HomeMy WebLinkAbout30139923 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (7'14) 647-5853
Permit #: 30{39923
Pin #: 78354
Assessor'sParcel: 396-052-01 Lot. 17
U nit:
Block: NA
Bldg;
Tract: 4968
Address Range:
Historic: No
Suite Range
Zoning. R1
E
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Siri Preechatiwong
2225 N. Concord Street
Santa Ana, CA 92705
(562) 394-3665
Pools Concepts of Californii
2653 Sierra Way
La Verne, CA 91750
(888) 315-7665
01 1 16002 51602
01 1 16002 5160i
01 1 '16002 51602
01 1 '16002 5160C
01 'l 16002 51602
Amount
22.25
72.65
44.51
22.08
55.04
Fee Type
Pool Trap
Pool Heater
Pool Piping
General Plan Update
lssuance
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$22.2s
$72.6s
$44.51
$22.08
$55.04
Phone
State Lic f: 763003
Lic Type: B, C-53
Bus. Lic #: 370468
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9122994
Expires: 0110112019
Boti:hi:457t9 - 9/S/?OLB
off i ce: CTYH Trons+: 53Acct+: Ref+ !
fiicati:02378414 - 9/1/2018
TronsocL i on Totol
eenerol Plon tlpdate Fee
01116002- 51600000-
Plurb ins
01116002- 51602000-
V iso
CC+ I *****rff***r5898
_ t?2.0s
_ $ 194. +5
*974 .5i
Authi:00931s
TO: CCUEI.LAR3of l
3'113r923
I l:31 All
t974 .55
[:'0ols Concepts of Californin ]
Occupancy:
Constr Type:
Code:
R-3, U
VB
cPc 2016
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool/Spa
Hernandez, Kathy
Noles:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 10197583
Every permit issued shall becone invalid unless the lvori( ol, lhe slle
authoized by such pemil is commenced within 1E0 days after its
issuance, or if the work authoized on the site by such permit is suspended
or abandoned for a period of 1 80 days alter the time the work is
conmenced
09/05/2018
Account#
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$216 53
$0 00
$216.53
lnspector MID#: 2018-1458'l 1
01 116002 51600
01 116002 51602
s22.08
$194.45
Fee Total
Paid to Date:
Balance Due:
Proiect Address: 2225 N Concord St
Building Use:
Job Type:
Nature of Work:
$
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.olvtuR Btr[,DER Dxr-cARA]loN
I rrcrchy riltm undcr NMIry ('r lcriury rh l inr .i.nrPr lro r
'hc
contN!^ l-i..n\c ttrw tur rh. irllo$in! r.awn (1..7031 5
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dtucrurc. prin r) n\ is\urDcc. r(o rcqun ( rhc trftlic{n! Ii,r such Pcnnn b [tn si8trcd \lalcnr''rr rh]r h..rshc i\ liccn\tJ ,uNmr
h rhc ptuvisi,'n\ of rlf, Conridois Liccn* l.rw (Chrlrtr 9, C.'nntocirrS *irh Scdi, 7(XD oi Division.l olrh' llr\nrcs rnrl
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ntndcd or ollcd tn elc ( S( 7(},l, Itu\i'rcs\ and Prolcs\ids C.dc Th. Cuikr.kx { Liccn{ I i,* doc\ nor iftllv ro ii .*nd ol
rh. poncdy sl$ huiu\ or i'rymEr rh.ro.. Md who dm\ rkh $orl hnns.lf.r htr{ll or rhmush h i\ or hcr oNtr c llnovcc!.
,,n'rid.drhdsrh imnmvcnrnrr c no I inr.idcd ,t o lic,lal l'r)r {t lr, h)t!v.r. rhc ttrillinA or nviovcnrnl h {,!rl sirhi'r ' tr }.{
olc.mplcrion. rhc Oqn$ lluildcr *illhrrc rhr htrd.n ol flrrinS rhar hc or sht did nor buikl o! inDtrNr rhc rt,ldy li)rrfu purlrM of
-1.
