HomeMy WebLinkAboutOC_356742 - Permit ApplicationMAIN OFFICE Q
400 CIVIC CENTER DRIVE WEST
SANTA ANA, CALIFORNIA 92]01
714-834-2626 �d'
' ADDRESS Id aL. 1
y�
A -
TORA ROWN G'.W OrV
TRACT W r ,LOT NO % I
CONTR,PCTOR C� -
NEARS
`.NEAREST
CROSS STREET
{ - RttION'A,et'OFFICE-
APPLICATION FOR PLUMBIVG PERMIT
� 26f1S2 GETTY DRIVE
COUNTY OF ORANGE BUILDING AND SAFETY
-
LAGUNA NIGUEL, CALIF, 92677
-MAILING ADDRESS
714.831-2610
P.O. BOX 4b48
- -
;SANTA ANA,- CALIFORNIA 92702
BUILDING
KITCHEN. SINK GARBAGE DISPOSAL❑ _..
MAIN OFFICE Q
400 CIVIC CENTER DRIVE WEST
SANTA ANA, CALIFORNIA 92]01
714-834-2626 �d'
' ADDRESS Id aL. 1
y�
A -
TORA ROWN G'.W OrV
TRACT W r ,LOT NO % I
CONTR,PCTOR C� -
NEARS
`.NEAREST
CROSS STREET
ADDR ESSO®
OWNERr 2 Q
PROPOSED - PRES T
USE USE
CITY j `pqg
NO. _k-7q I
- State Compensatio ,
P Q
Ins. Policy No. Exp Date
+t p
"I Certify that the Poll wine tat Contr. dc. 'N
and Classificationis In full force. and effect".
�.'"I Herdby Certify I am exempt from Sec. 7031.5 of the Bust-
Hess & Professional Code, Div.3,,. Chap 9, Contractors'. License
Law under the following section:--'- -
Owner -Sec 7044 (.. ); Minor Work Under 5100-Sec.7048
or employee working. for Wages Only Sec. 7,053 ( );
Other
`0"I Certify that in the. performance of the work for. which this. '.
Permit is issued, I shall not employany pe{spn in any manner
so as to. become subject to the Workraen!s :Compensation
Laws of. California'"..
"I Hereby acknowledge and statethat the Inf ormationi have—
provitled correct an gree to comply with'all. County ci-
n ces tl tat v ue to '
9 - d m n truction'".
Signature i
PER IT FEES
N O'. .TYPE OF FIXTURE OR ITEM - FEE
WATER CLOSET (TOILET) _
BATH TUB-
'
SHOWERST4LL -' /
LAVATORY (WASH BASIN) -
KITCHEN. SINK GARBAGE DISPOSAL❑ _..
LAUNDRY T RAY❑AUTO.WASH.MACH.❑ `
DISHWASHER
SERVICE SINK
;. FLOOR SINK
-INK
FLOOR DRAIN
URINAL.'
INSPECTION �REC D
'- DRINKING FOUNTAIN
,._ -
.:. ;....
SAND TRAP ❑ INTERCEPTOR ❑,I.
-
L�
SWIMMING POOL FILTER
APPROVALS DATE
^Ins'pector's Signature
WATER HEATER
GROUND WORK SOIL ONLY
WATER SOFTENER
GROUND WORK WITH
WATERPIPE❑ GASPIPE❑
" LAWN-SPR'INICLERS '( RES:OCOMM.❑
-
ROUGH -PLUMBING
TRAILER HOOK-UP
GAS PIPING TO -
!. GAS SYSTEM - LPG C]
NO. OF OUTLETS -;- NAT ❑ -
WATER HEATER'
SEPTIC TANK
j
'1
AUTO. FIRE SPR. SYSTEM
MAIN DRAIN
Rbfvh
SEEPAGE PIT
-1
SEWER
`)1
`.
HOUSE SEWER (VALUATION)
i'SEPTIC TANK t
'. SEEPAGE PITS)
SPRINKLER SYSTEM'
LEACHING.FIELD " _
FINAL
PERMIT ISSUANCE r 1,
_
3 a
UTILITY CO NOTIFIED
BUILDING PERMITNUMBER
to Z
LTOTA,L FEE $
R EC' B OWNER PLAN
CHECKED BV'
VALIUAI ION _
AIL 6" 356,742 �� 6.00+ 3
IER DATE PERMIT NO. PERMIT FEE CODE PLAN CHECK