HomeMy WebLinkAbout30140243 - PermitProject Address: 2046 S Olive St
Assessor'sParcelr 015-154-14 Lot: 33
Unit:
Block: NA
Bldg;
Tract: 1191
Address Range:
Historic: No
Suite Range:
Zoning. R'l
E
city of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cA 92702 Plumbing
Permit Counter: (714),647-5800 lnspection Requests; (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3lJ14o243
Pin #: 26777
Contractor:
Address:
Carole Becker
2046 S Olive St
Santa Ana, CA 92707
(714) 545-7500
Drain Right
18012 S Figueroa Street
Gardena, CA 90248
(310) 919468r
Fee Type
01'116002 51602 Gas Line repair/replace
01116002 51600 General Plan Update
01 1 15002 51602 lssuance
Amount
44.51
22.O8
55.04
Fee
$44.51
$22.08
$55.04
Qty
1.00
1.00
1.00P hone
Tenant Name:
Phone
State Lic #: 852708
Lic Type: C-36
Bus. Lic #: 346042
Workers' Compensation lnsurance:Carrier: Oak River lnsurance Company
Policy #: DRWCSioS43
Expires: 1010412018
Botci+:,{58{1 - ll/B/2018 ID: onc,
offire:'CTYH Tronsi! 5 iAccti:- Refi: 3r't14f?
RcDti:02439562 - 1118/2018 12:r.'3 |
Tronsoct ion Totql t121 . c-j
G€n orailiElin Uedote Fee
01116002. s1600@0-
Plurb ias
011160(2- 5160m00-
ICL Check l:1000006317Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Miscellaneous
Repair Gas Piping
Occupancy:
Constr Type
Code:
R.3, U
VB
cPc 2016 Notes
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receiptl
Total
ki, T
Building Permit #
Every pefinit issued shall become in valid unless the wo* on the site
authoized by such pefinit is commenced within 180 days after its
issuance, or il the wotk authoized on tho site by such permit is suspended
or abandoned fot a period oi,180 days aftet the time the work is
commenced.
lnspector MID#: 2018-147541
11lOat201A
Account#
01116002 51600
01't16002 51602
Fee Total:
Paid to Date:
Balance Due:
$121.63
$0.00
$121.63
Owner:
Address:
$22.08
$99.55
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping tl /t?ltr @u6n'-/tz--
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
IrIain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Ro ugh Plumbing tt/tz/rt e izzor* /0z-
Final Gas Test //r;1/r Qu*7/t aU't--
Meter Release
aravtt-FINAL tt lo h,l lk'
Notes, Remarks, Etc
(r1!Nf ta Bl,ll-DER Dl'l,CAR/ll lON
t h.r.t', aflinn und.r n.nilry.f!.rjrryrhir r;n er.nrpr lmm rhe contacror'License LN i.r rh. folhwint rer$n (S.c70:ll5
ausin.s3 ird PmL$tr,n C_r)dc) ny cny or aounry_ {hi.I rcqun \ , ,.nni ro m qrudr, ilrer. nnrnre. de mlFh nr r.?in iny
$rucxr.. pri.r Io ils hsimc, als rcqures rhc .prli.rtrr for ru.h r'. nr ro nhi srsnedslir.hcnr lhd lEor sn. r li.ensrd pumml
n, ihe ,r'lisons ol rh€ co.(rcro.s Licenscd I ac (Chirilcr 9. C.mmc.on-g {irh S.crion 7000 otDrrirnrn I olrh. Borine* &d
Phtursn,ns cod.l orrnar h.orihe iscr.hfl rherclnrdrnd the h.nr,i, rhc alleld.rcnprbn A.tvnhr$ntrls€rhn70rl iI'y,ny
lnplic. lor.rcnni subjc.llrhc applican' ro.civrlpcMhyofnor nDr.llrn nv. hundr.rl doll.rl(S500)
_1. N ownd ofrnc pmp.dy. or my .mtloyle w h e!gc! a rh€n sb @hp.rclrkrn, will do rh. work !,i llE ,lnxr@ ic mt
inr.rn.d or otr@d for aL (Sc.7044, BuriKr End Pmf.rrioor Cod.r I h. Conhcror's l-ier l-a* d6.r n6r drpry ro m os*. oa
lh. p{opdy *rb bil& 6r irpm6 tlE6l\ .rn wth rh.. sch wlr him.llor h.ml tor lhmusih his or hd oM mplot€6,
prolid.d rhar ilch itr{mltm.'r! ft mr hrdd o,nltu t r sL lt lhwe. rlE hildi,B or i,pmEed i st wnhin.r )€r
ofcoo{,htion, th. OwRr Auild.r will IEE fi. hu&n ofpmrin8 lfial h. or rt. dil ml hild or iq,mE $. Fmtdy tu r plqmof
-t.
