HomeMy WebLinkAbout30139421 - PermitProject Address: 714 W Memory Ln
Assessor'sParcel: 002-034-02 Lot; 20
Unit:
Blockr NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
ry
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (711],667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39421
Pin #: 97{88
Owner:
Address:
Contractor
Address:
Phone
Tenant Name;
Alfredo Amezecua
714 W Memory Ln.
Santa Ana, CA 92705
(7141315-8774
Premier Pools Orange Coun
22 San Rapael
Dana Point, cA 92629
(6261 422-s426
Amount
21 .42
69.94
42.45
21.25
52.98
Fee
$21.42
$42.85
$21 .25
$s2.98
Fee Type
Pool Trap
Pool Heater
Pool Piping
General Plan Update
lssuance
Qry
1.00
1.00
1.00
1.00
1.00
Botchi:43681 - 5/r0/2rl1$ I0: HGAfiCId
0ffice! CTYH Trong+3 49 3 of :Accti: Refi: 3013?121
Rcpti:02261101 - 5/10/201S 3303 PH
Tronsoct ion Totol ll r 478,l.iPhone
State Lic #: 798298
Lic Type: C-53
Bus. Lic #; 356735
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9158204
Expires: 05/03/2019
Pne ieP Pools 0rftnse Counte
Generol Plqn upddt€ Fee
(r1116002- 516(r0tr0(r-
Geoenol PIon Llpdqte Fee
0u16(10?- 5160(10(10-
ICL Check t101$g0
s21.2
i187, 1
$1'47t:r.1
Building Use:
Job Type:
Nature of WoIk
Single Family Drvelling
Swimming PooUSpa
Swimming Pool & Spa
Zuniga, Allissa
10196398
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2016
Notes: Construct new 550 sq ft swimming pool & spa
Planning Conditions:
Planning Approval By;
Plan Checked By:
Permit lssued By:
Subject to Fieldl
Building Permit #:
Every permit issuad shall become invalid unless the lvork on the site
aulhoizod by such permit is commenced within 1 80 days afrer its
issuance, ot if tha wo* duthotized on the site by such permit is suspended
ot abandoned for a period ol 1 80 days after the time the work is
commenced.
lnspector MID#: 2018-143292
05/10/2018
Account#
01 1 16002 51600
01116002 51602
$21.25
$ 187.19
Fee Total
Paid to Datel
Balance Due
Date
Dale
Date
lvlisc. Receipt:
lvlisc. Receipt:
l\,lisc. Receipt:
Total
$208.44
$0.00
$208.44
Bldg:
Tract 3374
01116002 51602
01116002 51602
01 I '16002 51602
01 1 16002 5160C
0't1'16002 51602
PLUMBING-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line 8/zaftc -/<./4fu4
TtarrBfMain Drain/Pool Piplno f7 q'/s\Itr
Fill Line/Back Flow l
LlEI?f-<Pool Heater/Gas Line €l.z /nr S.\t K_I
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL \\tA6 zt ttl(tq)
Notes Rema rks, Etc TT
OTVNER AUII,DER DUI,CAlrA'T!oN
I hcrchy rlltD utrd$ pcnrlry ol t'crjury lhd I rn.xcnrpr rru'n rhr CdiLncttrs. Li.. { bw rd rh. (,ll.wing.:cry,r {Sc..7o.rl5'
Bu\i',c$ x llolussi{in Codc) Any Cily or Cotrtrly whi.h rrqur.\ r trrtrlir k) con{ru.l. rhcr, nn|Rvc, dcDnnnh',tr rrtrr )
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l.ofc*ir[! Codc) or drr ltr Dr\]E ir crc lI, (hrrrrio$rtd ihc h,\i\ it rhr Jl.Ecd.rrmprion Anyvi(,lari{ ofScrrhiT0.ll5hyanr,
lpplicrrr tu! pcrmit nrhjcch rhc rmlicn lo..ivrlp.trah, ormr nrmrhiD 6vc hundr.dd.ll !lJ500r
l. N owrcr of rhc Im!.nr. or my cn loles {nh srscs a rtEir 51. .onp.n*rion. {ill do thc wdk &d rlr $retu i! mr
itrlcndcd or oficrcd lm slc (Sa.7044. Busimss sd Prbfcsions C.<tc: Th. C.nlretol s Lie.€ tiw dG nol dpply lo !n owmr of
iIE lioFny wh6 hildt or irpreB tlEffia .nd wth .h6 nrn hlt hi@lf or heEltor rhmugh hb tr he. oen .nploy..s.
pmlnbdrtur st in{mvmnrs E ror i.roied or oficrcd for $k. lf. hov*r. tlE hoildinS or irpftmir is sld *ilhin oft F{
oaonphlion. llE OwE. Auilc sill hrw ItE h(hn of p,oving thd IE o, slE did ml hild or bptuw [r l,ot dr, for tlE piitb* of
-1,
{s owmr ol fic pdpeny. .n.rclurivcly coorrding wirh lien*i .oturoB
'o
r$.sdd ih. Imjer (Se -r{x4, Busuc$
rrd PtDliarbn Co<!c: Th. ConI&bas Li.cnse tiq dB mr !!Ily to m owncr of pFpcnt wlD builds or aopl*s fi..con.
and who contuts lor sh p,oids rith s C.nMo(3) lien*d pursMr io th. C.ntrclor's Lkcns tjw).
