HomeMy WebLinkAbout30139979 - Permitcity 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 #: 30{39979
Pin #: 15566
Project Address: 2408 N Poinsettia St
Assessor'sParcel: 003-082-05 Lot: 6
Unil:
Block: B
Bldg:
Tract: 359
Address Range:
Historic: No
Suite Rangel
Zoning: Rl
q
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Judy Morefield
2408 POINSETTIA ST
Santa Ana, CA 92706
(714) 9s3-1s53
Not Specified
PipeJt-Right
328 East 38th Street
San Bernardino, cA 92404
(949) 29rr843
Fee Type Amount Qty Foe
01 116002 51602 Repipe Res (Each 100' 44.51 1.00 $44.51
011'16002 51600 General Plan Update 22.08 1.00 $22.08
01116002 5'1602 lssuance 55.04 1.00 $55.04
Botch+:{3960 ' 9/17 /2018 ID: CCUEI,LAFoffice: CTYH lrons+: 76 I of ?Acct+: fref+: 30139979
R.eti:02385906 - ?/17/7018 l2:30 Pn
Trsnsoct ion Totsl l2sll.63
Fiee-It-Risht
State Lic #; 1033950
Lic Type: C-36
Bus. Lic #: 370577
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 92225U
Expires: 12!1A2O1A
6crlerol Plon tlpdote Fee
0u16002- 51600000-
Plu.b i ne
0rr16002- 51602000-
ICL Check {10000011?4
t22.O8
399.55
t280.63
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Single Family Dwelling
Miscellaneous
Repipe
owski
R.3, U
VB
cPc 2016
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
09t1712018
Account#
$22.08
$99.55
$121.63
$0.00
$121.63
Every pemit issued shall become invalid unless the wo* on tho sito
authotized by such pemit is commenced within 1 80 days aftet its
issuance, or if the worl< authoized on the site by such permit is suspended
or abandoned fgt a peiod ol 1 E0 days aftet the time the work is
commenced.
lnspector MID#: 2018-'146'148
01 '1 16002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
Notes;
Phone;
Occupancy:
Constr Type:
Code:
Planning Approval By:
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
WaterUnder floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptori Clarif ier
TOP OUT
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
,/d1-Water Service q/o,l/r*6.zz---s
Lawn Sprinkler t 'l*
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq //ul/rr t tYU e{y)-la--
5\ tr,tq,tyNotesRemarks, Etc
Final Gas Test
Meter Release
OWNI:N BUTLDT]R DELCARATION
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ro rhc pmvisions ol rhc Conracro\ t-iccn{d liw (Chnrcr 9, C.nnncn.,.8 wnh Scclnin ?0Oo ol Dilisn'n I otlhc Busnc$ und
It.lc$n,n\ Codc)orrhar h. or\hr iscr.Dpr rhcrcfrotrritrd rhchdsis Ior rhc.llc8cdcxcnrpri.n. AnrliohrionofSc.riotrl03l.5lt)!ny
.ftlic,nr r(tr. pciinir suhicchrhc rfplicrnt h aciviltcn0llyoi.or morc'hln rilc hundrd doUnr\ (s51x)).
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es owner ol rhc trcF.ty. or nt enghr.s wilh wag.! B llEn $b ompcnsrhl! will do de worL ud ltE stnElw h ml
inLndai r oftircd lor $lc (Se.?044. Bosiftss and Pmtcsions Codc TIE ConrBrol3 Lrc.ns tt* docs nol aplly to an owrcr of
tlE p6Fny who boildeor in0bwstlE@n ad who des ch wrt himsclf or h.mlf or finlS! hir d hd osr.mphy.ca.
prclidcd rhlr such in{ftEBnr. @ mr i.rcn&d notrcr.d lor sL lf, hog.w, rE hrildinS or inpmrft h eld *iui! oi. rae.fotr?t h.. rlE O*M Builhi ui! haw 0E hldcn ol poviis thd }E or ,c dll er hiild m hpmE lhe pspdly aor dE F Ins of
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ud h.n$ia Codc: Thc Ctrok!.!.ir Li..n* Lrw ddr mr aml, to anown.r of[op.ny who builds or imrovcs rhcmn.
rnd eho o nck tor such !mi(G wirh . Conlmdons) ltcnsd purs@t 16 rlE Conrrdo/i Lic..sc t,w).
