b!
ion is .or<r. I r!x6 ro enlply wnh .ll cily rnd colnty
rcnro\cnrdivcs of rhi\ ciry Md
lbove n*nrn,tud proFdy lor
Appliuni o. Aa€nl SitBlurc:8
UNDER GBOUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq E]"JP.]id 0/tY 1-z$-tK *.rtbd)
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
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 1-21-l(X.Wtt)
Notes, Remarks, Etc.\./
Area/Storm Drain
Fill Line/Back Flow
Ic r, \N,nF
tr.n'1.,'\ AJilr$
I