HomeMy WebLinkAbout30139972 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714\ 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139972
Pin #: 2otelJ
Proiect Address: 2522W MacArthur Blvd
Assessor'sParcel: 412461-04 Lot: 1
Unit: G
Block: NA
Bldg:
Tract 10907
AddressRange: 2500-2544
Historic: No
Suite Range:
Zoning: SD6
Owner:
Address:
Tenant Name:
Jason Hall
2522 W MacArthur Blvd #C
Santa Ana, CA 92704
(714) 391-38s8
Treeium lnc
5352 Laurel Canyon Blvd, #i
Valley Village, CA 91607
(855) 833-8733
01116002
01 1 16002
01116002
01116002
01116002
Amount
14.22
22.25
12.70
22.O8
5s.04
5160i
5't 60i
5'1602
5160C
5160i
Fee Type
Water Closet
Shower
Sink
General Plan Update
lssuance
Qty
1.00
1.00
1.00
1.00
1 .00
Fee
$14.22
$12.70
$22.08
$5s.04
Phone
State Lic #: 617148
Lic Type: C-36, B, C-46
Bus. Lic #: 345372
Workers' Compensation lnsurance:Carrier; CAROLINA CASUALTY INSURANCE COMPANY
Policy #: BNUWCg144084
Expires: 05/18/2019
Generol PIon Updote Fee
01u6002- 51600000-
Plurb ine
01116002- 51602000-
ICL Check W7?22
J22.O8
i104.21
t556. 13
Botch+:(5930 - ?/l+/2O13 I0: IIGARCIA
office: CTYH TPo.rsi: 6 1 ol 4A(ct?: Refi: 30139972
Rcpt+:0?383736 - ?/l+/2018 7.17 All
Tronsoct ion Totol 1556.13
Treeiur Inc
$126.29
$0.00
$126.29
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Condominium
Miscellaneous
Remodel
R-1
VB
cPc 20r6
Occupancy:
Constr Type:
Code:Notes: Remodel existing guest bathroom. Fixtures
Date:
Date:
Dale:
l,4isc. Receipt:
lvlisc. Receipt:
lVisc. Receipt:
Total
Permit lssued By: Zuniga, Allissa
Subject to Fieldr
Bu.rdins Permit #: 10197702
Every pemit issued shall become invalid unless the worr( on the site
authotized by such Nnnit is commenced within 180 days after its
issuance, or it the wotu aulhoized on the sito by such pemit is suspended
or abandoned fot a pedod of180 days after the time the wod< is
cofifiencqd.
o911412018
Account#
$22.08
$104.21
lnspector MID#: 20'18-146099
01116002 51600
01 1 16002 5'1602
Phone;
Contractor:
Address:
Fee Total
Paid to Dale:
Balance Due:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER AU|LDER DELCAAANON
I hcrcby a,lird und6 ,..ilry ol nerjury rhar I m d.oDt fism rtE Cofrclm' Lians kq for th. followi.g !!e. (SN.?031.5
Bosinc$ ltd PNf6lion Cod.): Ary Cily or Counly whth Equircs ! Fhit lo e.smcl .16. iiqnovc, .Lruh'h u tP.n 4y
.locrw. prbr to ils L<uare. !t!o rcqutd thc lppli.anl for st pcmi lo fib . si8ftd .r.lcmnl rhat lE or sh. b lien*d Pum.
ro rtF l,revisions of df, Conr&rd s Lic.nsd k* (Chafld 9, Comrc.cilg *iln S..don ?0m of Diekion I of ihc Busincss a.d
Profc*hn. Codc) ol rhll h. or .he Lr *rpr ttm&Dm srd rlE hss& lor dE alk8.n cxcnpdon. Any vioblion ofse.rhn 701,.5 b, rny
rpplica.r fo. rlcmir subjcl3tnc lptli.anr ro a.ivil pcnaltyofnot mrcrh.o livc hundrct do,la.s (S500).
l. .s osnn otrhc trotlcn!. or Dry cnrpnDrcs u'irh lrscr as rh.n w,t.onD.i\dnrn. *ill do rh. wolk dt rlr slmruru i\ nn
id.trd.d orofl.rcd lbl sllc (Scc 71144- Br\incs nid Pnrc*ion\ Cod.: Th. C.ntrrktr r Licc.\c Law docs.or!ppl, h !i oar$or
rh.rDFny whot ilds or nrttutrs rlBN'n. url sho d{rs $.h q,A hinr\c ll.r hcrrll or rhx'r8h hi\ .r hcr own .nlloycec.
p0vi'lcd rhnt such irnpn,v.nrn( arc ft i, cfrlcd or oltir.d lbr *'k ll. h)scvdr, rh. huilding.. imtn)EnrN i\ slld wiihin onc F,
ol..rll)Lriofl,thcOwncrBuiBc.willluvcrhcnur.lcnollDvingrhlrhcor\hc il norbuildor nnlfi)t Efmtdyinrlh.puqr*ol
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&\owrcrofrhc DmtEny. ancxclosirclyconra.ring sirh li.ensd conmlos ro omrrucl llr,,ojcr (Sc..7044. Busmi\
,ni PlrL$im Codc: Th.Conlm.lols Liccns Llw des not enplyln anosi.r ofDrop.ny who builds or inDrovcs rhcrcon.
und who Nnrturs aor s!.h tojccls wirh a contmro(, lhcnsd tlunuont ro rhc conlmcrols Ltcn\c Ljw).