I dm.kml, undn Scclio
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EO8trEBASTMIENTA]ION
DE(]ldaAuo!
I hcrcby lftrrmunder p.nalryotpd!ryoncolrhc folb*in8 d(bftlions:
l.nhn (iilc.ldrhc ncrlonnim.olrhc *ork rorshi.h rhc ptflnir n is\t.d
_lhav.and{iUmi ain workcB' coq,cnsrtion insurlncc. !s rcqlircd hyS*rioo 1700olrhc bbo. C.d.. aor lhc l,dfolr1@eof
rhc mrt f.! whi.h rhis Fmn is hsu.d. My eorlcs, cohpcnslion insure. cuir .id Pdlty rumh.r m:
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ccnify thlr in rhc perlo,tutu. ofrhc worl fr which rhi\ p.roii ir ksucd. I sfiallnol cmploy lny pcson i. s.y dnnd
s as b tE6m subjd ro rhc *orkcn c.mpctrsrion laws of Califomia. ..d os@ rhat it I should h.om subi{ lo ll[
so.t.N' mmpcns.rion pmvnions ot Selion 3700 of lh. Lstor Code. I shlll. fonhwith .om y wth lhos povkions .
WARNING: FajhE to surc lorkcrs omp€nsaln,n co!€nsc is unla*ful, ,trd shdl subjel an cn{lortt to oinidl laEhts &d
ctrrl ,ln.\ u! n' urc hundrcJ lhou\drxl dnllaF l$,|'(r,urD. io rddirion nr rhc.os orco,nFnsarion. d.nEScl as provijcd lor lhc
sc.rnn lrr?6orrh.lnhr('o.lc i' d.{!'d o,6v\ lcc\D.,.: V;,t|iatfra 4uov,/ \ LI(EMIIL(I0dINAIJI)B/ \ nE(r Af,,\Tl(JN
I hcrch) !fijrnr utrd(r pcnulry,,ftrrJdry{hr I rtr,l'.tn{t undu pn,vntun ofChaprcr 9(ommmin8 wirh Serio. 7m0 ) .l Division l
Li.cnsc Clas:_Li..ns. Nun$ct tcrz3Q5o
€ \i?4!d.vo O<l+oa
I lEcby .l!rm !nd6 ocelry ol rerjlry
isslcd (S€. 309?. Civ, C. ),
lcnding l8cmy tu rhc p6tormmc or thc vork lor rhich lhh lsmir h
AISLICANI.DESdAAIION
I hdcl,y ultinD u nd.r ,enalty oI pcrjry .nc of rhc f{nk,win8 dcchrrrions:
Dcm,lnion Pc.nrirs A$.rlos Nol incd io. FcdcrdlRcculllions ('l nt 40, Pnn6)
Rcquircd t llcr of flotifi calhn
!lcd'r, # rhc rcdcrl ksulxnon\ R8ril'n! a\b.n.1 E'm!.IJrc not {mlrobk li,lh* nI',r.cr
2q \urr,,# , ** *.d *'s anrlicornn and na,c rhur rhc atnw inn,marion ir.oBr. I e8@ ro.onpry with ou ciry and colnry
ord'ntrne)fuld Srd. tj$! rchrms to huildins (nn{rucrion. and hcEby lurlt)rtu i.pr*nlaliws ofrhis Ciryand Coutrly ro cnr.r upon dt
"t-* n/d.it(.J p-ri, r.. o\perotr punoi(
odv
PLUMBING-INSPECTOR RECORD
Waste & Vent
Gas Service
FINAL
oa rhc Busims rnd Pmf.sions Code, od my ltc.r is in full torc $d .fi.cr
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