HomeMy WebLinkAbout30139453 - Permitcity of Santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139453
Pin #: tt3O5
Project Address: 2637 W Orion Ave
Assessor'sParcelr 414-013-20 Lot: 25
Unit:
Block: NA
Bldg:
Tract: 6827
Address Range:
Historic; No
Suite Range:
Zoning: Rl
(
Owner:
Address
Conlractor:
Address:
DONNA FRADKIN
7I HIGHLAND VW
lrvine, CA 926033704
Ultimate BuildeIs lnc Repipr
'19326 Ventura Blvd. #201
Tarzana, CA 91356
(866) 7374731
FeeType Amount
01'116002 51602 Repipe Res (Each '100' 42.85
01 1 '16002 51600 General Plan Update 21.25
01116002 51602 lssuance 52.98
Qty
4.00
1.00
1.00
Fee
$171.40
$2',t.25
$52.98
Tenant Name:
Phone
Stale Lic #: 927892
Lic Type: C-36, B
Bus. Lic #: 338197
Workers' Compensation lnsurance:Carrier: lnsurance Co ofthe West
Policy #: WSA5034651
Expires: 09/15/2018
Satchi:43847 ' 1ll7 /zttlg IDi a or(
tllfice: CTYII Trons+: I 1 st
Acct*: R€li: 3013945.
Rcptt:02265515 - 5/1712018 8:33 An
Tronsact ion Totol ,{65.63
tllt imte Builders Inc Re, iPe I
r:enersl Plon t pdote Fes
r-rl 1 160(12- 516000r.1t1-
Flunb ing
r:rl I 16(102- i1602000-
U iso
(i(:+ ! **r*+rr**I**7840 Auth+rl:l4I
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Fourplex
Alleration
Repipe
Notes
Date:
Oate:
Date:sden, Julie
Every pernit issued shall bacome invalid unlesa the work on the site
authoized by such perunit is comnenced within 180 days aftet its
issuance, or il the wod< authotized on the sito by such permit is suspended
or abandoned lgt a peiod ol 1 80 days aftet the time tho work is
commenced.
05117t2018
Account#
$2',1.25
$224.38
$245.63
$0.00
$245.63
lnspector MID#: 2018-143419
01 1 16002 51600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Due:
Phone:
Occupancy:
Constr Type:
Code:
R-2
VB
cPc 2016
lvlisc. Receipt:
Misc. Receipt:
lVisc. Receipt:
Total
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BTIIt,DER DEI-CARATloN
Ihrrchyrfln rndcr Fnrlrr,,f Nrjury rhd I lor cxcmtr frorn rhc (i'ntrck^ l-i.. \c lrs tur rhc folbwinB r.!$n (Scc 70:ll5
l]trsirBs rkl h.fc\{otr C(rlc) Atr} Cirt .r (i y shth r.quitus r Fynrir tu con{fl.r. rllcr. i.rrrov., &rmlist .r Erxrn any
\rn'clurc. priorro il\ n\u0ncc. als rcqun$ lhc rmlicMr ior su.h pcnnirk' nb r sisncd lltcnEnl rhar hcor shc ir lic.n\cd ptEud
h' rh. ptuvirions ofthc Contlcrur's Li..trscd Lrs lchryr( '1. Comncirnrg wirh S..rid ?00O ol Divisn loillrc Bu\ir.\s and
l'rcilsrions Codc) or rhrl ltr or shc n crcnrtl thcr.lrom Md rhc hlsis tu rhc allcBed .xc mpl io n. An!violalionofS.clionTO.ll5l'yany
rpr,licinr ntr 0 |I nrit sul+ctslhc amli.r.l lo!.njlDcmlrrot not nrrc llm lilc hu r.d dollars (S5m).
l.r\ osncrolrh.F,r^- !.rrni,c rnl('yLr\ rvirh wrlc\ \rlrtv'1.cont(nsain .*Llldorh.* rk ntrd rlr iehrc i\ ml
inrdrlL\l .rolLr.i lor srlc rS( rO]J.llr(irE* rn,, ftolt$ions (-'rlc thc C.tuturois Liccosc lis dacs n.r lpplyro trn.smr of
rhc F)rrd, qh) huilds or nnnro\c\ rhcRrr. md slx' d[\ {rh *ork hnn\cLIor hlr\clfor rhn)rlh hi\ ur hci ow. r.Vr.).c\.