as o{rcr otrh. tm0dq an .iclusirly conrmrins *irh li.d*d coirBcron ro 6ndod rla ,ejd (Sft. 7044, Busik$
.td ttutsir con. Th. Conlrrclolr Lic.ne hw do6 mt arply ro m.w..r ofpmpdy vho buil& or inprets lhcron.
lnd qho orrBcr. for sch ,,ojcrs with r Co mro(, lictrd puMnr to rh. Comnclol3 Lk.dlc L.w).
-l
rm.xrhpr undd S.dion-. B. &1.C. forrhirt.ardn,
WORI(ERS'COMPENSA'NON
![ct aaau9N
I hdcby !flim !nd.r ,.ehy ofDdjury o.. otth. followins ddlaEtio6l
-l
hd. atd sill mintlin a c.nifearc of coefi h sdf'le( for @l@ @Dp.nslioq &e pNvi,.d for by setion ll?00 oalh.
Labor Codq for th. pcrfol:Mcc ol rlt wo* for ahich rtE Fnn ir is.d.
_l hrt. a.d will maiotrm sortfl conrr.ns ion in,u6nc.. &r Equn.d $y sftton J70o of th. L,hor Codq for lh. p6fomnc. .f
lh. worl to. which this p.mn ir iscd. My worka comp.ndior inDmc. cmicr atn Flicy numbq m:
-l
c.rlify thal in lhc lerforrom. oflh€ rcrk for vhich thh Frmn is k$ed.l stoll ml cq,loy any pcMn i. ahy nt.ffi
s trs ro b.6m. subj.rl lo rh. roik6'ompourion hwi ol Calilomra rnd .erc (hd if I dsuld l'..om. sbjel lo lhc
worlcl stpensr ion ljmvhioB ofsnrion l70o of rhe Latn. c6d., I .h,ll, todhwnh cor{,ly silh lir* pmvkion,
WAININC ljaihrc lo *cur. trork.B n cover.sc h unla*f!|, ind rhnu suhlccr m mpl.y* ro aininrl r)aElr6.nd
cMl fincs ur lo.rc hundrcrl tlFusrnd dol (S100.000), in gddnion lo rh. cffi of @ol.Mrioll| .,aru8.! .. povid.d lo. th.
Mq<.o: lc-sa.\t.
I r( I \\l r)( r)\llr\( r()R
Dlt( l.ak,\ t,()N
I hsehydfind und.r pcnalryof rl,ar I ur lrenki undcr r.orilon or Chi/o I {L! r.bc:.8 wnh sNrbn 7lr(ro) ol DivisLon l
c L o?-10{
I lEcby rltm unda Fuliy ofFiury
hscd (56. 1097, Civ. C,),
h.din! alacy for th. p.rfomrc. of thc xork ldr which rhir ,ltrir is
arg,lcalr.llictaaAua!
I hdlt,y 0dim und.r p.n.hy of p..jury onc of rh. lollowing d€clarono.s
Dcnolnoo P.rdtu Asbcstds Norifi. i6n [cd.6l R.rrlalions I1irl.40, Pan6)
_R.q!icd L.u.r of Norili@rion
r.salarions ftE.rdins *h.nos rdnovrlarr nor lnrlr.tl. ro rhis ptuj{r
srpplLcnnonn narernar rhcih,ve rnfomtri,,n n corccr lasrd.h.omrlyprhillCityonnCounrv
mBconsrtocriorr rftl hcrch, nothri2.rpr.s.nr.liv.s.flhsC yandCounryrocnr.rulnnrn€
Pohx.imm.6q
of lhc Busin$ o.d Poadsions Codc, ond my lic.N. is r full fo.e rn cfIet.
r
tands!AddB.-
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