HomeMy WebLinkAbout30140016 - Permit (2)Project Address: 4450 Westminster Ave
AssessoisParcel: 198-301-02 Lot
Unit:
Block: NA
8ld9:
Tract: NA
Address Range:
Historic: No
@ City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit #: 3Ol4OOl6
Pin #: 4E,525Gl,f
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
011
011
01 l
011
011
011
011
011
011
01 'l
011
0'l't
0l 'l
51602
51602
51602
51602
51602
51602
5'1602
51602
51602
51602
51602
51600
51602
Owner-Builder
16002
16002
16002
16002
16002
16002
'16002
16002
16002
16002
'16002
16002
16002
Qty
1.00
1.00
1.00
1.00
1.00
2.00
4.00
1.00
1.00
2.00
2.00
1.00
1.00
Fee
$12.70
$16.14
$16.14
$22.25
$44.s 1
$89.02
$38.48
$44.51
$44.51
$30.94
$75.12
$22.08
$55.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Commercial
New
Car Wash Building
Occupanry:
Constr Type
Code:
B
V B, SPK
cPc 20i6 Notes
Planning Approval Byl
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
i, Teri
0197807
Every permit issued shall become invalid unless the wo* on the site
authoized by such permil is commenced within 1 80 days aftet its
issuence, ot il tho work authoized on the site by such pennit is suspended
or abandoned fot d period of 1 80 days aftet the time the worl< is
commenced.
Date:
Date: 1011812018
Date: 1111412018
Account#
l,4isc. Receipt:
l\4isc. Receipt:
lvlisc. Receipt:
Total
01 1 16002 51600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Due:
$5'11.44
$0.00
$511.44
$22.08
$489.36
rnsn{MID#: 2017-138372 o o
Suite Range:
Zoning:
Thumbs Up Management, lnc.
18752 E 17th St.
Santa Ana, CA 92705
(714) 801-1515
Two Thumbs Up Express Car Wash
Feo Type Amount
Sink 12.70
Floor D.ain 16.14
Floor Sink 16.14
Wtr Htr (Comm up to 50 22.25
Water Piping (Each 100 44.51
Primary/SecondaryRoo 44.51
Area Drains 9.62
Wtr Conditioner 44.51
Backflow > 2" 44.51
Hose Bibb 15.47
GreaseMastelntercept 37.56
General Plan Updale 22.08
lssuance 55.M
,1n':.
PLUMBING.INSPECTOR RECORD
APPROVALS DATE rD/stG.COMMENTS
UNDER GROUND
Waste & Vent
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
il,'t*rr{pdFINALatltAt4 lt @
Note$, Remarks, Etc.u\
?aft. tllqln ec.ot;er cc"trYr€t rl].nl a'fV-n',r-*t6)
tI I tt u I
o o
OWNER BTItI,DER DILC RATION
I h.reby ofliirn under ncnally of pcrjury rh l am .x.mnl iom the Conta.ro6' Lic.nse I dw lit rlt firlowms r.d$n (scc 70lll 5
Brnnc$ ond trof.ssion C{ni.) Aiy Crly or cor y Rh'.h r.quRs . I.nnil ro c.nnrud. all... imrn,vc, d.mlish or Eprn dny
{rucrur., prior tu rs issrhm.. rho rcqunes rhc.nplrcad lor such p.rmir to nb . si-gNd sr.r.mnr rhor h.or.h. ir licenscd pursont
k, rhr tmrisions otrh. Conrraclor s Liccnsed Law lchnprer 9, con.kn.xrg wirh Sedim 7000 olDivhion I oflh. Br$n.sr nnd
t^rcslonq Codc) or rlrr lLo.,h. is ercnn rlElcfmm.ftl rlt h.srs forrheallcscdcxcmprion. A.rlidarionofs..ri,n70 15bytny
$rlicanr lin. r,emrir subj(k rhc amlicanr r..cllrlpcnakyolnot mrcrl$ fiv. hundr.d dollam (55001
_1, os own.r ofrh. ,,mrEny' or my .mrloy!.s wirh wags N rh.i sl. omnds.ta6l\ will & rh. wnt od t. itudE ! mt
i md.d oroE nd aor slc (56.?014, Blrin.ria.d Pmf.$ion3Code'l h. ConlEclols Ltm* t w(h.smltrpplyloanowft.of
th. poFiy who buildr or r{mlB tk6n md wts (IE Mh s.t hiN.lf or h.mltor llwush hie.r hd om cnloloys.
