HomeMy WebLinkAbout30539775 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), SantaAna, cAg27o2 Plumbing
Permit Counter: (7141647-5800 lnspectaon Requests: (7'14) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 30539775
Pin #: A9492
Unit:
Block: NA
Bldgi Address Range:
Tract: POTTS, BORDEN &Historic: No
Suite Range: Buildlng I
Zoning: C1
qProiect Address: 2724 N Bristol St
Assessor'sParcel: 002-261-30 Lot: POR 25
Owner:
Address
Phone
Tenant Name:
01 1 16002 51602
01 1 16002 51602
0'1 1 16002 51602
01 1 16002 51600
01 116002 s1602
JLLC PALM TERRACE APARTMENTS
16456 BERNARDO CENTER DRglt Diego, cA 921282582
Fee Type Amount Qty Fee
Dishwasher 11.97 2.00 $23.94
vvtr Htr (Res up to 50 gi 22.25 3.00 $66.75
lnvestigation 96.78 1.00 $96.78
ceneralPBdrURqQtfEl3r 2t9lzzors 1ffi: ccur&?ap8
lssuance oflice: CTY]I S5lorinsi: 45 1.00 I o$55paAccti: Ref+: 30539775
Rcpti:02346196 - 9/1/2018 1:3S pfl
Trnnsoct ion Totol t2r584.11
Phone
State Lic #: 919872
Lic Type: B, C-33
Bus. Lic #: 370006
Workers' Compensation lnsuranceCarrier; State Fund
Policy #: 1877310
Expires: OTlO'll2O'19
To[ol llo intenonce 6roup
Generol Plon Updote Fee
01116002- 5t600000-
Plu.b ine
01116002- 5t602000-
Uiso
CCI: rrfirlrfrrr*4407
Building Use:
Job Type:
Nature of Work
R-2
VB
cPc 2016
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Alter - n/v (units l-1, l-2, l-3) Code:
Chavez, Dave,t,
Notes: Legalize water heaters in units l-1, l-2, l-3.
Planning Approval By
Plan Checked By:
Permit lssued By:
Sub.ject to Field:
Building Permit #:
Every pemil issued sha become invalid unless the work on the site
authoized by such pemit is commenced within 1 80 days allet its
issuance, or il the wo* authotized on lhe site by such pemit is suspended
ot abandoned for a peiod of 180 days aller the tirne the wo* is
commenced.
08,0r/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$242.51
$264.59
$0.00
$264.59
lnspector MID#: 2018-144628
01 1 '16002 51600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Due:
Contractor:
Address:
Total Maintenance Group
434 Maravilla Lane
Brea, cA 92823
(7141228-919'l
- t22.0.q
_ t212.11
t2 1584. 1l
Auth+:09709S
Date:
Date:
Date:
Planning Conditions:
PLUMBING-INSPECTOR BECORD
APPROVALS DATE ID/SIG.COMMENTS oWNER BUILI}I]R DI'I-CARATION
I hcrcht dl irn undcr ffnilry of Frlury rhd I .n cxcnfr liom rh. ConridoF Li.en$ ltrr lor lhc followiis rursn ( S( 70.] l 5
tru\inc\s rtol Pr.nssion Co!c): Any Cily o, Counl! Nhich ('qutc\ ! pcrmir ro con(rucr. rlrc!. i'npr,e.. d.nDlish or Eprfunr_'
dturrun. prir h ir\ i*uan.c. rl\o ruqun \ rhc nppli.d f(x \D.h F-m n, filca \iBicd { .nrnr th hcor shc i\ liccnr.d pufiuinr
lo rhc pmvi\nrN o, tlrc Conrr0.rtr s l-iccnr l-!$ (Chaprcr 9. ConDcrrtu sirh Socron 7{XX).i Dililn,n I ol thc Ausincss rtrJ
h.tunn,h\C.dr)orrhrrh.or\hcscxrlFrrhcr.konrdrhctltrnturrhcrll.gcdcxcntptin. Anyvnn ionolscdionTl).ll5hrlny
rpfli.rnl hr r Niinir suhl..rsrhc rlfli.rn' tu a.ivilrnrxyolnor ntrrcth livc hundrcd dollm (S50(,)
-1,
!s oei( of thc Ptop.ny, or my cnptorss {irh sages ar fict sh <,npci$ri.i. will do rhc wor!. and [r rrudm is nol
in,cnd.d or oficEd fo, ek (56.?044, B!.iEs. a.d PrDfc$io.s Codc Thc Conlflclols Litns kv docs ml afl,ly lo M oan6 of
rlEp lrny *ho bti!& tr ir{mr. rltE( lnd *ho d6 $cn M hid$lr or he*clf or rhftugh hh or h.r ow, cmployas.