$ owmr ofllE I,opdly. !m cxctusit.ty conltnciinS q h !ie.*d.oedoF lo.o.srocr llE Psj.cl (S(. 7014. 8n(inxs
and EDfcsi, Co<hr Thc Conlre.lol s Liccnsc L.s docs rel apPly lo si owno.f prop.ny wno builds or imprcEs lhcmn.
an.l sho conrsds for such rmjccB wirh a c.ntEclo(s) lien$d puFunl lo lhc cnnr*l6cs Li..rs Law)
-l
!o ercmpi undcr Selion- B. & P.C. lor thir E&so.
I{OIKERS' COMPFNSANON
PECI.ASAIION
I h.rcby ortrm undct pcnalry ol p.rjury o* of lhe folloqin8 drldllio.s:
lrlrtr C.d..,ir rlI psl(rnrnrc olrhc $M[ Lr trhi.h rhc rrnn i\ Anr.d.
rhc No,k kr$hi.h ihis frnnir i\ i\s(d nlyBorkr'\'ro rrcf\rrion nr{mn.r.rtri.r nnd |nli(yrunrbrr c
Poli.,Nlmtcr: EiPirs:
-l
ccnify rhlr in rh. I*.forntrRc ollhe wort for which rhh p.rmil k isslcd.nor .mntoy ooy IcB,n in rny rmtrN,
if I shonll Lcom sDbj.{ lo llt
..mply wiih thos p$vision .
$ asro tf,.om suhj.cr lo rhc sorl(c6 onP.trsthn hws .r cllin nii.ond
npn,visidnsorsc(rn rl70Ool'lhcL!tnrGxlc,I sh!
WARNINC: Flihrc b {cuB rortcn ompcnsarn,n cov.ESc is
civil r-rtrc\ up t, on. hun r.d rhou\and d UxB ($l
7-rr I
I h.Ehy liftrh hder pcnalty ol Frjury that I am liErcd lnder prevision of i,rg wirh SEtion ?fiD) olDivision 3
of rhc Bnsift* 0nd Pmfcssions Cort'.. ,n my li.cnsc is in lnll forc afil
I hcrch, sftir rxidcr Fmlty of pcriury rhd rhdc ii, snsruclion lcndins aE ky for rh. I'c {omEn e orrh. work for wiich rhis Fr,hir h
dIPIISAIIIECLAEAETN
I hodry {trm undn pcnahy of pc,j!ry onc or lh. follovitrS dccludi.nsl
Dcmlnion Pcmnr-Asb.$s Notifi.arion F.dcBl RcSulalions (Tillc,l0, P{n6)
-l
enify thd lhe acdcdl E8rlhlion! eSatding ue Nr ,mli..bk lo this pmrctl
I .diry lhal I havc rc&l rhh amlic,r ion ond shtc ti,mrion iscoflar. l!s@ b.omply*ith rll Cirydnd coumy
ordimnccr lnd Srlrc tis\ rchloe ro buildinS €onsI snrarivc, .r lhh Cny and Coury k! cnrd utnn rhc
olc nEnrioned pii,rcnt 6r 4
Applico orA8enlSisMloE -/t
UNDER GROUND
Waste & Venl
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq ,il",thY h ,
Gas Pipinq ?tiHr* z 4./n,lLla
Rool Drain
Flouqh Water Heater
P{rap/Drain Line s4"r<l*-,tuualL /l)
It/ain Drain/Pool Pipinq Z /l-l/ro-A+'\rr-/t
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv SeweriCap
Back Flow Device
I
Rouqh Plumbinq
Final Gas Test
Meter Release [/,tr^t
t7/ttll{5r\k{
Notes, Remarks, Etc.I
(
'l
COMMENTS
Tub/Shower Test
POOL/SPA
FINAL
L _Rcqutcd trtr.r of Nolilicarbn
-,+d /.