pmvil.d thd such irpm@.rs e mt iil.rd.d o. oftEn forBk.lt tsw.c. tk buiBins or inDreEmnl ir sU wnho o*
'wofoqrkriol! (h. own r Buitlrr will hlr 0. lr!&n ofnmtns th.r lE or . did nt fDild or irpEE 6. pmFry for E purFE of
_1. as.wn( olrh. Ilopdly. d exclusivcly conrBctiq wnh lic.ns.n conkcl.F lo @mltucl rh. nmj.cr (S.c ?o44, Buins
dnd Pofr{in aon. Th. Coatncloi s t ic.re. tiw .loca not arply to .n o*n( ofnflJr.ny who I'u ilds o. imr.orts lhcror
lnd vh. contmcl3 fo och pn'jcctr wirh a c(,nrmro(9 ltctrsed luma ro r h. Conlr.doir Lic.nk L.q).
-l "m.x.nfl undd s{t
woiKi:ns' colllPENsATIoll
PECIA8AI,IA!
I h@by .mm u.dd p€B[y olp.rFry om olth. lolk winS d{LrtioB:
-l
h.vendlrrll mrinriin ic.nr,ic coi(ons.nrro s.lllNUru lir *orke6' onrpcnsrion, os nnvtlcd linbys(.on1700 olrlt
l-ahor Cnde, tulhc penbnnancc orlh.lot* ri,r sh(h rhe permrr h trsued
_l hrw dd will mai a,n wolk.B comp.nslion iNumrc., .i Equircd by Sdion 3700 oflh. Labor Cod., fo! lh. p(fomN. ot
lhc mrt for $nich fii! p.mn i! is$.d. My vorks! omptuion in$6m. tri( un lolic, nudbd e:
-l.cnify
rhar in rh. p.rh.frar..lrh. work lor whahrhis r.rnn L i!flcd. I sh.ll ml mploy ony r.mn in any oonrcr
$ ss lo lx,ft rubj.rl t. th. wortd' mmp.ns.rion hws oac.liaornia snd ssE Ih8r if I il..uld h.{om. otJ.ci lo lh.
mrt.R' 6mr..etion ,mvkions ofscdion 1700 of lh. Labor aod., I ilEll. fonhwnh mnrly {ilh to€ pmvirions.
WARNINO: fsiluE ro sfuc qo*.6 @ordslio. 6!.8r. i. uohwtul and sh3ll stjer an .mplorr. to nimitul ll.mlli.r ind
civil ,in.! !n t. onc hundr.d lh.lsnd
S..l6n 1076 ofrh. Llbor Cod.. inl6.n
0n, damr.s $ providcd lor lh.
lrt(l"u .II(a
I h.ct'y 6ffm ridd p.dlly of idjury rhar I m liced uodB ,evirion olchrptg 9 (6n:lffiiD8 wnh Sdion 7000) of Divilioo l
of tn BuiB Bid Pof.sioro Codq ad my licd. i in tull f.re ad.fIel.
7/Z2a/
I h.Ehy.mrmundcr Ffl.hyof Frjuryrhar r
k rcd(sN.1097, Civ. C )
s tr q'tr{tucrion l.dd'ns slcncy lorrh. pcrfomrmc olthewo* for which tis Fmi is
-l
c.rrily thot $. f.d@l r.grilarioB Egl,rdine ish.srG rmEl rr. .or dr'llicabL lo lhh rmjel
ionaBlsrarerhdtheit v€ inaonniri.n is.or€r lslrd(.complyw hallCiryrndCounry
n, E d tcEhy dtnrir. Epre .riv.s oalhrs cny ad cou.ty lo.nl6 upon th.
furz-
Water-Under floor
AIIIICANIJIICIABAIIOB
I lEhy amm uftLr p.mllyofp.rjuyoe olrh.Iollowros d6laErions
Dcmhion Pamn$Asb.{or Notilication ljedml Relold ioN ('l ir le 40, Pbn6)
-Rcquircd
t.tte. otNolifistion
I
37tu7-A
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