-1,
as owmr o{ ltc pmrcny. !n .rclusilclt contro.lin8 wilh liensd .onrn.1oN lo connod dr lmjdl (Scc. 7044, Bu\its
d Pnrrdsbn Codc: Thc Contrloar Liccnsc Ll{ d@s nor ot tly ro an ownf of propcrr, who builds or im,,rows thcrcon.
snd who co mls lor sNh proj.crs with ! Co.h.to(s) lhnst purs@l ro th€ Conlr.clols LicctrE Lrw).
I !m ercmrt undcr Set ion , B. & P.C. lor lhr rc!'on
tlof,f,Ef,tlroMfliilsAllo!
DECIAf,AIIIIN
I hcrchy affilnr undcr pcnulrt.f per.iury onc ollnc followinB d(loarions:
-l
halc lnd Bill nEinruin r Ccn iararc ol Cons lo Sclalnsurc ftr sortcn c.mpcnorion. as I^,idrd lobySdriodl7mof rhc
LJhgrCodc.lorrhc pcrlofltuRrorrhc wort lor trnich'hc Frmn s F.ucd
4h .rn,leillmmrdr[o (.(' ."m!.nsattr'n ,n\di,nrc, sr r.qui.cd bys*lion ]7lD orrhc trktr cod., tor rhc lcrlormlncc of
rhc sort ro, which rhii lcml is iqecd My wartoJ conp.nrara.n inslrd. (shr srxl F,lty.un$.r ec:
VQl(
v5450rqbrt q.t,
_l enify rhal in rhc Frfo.mrc. orfic wort for whi.h rhis pomi is L$md.l shr ll nol .nQloy any lEson in any hann6
s er to tE onE subjfr lo rhc wort6 ompcflslion l.$ ofcrliftrnia. lnd rEre.lhlt ial rhould ttcotu slhjctl lo lhc
mlkcn mntEnsari)n pmvlsions ol Sedio. lr00 of lhc trhor C.dc, I slull. fonh*ilh comply wilh lho* !m!ision\..
WARNINGT F,illrc ro s.trE voll.tr soF.nsalion ovctugc i* xnl,waul, ond shall subJccl !n cn{rlottr h .nninal Fnalrt nnd
.ivil fincs ut, ro om hundEd lnousnd dolltrs (Slu),om). in addilion lo lhc cost of comFnssrio[ dlmscs ar providcd ior (hc
x":"T
ol fi. Ijh'r Cclc. inlcrcsl ond atltrmy\ fes
l1 ,l
DDCLAAAUAN
I hcrut'y trlttu hdcr pcnllryol p.rjrry rhar I n lnrisrl urtcr povisi.n ol ch,rrn e l.onnmmin8 virh Sccl ion 7(rJO) oa Division .l
oi rhc Busncs\rM Pro fcssio n s Codc- {xl my liccnsc is inIullfoenndcllal.
)i-"*
(n",.-W <*
caNirAl!JloNlljN0lNlirl0lil(:l
i\nulrsc. 1097. Civ (.1
AIII.ICANTI]EIIASAIION
I lmhy afiimr undcr pcn0lry ol lertuly nnc oflfic followins dcclururionr:
D.molirion P.rmirr^sb.sos Norific{tion tcdcml R.Suldions (Tnlc t0. Pd6)
Rcquii.d lJncr of Norli.orion
I r.niiy rhrr rhr ttddrxl 'r[rhri{'n\ Ngrdi'r! r\h.(.\ rcnnNrl]'r ior rfdnrhL ri ilri\ I'rqccr
nbovc mnrioncd pmprny Inr in\tEtnrl,urFs$.
)cU-ar - er.,r se-r..,r?..-.-t1-tI
UNDER GBOUND
Waste & Vent
WaterUnder floor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Ro ugh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler \
Sanitary Sewer/Cap
Back Flow Device
A.
Rough Plumbing 6-A4Y fr]l/1d
Final Gas Test
A
FINAL 9-A-tY y.tLfia
Notes, Remarks, Etc.
t
Meter Release
D.ler Owncr:
tlL 1l q, c 1o0
i"11 '8
LrnJ- . J,i. \