Imvidcd rhd iuch imtmvmds N ml inrdrd.d oroffcEd for slc. lt hwK. rtc hihins o! itrrpotc ir $ld wnhin oft,id
ol sdpl{io.. thc ol,ftr Auilrh, wi[ h!* trE h'{<rrn of FDving rhd lE or sh. did ml hd]d or irymw lnc pDIEry for t E p!,rft 6f
L * own.r otrh. p6Fdy. m crclusiv.ly .onlmring wirh liMscd o m.ron ro onnrod ttE prctcr (Sk. 7014. BEitus
and ADftssim Codc: Thc Conhcloas Lic€nsc Law docs mr spplr ro sno*n* oflropcay Bho buildr or inl,mvrs rhcrcon.
and who conra.ls for.uch poj.rk wirh. Conrracion, lh.ned pusuotr o rhc Conrocrols Li.cnrc trw).
I ncxc\n undcrScclion- B. & P.C. forihhrcoson
Date Ovn.r
laaKD&tcQMrlus rloN
DICIAIAIIAN
I h.r.by rtllrnund.r r..rhy of pdjury o.c ofrh. followins dc.Lrdri.trJl
Ihnvcd iwilltuini nrCcdirf,olcolconenrioSel niur. ror *ort.u' .ongEnel ion. &r p.ovidcd for by Sadon 1700 o t lhc
khtr Cde. tu rlr |Jerfom(t .a rh. wolk for which rh[ Fmir ir i$ucd.
I havc md wiU nainr,in wort rC.onFnsoliotr insuraroc.,s rcquiRd t y Scclion 1700 ofrhc Labor Codc, tot
'hc
pc.forN.c ol
rhc work lo. whhh rhh Foil is L*ucd. My worlc( comp.nsarion insum^... caEicr od Flky nlubcr !rc:
Slerg F s^Jr,
- \L11?to -, - l' 2.- r\
-l
enify thlr in rh€ p€rformtuc o( rhc {orl lor whth rhii Frmir ir Lsrucd, I shdl nor .nploy my Fmn in any enflcr
$ $ to h.com subirt to th. wortcs comp.rsalion kws of Califoma. ed !8rc lhat if I sholld lNft $bJc<i lo llr
eort.r( $mpcnsion povisions of S(thn 3100 of tt kbor Codc.I shlll. fonhqnh 6mrrl, *nh rtD$ nrcvbions.
WAININCT Fiilurc ro suE uorkcB .omo.nsaiion ov@gc ii unbwlul. .nd skll subj.{ !n cmtbrtr to djninal Fna[ia ud
civil fiocs up lo 6rc huodr.d rhoNand dolhc ($100.0{)0), in ddnion ro lhc.ost ofcohp.nsation. dam8.s.i trovid.d for rh.
sc.lion 1076 orrbc tjtrr Codc, inrcrcs {nJ ormy s fes
-r- l?,tpprrunr:f PhP e-e-
UCEISI,D-CO Ilnl:IOB
DLS"$AIION
I hcRby riirn und$ Fn,hyofp.rjury rhd l0m liccn<n undc! fmvnion olCh.plc! I (commncin8 wirh sNrbn 70Oo)olDivision l
ol rhc Busincsann Pmft$ion\Codc. uii ny lic.tr* it in fullfd.c dxi clldl
B q t1 ga2-
.(-(-rl .-,-",-X P++" e-L-
(Df,ral]cllaNlJrNl)ltc-alilrNt.I
Ihcr.hyrl,iln!flcrpcnJlryofprrJtrrl rhsr i\3.onntdion Lidi',! r!$cy nrrhc J[tli,nnrrEt.i Ih. Rotk li,r which rhi\ r--nnir is
i\{kd (Scc 1097. Civ C.)
arrtrcANfDEcl/aallo!
I he$y dlim under pcn!llyofpcrJuryonc ollhc lbllowinS dcclaroliotrs
Dcnolirion P$nirsAsh.sr.s Noriticalion F.dcEl R.Bulations (Tillc,l0, Pfi O
Rcqutcd t trcr orNdif$rion
f,|,***ffi ;;ilffi;dffi ;;**,,i,,r*,,**,,**,*,.
chovc ntr tr I ioncd ,m pcn y ior inspccl ion lurp.rs
ApplicxDr or Asenr Sistr.(rrel ^ RS(P ar
x hi ti
8 -r- iE
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building 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
Main Drain/Pool Pipino
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 stfl ty ,.{,<4{f/
Notes, Remarks, Etc.
)
Fill Line/Back Flow
trttdcr's N.r:-
tt
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