HomeMy WebLinkAbout30142501 - PermitProject Address: 2331 S Pullman St
Assessor's Parcel: 430-01 1-05 Lot: 7
Unit:
Block: NA
Bldg:
Tract: 5771
Address Range:
Historic: No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O1425O{
Pin #: 17132
Owner.
Address:
Phone:
Tenant Name:
Contractor.
Address.
Phone.
John Garrison
PO BOX 10145
Newport Beach, CA 926580145
(949) 445-5679
Axiom Materials
J B Fire Protection
25422 Trabuco Rd #625
Lake Forest, CA 92630
(888) 5234737
01 1 16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type Amount
Gas Line alter/extend/ar 70.64
Min Fee Adj 4.37
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$70 64
$4.37
$23 79
$s9.30
$4.05
State Lic #: 647282
Lic Type: C-36, C-16, C-34
Bus. Lic #: 329601
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 19G2369-20
Expires: 03/01 12021
Building Use:
Job Type:
Nature of Work.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field.
Building Permit #:
Verduzco, Viobt $
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
lndustrial
Miscellaneous
Extend Gas Line
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
III B,VB
cPc 2019
10t12t2020
Account#
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-1 61073
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23.79
$134.31
$4.0s
$1 62.1 5
$0.00
$162.15
t
PLUMBI NG.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DET,CARATION
I hqcby aftim unda pcnalty of pajury that I m cxmpt ftom thc ContractoB' Licre Law for thc followinS r€en (Sc.7031.1
BuinGs 8nd Profsion Codc): Any City or County which rcquim a pomit to omtruct, dta. imprcva danolish or rgair uy
structuc. prior to its issuacc, also rcquirc thc applicfit for such pcmit to 6lc 8 signcd ststmmt tha hc or shc b limscd prmaa
to thc prcvisioB of thc Contractor's Liccmcd [aw (Chapttr 9. Commcncing with Setion 7000 of Division 3 of thc Busin* uid
Prcfessions Co&) or thst he or shc is qcmpt th@ftom md th€ basis for thc.llcScd cxmptior. Aoy vblation of SGtbr 7031.5 by alty
applicantforapcmitsubjetsthc applicmttoacivilpcnaltyofnotmorcthelivchundrcddollars(S500).
-1.
as owner of the p,ropcrty, or my employees with wagcs as their sole compensation, will do the work and the structure is not
intendod or offercd for sale (Sec.7044, Business and hofessions Code: The Contractor's License law docs not apply to an owner of
the propcrty who builds or impoves theron. and who does such work himself or herself or through his or her own employee.
provided that such improvancnts ane not intendod orofFencd for sale, I[, however. the building or improvcmcnt is sold within onc ]car
ofcompkxiorL the Orvner Builder will have thc hrden of proving tha he or she did not build or improve the propcrty for the purpose of
sah).
-1.
as owner of the propcrty. am exclusively contracting with licensed contractors to construcl the project (Sec. 7044. Business
and hof€ssion Code: The Contractor's License Law docs not apply to an owner of propcrty who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licorsed pursuant to the Contractor's License L,aw).
-IamexemptunderSection-.B.&P'C.forthisrcason.Date: O*ner
WORKERS' COMPENSATION
DECLARATION
I hereby allirm under penalty of perjury one of the following declarations:
-l
havc and will maintain a Ce-rrifrcate of Conscnt to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code. for the performance of the work for which the perrnit is issued.
-l
havc and will maintain workers' compensation insurance. as required by Section 3700 of the l-abor Code. for the performance of
the work for which permit My workers' compcnsation insurance carrier and policy number re:
Policy
'2, (
y'rotitythat in the performance of the work for which this pcrmir is issued, I shall not
so an to become subject to the work€rs' compensation laws of California, and agree that if I
employ any person in any manner
should become subject to the
work€rs' compensation provisions of Section -1700 of the Labor Code. I shall. forthwith comply with those provisions..
WARNING: Failure to secure workers'is unlarv[ul.shall subject an andlo
civil fines up to one hundred thousand ($the
Section 3076 of the Labor Code. interest and attorney's fees.t
Dere: to/t zr/Zz
I hereby affirm under penalty of perjury that I am licensed Chapto 9 (commencing with Soction 7000) of Division 3
of the Business and Professions Code. and my liccnse is in full force and effect.
License -io Number:ZlZ
LA
CONSTRUCTION LENDING AGENCY
of perjury that there is a construction lending agency for the performance of the work for which this permit is
lrndcr's Address:
APPLICANT DECLARATION
I hady affirm undcr pcnalty of pcrjury one of the following declarations:
Dernolition Permits-Asbestos Notification Foderal Rcgulations (Title 40, Part6)
-Rcqu
ired Lrtter of Notificaion
-l
certi& that the lcderal regulations regarding asbestos removal are not applicable to this project.
-l
ceni& that I have read this application and state that with all City and County
and County to cnter upon thcordinances and State Laws relating to building
above mentioncd property for inspection
Applicant or Agent
Pernritee
,-l
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous ,
Gas Service y/
Water Service lr ,(L
Lawn Sprinkler (/' ,)" l--,
Sanitary Sewer/Cap Lfr/ tY C,[-
Back FIow Device Au' J ,\Z'(,D
t/'l v' ),I
Rough Plumbing lo/t{/21 ,/*5n vfio) /
Final Gas Test -lt V /
Meter Release I t6 /?a/*'{J-/**fiQ
FINAL lo/i/z"t J)d{o'b€7>
Notes, Remarks, Etc.r7
Dale:*4
Lender's Nane:
U4.-
above
p orr", tlz/u