HomeMy WebLinkAbout30139438 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (/14) 647-5800 lnspection Requests: (714J 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139438
Pin #: {6636
EProiect Address: 2314 S Park Dr
Assessor'sParcel 140-143-04 Lot: 4
Unit:
Block: NA
Bldg:
Tract 2458
Address Range:
Historic: No
Suile Range:
Zoning: R'l
Owner:
Address:
Celeilia Navarro
2314 S. Park Or
Santa Ana, CA 92707
(714) 948-3935
lnter4ity Energy Systems, I
1175 N DEL PLACE
Ontario, CA 91764
(s62l-777-1142
Fee Typ€ Amount
01116002 5'160i Wtr Htr (Res up to 50 g. 21.42
01116002 5160C General Plan Update 21.25
01116002 51602 lssuance 52.98
Qty
1.00
1.00
't.00
Fee
$21.42
$21.25
$52.98Phone
Tenant Name:
Phone
State Lic #: 587709
Lic Type: C-36, A, C-10, C-20, HIC
Bus. Lic #: 199981
Workers' Compensalion lnsurance:Canier: Zurich American lns Co
Policy #: wC03815460
Expires: OllOll2OlA
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Plumbing
Occupanry:
Constr Type:
Code:Notes: Plumbing
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
web user
Every pennit issued shall become invalid unless the wo* on the sile
authoized by such pemil is commenced wilhin 1 80 ddys aftet its
issuance, or if lhe work authorized on the site by such permit is suspended
or abandoned lot a peiod of 1 80 ddys after the time the wotk is
commenced.
05/15/2018
Account#
$95.65
$95.65
So.oo
lnspector MID#: 2018-143378
N/A - No Balance Fee Totat
Paid to Dale:
Balance Due:
Contractor:
Address:
Building Use:
Job Type:
Nature of Work:
R-3
VB
cPc 2013
PLUMBING.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS olyN}]ta 8u t LDriR Dt:t_cAR n()N
I lf,rch! rllirtrr tr ndcr li.nrlry ol p.rjury rl"r I inr cr$fl li onr rlN (itrrlr(nrA l.icct* l-a* lnr rhc fn bsi4 rcl\nr lscc 70.1 1 5
Busnrs\ aM Prrc\non (odc): ADyC yor Cotrdy shi.h rdqunr\ r pcnn k, cotr{ru.r. ilr$. impturc. dcnmlth or Epdr rtry
k, rht S,visnnN.l rh. Contrcror\ Licci\rd If,s (Chrprcr 9. ('onnrc'(ins virh Sccrioi 7(xX, of Divi\ion:l ofrhc Bu\inc\\ ,nd
Iroli\sior Codc) or Ihrr l* or shc iscrcnu rturcrro rtrd rhc hr\i\ tur rhc nllcScd ucmtrion Any vn,hion ol Sstt'n ?0:l I 5b,iny
rrpli$ tn a pcnnir suhjsls lhc applicln, n) acivilp.n(lryornor nMd[ r liv. hnndrcd dollan(S5m)
l. rs owm. of rhc l,oFny. or ny .qJlorss virh vo8es N .h.i, $lc conp.nsrion. *ill do tlE 96t dn dE smrw k mt
itrlcndcd or ofcr.d for sle (Se ?044. Busincss !.d PiDfcsiom Cod.r T h Conhctols Lkcn- tjw do.s nol $ply lo !" owrtr oa
ih. tFlany e,E ttilds or iqrcB dEEtr u'd who &E uh w* tiNclf or hcmlf or llmus! his or l&r oan cntPlort.s.
,mvidcn lhar such inproEm.ts e ml hlcnd.i o. ofrcrd fi, sL. ll IFEE, rh. buildi.a m iqmEmrl ie sld wnnin oE Fa
ofsnphlion. rrE OwE Builhr will haE tlE l[rd.i of pfling rrEt lE r sh. dii mr b'rild or ir{mE lh€ FDrEty for $c |[rtr5 oi
L as owM of lh. popdy, 0m .xclusiv.ly conlrd.rin8 *irh lkcncd .onrdon ro snsrcl llE ,mirl (Se. ?(r44. Bunms
dxl Pr'f6iin Codc: l hc ContEcrol s Liccn$ Lav do.s ml lptly ro an owncr of pmncrr, sho l,lildi or imlJrows 6ostr
a.d who co.rftrs for such tmj.rB wnh e Comdo(O lkcnsd puBmr ro fic Conrador's Liccn* tiu).