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ancrcmfl lndcr S6rio
{OTf,EBIi:CIOMIENIAI.T}!
DEII,IIBAIIAN
I hcrcby af,irn undcr p.Mlly ol Fjury ok of lnc rolbeing dcclordioN:
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hrve old wall @inlain r C.niiE.t of Conrc loS.l 6ur for*0116 otpcr$rion. $ Fovid.d for by Sclion 37m oflnc
Lib.r Code. for ihc pe,fo,lr@( ol tlE k,rk for ehich llf lEnil is k!.d.
-l havc and will mintlin qo*cts .ropcos.(ion a. nec. os rcqukd by Scl ion 1700 ot llt Libo, Codc. tor (he pdformmc of
lhc work for vlich rhis Ic mir is icsucrl, My work6 comFnsrion insumtrc .6icr un pohy rumbq mi
linc.l a al
a 7 / t,r /iq
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ccdity rhar in rhc IqlonMne oi lnc work for which lhis pcrmn n i$ucd. I shnllnol.Eplo, n.y P.son in any mutrrcr
h
"s
lo h.sm subF! h lhc ,od(sl .ompcnrorion lo,s of Califomia. ,rd e8m lh, il I should bcarm $bJccl ro ih.
worl@6 compcnseiionpmvnhnsofSccrion l7moflhc L,tnr Code.I shill lonhwilh.onPl, wiln lh,s ,mvilions ,
WARNING: Faille r. {.ur. *orkcrs .onpcnsltion t unhwtul, lid shJl iubjd o cnploFr lo aininll teEhi\ od
civil fincr !p ro.rc hudftd rhouend dollan ISI ). in lddnion ro rhc con of.onFtr.tion. dmScs .s ,,rovid.d fo.lhc
Sdn,n.1076 oflhc lihor C{td.. n ctcN and
I]ECIAtsAIII}N
I hcrby rflirn undn p.nnlry of rcrjlry rh{r I am liccnrd undct F,visioo oachtrprs 9 (.umm,Ei,8 wilh Strlion 7(xro) orDivhion l
.r rh. Brsincss rnd Pi.r.sions Codc. rtrd myliccnr h in iullft,m and cffc.r
D
o",", df lq I ix ,.",
tj)NsrauquoN.LfNDllliic.EM;l
I hcft'hy nrltm uMcr Nriliyor ncrjuryrhar rhcrc h ! condru.rion lcnding agcn.t li)r rhc pc,tonrucc olrhc $orl rd *hi.h rhi{ lcanir is
i\ud (Scc .1097.Cir C )
AITLICAN:LDECLASAIION
I lmhy afiim undcr p.trtrhyofpcrjury ok ofrhc ldlowins d..ludion*
D.@lnion P.rmir{.Ash.qos Noritic.rion Ftdcrol Rc8uhlions frilb t{r P,n6)
R.qxi(d ktrcr ol Nolilslior
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceplor/ Clarif ier
Waste & Vent
Water Pipinq ql?olt! rt,UNta,r+X ;t)
Gas Pipino ul
Rool Drain a_
Tub/Shower Test 4l7AN,fitIypt
Rough Water Heater I u I
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq U\
Meter Release
FINAL tpl>t )n'T@t-ea "-444 ^,(tvtl_yNotes, Bemarks, Etc.t
COMMENTS
G/+44 r
-lccnifyrhtrlthcfcdcralrcsxrllrionsrcg{dingdsb.sto*romovrl{r.nolo,licahlcrolhislDFcL
-l
eniay rh I hrv. E rhh applialion dd (!lclhal lh. atDvs infomrion t.or.cr. I tE cro mq,ly wnh aI Cny tnd Counry
ordirdftcs uod Sl!r. t ws rl,linE ro buildinB Nnsrdction. !d hcrcby !!fiorir rcpr$n,0livcs ollhis Cilydd Countylo emq upon rrt
arnvc mnrioRd pnl{n) ln, in.l.dirn purpg5.r ------ .2
noo,*no,nu,r,u^un1..1;a{j- ' ^,, ?//*//[
p,-r,n- .,pa"u y' t\Rl cr ah€(Loi
-
TOP OUT
Miscellaneous
lzhl(Rn ,v)
Final Gas Test