I mcr.m undr Sdrbn .B a PC. for'hlq E@n.
rc8trE8s:grMlEtAlqN
DECI.AAAION
I hetry llfirm !nd.r pcMlty of ldiury oft of rlE aollo*ir8 d.rlmrk m:
-l
hak &d *ill tuinroin r Ccnificlrc of Consnt lo Sclalmurc tor qort6 ompcn$rion. a\ Frvihd lor by Serirn :lIlO of rhc
ofthc wort lor which rhc pdmil is issucd
ond will m0i.loin wortc6' comllcnsnlion insur.rcc. as Rguircn bySdion l7lr0otlic t bor Codc. for the P€rlomtc of
thc *olk for whkh lhir pcmit is tscd. My *ortcis comtrnelion i.suEmc tricr 0d policy numh.r ac
?tr^ finr€- fu-)
8Ln+-4 /s/,s
-l
ccniay lh{ in ltE pdlomre of thc worl fd which ihh F nj( is ilsucd. I shlll ml c,ploy my Fmn in uy M*r
s .r to b.@m slbF.r ro rhc wort6 @mr.Ndion bws of Caliloniq aid agE lhd it I should b.roE subjet lo tlE
rcrkss onwnsarioipDvirions ofserion l?0Ooarh. khor Cid..l shdl. fonhB h@mplyaithtlF.prcvhioro..
WAnNIN(;] Failurc '. su. workcs .oqrcosdioo ovcogc is unhwtul, ,nd sholl subiEt e cnploru lo aini.Dl ,,ce!lix ud
civil fin s up ro om hundr.d
'hou!a.d
doll0tr (!100.000)of uomncns{ion, danaBcs as pro! cd for thc
o,n, 5l'0 I r
I h.rcby alttrm rd.r r,.nalrt of Fliury rhrt I m lien*d lndcr pmvision of Ch$r€ 9 (onftftin8 wirh SNrion 7000) of Division l
of $. Busimss and Pmfcssions Cod.. ard ny li.cns is in tult foEe .,n qff!.I.
a ?',>)cz?r
a
I hmby {lfrn uder F@lry of p..Fry rlEl lhN ! . coBln ltrn hnding l8cEy lor lh. Frfolrll.R oI lhc turk for whbh lhis ltdn is
hsu.t {se. 1097. civ. c.).
AlILlcANfD[clnlBAIIllN
I tmry amm undcr lr.!hyofpcrjlryonc otthc f{'llo$in8 dcchralions:
Dcmlinrn Pcnnn$AstEsos NotifEarlr Fcdcral Rcgut i.ns (Tnh40. P,n6r
-Rcquircd
t rl$ of Nolific{lioa
-l
ccnifythar thc [cdcml rc8llariotrs Egarding $tcsros rcmov0ldc.or npFlicabL ro lhh,norcct
I mnifv rhrr I h,v. r&! this is cotrB-l I oera ro coryly *ilh all Cny ,nrl clounly
rcrcscnrorives ofrnh Ciry und Couoryto.nlo ulorrlrordinrnccs ond Slorc liwsEhliu lo
$o$ mnriuncd pmFny for
Appli.snl or Atcnl SiAEluR c(,5 c
I
1
DATE
Gas-Underlloor
r
=
?k,cta Lb^x'7b - qtz - ,t tt
Z-\A{h aor\lttlTT q
All Material is guaranteed to be as specified, and lhe above work was performed in accordance with the drawings and specilications providedJor the
above work and was compleled in a substantial workmanlike manner lor tfie agreed sum 0f
This is a EPartial EFull invoice due and payable by:
in accordance with our EAgreement !Proposal
& e,ns TCS122
WORK PERFORI\,IEO AT
P,(t A
L
Qr^V
. ilhq lQ,zog
/ DATE
fu7 Iuvw-f
YOUR WORK OBOEB NO ouR BrD No
€c
+
{."-L
(^1eL
\
(?
OF
No Dated
11-12
Contractors lnvoicd
ko ru''c,,/+
DESCBIPTIO OF WOBI( PEBFORMED
2I
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