HomeMy WebLinkAbout30139399 - PermitEProject Address: 2620 W Segerstrom Ave
AssessoisParcel: 933-071-59 Lol:2,611,2,4,5
Btdg:
Tract 8236/8868
AddressRange: 2600-2830
Historic: No
Suite Range:
Zoning: R4
city 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 Sectaon: (714) 647-5853
Permit #: 30{39399
Pin #: 7o,433
Owner:
Address:
Phone
Tenant Name:
Lori Truman
2620 W. Segeratrom Ave, #A
Santa Ana, CA 92704
(714) 913-2663
Slater General lnc
8502 East Chapman Ave# 31
Orange, CA 92869
(7r4) 653-5030
Fee Type
Water Closel
Shower/Bathtub
Sink
Dishwasher
Garbage Disp
General Plan Update
lssuance
Amount
13.69
21.42
12.23
11 .52
,t0.26
2'.1.25
52.98
Fee
$13.69
$21.42
$12.23
$11.52
$10.26
$21.25
$52.98
Qty
1.00
L00
1 .00
1.00
'1.00
1 .00
1.00
Phone
State Lic #; 946654
Lic Type: B
Bus. Lic #: 353370
Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company
Policy #: CST5011908
Expires: 0110112019
Eotch+:436?8 - 5/7/2019 I0: LR0SALES0lfice: CTYH Tronsi: :5 3 of 4Acct+: Ref+! 3r-r139J99
RcDt+:02258159 - :;/7./2019 10:3{ AF
Tronscct ion fotol t.49C. {D
Sloter Genprfi1 InE
Getlerol Plon Urdote Fer:0lll6u02- 51680000-
Pl udb ine
rlll16002- sl60?000-
ICL Check 003189Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
Remodel Code:
te
i1??. r0
3d88.ot:lBuilding Use:
Job Type:
Nature of Work:
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Date:
Date: OSlO7l2O18
Misc. Receipt:
Misc. Receipt:
Misc. Receipi:
Total
R-2
VB
cPc 2016 Notes: Bathroom and kitchen remodel includes drylvall
Zuniga, Allissa
Buildins Permit #: 101 96345
Every pemit issued shall become invalid unless the wo* on the site
authodzed by such permit is commenced within 180 days afrer its
issuance, or il the wod< authoircd on the site by such permit is suspended
or abandoned for a peiod c1180 days aftet the time the work is
commenced.
lnspector MID#: 2018-143185
Account#
01116002 51600
01 't 16002 51602
$2',1 .2s
$122.10
Fee Total
Paid to Oate:
Balance Due:
$143.3s
$0.00
$143.35
Unit: A
Block: NA
01 1 16002 5160i
01 1 16002 5160'
01 1 't6002 51602
011'16002 51602
01 1 16002 5160i
01 1 16002 5160C
01 116002 5160i
Contractor:
Address:
PLUMBING-INSPECTOR RECORD
ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
WaterUnder floor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
"d.Ja.ATub/Shower Test I olnlaln ,/
Rough Water Heater (,\
POOL/SPA
P-trap/Drain Line
tvlain Drain/Pool Pipino
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Bough Plumbing 4q,?-tl 4^.,.n 4tE -
Final Gas Test
Meter Release
FINAL t0 hnAk(tv)
Notes, Remarks, Etc.I
OWNER BUII,DI,]R DI]LCAIL(TbN
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L rs oser or rhc Iln,p(ny, amcr.lu*ivcly.ontradioe wi'h licc!\cd c6nf&M* ro.oneru.' thc poicl lse. ?044. Busirc$
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DECI.AMIIAN
I hcrcby afftrm !odc. tEoilry of psjury oie of lh. fol&,wi.8 ddlir{dorr:
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work* mmrEosari.n n,ovisbnr orsr.rion lT0o ofrlE ljlnr Codc.l shnll. fodhsilh comply wirh 'h.* provkions.
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.i!il fincs up to om hundrcd rhou$nd dolle (tl0o.lDo). in lddnion ro thc cosr of.onpcnslion, dmgcs as lrovidcd for rhc
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issucd(S.c. 1097.Civ. C ).
ATII.ICANIDECI,IXAIIOII
I hor!, .nim undcr Fnally of Frjur, onc ol lhe folloeiry dcclEalions:
Demlilion Pc.mils-A,hcslos Nolifrcdion Fcdml RcBllulions (Tirl.,l0. P.n6)
-Rcqltcd
Lcxcrof Notitrca on
_l c.dify rhor rhc fcd.r,l rcgll ion. rc!&di.g r*b.{os mmval r. nor appli.lbh lo lhis Pmj$l.
I .cdify lhd I h,vc E{d ihis spplicltion dn $.r rhd rn sbov. informrhtr is corr.d I ag@ 16 c.dtly sirh all Cily .nd County
.rdirrn.c\ nnd Srrru Lrw\rldire r ildine consrrudion. ld hcEby 0uthorir rctrc*ntal
lbovc mnliomd pml'.ny ro.
Apptl$ni o. Aa.nr siamltr
%0/L\^/\r,
:':di;:
d,,TEI
APPROVALS DATE
Gas-Underlloor
Fill Line/Back Flow
L!n&.t AddBr-