I m crcmD' uider Sdion , 8. & P.C. for rhh rcen
Lrhor C'(nl..l(tr rhr pcrlanmr( o, rh. sork lnrl!liiclr rh. p.nnir L n{rd
-l
h.vc !trd will nEinluin *orkcr' co'nrEtrsslion insurunft. as rcqutcd by Sccrion l?m ol fic L3bdr Codc. lor rh. p$folr1@e of
lhc work for which lhh l}cmir is iNcd. My qorkcF omr.nsalion insuftncc caricr aid Poli.y nlnber e:
-lcenifythurinthepcrforturceotrhcworklorwhi.hrhisI'.rn
t isucd. l rhqll Bn cnploy any p.rsn ifl rny manrcr
s as lo tf,sm subj.rl to Ihc vo*o^' .omn nsaiio. laws ol Cllifomi!. rnd sgE ihal if I sholld tBor subjdl
'o
rh.
*orl$ .omp.nerioo IJrcvtions of Sdhn 3?00 of rhc t r. Cod.. I sh,ll. fonn* h sryly *irh rhos Imvhio.s..
WARNING: FsiluE ro surc w[6'odp.nsrion srm8 is unL*tut. ad shdl suhjd an mplorr 16 cioim] FMhia.d
civil 6ncs u! ro ore h!.dEd rho!$id dollc (illD.000), in lddirion to lhe cosr of corpcn$lior. da@g.. ss pbvid.i for tlE
Setion l0?6ofrn kbr Codc, inlftsr and rnon y\fes.
uclltrDl;aNuAlJaa
DECIJXAIIQN
I hcrb, am,m undcr lrcmll y oa pcrjtry rhnr I !n lien$n ondcr Forision ofChsprq q loonrftinB wirh SRri,n ?000) olDivhio.3
of lhc Busimssand Pmfc$ions Codc. ad my liccns n itr tull rore mdct$l
Li(cns Clals:-Lift e Numb6:
Datc:
CONSIAS:IIONIEIDINqIqINII
I hcrby afiinn ulxllcr Fn,lryol|rrjury rhd lhcrc isa coNru.tiotr lcndinB r8crcy lor lhc pcrlornEncc ot rbc sotk ftr whi.h thn tfrnln is
is\ucd (Scc. :1097. Civ C.).
dIrJIIANLII[!I2!3dIIA!
IlrrcbtaUinnundcrp. akyof pcijurtomoirhclollowirSd.clnErn s
Ucmlilion Pcflnilr Asbc(osNorificarion Fcdcrul Rcs!Lrn,ns('lnb40. P!n6)
_Rcquircd lrncr of N.rificlriod
l.cnifylhdrh.r.d.r.lESul,rionsEBrilingnsh.sosrunD!,l,ru.ralpli.nblck,lhisnmi{l
-lccnilyrh
lhavcrcldrhisarplicarnnrudlrarcll rrh.rhrc irronnrrn i\..nmr Ir8i.rt,.omPlyrirh.llCirvindCou y
ordinancc\3ndSraretitr\rchritrEhbuil.lin8co(rucrion.rJhcrcbtrtrlxnirrrtrcsdrtrrilc\dlihisCnyrndCountyroenrcruttlh.
nhnrc nrnlidrd ro]rny tu in\Fcri.nr purBr\c\
Appllrinl o. Ag.Dl Si*noluE:
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceplor/ Clarif ier
TOP OUT
Waste & Vent
ater Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
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 A-r--B J/rJsl v(E")
Notes, Remarks, Etc
DATE
IaEaEESsrMIENSAI1AN
DECI.Af,AIXO!
I ncrcby afiirm undr pcndry of psjury onc of thc following ddhmtions:-------r-----
-------r-----
i-